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L-type voltage-gated calcium channel, skeletal muscle type (Cav1.1) (DHPR)

Target
DHPR
Molecular classification
Ion channel (specifically, voltage-gated calcium channel), Receptor (because it is targeted by dihydropyridine drugs)
01

Overview

The 1,4-dihydropyridine receptor (DHPR) is a multiprotein complex that functions as a voltage-gated L-type calcium channel, most notably expressed in skeletal muscle as Cav1.1. It is the principal target of 1,4-dihydropyridine drugs, which are widely used antihypertensive and anti-arrhythmic agents. The DHPR complex consists of several subunits (α1, α2, δ, β, γ) and is essential for mediating excitation-contraction coupling in muscle, synaptic transmission in neurons, and other calcium-dependent physiological responses. In skeletal muscle, it is physically and functionally coupled to the ryanodine receptor (RyR1) for rapid muscle contraction. Blockade of this channel by drugs inhibits calcium influx, lowering vascular resistance and blood pressure[1][3][4][5][7]. The DHPR also interacts directly with the ryanodine receptor and plays a pivotal role in rapid signaling and calcium release in skeletal muscle tissue[1][3][7].

Other names
Dihydropyridine receptorDHPRCav1.1 (skeletal muscle isoform)L-type calcium channel
02

Mechanism of action

Blockade of L-type calcium channels (reducing calcium ion influx into cells, lowering muscle contraction and causing vasodilation). Selective inhibition of KCa3.1 channel in modified derivatives (for certain 1,4-dihydropyridine drugs). Reduction of blood pressure and protection against cardiovascular events.

03

Biological functions

Signal transduction (voltage sensing and calcium influx)Muscle contraction (excitation-contraction coupling in skeletal muscle)Synaptic transmission (in neurons)Calcium homeostasis
04

Disease associations

Cardiovascular disease (e.g., hypertension, arrhythmia)Neuromuscular disorders (mutations affect skeletal muscle function)Ischemic stroke (target for neuroprotection)Hereditary xerocytosis (associated via KCa3.1 channel)
05

Safety considerations

Hypotension (from excessive blockade of calcium influx)Bradycardia (slowed heart rate)Potential for cardiac arrhythmiasMuscle weakness (in rare genetic cases affecting excitation-contraction coupling)Off-target effects on other calcium channel subtypes
06

Interacting drugs

Nifedipine

5 more in the full profile.

07

Biomarkers

Mutations or expression levels in CACNA1S (gene encoding Cav1.1) for muscle disordersResponse to dihydropyridine drugs may serve as therapeutic biomarker

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