P/Q-type calcium channel

P/Q-type calcium channels (CaV2.1) are high-voltage-gated calcium channels that contribute to vesicle release at synaptic terminals and primarily support synaptic transmission at fast synapses[1][2]. Mechanistically, depolarization activates presynaptic Ca2+ channels, Ca2+ entry triggers neurotransmitter release, and CaV2.1 forms active-zone signaling complexes that regulate synaptic strength and presynaptic plasticity[3]. In disease-relevant models, CaV2.1 dysfunction or mutation links this channel to ataxia, migraine, Alzheimer’s disease, episodic ataxia type 2, familial hemiplegic migraine type 1, and spinocerebellar ataxia type 6[1][4]. Compared with related isoforms, CaV2 channels initiate fast synaptic transmission, whereas CaV1 channels support contraction, secretion, gene-expression regulation, synaptic-input integration, and ribbon-synapse transmission, and CaV3 channels support repetitive firing in rhythmically firing cells[2]. Experimental studies also distinguish P/Q-type channels from N-type channels because P/Q-preferring presynaptic slots can accept N-type channels, whereas overexpressed P/Q-type channels do not reciprocally replace N-type channels[5]. For experimental applications, ω-agatoxins remain the only specific P/Q-type blockers, while other peptide blockers and low-molecular-weight compounds show lower selectivity or complex modulation profiles[1][6].