Skip to main content

L-type Calcium Channel Disease

  • Chapter
Electrical Diseases of the Heart

Abstract

In recent years, the progress of molecular genetics of inherited arrhythmogenic diseases portrays an unexpected complexity of clinical phenotypes associated with mutations in several genes that control cardiac excitability. Among the most recent findings, the voltage-gated L-type cardiac calcium channel (Cav1.2) has been involved in the pathogenesis of Timothy syndrome (TS). TS is a variant of the long QT syndrome (also LQT8) and it is a rare and severe genetic disorder characterized by a spectrum of complex phenotypes including QT interval prolongation, congenital heart defects, syndactyly, and distinctive dysmorphic features. So far TS is the only inherited arrhythmogenic disorder linked to cardiac calcium channel mutations. In this chapter, we will briefly review the structure, physiology, and pathophysiology of the cardiac Cav1.2 encoded by the CACNA1c gene.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Catterall WA. Structure and regulation of voltagegated Ca2+ channels. Annu Rev CellDevBiol 2000; 16: 521–555.

    CAS  Google Scholar 

  2. Bezanilla F. Voltage sensor movements. J Gen Physiol 2002;120:465–473.

    Article  PubMed  CAS  Google Scholar 

  3. Klockner U, Mikala G, Schwartz A, et al. Molecular studies of the asymmetric pore structure of the human cardiac voltage-dependent Ca2+ channel. Conserved residue, Glu-1086, regulates protondependent ion permeation. J Biol Chem 1996;271: 22293–22296.

    Article  PubMed  CAS  Google Scholar 

  4. Hanlon MR, Wallace BA. Structure and function of voltage-dependent ion channel regulatory β subunits. Biochemistry 2002;41:2886–2894.

    Article  PubMed  CAS  Google Scholar 

  5. Klugbauer N, Marais E, Hofmann F. Calcium channel a2d subunits: Differential expression, function, and drug binding. J Bioenerg Biomembr 2003;35: 639–647.

    Article  PubMed  CAS  Google Scholar 

  6. De Jongh KS, Murphy BJ, Colvin AA, et al. Specific phosphorylation of a site in the full-length form of the alpha 1 subunit of the cardiac L-type calcium channel by adenosine 3’,5’-cyclic monophosphatedependent protein kinase. Biochemistry 1996;35: 10392–10402.

    Article  PubMed  Google Scholar 

  7. Lacerda AE, Rampe D, Brown AM. Effects of protein kinase C activators on cardiac Ca2+ channels. Nature 1988;335:249–251.

    Article  PubMed  CAS  Google Scholar 

  8. Qin N, Olcese R, Bransby M, et al. Ca2+-induced inhibition of the cardiac Ca2+ channel depends on calmodulin. Proc Natl Acad Sci USA 1999;96:2435–2438.

    Article  PubMed  CAS  Google Scholar 

  9. Zuhlke RD, Pitt GS, Deisseroth K, et al. Calmodulin supports both inactivation and facilitation of L-type calcium channels. Nature 1999;399:159–162.

    Article  PubMed  CAS  Google Scholar 

  10. Van der Heyden MA, Wijnhoven TJ, Opthof T. Molecular aspects of adrenergic modulation of cardiac L-type Ca2+ channels. Cardiovasc Res 2005; 65:28–39.

    Article  PubMed  Google Scholar 

  11. Gurney AM, Charnet P, Pye JM, et al. Augmentation of cardiac calcium current by flash photolysis of intracellular caged-Ca2+ molecules. Nature 1989; 341:65–68.

    Article  PubMed  CAS  Google Scholar 

  12. Dzhura I, Wu Y, Colbran RJ, et al. Calmodulin kinase determines calcium-dependent facilitation of L-type calcium channels. Nat Cell Biol 2000;2: 173–177.

    Article  PubMed  CAS  Google Scholar 

  13. Liao P, Yong TF, Liang MC, et al. Splicing for alternative structures of Cav1.2 Ca2+ channels in cardiac and smooth muscles. Cardiovasc Res 2005;68:197–203.

    Article  PubMed  CAS  Google Scholar 

  14. Splawski I, Timothy KW, Sharpe LM, et al. Cav1.2 calcium channel dysfunction causes a multisystem disorder including arrhythmia and autism. Cell 2004; 119:19–31.

    Article  PubMed  CAS  Google Scholar 

  15. Splawski I, Timothy KW, Decher N, et al. Severe arrhythmia disorder caused by cardiac L-type calcium channel mutations. Proc Natl Acad Sci USA 2005;102:8089–8096.

    Article  PubMed  CAS  Google Scholar 

  16. Reichenbach H, Meister EM, Theile H. The heart-hand syndrome. A new variant of disorders of heart conduction and syndactylia including osseous changes in hands and feet. Kinderarztl Prax 1992; 60:54–56.

    PubMed  CAS  Google Scholar 

  17. Marks ML, Whisler SL, Clericuzio C, et al. A new form of long QT syndrome associated with syndactyly. J Am Coll Cardiol 1995;25:59–64.

    Article  PubMed  CAS  Google Scholar 

  18. Lo-A-Njoe SM, Wilde AA, van Erven L, et al. Syndactyly and long QT syndrome (Cav1.2 missense mutation G406R) is associated with hyperotrophic cardiomyopathy. Heart Rhythm 2005;2: 1365–1368.

    Article  PubMed  Google Scholar 

  19. Splawski I, Yoo DS, Stotz SC, et al. CACNA1H mutations in autism spectrum disorders. J Biol Chem 2006;281(31):22085–22091.

    Article  PubMed  CAS  Google Scholar 

  20. Erxleben C, Liao Y, Gentile S, et al. Cyclosporin and Timothy syndrome increase mode 2 gating of Cav1.2 calcium channels through aberrant phosphorylation of S6 helices. Proc Natl Acad Sci USA 2006;103:3932–3937.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag London Limited

About this chapter

Cite this chapter

Ruan, Y., Bloise, R., Napolitano, C., Priori, S.G. (2008). L-type Calcium Channel Disease. In: Gussak, I., Antzelevitch, C., Wilde, A.A.M., Friedman, P.A., Ackerman, M.J., Shen, WK. (eds) Electrical Diseases of the Heart. Springer, London. https://doi.org/10.1007/978-1-84628-854-8_11

Download citation

  • DOI: https://doi.org/10.1007/978-1-84628-854-8_11

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-853-1

  • Online ISBN: 978-1-84628-854-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics