Calcium Homeostasis, Transporters, and Blockers in Health and Diseases of the Cardiovascular System

Int J Mol Sci. 2023 May 15;24(10):8803. doi: 10.3390/ijms24108803.

Abstract

Calcium is a highly positively charged ionic species. It regulates all cell types' functions and is an important second messenger that controls and triggers several mechanisms, including membrane stabilization, permeability, contraction, secretion, mitosis, intercellular communications, and in the activation of kinases and gene expression. Therefore, controlling calcium transport and its intracellular homeostasis in physiology leads to the healthy functioning of the biological system. However, abnormal extracellular and intracellular calcium homeostasis leads to cardiovascular, skeletal, immune, secretory diseases, and cancer. Therefore, the pharmacological control of calcium influx directly via calcium channels and exchangers and its outflow via calcium pumps and uptake by the ER/SR are crucial in treating calcium transport remodeling in pathology. Here, we mainly focused on selective calcium transporters and blockers in the cardiovascular system.

Keywords: Cav1; Cav2; Cav3; G protein; GPCR; L-type calcium channel; N-type calcium channel; P/Q-type calcium channel; R-type calcium channel; T-type calcium channel; calcium; calcium channel blockers; calcium homeostasis; calcium overload; calcium pumps; endoplasmic reticulum; hypercalcemia; mitochondria; nucleus; sodium/calcium exchanger.

Publication types

  • Review

MeSH terms

  • Calcium / metabolism
  • Calcium Channel Blockers / pharmacology
  • Calcium Channels / metabolism
  • Cardiovascular Diseases* / drug therapy
  • Cardiovascular System* / metabolism
  • Homeostasis
  • Humans
  • Second Messenger Systems

Substances

  • Calcium
  • Calcium Channels
  • Calcium Channel Blockers

Grants and funding

The work was supported by the National Sciences and Engineering Research Council of Canada (NSERC, RGPIN-2016-04414 and RGPIN-2017-05508) and the Canadian Institutes of Health Research (CIHR, PJT-186175).