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L-type calcium channel (dihydropyridine receptor) (DHPR)

Target
DHPR
Molecular classification
Ion channel, Voltage-gated calcium channel, Receptor
01

Overview

The dihydropyridine binding site is a well-defined structural region on the alpha1 subunit of the L-type voltage-gated calcium channel, which is also termed the dihydropyridine receptor (DHPR). The DHPR is a multisubunit complex essential for allowing calcium influx into cells in response to depolarization, which triggers muscle contraction in skeletal, cardiac, and some smooth muscles, and plays vital roles in neuronal signaling. The receptor complex includes the pore-forming alpha1 subunit (which houses the DHP binding site and forms the actual ion channel), several auxiliary subunits (alpha2/delta, beta, gamma), and interacts physically with the ryanodine receptor in skeletal muscle for excitation-contraction coupling. The DHP binding site resides within the transmembrane regions of the alpha1 subunit (particularly IIIS5, IIIS6, IVS6), and binding of drugs such as nifedipine stabilizes a non-conducting state of the channel to block calcium influx. Due to its central role in calcium homeostasis, the DHPR is a major therapeutic target in cardiovascular and other diseases.

Other names
Dihydropyridine receptorL-type calcium channelL-type voltage-gated calcium channelCav1.1 (skeletal muscle)Cav1.2 (cardiac/smooth muscle, neurons)Cav1.3Cav1.4DHPR
02

Mechanism of action

Dihydropyridines (DHPs): bind to the DHP binding site on the alpha1 subunit, preferentially stabilizing the inactivated (non-conducting) state of the channel, thereby reducing calcium entry. Phenylalkylamines and benzothiazepines: bind to distinct but allosterically linked receptor sites, modulating channel opening and frequency dependence.

03

Biological functions

Excitation-contraction coupling (especially in skeletal, cardiac, and smooth muscle)Calcium ion influx across the cell membrane upon depolarizationMuscle contraction initiationSynaptic transmission and integration in neuronsRegulation of gene expression via calcium signaling
04

Disease associations

Cardiovascular disease (hypertension, angina, arrhythmias)Neuropsychiatric disorders (epilepsy, autism, some ataxias, via neuronal subtypes)Skeletal muscle diseases (congenital myopathies related to mutations in Cav1.1)Other diseases related to altered calcium signaling
05

Safety considerations

Hypotension (due to excessive vasodilation)Bradycardia/heart block (particularly with certain subtypes or overdose)Peripheral edema, flushing, headacheNegative inotropic effects (excessive myocardial depression)Drug-drug interactions (DHPR antagonists interact with other antihypertensives or CYP-metabolized agents)Tissue specificity: subunit composition affects drug selectivity and side-effect profile
06

Interacting drugs

1,4-dihydropyridines: nifedipine, amlodipine, nicardipine, nimodipine, nitrendipine

3 more in the full profile.

07

Biomarkers

No direct, routine clinical biomarkers. However, response to calcium channel blockers in cardiovascular disease can (by implication) reflect DHPR activity. Genetic variants in DHPR subunits have been associated with specific disease phenotypes in rare cases.

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