The Hard-To-Close Window of T-Type Calcium Channels

Trends Mol Med. 2019 Jul;25(7):571-584. doi: 10.1016/j.molmed.2019.03.001. Epub 2019 Apr 25.

Abstract

T-Type calcium channels (TTCCs) are key regulators of membrane excitability, which is the reason why TTCC pharmacology is subject to intensive research in the neurological and cardiovascular fields. TTCCs also play a role in cancer physiology, and pharmacological blockers such as tetralols and dihydroquinazolines (DHQs) reduce the viability of cancer cells in vitro and slow tumor growth in murine xenografts. However, the available compounds are better suited to blocking TTCCs in excitable membranes rather than TTCCs contributing window currents at steady potentials. Consistently, tetralols and dihydroquinazolines exhibit cytostatic/cytotoxic activities at higher concentrations than those required for TTCC blockade, which may involve off-target effects. Gene silencing experiments highlight the targetability of TTCCs, but further pharmacological research is required for TTCC blockade to become a chemotherapeutic option.

Keywords: T-type calcium channels; cancer cells; pharmacological blockade; window currents.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Calcium Channel Blockers / pharmacology
  • Calcium Channel Blockers / therapeutic use
  • Calcium Channels, T-Type / chemistry
  • Calcium Channels, T-Type / genetics*
  • Calcium Channels, T-Type / metabolism*
  • Cell Survival / drug effects
  • Disease Susceptibility
  • Gene Knockdown Techniques
  • Humans
  • Ion Channel Gating*
  • Signal Transduction

Substances

  • Calcium Channel Blockers
  • Calcium Channels, T-Type