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Voltage-dependent L-type calcium channel subunit alpha-1C [1, 2, 3, 7] (Cav1.2 [1, 3, 4, 6, 7])

Target
Cav1.2 [1, 3, 4, 6, 7]
Molecular classification
Ion channel [1, 3], Voltage-gated calcium channel [1, 2, 3], L-type calcium channel [1, 3, 5, 6, 7]
01

Overview

The L-type calcium channel Cav1.2, primarily composed of the pore-forming alpha-1C subunit (encoded by the CACNA1C gene), is a critical voltage-gated ion channel found in cardiac and vascular smooth muscle cells [1, 2, 3, 7]. In vascular smooth muscle, Cav1.2 mediates the influx of calcium ions in response to membrane depolarization, which is the fundamental trigger for muscle contraction and the maintenance of myogenic tone [7, 8, 11, 14, 15]. This process is essential for the regulation of peripheral vascular resistance and systemic blood pressure [7, 11]. Dysregulation or overactivity of Cav1.2 is a central factor in the pathogenesis of hypertension, while mutations in the CACNA1C gene are linked to severe conditions like Timothy syndrome and cardiac arrhythmias [2, 3, 5, 8, 10]. Consequently, Cav1.2 is a major therapeutic target for a wide range of cardiovascular drugs, most notably the dihydropyridine, phenylalkylamine, and benzothiazepine classes of calcium channel blockers [6, 8, 9, 13]. These drugs act as antagonists that inhibit calcium entry, leading to vasodilation and reduced cardiac workload, making them first-line treatments for hypertension and angina [8, 9, 10].

Other names
CACNA1C [1, 3, 4]CACH2 [1, 3, 4]CACN2 [1, 3, 4]CACNL1A1 [1, 3, 4]CCHL1A1 [1, 3, 4]LQT8 [1, 3, 4]TS [1, 3, 4]Calcium voltage-gated channel subunit alpha1 C [1, 2, 3]Voltage-gated calcium channel subunit alpha Cav1.2 [3, 7]
02

Mechanism of action

Antagonist of the L-type calcium channel, inhibiting calcium ion influx into smooth muscle and cardiac cells [8, 9, 10].

03

Biological functions

Signal transduction [15]Muscle contraction [7, 8, 11, 14, 15]Calcium homeostasis [6, 9, 14]Regulation of blood pressure [7, 11]Myogenic tone [11, 12, 13, 14]Cardiac rhythm regulation [7]Neurotransmission [6, 10]
04

Disease associations

Hypertension [5, 6, 8, 9, 10, 11, 13]Arrhythmia [2, 3, 8, 10]Angina pectoris [8, 9]Myocardial ischemia [6, 8, 9]Heart failure [5]Bipolar disorder [2, 6, 9, 10]Schizophrenia [2, 6, 9, 10]Diabetes-related vascular complications [12, 13]
05

Safety considerations

Hypotension [8]Peripheral edema [9]Bradycardia [8]Atrioventricular block [8, 9]Constipation [9]
06

Interacting drugs

Amlodipine [6, 8, 9, 13]

8 more in the full profile.

07

Biomarkers

Blood pressure [8, 11]PR interval [8]QT interval [2, 8]CACNA1C genetic variants [2, 6]

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