Differential blocking action of dihydropyridine Ca2+ antagonists on a T-type Ca2+ channel (alpha1G) expressed in

Taiji Furukawa1, Toshihide Nukada, Reiko Miura

  • 1Department of Medicine, Teikyo University School of Medicine, Itabashi-ku, Tokyo, Japan. tfrkw@med.teikyo-u.ac.jp

Insights

Many dihydropyridine Ca2+ channel blockers, used for hypertension, also block T-type channels. This suggests their cardiovascular effects may involve T-type channel interactions, necessitating evaluation of subtype selectivity.

Area of Science:

  • Pharmacology
  • Cardiovascular Physiology
  • Molecular Biology

Background:

  • Efonidipine, a dihydropyridine (DHP) Ca2+ antagonist, shows T-type Ca2+ channel blocking activity.
  • The impact of other DHPs on T-type Ca2+ channels remains largely uninvestigated.
  • T-type Ca2+ channels play a role in cardiovascular function.

Purpose of the Study:

  • To investigate the effects of clinically used DHP Ca2+ antagonists on the alpha1G T-type Ca2+ channel subtype.
  • To compare the blocking actions of DHPs on T-type versus L-type Ca2+ channels.
  • To assess the potential for T-type channel blockade by common antihypertensive medications.

Main Methods:

  • Expressed rabbit L-type (alpha1Calpha2/deltabeta1a) and rat T-type (alpha1G) Ca2+ channels in Xenopus oocytes.
  • Utilized two-microelectrode voltage-clamp techniques to measure Ba2+ currents.
  • Tested twelve DHPs and mibefradil for their effects on expressed Ca2+ channels.

Main Results:

  • Six DHPs (cilnidipine, felodipine, nifedipine, nilvadipine, nimodipine, nitrendipine) showed minimal T-type channel blockade (<10% at -100 mV).
  • The remaining six DHPs exhibited T-type channel blocking activity comparable to their L-type channel blockade.
  • The observed T-type channel blockade by DHPs was similar to that of mibefradil.

Conclusions:

  • Several clinically used dihydropyridine Ca2+ antagonists possess significant blocking action on the alpha1G T-type Ca2+ channel subtype.
  • The cardiovascular actions of DHPs may be influenced by their effects on T-type Ca2+ channels.
  • Clinical efficacy and side effects of DHPs should be considered in light of their subtype selectivity for Ca2+ channels.

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