Recent studies have revealed the molecular and functional diversity of
voltage-gated calcium channels. Electrophysiological and pharmacologi
cal experiments on various cell types have provided a way of character
izing a Low Voltage Activated (LVA) or ''T-type'', and several High Vo
ltage Activated (HVA) calcium channels. LVA Ca2+ channels have fast ki
netics and no specific ligands while HVA Ca2+ channels have been ident
ified mainly by the use of specific toxins, and named L, N, P and Q. T
hey are blocked by dihydropyridines, omega-CgT-GVIA, omega-Aga-IVA and
omega-CmT-MVIIC, respectively. Biochemical studies have revealed that
skeletal muscle Ca2+ channels are composed of a pore-forming alpha 1
subunit and several associated subunits (alpha 2-delta, beta and gamma
). Several alpha 1 subunits have been cloned from various tissues and
are encoded by at least six genes. Their expression in Xenopus oocytes
or in mammalian cells induces calcium channel currents, the propertie
s of which seem to correspond to the different Ca2+ channels identifie
d in various cells. However, it has been suggested that further divers
ity may be provided by the addition of auxiliary subunits and particul
arly the beta subunits which are thought to be associated to most of t
he alpha 1 subunits. beta subunits encoded by at least four genes (bet
a 1, beta 2, beta 3, beta 4) expressed in the nervous system and other
tissues enhance Ca2+ channel activity and are able to modify both ele
ctrophysiological and pharmacological properties. However, a different
ial effect on calcium current inactivation has been observed between t
he different isoforms (beta 1, beta 2, beta 3) and their splice varian
ts (beta 1a, beta 1b) indicating that multiple Ca2+ channel gating may
arise from the expression of different subtypes of beta subunits. The
implication of Ca2+ channels in pathophysiology has been recently sug
gested and the genes coding for alpha 1 or beta subunits are potential
candidates in some patho logies. Several autoimmune diseases have als
o been suggested to involve Ca2+ channels as the targets for antibodie
s. Moreover, the functional diversity of neuronal Ca2+ channel offers
new perspectives in the development of drugs for the treatment of neur
ologic disorders.