Abstract
Voltage-gated calcium (Ca(v)) channels mediate Ca(2+) influx in response to membrane depolarization, playing critical roles in diverse physiological processes. Dysfunction or aberrant regulation of Ca(v) channels can lead to life-threatening consequences. Ca(v)-targeting drugs have been clinically used to treat cardiovascular and neuronal disorders for several decades. This review aims to provide an account of recent developments in the structural dissection of Ca(v) channels. High-resolution structures have significantly advanced our understanding of the working and disease mechanisms of Ca(v) channels, shed light on the molecular basis for their modulation, and elucidated the modes of actions (MOAs) of representative drugs and toxins. The progress in structural studies of Ca(v) channels lays the foundation for future drug discovery efforts targeting Ca(v) channelopathies.