P-type calcium channel blockers act to impede the flow of calcium. The blocking of calcium currents may cause the organism to experience impaired functioning and viability. These effects can lead to various diseases which are described in more detail in the section below. The
pore of P-type calcium channels are sensitive to compounds that can be divided into three groups: •
Peptide ion channel blockers • Low molecular weight compounds •
Therapeutics There are only two peptide
toxins that selectively block P-type channels: ω-
agatoxin IVA and ω-agatoxin IVB. The other blockers mentioned, such as the low molecular weight and therapeutic blockers, are nonselective. This means they act can act on P-type channels as well as other channels.
Selective peptide toxin ω-agatoxin The two known blockers which are specific to P-type calcium channels are peptides derived from the spider venom of
Agelenopsis aperta. The toxins from this
venom which show selectivity for P-type channels are ω-agatoxin IVA and ω-agatoxin IVB. Each of these peptide toxins are made of 48
amino acids which are bound by four
disulfide bonds. Although ω-agatoxin IVA and ω-agatoxin IVB have the same affinity and selectivity for P-type channels, their kinetics are different. The ω-agatoxin IVA effects the gating mechanism of the P-type channel. When there is a strong
depolarization to activate the channel, ω-agatoxin IVA can no longer block the channel. Therefore, ω-agatoxin IVA has a very low affinity for the channel when it is open. It binds to the α1A subunit on the outside of the pore. The ω-agatoxin IVA
receptor on the P-type channel is located at the S3-S4 linker. On the other hand, channel blocking by ω-agatoxin IVB occurs much more slowly. Yet, similar to ω-agatoxin IVA, ω-agatoxin IVB cannot bind to the channel upon a strong depolarization.
Non-selective peptide toxins •
ω-Grammotoxin SIA is a peptide toxin derived from the venom of the spider
Grammostola spatulata. It acts to modify the P-type channel
gating. • ω-PnTx3-3, PnTx3-3, and phonetoxin IIA are all toxins from the spider
Phonoetrica nigriventer which act to block the current through the P-type calcium channels. • DW13.3 is a peptide toxin from the spider
Filistata hibernalis and it is composed of 74 amino acids. It also functions to block the current through P-type calcium channels. • ω-
Conotoxins are derived from the venom of
cone snails. ω-Conotoxin MVIIC acts within the
hippocampal CA1
pyramidal neurons to block the P-type channels. Also, within the hippocampal CA3 neurons, this toxin blocks
synaptic transmission. Its effects are slow. •
Calcicludine is from venom of
Dendroaspis angusticeps, which is a
green mamba. It has the ability to voltage-dependently block P-type channels. •
Kurotoxin is from venom of the
scorpion Parabuthus. In
neurons in the
thalamus, kurtoxin decreases high
threshold calcium currents, however, in the
Purkinje cells, it increases the calcium currents.
Low molecular weight P-type channel blockers Low molecular weight channel blockers have advantages over peptide blockers in drug development. One advantage of low molecular weight channel blockers is that they can penetrate
tissue, which is important for crossing the
blood–brain barrier. There is no specific low molecular weight channel blocker for P-type channels. However, there are a number of these blocker compounds which can effect the activity of the P-type channels. These include: •
Roscovitine is an inhibitor of
cyclin-dependent kinase. It increases the current of calcium in
neostriatal interneurons by slowing the deactivation of the channel. Also, roscovitine can either act as an
agonist or
antagonist for the P-type calcium channels in the presynaptic membrane. •
Isoprenaline is a
β-adrenoceptor agonist and it causes an increase in P-type calcium channel current. Isoprenaline acts through a
cAMP signaling pathway. •
Eliprodil and
antazoline are
NMDA receptor antagonists and act to block P-type channels. Eliprodil can decrease P-type channel currents in the Purkinje neurons in the
cerebellum. •
Dodecylamine can only block P-type channels when they are in the open state. •
Ethanol can block P-type channels when at a high enough concentration. The blocking of the P-type channels could be the reason for
ataxia when drinking
alcohol.
Therapeutics There are therapeutics used clinically which can effect the activity of P-type calcium channels. However, the primary
target of these therapeutics are not thought to be P-type channels. For example,
calcium antagonists, which are used to treat
coronary heart disease,
hypertension, and
cardiac arrhythmia, act by inhibiting
L-type or
T-type calcium channels. Some of these calcium antagonists include
verapamil,
diltiazem,
amlodipine,
benidipine,
cilnidipine,
nicardipine, and
barnidipine. Although their main target is not P-type channels, these calcium antagonists also act to block the function of P-type channels. Moreover,
flunarizine is another calcium antagonist which is used to treat
migraines. Its main targets are
voltage-gated calcium channels and
sodium channels. Flunarizine inhibits the P-type channels that are located in the
neocortical slices. It works to inhibit the inward flux of calcium. The migraines that it helps to prevent are due to mutations within the "cacna1a" gene of the P-type channel subunit. Also, compounds that block P-type channels are shown to help with
seizures. Epileptic seizures are caused by increased
neurotransmission, which is partially a result of P-type channels. Compounds such as
levetiracetam,
lamotrigine, and
carbamazepine are known to block the P-type channels, which have helped to decrease the occurrence of seizures. Overall, there are various non-selective calcium channel blockers that help alleviate symptoms of
hypertension,
schizophrenia,
cardiac arrhythmia,
epilepsy,
pain,
asthma,
bradycardia,
angina pectoris and
Alzheimer's disease. Although many of the therapeutic compounds' main target is not P-type channels, further research needs to determine if the clinical effects of these compounds are also influenced by the P-type channel blockage. ==Related diseases==