Target intelligence / Profile preview

Acid-sensing ion channel subunit family member 5 (ASIC5)

Target
ASIC5
Molecular classification
Ion channel, Amiloride-sensitive sodium channel, Degenerin/Epithelial Na(+) channel (DEG/ENaC) family
01

Overview

Acid-sensing ion channel subunit family member 5 (ASIC5) is a member of the degenerin/epithelial sodium channel (DEG/ENaC) superfamily of amiloride-sensitive sodium channels. While most acid-sensing ion channels in this family act as proton-gated sodium channels responding to drops in extracellular pH, ASIC5 functions distinctively as a sodium channel gated by bile acids in epithelial tissue, particularly in bile ducts and small intestine, and is not significantly activated by acid. ASIC5 is also selectively and highly expressed in a subset of interneurons—unipolar brush cells—in the vestibulocerebellum, where it may play a role in motor coordination and balance. Though its precise physiological roles and mechanisms remain incompletely understood, ASIC5 is implicated in sodium ion transport in both neuronal and epithelial tissues, with potential but not yet well-defined relevance in disease and pharmacology[2][3][4].

Other names
Bile acid-sensitive ion channelACCN5BASICHINaCINACAmiloride-sensitive cation channel 5 (intestinal)Human intestine Na(+) channelBLINaCbile acid-sensitive ion channelacid sensing (proton gated) ion channel family member 5acid-sensing ion channel 5human intestine Na(+) channel
02

Mechanism of action

Sodium channel blockade (via amiloride or structurally related inhibitors), modulation of channel function by bile acids (indirect gating)[4]

03

Biological functions

Sodium transportBile acid-gated sodium influxRegulation of epithelial ion absorption and secretionPotential role in neuronal excitability and synaptic transmissionControl of electrical activity of unipolar brush cells in the vestibulocerebellum
04

Disease associations

Pregnancy loss (potential association)Otitis media (potential association)Neurological dysfunction (potential, by analogy with ASIC family)Motor coordination and balance disorders (possible, given cerebellar expression)
05

Safety considerations

As a sodium channel expressed in both neurons and the gastrointestinal system, systemic blockade may cause off-target effects (e.g., central nervous system and gut)specific clinical safety data for ASIC5 targeting are lacking[3][4]
06

Interacting drugs

Amiloride (non-selective DEG/ENaC inhibitor; ASIC5 is amiloride-sensitive but specific ASIC5-active clinical drugs are not well described)[4]

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