Electrically active cells, such as neurons and muscle cells, maintain a resting membrane potential of approximately -70 mV. Neurotransmitters depolarize or hyperpolarize the cell membrane by opening ion channels within the membrane that are either an integral part of the receptor molecule (ligand-gated ion channels) or that are linked to the receptor through a G protein-mediated mechanism (ion channel-linked receptors). Occupation of the ligand recognition site of a ligand-gated ion channel induces changes in the conformation of the channel-forming protein such that ion flux across the membrane is increased. In contrast, voltage-gated channels open or close in response to a change in voltage across the adjacent cell membrane. These channels are responsible for the generation of action potentials in electrically excitable cells. If Na+ permeability is increased, Na+ moves into the cell down its concentration gradient and the membrane becomes depolarized in the region of the open channel. In contrast, if Cl- permeability is increased, the membrane will become hyperpolarized in the region of the open channel. Depolarization is associated with generation of action potentials, degranulation, neurotransmission, and muscle contraction. Hyperpolarization is associated with inhibition of these processes. The resting membrane potential is restored and maintained by activation of the Na+-K+-ATPase pump that actively extrudes Na+ from the cell.