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Updated: Jul 19, 2026

Primary Culture of Adult Rat Heart Myocytes
Published on: June 16, 2009
Highly variable mRNA expression and splicing of L-type voltage-dependent calcium channel alpha subunit 1C in human
Danxin Wang1, Audrey C Papp, Philip F Binkley
1Program in Pharmacogenomics, Department of Pharmacology, College of Medicine, The Ohio State University, Columbus, Ohio 43210, USA.
Insights
Interindividual variability in CACNA1C mRNA splicing creates diverse protein isoforms. This splicing variation, not genetic polymorphisms, significantly impacts L-type calcium channel function and drug response.
Area of Science:
- Cardiovascular genetics
- Molecular cardiology
- Pharmacogenomics
Background:
- The voltage-dependent L-type calcium channel alpha-subunit 1c (Cav1.2, CACNA1C) exhibits extensive mRNA splicing, producing functionally diverse isoforms.
- L-type calcium channel blockers are crucial for treating hypertension and arrhythmias, yet patient responses exhibit significant interindividual variability.
Purpose of the Study:
- To investigate the extent of interindividual variability in CACNA1C mRNA expression and splicing patterns.
- To explore the role of CACNA1C splicing and potential polymorphisms in observed functional variations.
Main Methods:
- Quantitative polymerase chain reaction (PCR) was employed to measure splice variants across 12 loci of CACNA1C mRNA in 65 human heart tissue samples.
- Allelic expression ratios for total CACNA1C mRNA and specific splice variants were determined using single nucleotide polymorphisms (SNPs) in exons 4 and 30 to identify functional cis-acting polymorphisms.
Main Results:
- Total CACNA1C mRNA levels displayed a 50-fold variation between individuals.
- Significant alternative splicing was observed in six loci, yielding multiple splice variants with distinct functional implications.
- Splice patterns varied considerably among individuals, with two samples predominantly expressing the smooth muscle isoform instead of the cardiac isoform.
- The absence of significant allelic expression imbalance for total mRNA and splice variants suggested that CACNA1C polymorphisms are unlikely to be the primary source of variability.
Conclusions:
- Highly variable CACNA1C mRNA splicing is a major driver of profound phenotypic variations in channel function.
- These splicing-driven variations may contribute to differential disease susceptibility and variable responses to L-type calcium channel blocker medications.
Objectives:
The voltage-dependent L-type calcium channel alpha-subunit 1c (Cav1.2, CACNA1C) undergoes extensive mRNA splicing, leading to numerous isoforms with different functions. L-type calcium channel blockers are used in the treatment of hypertension and arrhythmias, but response varies between individuals. We have studied the interindividual variability in mRNA expression and splicing of CACNA1C, in 65 heart tissue samples, taken from heart transplant recipients.
Methods:
Splice variants were measured quantitatively by polymerase chain reaction in 12 splicing loci of CACNA1C mRNA. To search for functional cis-acting polymorphisms, we determined allelic expression ratios for total CACNA1C mRNA and several splice variants using marker single nucleotide polymorphisms in exon 4 and exon 30.
Results:
Total CACNA1C mRNA levels varied approximately 50-fold. Substantial splicing occurred in six loci generating two or more splice variants, some with known functional differences. Splice patterns varied broadly between individuals. Two heart tissues expressed predominantly the dihydropyridine-sensitive smooth muscle isoform of CACNA1C (containing exon 8), rather than the cardiac isoform (containing exon 8a). Lack of significant allelic expression imbalance, observed with total mRNA and several splice variants, argued against CACNA1C polymorphisms as a cause of variability. Taken together, highly variable splicing can cause profound phenotypic variations of CACNA1C function, potentially associated with disease susceptibility and response to L-type calcium channel blockers.
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