T-type calcium channel

T-type calcium channels (CaV3.1-CaV3.3) regulate calcium entry in a voltage-dependent manner and operate near resting membrane potential, enabling subthreshold depolarizations to control neuronal excitability[1][2]. Mechanistically, these channels facilitate action potential generation, rhythmicity, calcium-sensitive ion channels, signaling pathways, and macromolecular complexes[2][3]. In pain pathways, T-type channels, especially CaV3.2, regulate excitability in primary afferent neurons, spinal dorsal horn neurons, and pain-processing neurons in the midbrain and cortex[4]. Human dorsal root ganglion neurons express CaV3.2 in a TrkB-positive subset, and Z944 inhibits CaV3.2 currents whereas ABT-639 does not inhibit them in this human model[5]. Compared with CaV3.1 and CaV3.3, CaV3.2 shows isoform-selective regulation in sensory neurons, because melatonin receptor activation inhibited CaV3.2 but not CaV3.1 or CaV3.3 currents[6]. For experimental applications, selective inhibitors such as ML218 inhibit CaV3.1, CaV3.2, and CaV3.3 and reduce low-threshold spike and rebound burst activity in subthalamic neurons[7]. Cyclic peptide PnCS1 blocks the CaV3.1 conduction pathway and supports structure-based discovery of CaV3 channel inhibitors[8].
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