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Voltage-gated sodium channel (tetrodotoxin-sensitive) (TTX-s Nav) (TTX-s Nav)

Target
TTX-s Nav
Molecular classification
Ion channel, Voltage-gated ion channel, Sodium channel
01

Overview

Voltage-gated sodium channels (Nav) are integral membrane proteins that facilitate the rapid influx of sodium ions, a process fundamental to the generation and propagation of action potentials in neurons and muscle cells [UniProt]. The tetrodotoxin-sensitive (TTX-s) subtype group specifically refers to channels (Nav1.1, Nav1.2, Nav1.3, Nav1.4, Nav1.6, and Nav1.7) that are inhibited by nanomolar concentrations of tetrodotoxin, a potent neurotoxin [PubMed: 25455072]. These channels are primarily expressed in the central and peripheral nervous systems and skeletal muscle, where they regulate excitability and signal transmission [StatPearls: NBK540971]. Dysregulation or mutations in the genes encoding these channels, such as SCN1A or SCN9A, are associated with a wide range of disorders, including epilepsy, chronic pain syndromes like erythromelalgia, and motor dysfunction [NIH: Genetics Home Reference]. Therapeutic agents targeting these channels include local anesthetics, anticonvulsants, and antiarrhythmics, which typically act by blocking the channel pore or stabilizing the non-conducting inactivated state to reduce hyper-excitability [IUPHAR/BPS Guide to Pharmacology].

Other names
TTX-sensitive sodium channelTetrodotoxin-sensitive voltage-gated sodium channelNav1.1Nav1.2Nav1.3Nav1.4Nav1.6Nav1.7SCN1ASCN2ASCN3ASCN4ASCN8ASCN9ATTX-s sodium channelTTX-s Nav
02

Mechanism of action

Inhibition of sodium ion influx through the channel pore, typically by binding to the local anesthetic receptor site within the pore or by stabilizing the inactivated state of the channel.

03

Biological functions

Action potential generationNeuronal excitabilitySignal transductionSkeletal muscle contraction
04

Disease associations

EpilepsyNeuropathic painErythromelalgiaPeriodic paralysisDravet syndromeGeneralized epilepsy with febrile seizures plus (GEFS+)
05

Safety considerations

Respiratory paralysisCentral nervous system toxicitySeizuresDizzinessAtaxiaCardiac conduction disturbances
06

Interacting drugs

Tetrodotoxin

10 more in the full profile.

07

Biomarkers

SCN1A mutation statusSCN9A mutation statusSCN2A mutation statusSCN4A mutation statusSCN8A mutation statusNerve conduction velocityQuantitative sensory testing (QST)

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