Target intelligence / Profile preview

Calcium-activated chloride channel TMEM16A (TMEM16A (also known as ANO1 or anoctamin-1))

Target
TMEM16A (also known as ANO1 or anoctamin-1)
Molecular classification
Ion channel, Calcium-activated chloride channel, Transmembrane protein
01

Overview

Calcium-activated chloride channel TMEM16A is a transmembrane protein that forms a homodimeric ion channel, selectively conducting chloride ions across cell membranes in response to increased intracellular calcium levels[2][3][5][9][10]. TMEM16A is broadly expressed in epithelial tissues, smooth muscle, and neurons, mediating biological functions such as epithelial fluid secretion, smooth muscle contraction, and regulation of neuronal excitability[1][4][5]. The channel is involved in several physiological and pathological processes, including control of airway and exocrine gland secretion, rhythmic contractions in the gastrointestinal tract, regulation of blood pressure, and some forms of pain signaling (nociception)[1][5][7]. Overactivation or dysregulation of TMEM16A has been implicated in diseases including cancer, asthma, hypertension, and gastrointestinal motility disorders, making it an emerging therapeutic target, especially for conditions related to abnormal chloride secretion or smooth muscle function[10]. TMEM16A gating is regulated by direct binding of calcium to specific conserved sites in the transmembrane region; pharmacological inhibitors targeting TMEM16A are under investigation for their potential clinical applications[1][6][7][10].

Other names
Anoctamin-1ANO1TMEM16ACalcium-activated chloride channelCaCC
02

Mechanism of action

Inhibition of chloride ion conductance via blockade of channel pore; Modulation of channel gating by altering Ca2+ sensitivity or channel conformation; Allosteric interaction with channel accessory regulators (e.g., targeting PIP2-binding site)[7]

03

Biological functions

Regulation of epithelial secretionControl of smooth muscle contractionModulation of neuronal membrane potential and excitabilityTransepithelial ion transportCell proliferationNociception (pain sensing)
04

Disease associations

CancerCystic fibrosis (dysregulated airway and glandular secretion)Hypertension and pulmonary arterial hypertensionAsthma (airway hyperreactivity)Gastrointestinal motility disordersOther (multiple tissue pathologies due to ion transport imbalance)
05

Safety considerations

On-target disruption of physiological chloride transport may cause adverse effects such as: Impaired epithelial secretion (potential airway, gastrointestinal, or exocrine gland dysfunction)Smooth muscle hypo- or hyperactivity (risk of muscle spasm or atony)Neurological disturbances (neuronal signaling effects)Potential for off-target effects due to similarity among TMEM16 family
06

Interacting drugs

Niflumic acid (non-selective CaCC blocker)[2]

3 more in the full profile.

07

Biomarkers

TMEM16A/ANO1 protein or mRNA overexpression (e.g., for cancers such as gastrointestinal stromal tumor and head and neck squamous cell carcinoma)[10]

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