Target intelligence / Profile preview

Cardiac calcium handling protein

Molecular classification
Ion channel, Transporter, Enzyme, Other (as a broad functional protein group, not a single molecule)
01

Overview

Cardiac calcium handling proteins are a group of proteins that regulate intracellular calcium cycling essential for excitation–contraction coupling in cardiac myocytes. These proteins include ion channels (e.g., L-type Ca2+ channel, ryanodine receptor), transporters (e.g., sodium-calcium exchanger, SERCA2a), and calcium regulatory proteins (e.g., phospholamban, calmodulin, S100A1). They orchestrate the precise release and reuptake of calcium ions, which is crucial for the contraction and relaxation of the heart muscle. Dysfunction in these proteins leads to various cardiac pathologies, such as heart failure, hypertrophy, and arrhythmias. Therapies targeting cardiac calcium handling proteins, including gene therapy (SERCA2a), protein modulators, and small molecules, are being investigated for the treatment of heart failure and arrhythmias, but challenges remain regarding specificity, safety, and efficacy due to the complexity of calcium cycling in the heart[1][2][3][4][5][6].

Other names
Calcium cycling proteinCardiac Ca2+ handling proteinCardiac excitation–contraction coupling protein
02

Mechanism of action

Modulation of Ca2+ influx and efflux to affect cardiac contractility; Inhibition or activation of specific calcium-handling proteins to alter calcium cycling in cardiomyocytes; Enhancement of SERCA2a activity to promote efficient Ca2+ reuptake into the sarcoplasmic reticulum; Modulation of downstream signaling pathways through phosphorylation or other post-translational modifications

03

Biological functions

Excitation–contraction couplingCalcium signalingRegulation of cardiac contractilityRegulation of heart rhythm
04

Disease associations

Cardiovascular diseaseHeart failureCardiac hypertrophyCardiac arrhythmia
05

Safety considerations

Proarrhythmic risk (potential for increased arrhythmia with certain interventions targeting Ca2+ cycling)Off-target effects (e.g., miRNA-based therapies affecting multiple genes)Excessive contractility or impaired relaxationUnintended impact on cellular calcium homeostasis in non-cardiac tissues
06

Interacting drugs

INXN-4001 (targets S100A1)

4 more in the full profile.

07

Biomarkers

SERCA2a protein levels/activityPhospholamban phosphorylation statusCaMKII activityS100A1 expression

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