Target intelligence / Profile preview

Cardiac Late Sodium Channel Protein (late INa)

Target
late INa
Molecular classification
Ion Channel, Voltage-gated Sodium Channel
01

Overview

The cardiac late sodium channel protein, or late INa, is a sustained inward sodium current that persists during the plateau phase of the cardiac action potential. It is primarily mediated by the NaV1.5 voltage-gated sodium channel. While small in amplitude compared to the peak sodium current, late INa contributes to maintaining membrane depolarization and modulating action potential duration. Pathologically increased late INa is implicated in heart failure, arrhythmias, and Long QT Syndrome Type 3, making it a therapeutic target for antiarrhythmic drugs.

Other names
Late Sodium CurrentPersistent Sodium CurrentNaV1.5 (late current)
02

Mechanism of action

Inhibition of late sodium current, reduction of intracellular sodium and calcium overload.

03

Biological functions

Regulation of cardiac action potential durationMaintenance of membrane depolarizationImpulse conduction (indirectly)
04

Disease associations

ArrhythmiaHeart FailureLong QT Syndrome Type 3 (LQT3)
05

Safety considerations

Potential for pro-arrhythmic effects if inappropriately targetedDrug interactions due to effects on cardiac electrophysiology
06

Interacting drugs

Ranolazine

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