Target intelligence / Profile preview

T-type voltage-sensitive calcium channel (CaV3)

Target
CaV3
Molecular classification
Ion channel, Voltage-gated calcium channel, Transmembrane protein
01

Overview

T-type voltage-sensitive calcium channels are low-voltage-activated ion channels that mediate transient (T-type) calcium currents across the plasma membrane of excitable cells. They open at membrane potentials near the resting potential and quickly inactivate, providing short-lived calcium influx. There are three known mammalian isoforms—CaV3.1 (CACNA1G), CaV3.2 (CACNA1H), and CaV3.3 (CACNA1I)—which differ in kinetics, expression profile, and pharmacology[1][3][4]. Structurally, each channel consists of a single α1 subunit with four homologous domains, each containing six transmembrane segments, forming the pore and voltage sensor[1][3][5]. T-type channels play key roles in neuronal rhythmic activity, cardiac pacemaking, hormone secretion, and smooth muscle contraction[1][4][5]. Altered T-type channel activity is implicated in a range of diseases, including epilepsy, pain syndromes, cardiac arrhythmias, and neuropsychiatric disorders, making them important therapeutic targets. Several drugs, both approved and experimental, act by inhibiting or modulating T-type channels, although safety and specificity remain challenges for clinical development[2][4].

Other names
T-type calcium channelLow-voltage activated calcium channelCaV3.1 (CACNA1G)CaV3.2 (CACNA1H)CaV3.3 (CACNA1I)Transient-type calcium channel
02

Mechanism of action

Channel blockade to inhibit calcium influx and reduce neuronal excitability (blockers such as mibefradil, TTA-A2) Modulation of channel gating, including blocking open state or allosteric inhibition Channel enhancement to promote calcium entry (e.g., SAK3 for cognitive enhancement) Inhibition reduces burst firing and pacemaker activity (therapeutic in seizure and pain syndromes)

03

Biological functions

Signal transductionRegulation of membrane excitabilityPacemaking in the heart (especially sinoatrial node)Action potential firing and rhythmic burst activity (notably in thalamic neurons)Calcium influx and downstream calcium signaling
04

Disease associations

EpilepsyNeuropathic painAbsence seizuresCardiovascular disease (arrhythmias, hypertension)Neurodegenerative disease (implicated in Alzheimer's disease, Parkinsonism)Psychiatric disorders (potential link to autism, schizophrenia)Cancer (regulation of proliferation in certain tumor types)Other CNS disorders
05

Safety considerations

Off-target effects due to similarity between channel subtypesCardiac arrhythmias/negative inotropy (especially with broad-spectrum blockers)Interference with normal pacemaker function/heart rateCNS side effects such as somnolence, dizzinessLack of selectivity for isoforms can limit therapeutic window
06

Interacting drugs

Mibefradil (blocker, formerly used clinically)

7 more in the full profile.

07

Biomarkers

CaV3 isoform expression levels (e.g., CACNA1G, CACNA1H, CACNA1I mRNA/protein)Genetic variants in CACNA1H (linked with idiopathic epilepsy)Electrophysiological evidence of low-threshold calcium currents

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