Pharmacology and drug discovery for T-type calcium channels

Joseph G McGivern1

  • 1Department of HTS-Molecular Pharmacology, Amgen Inc., Thousand Oaks, California 91320, USA. mcgivern@amgen.com

Insights

T-type calcium channels regulate crucial cellular processes in neurons, heart, and smooth muscle. This review explores their cellular pharmacology and novel drug discovery approaches for human diseases.

Area of Science:

  • Cellular and Molecular Pharmacology
  • Neuroscience
  • Cardiology

Background:

  • Voltage-gated calcium channels (VGCCs) are vital for cellular signaling, mediating calcium influx.
  • Ten alpha1 subunits form distinct VGCCs, including low-voltage-activated T-type and high-voltage-activated channels.
  • T-type calcium channels play key roles in neuronal excitability, cardiac pacemaking, smooth muscle function, and hormone secretion.

Purpose of the Study:

  • To review the cellular and molecular pharmacology of T-type calcium channels.
  • To highlight novel research approaches for discovering T-type calcium channel modulators.
  • To discuss the therapeutic potential of T-type calcium channel modulators for human diseases.

Main Methods:

  • Literature review of T-type calcium channel research.
  • Analysis of existing data on T-type calcium channel distribution and function.
  • Exploration of emerging drug discovery strategies for T-type calcium channel modulators.

Main Results:

  • T-type calcium channels are implicated in various physiological processes and diseases.
  • Clinical efficacy of T-type calcium channel blockers is established for certain human conditions.
  • Novel research approaches are yielding potent and selective T-type calcium channel modulators.

Conclusions:

  • T-type calcium channels are critical drug targets for numerous human diseases.
  • Understanding T-type calcium channel pharmacology is essential for developing new therapeutics.
  • Further research into T-type calcium channel modulators holds promise for treating neurological, cardiovascular, and other disorders.

Related Concept Videos

Antihypertensive Drugs: Action of Calcium Channel Blockers01:18

Antihypertensive Drugs: Action of Calcium Channel Blockers

Calcium ions are essential to contract smooth muscle cells in blood vessels. They enter these cells through voltage-dependent calcium channels, specifically L-type calcium channels in the cell membrane. These L-type calcium channels are integral to the excitation-contraction coupling process in smooth muscle. When a stimulus is received by smooth muscle cells, their membrane depolarizes. This alteration in membrane potential instigates the opening of L-type calcium channels. As a result,...
Antiepileptic Drugs: Calcium Channel Blockers01:17

Antiepileptic Drugs: Calcium Channel Blockers

Calcium channel blockers, a class of antiepileptic drugs, regulate the flow of calcium ions within neurons.
Calcium channel blockers exert their antiepileptic effects by targeting T-type calcium channels, which are integral to transmitting nerve signals in the central nervous system. These channels allow the passage of calcium ions, which are vital for neuronal communication. By inhibiting T-type calcium channels, calcium channel blockers effectively reduce the release of neurotransmitters and...
Voltage-gated Ion Channels01:26

Voltage-gated Ion Channels

Voltage-gated ion channels are transmembrane proteins that open and close in response to changes in the membrane potential. They are present on the membranes of all electrically excitable cells such as neurons, heart, and muscle cells.
Generally, all voltage-gated ion channels have a 'voltage-sensing domain' that spans the lipid bilayer. The charged residues in the sensor move in response to the membrane potential changes that open the channel allowing ions movement. There are several types of...
Voltage-gated Ion Channels01:26

Voltage-gated Ion Channels

Voltage-gated ion channels are transmembrane proteins that open and close in response to changes in the membrane potential. They are present on the membranes of all electrically excitable cells such as neurons, heart, and muscle cells.
Generally, all voltage-gated ion channels have a 'voltage-sensing domain' that spans the lipid bilayer. The charged residues in the sensor move in response to the membrane potential changes that open the channel allowing ions movement. There are several types of...
Antianginal Drugs: Calcium Channel Blockers and Ranolazine01:25

Antianginal Drugs: Calcium Channel Blockers and Ranolazine

Angina pectoris, a primary symptom of ischemic heart disease, requires careful pharmacological interventions. In this context, calcium channel blockers (CCBs) and ranolazine have emerged as crucial pharmacotherapeutic agents, providing deep insights into the complexities of angina management.
CCBs, a diverse class that includes dihydropyridines (nifedipine) and diphenylalkylamines (verapamil and diltiazem), exert their effect by blocking calcium channels in cardiac and smooth muscle cells. This...
Antiarrhythmic Drugs: Class IV Agents as Calcium Channel Blockers01:20

Antiarrhythmic Drugs: Class IV Agents as Calcium Channel Blockers

Class IV antiarrhythmic drugs, such as verapamil and diltiazem, block calcium channels. They primarily affect the heart, slowing the conduction in calcium-dependent tissues like the SA and AV nodes. These drugs manage reentrant supraventricular tachycardia (SVT) and reduce ventricular rate in atrial flutter/fibrillation.
Verapamil, a calcium channel blocker, inhibits calcium movement across myocardial cell membranes and vascular smooth muscle. This results in the dilation of coronary and...