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Published on: September 28, 2016
L-type Ca2+ channels in Ca2+ channelopathies
Jörg Striessnig1, Jean-Charles Hoda, Alexandra Koschak
1Department of Pharmacology and Toxicology, Institute of Pharmacy, University of Innsbruck, Peter-Mayr-Strasse 1, A-6020 Innsbruck, Austria. joerg.striessnig@uibk.ac.at
Abstract:
Voltage-gated L-type Ca2+ channels (LTCCs) mediate depolarization-induced Ca2+ entry in electrically excitable cells, including muscle cells, neurons, and endocrine and sensory cells. In this review we summarize the role of LTCCs for human diseases caused by genetic Ca2+ channel defects (channelopathies). LTCC dysfunction can result from structural aberrations within pore-forming alpha1 subunits causing incomplete congenital stationary night blindness, malignant hyperthermia sensitivity or hypokalemic periodic paralysis. However, studies in mice revealed that LTCC dysfunction also contributes to neurological symptoms in Ca2+ channelopathies affecting non-LTCCs, such as Ca(v)2.1 alpha1 in tottering mice. Ca2+ channelopathies provide exciting molecular tools to elucidate the contribution of different LTCC isoforms to human diseases.
Insights
Voltage-gated L-type Ca2+ channels (LTCCs) are crucial for cell function. This review explores how LTCC gene defects cause human diseases, including neurological disorders, highlighting their role in channelopathies.
Area of Science:
- Molecular biology
- Human physiology
- Neuroscience
Background:
- Voltage-gated L-type Ca2+ channels (LTCCs) facilitate calcium ion (Ca2+) influx into excitable cells.
- LTCCs are vital for muscle contraction, neuronal signaling, and endocrine/sensory cell function.
Purpose of the Study:
- To review the role of LTCCs in human diseases stemming from genetic Ca2+ channel defects (channelopathies).
- To examine how LTCC dysfunction contributes to various channelopathies and associated symptoms.
Main Methods:
- Literature review of studies on LTCCs and human genetic diseases.
- Analysis of genetic mutations affecting LTCC alpha1 subunits.
- Examination of mouse models with Ca2+ channelopathies.
Main Results:
- LTCC dysfunction due to structural defects in alpha1 subunits is linked to conditions like congenital stationary night blindness, malignant hyperthermia, and hypokalemic periodic paralysis.
- LTCCs are implicated in neurological symptoms of channelopathies affecting other Ca2+ channels, as seen in tottering mice (Ca(v)2.1 alpha1 dysfunction).
Conclusions:
- Genetic defects in LTCCs are a direct cause of specific human channelopathies.
- LTCCs play a significant, though sometimes indirect, role in the pathophysiology of neurological channelopathies.
- Studying Ca2+ channelopathies offers insights into the diverse functions of LTCC isoforms in human health and disease.
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