Voltage-gated calcium channel blockers for psychiatric disorders: genomic reappraisal
Paul J Harrison1, Elizabeth M Tunbridge2, Annette C Dolphin3
1Professor, Department of Psychiatry, University of Oxford; and Honorary Consultant Psychiatrist, Oxford Health NHS Foundation Trust, UK.
Abstract:
We reappraise the psychiatric potential of calcium channel blockers (CCBs). First, voltage-gated calcium channels are risk genes for several disorders. Second, use of CCBs is associated with altered psychiatric risks and outcomes. Third, research shows there is an opportunity for brain-selective CCBs, which are better suited to psychiatric indications.
Insights
Calcium channel blockers (CCBs) show psychiatric potential. Research suggests brain-selective CCBs could offer new therapeutic avenues for psychiatric disorders, leveraging genetic links and observed outcomes.
Area of Science:
- Neuroscience
- Psychiatry
- Pharmacology
Background:
- Voltage-gated calcium channels are implicated as risk genes in various psychiatric disorders.
- Clinical use of calcium channel blockers (CCBs) is linked to modifications in psychiatric risk and patient outcomes.
- Existing CCBs present limitations for direct psychiatric application due to systemic effects.
Purpose of the Study:
- To reappraise the psychiatric potential of calcium channel blockers (CCBs).
- To explore the therapeutic opportunities for CCBs in psychiatric indications.
- To highlight the need for brain-selective CCB development.
Main Methods:
- Review of genetic association studies linking calcium channels to psychiatric conditions.
- Analysis of epidemiological data on CCB use and psychiatric outcomes.
- Evaluation of pharmacological properties of existing and potential CCBs for central nervous system penetration.
Main Results:
- Genetic evidence supports the role of voltage-gated calcium channels in psychiatric pathophysiology.
- Observational data indicate a correlation between CCB administration and altered psychiatric trajectories.
- Development of brain-selective CCBs presents a promising strategy for psychiatric treatment.
Conclusions:
- Calcium channel blockers warrant further investigation for psychiatric applications.
- Targeting voltage-gated calcium channels offers a potential mechanism for novel psychiatric therapies.
- Brain-penetrant CCBs could represent a significant advancement in psychopharmacology.
More Related Videos
11:42Reconstitution of a Transmembrane Protein, the Voltage-gated Ion Channel, KvAP, into Giant Unilamellar Vesicles for Microscopy and Patch Clamp Studies
Published on: January 22, 2015
07:31Profiling Voltage-gated Potassium Channel mRNA Expression in Nigral Neurons using Single-cell RT-PCR Techniques
Published on: September 27, 2011
Related Concept Videos
Voltage-gated Ion Channels
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...
Antiepileptic Drugs: Calcium Channel Blockers
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...
Antianginal Drugs: Calcium Channel Blockers and Ranolazine
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...
Antihypertensive Drugs: Action of Calcium Channel Blockers
Antiarrhythmic Drugs: Class IV Agents as Calcium Channel Blockers
Verapamil, a calcium channel blocker, inhibits calcium movement across myocardial cell membranes and vascular smooth muscle. This results in the dilation of coronary and...
Non-gated Ion Channels
Compared to the gated ion channels, the non-gated channels, also known as leakage or passive channels, have no gating mechanism....
