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Published on: November 11, 2016
HCN Channel as Therapeutic Targets for Heart Failure and Pain
Ying Cao, Jianxin Pang, Pingzheng Zhou1
1Department of Guangdong Provincial Key Laboratory of New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University; P.O. Box: No.1023, South Shatai Road, Guangzhou 510515, China. zhoupingzheng@126.com.
Insights
Hyperpolarization-activated cyclic nucleotide-gated (HCN) channels are crucial for heart rate and neuronal activity. This review covers HCN channel function, disease relevance, and drug development opportunities for conditions like heart failure and epilepsy.
Area of Science:
- Molecular and Cellular Biology
- Pharmacology
- Cardiology
- Neuroscience
Background:
- Hyperpolarization-activated cyclic nucleotide-gated (HCN) channels are critical ion channels involved in regulating heart rate and neuronal excitability.
- These channels conduct both potassium (K+) and sodium (Na+) ions, generating an inward current that is modulated by intracellular cyclic adenosine monophosphate (cAMP).
Purpose of the Study:
- To review the structure and function of HCN channels.
- To discuss the involvement of HCN channels in various human diseases, including heart failure, pain, and epilepsy.
- To explore the therapeutic potential of targeting HCN channels for drug development.
Main Methods:
- Review of existing scientific literature, including mutagenesis studies, transgenic mouse models, and pharmacological investigations.
- Analysis of the mechanisms of action for identified HCN channel inhibitors.
Main Results:
- HCN channels are implicated in significant human diseases, highlighting their physiological and pathological importance.
- Mutagenesis, transgenic, and pharmacological data support the role of HCN channels in disease pathogenesis.
- The therapeutic potential for developing novel analgesic, bradycardic, and anticonvulsant drugs targeting HCN channels is substantial.
Conclusions:
- HCN channels represent promising targets for novel therapeutic interventions in cardiovascular and neurological disorders.
- Ivabradine, the first approved HCN channel inhibitor, demonstrates the clinical viability of targeting these channels for conditions like angina and heart failure.
- Further research into HCN channel inhibitors and their mechanisms of action is warranted for advancing drug development.
Abstract:
Hyperpolarization-activated cyclic nucleotide-gated (HCN) channels play important roles both in the control of heart rate and neuronal excitability. HCN channels open on hyperpolarization voltage, permeate to potassium and sodium, and generate an inward current, which is modulated by intracellular cAMP. HCN channels have been reported to involve in various human diseases, including heart failure, pain and epilepsy with datas from mutagenesis, transgenic mice and pharmacological studies. As a result, HCN channels may offer excellent drug development opportunities for novel analgestic, bradycardic and anticonvulsant drugs. Ivabradine is the first HCN channel inhibitor being clinically approved in 2005 for the treatment of chronic stable angina pectoris and heart failure. This review will summarize the structure and function of HCN channels. Further, we will discuss recent advances concerning the identification and action mechanism of reported HCN channel inhibitors.
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