Target intelligence / Profile preview

Voltage-gated sodium channel and Voltage-gated calcium channel (Nav (for sodium channel), Cav (for calcium channel))

Target
Nav (for sodium channel), Cav (for calcium channel)
Molecular classification
Ion channel, Transmembrane protein, Receptor
01

Overview

Voltage-gated sodium channels and voltage-gated calcium channels are families of closely related transmembrane ion channels that mediate the influx of sodium or calcium ions, respectively, in response to changes in membrane potential. Sodium channels are essential for the rapid rising phase of action potentials in neurons and muscle cells, playing a critical role in electrical signaling, while calcium channels translate electrical depolarization into diverse intracellular processes including neurotransmitter/hormone release, muscle contraction, and gene expression. Both are multi-subunit complexes with conserved core pore-forming alpha subunits, share similar overall topology, and are major targets for a wide range of neurological, cardiovascular, and pain therapies. Genetic or acquired dysfunction in these channels causes a spectrum of diseases termed channelopathies. Drugs that modulate these channels are widely used as local anesthetics, antiarrhythmics, anticonvulsants, and antihypertensives[5][6][7][8][3][1][2][4].

Other names
Voltage-gated sodium channelVoltage-dependent sodium channelNavNaVSCN (gene family)Voltage-gated calcium channelVoltage-dependent calcium channelCavCaVVDCC
02

Mechanism of action

Block of voltage-dependent opening (stabilizing the inactivated or closed state) to prevent sodium or calcium influx Use-dependent inhibition (greater block during repetitive firing) Allosteric modulation of channel gating or inactivation Alteration of channel trafficking or expression

03

Biological functions

Initiation and propagation of action potentials (sodium)Coupling of depolarization to intracellular signaling, including secretion, neurotransmission, muscle contraction, gene expression (calcium)Signal transductionExcitation-contraction couplingSynaptic transmissionHormone and neurotransmitter release
04

Disease associations

Epilepsy (primarily sodium)Cardiac arrhythmias (both, but notable for sodium)Pain (primarily sodium)Neurodegenerative diseasesAtaxiasChannelopathies (broad term for diseases due to ion channel dysfunction)Migraine (calcium)Autism spectrum disorders (some gene mutations)Other neurological and cardiovascular diseases
05

Safety considerations

Cardiac arrhythmia (QT prolongation)Hypotension (calcium channel blockers)CNS depression, ataxia (antiepileptics/anticonvulsants)Muscle weakness (over-inhibition of sodium or calcium currents)Negative inotropy (heart failure risk with calcium channel blockers)Drug-drug interactions due to channel expression in multiple tissues
06

Interacting drugs

Lidocaine

19 more in the full profile.

07

Biomarkers

Mutations in SCN (sodium) or CACNA (calcium) channel genes for some arrhythmias, epilepsy, periodic paralysis, migraine, and pain syndromesSerum drug levels monitoring (indirect, for drugs targeting these channels)Genetic testing for channelopathies

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