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Channelopathies in Cav1.1, Cav1.3, and Cav1.4 voltage-gated L-type Ca2+ channels
Jörg Striessnig1, Hanno Jörn Bolz, Alexandra Koschak
1Pharmacology and Toxicology, Institute of Pharmacy, and Center for Molecular Biosciences, University of Innsbruck, Peter-Mayr-Strasse 1, 6020, Innsbruck, Austria. joerg.striessnig@uibk.ac.at
Abstract:
Voltage-gated Ca2+ channels couple membrane depolarization to Ca2+-dependent intracellular signaling events. This is achieved by mediating Ca2+ ion influx or by direct conformational coupling to intracellular Ca2+ release channels. The family of Cav1 channels, also termed L-type Ca2+ channels (LTCCs), is uniquely sensitive to organic Ca2+ channel blockers and expressed in many electrically excitable tissues. 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 their pore-forming alpha1 subunits causing hypokalemic periodic paralysis and malignant hyperthermia sensitivity (Cav1.1 alpha1), incomplete congenital stationary night blindness (CSNB2; Cav1.4 alpha1), and Timothy syndrome (Cav1.2 alpha1; reviewed separately in this issue). Cav1.3 alpha1 mutations have not been reported yet in humans, but channel loss of function would likely affect sinoatrial node function and hearing. Studies in mice revealed that LTCCs indirectly also contribute to neurological symptoms in Ca2+ channelopathies affecting non-LTCCs, such as Cav2.1 alpha1 in tottering mice. Ca2+ channelopathies provide exciting disease-related molecular detail that led to important novel insight not only into disease pathophysiology but also to mechanisms of channel function.
Insights
Genetic defects in L-type Ca2+ channels (LTCCs) cause various human diseases, including channelopathies affecting muscle and neurological functions. Understanding LTCCs offers insights into disease mechanisms and channel function.
Area of Science:
- Molecular Biology
- Neuroscience
- Genetics
Background:
- Voltage-gated Ca2+ channels (e.g., L-type Ca2+ channels or LTCCs) are crucial for cellular signaling.
- LTCCs are sensitive to blockers and found in excitable tissues.
- Genetic defects in these channels lead to human diseases known as channelopathies.
Purpose of the Study:
- To review the role of LTCCs in human diseases caused by genetic defects.
- To highlight how LTCC dysfunction contributes to specific channelopathies.
- To explore insights gained into disease pathophysiology and channel function.
Main Methods:
- Literature review of genetic Ca2+ channel defects.
- Analysis of structural aberrations in LTCC alpha1 subunits.
- Examination of disease phenotypes associated with LTCC mutations.
Main Results:
- LTCC (Cav1) alpha1 subunit mutations cause hypokalemic periodic paralysis, malignant hyperthermia, congenital stationary night blindness (CSNB2), and Timothy syndrome.
- Cav1.3 alpha1 mutations are not yet reported in humans but may impact heart and hearing.
- LTCCs indirectly contribute to neurological symptoms in other Ca2+ channelopathies.
Conclusions:
- LTCCs are implicated in a range of human channelopathies.
- Studying Ca2+ channelopathies provides valuable molecular insights into disease and channel function.
- Further research into LTCCs can illuminate disease mechanisms and potential therapeutic targets.
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