P/Q-type calcium channels are high-voltage-gated calcium channels contributing to vesicle release at synaptic terminals. A number of neurological diseases have been attributed to malfunctioning of P/Q channels, including ataxia, migraine and Alzheimer's disease. To date, only two specific P/Q-type blockers are known: both are peptides deriving from the spider venom of Agelenopsis aperta, w-agatoxins. Other peptidic calcium channel blockers with activity at P/Q channels are available, albeit with less selectivity. A number of low molecular weight compounds modulate P/Q-type currents with different characteristics, and some exhibit a peculiar bidirectional pattern of modulation. Interestingly, there are a number of therapeutics in clinical use, which also show P/Q channel activity. Because selectivity as well as the exact mode of action is different between all P/Q-type channel modulators, the interpretation of clinical and experimental data is complicated and needs a comprehensive understanding of their target profile. The situation is further complicated by the fact that information on potency varies vastly in the literature, which may be the result of different experimental systems, conditions or the splice variants of the P/Q channel. This review attempts to provide a comprehensive overview of the compounds available that affect the P/Q-type channel and should help with the interpretation of results of in vitro experiments and animal models. It also aims to explain some clinical observations by implementing current knowledge about P/Q channel modulation of therapeutically used non-selective drugs. Chances and challenges of the development of P/Q channel-selective molecules are discussed.
AbbreviationsAb, amyloid-b; AD, Alzheimer's disease; CDK, cycline-dependent kinase; LMW, low molecular weight; VGCC, voltage-gated calcium channel
IntroductionThe P/Q-type calcium channel (also referred to as Cav2.1) is a presynaptic high-voltage-gated calcium channel, which couples neuronal excitation to secretion of neurotransmitter (Ishikawa et al., 2005). The ion-conducting pore is formed by four domains of the a1A subunit, whereas accessory subunits (b, a2d) modulate channel kinetics and the level of expression. P-type currents were first identified in Purkinje neurons of the cerebellum (Llinás et al., 1989) and are distinguished from Q-type currents identified in cerebellar granule neurons (Randall and Tsien, 1995). Both are characterized by their sensitivity to the venom of Agelenopsis aperta, w-agatoxin IVA (Mintz et al., 1992a), and are generated by ion channels encoded by the CACNA1A gene. A number of splice variants may explain different phenotypic characteristics of P-and Q-type channels (Bourinet et al., 1999). For convenience and because distinction between these channel subtypes is not always clear, we refer throughout this review to P/Q-type channels. Expression of P/Q-type channels often overlaps with its close analogue, the N-type calcium channel. Yet, the P/Q-type channel is preferably expressed in neurons o...