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Voltage-dependent L-type calcium channel subunit alpha-1C (CACNA1C) and Voltage-dependent L-type calcium channel subunit alpha-1D (CACNA1D) (Common abbreviations are CACNA1C (for alpha-1C) and CACNA1D (for alpha-1D). CaV1.2 (CACNA1C) and CaV1.3 (CACNA1D) are also widely used.)

Target
Common abbreviations are CACNA1C (for alpha-1C) and CACNA1D (for alpha-1D). CaV1.2 (CACNA1C) and CaV1.3 (CACNA1D) are also widely used.
Molecular classification
Ion channel, Voltage-gated calcium channel, L-type calcium channel, Pore-forming subunit
01

Overview

Voltage-dependent L-type calcium channel subunits alpha-1C and alpha-1D are the primary pore-forming components of L-type calcium channels, crucial for calcium entry into excitable cells such as cardiac, skeletal, and smooth muscle, as well as neuronal cells[1][3][5][6]. These channels mediate influx of Ca2+ ions upon membrane depolarization, triggering essential processes like muscle contraction, pacemaker activity, hormone secretion, and signal transduction. The alpha-1C subunit (CACNA1C, CaV1.2) is especially vital in the heart where it regulates excitation-contraction coupling and cardiac rhythm, while the alpha-1D subunit (CACNA1D, CaV1.3) plays prominent roles in the endocrine system, the central nervous system, and also contributes to cardiac and muscular functions. Both are prominent drug targets for cardiovascular and neurological therapeutics, but their inhibition can evoke notable side effects due to their central physiological roles[1][3][5][6][7].

Other names
L-type calcium channel alpha-1C subunitCaV1.2CACNA1CL-type calcium channel alpha-1D subunitCaV1.3CACNA1D
02

Mechanism of action

Drugs such as calcium channel blockers antagonize these channels, reducing calcium influx into cardiac and smooth muscle cells, leading to decreased muscle contraction, reduced heart rate, and lowered blood pressure.

03

Biological functions

Calcium ion transmembrane transportMembrane depolarizationExcitation-contraction coupling (especially in heart and muscles)Signal transductionRegulation of cardiac muscle cell action potentialRegulation of heart rateHeart developmentRegulation of muscle contraction
04

Disease associations

Cardiovascular disease (e.g., arrhythmias, hypertension, heart failure)Neuropsychiatric disorders (e.g., bipolar disorder, schizophrenia with CACNA1C)Other roles in muscle disorders, and various neurological diseases
05

Safety considerations

Risk of excessive hypotension, bradycardia, and arrhythmias from blockade.Possible neuropsychiatric effects if channels are chronically or systemically inhibited.Therapeutic challenges in balancing efficacy and cardiovascular side effects.
06

Interacting drugs

verapamil

7 more in the full profile.

07

Biomarkers

Mutations or expression levels in CACNA1C and CACNA1D can be biomarkers for particular cardiac conditions or neuropsychiatric disease riskElectrocardiogram parameters and heart rhythm can reflect channel activity.

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