From Calcium Channels to New Therapeutics

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Voltage-Gated Calcium Channels

Abstract

An ultimate goal of biomedical research into calcium channels is to enable better treatment of disease, most prominently through the development of experimental therapeutics for unaddressed medical needs. As described throughout this book, voltage-gated calcium channels unquestionably are key control points for a diversity of physiological and pathophysiological mechanisms, particularly in excitable cells. Leveraging such biological information into successful therapeutics requires many scientific, clinical, and strategic steps, starting from robust validation for the role of an individual target in disease. Calcium channels are the targets for several drugs with a trajectory that now can be seen from conception to maturity, showing some key determinants of success. This chapter reviews the development of nifedipine and dihydropyridines, pregabalin and gabapentin, and ziconotide, which are clinically effective via inhibition of Cav1 L-type channels, Cavα2δ1/2, and Cav2.2 N-type channels, respectively. Emerging tools and resources for drug discovery are highlighted, particularly the genetic and genomic resources increasingly used to find molecular intervention points from an untargeted perspective. Finally, this chapter surveys the ongoing development of experimental therapeutics targeting Cav3 T-type, Cav1, and other calcium channels, including experimental treatments for Parkinson’s, essential tremor, psychiatric diseases, and epilepsy, in light of the drug discovery flow path.

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McDonough, S.I. (2022). From Calcium Channels to New Therapeutics. In: Zamponi, G.W., Weiss, N. (eds) Voltage-Gated Calcium Channels . Springer, Cham. https://doi.org/10.1007/978-3-031-08881-0_27

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