Target intelligence / Profile preview

T-type calcium channel subunit alpha-1I (CaV3.3)

Target
CaV3.3
Molecular classification
Ion channel, Voltage-gated ion channel, T-type calcium channel
01

Overview

The **T-type calcium channel subunit alpha-1I** (CaV3.3, gene symbol *CACNA1I*) is a member of the T-type/low-voltage gated calcium channel family predominantly expressed in the brain and central nervous system[1][3][7]. CaV3.3 channels mediate a transient, low-threshold calcium current essential for neuronal excitability, pacemaker activity, and oscillatory firing patterns[3][4][7]. They are structurally characterized by a unique long, bended S6 helix in domain III, which is important for their gating at low voltages[1][3]. Genetic and functional changes in CaV3.3 have been implicated in epilepsy, psychiatric and sleep disorders, pain, and some cardiovascular pathologies[4]. Several drugs—including mibefradil, otilonium bromide, and pimozide—target T-type channels, although most compounds are non-selective for subtypes[3][4]. Safety concerns are related to off-target actions due to the widespread expression and functions of T-type channels in multiple tissues[4].

Other names
CaV3.3CACNA1IVoltage-dependent T-type calcium channel subunit alpha-1ICav3.3 channel
02

Mechanism of action

Blockade of calcium influx through low-voltage activated T-type channels, leading to stabilization of membrane potential and reduced neuronal/smooth muscle excitability Inhibition of rhythmic firing and pacemaker currents

03

Biological functions

Regulation of neuronal excitabilityPacemaker activityControl of rhythmic oscillations in neuronsCalcium influx at low voltagesModulation of neuronal firing patterns
04

Disease associations

EpilepsySleep disorders (insomnia)Neuropathic and inflammatory painNeurodegenerative diseasePsychiatric disorders (e.g., schizophrenia)Cardiac arrhythmiaHypertension
05

Safety considerations

Potential for central nervous system side effects (e.g., cognitive impairment, drowsiness)Risk of effects on heart rhythmNon-specific inhibition resulting in off-target effects in tissues like heart and endocrine cellsPotential exacerbation of neurodegenerative conditions with chronic use, based on animal studies[4]
06

Interacting drugs

Mibefradil

6 more in the full profile.

07

Biomarkers

No widely established clinical biomarkers currently specific for CaV3.3 activity; altered expression levels in the brain have been studied in certain disease models

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