Targeting T-type channels in cancer: What is on and what is off?

Anna Visa1, Lía Alza1, Adrian Casas-Benito1

  • 1Universitat de Lleida-IRBlleida, Lleida, Spain.

Drug Discovery Today
|November 28, 2021
PubMed

Insights

T-type calcium channels (TTCCs) are implicated in tumor progression, but their precise roles in cancer physiology require further study. Many drug effects on cancer are off-target, necessitating a clearer understanding of TTCCs for effective cancer therapies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • T-type calcium channels (TTCCs) have been linked to tumor progression over the past two decades.
  • Pharmacological blockers of TTCCs have shown cytotoxic effects in vitro and preclinical cancer models.
  • The exact physiological roles of TTCCs in cancer remain largely unclear.

Purpose of the Study:

  • To review the evidence for signaling pathways and cellular processes influenced by TTCC activity in cancer.
  • To critically analyze the on-target versus off-target effects of TTCC-targeting drugs.
  • To guide the development of TTCC-based cancer therapies.

Main Methods:

  • Literature review focusing on studies involving TTCCs in cancer.
  • Analysis of data derived from pharmacological blockade of TTCCs.
  • Inclusion of studies utilizing gene silencing or channel activation for TTCC investigation.

Main Results:

  • Evidence suggests TTCC activity influences various cancer-related signaling pathways and cellular processes.
  • A significant portion of the observed cytotoxicity from TTCC blockers may be due to off-target effects.
  • Distinguishing on-target from off-target activities is crucial for understanding TTCCs' physiological roles.

Conclusions:

  • The precise physiological functions of TTCCs in cancer are not fully elucidated.
  • Drug-induced cytotoxicity in cancer treatment is not solely attributable to direct TTCC inhibition.
  • Further research is needed to differentiate on-target and off-target effects for developing precise TTCC-based cancer therapies.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.9K
mTOR Signaling and Cancer Progression03:03

mTOR Signaling and Cancer Progression

The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
3.9K
Targets for Drug Action: Overview01:26

Targets for Drug Action: Overview

Drugs target macromolecules to modify ongoing cellular processes. Primary drug targets include receptors, ion channels, transporters, and enzymes.
Receptors are either membrane-spanning or intracellular proteins, which upon binding a ligand, get activated and transmit the signal downstream to elicit a response. Drugs bind receptors, either mimicking the action of endogenous ligands or blocking the receptor activity to bring about a modified response. Nearly 35% of approved drugs target the G...
7.9K
Transducer Mechanism: Enzyme-Linked Receptors01:27

Transducer Mechanism: Enzyme-Linked Receptors

Enzyme-linked receptors are cell-surface receptors acting as an enzyme or associating with an enzyme intracellularly. They make excellent drug targets. Drugs can bind to the extracellular ligand-binding domain or directly affect their enzymatic domain and alter their activity.
Major types that are helpful drug targets include:
3.1K
Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
6.0K
The Tumor Microenvironment02:17

The Tumor Microenvironment

Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
6.9K