8.A.18 The Ca2+ Channel Auxiliary Subunit α2δ Types 1-4 (CCA-α2δ) Family
The CCA-α2δ family consists of animal proteins with a single transmembrane segment. The proteins of this family are encoded as single polypepetides, which are cleaved into α and δ subunits that are then joined together via a disulfide bridge. Members of the α2δ family are transmembrane auxiliary subunits for calcium channels expressed in a wide variety of tissues including brain, heart, and skeletal muscle. Alternative splicing gives rise to the extensive structural and functional diversity observed for these subunits (Kim et al., 1992). Some are found to impact the expression of the pore-forming subunit (Dolphin et al., 1999). The mRNA sequence encoding the α2 subunit was first determined in association with a dihydropyridine-sensitive calcium channel. The δ-subunit has a single transmembrane segment and a short link to the α2 portion of the subunit. α2 contains an extracellular portion of the functional complex that interacts with the pore-forming principal subunit and increases functional diversity (Gurnett et al., 1996; 1997). The δ domain of the protein was shown to modulate the gating properties of the high voltage-activated calcium channels. A disulfide bridge is essential for structure and function (Calderón-Rivera et al., 2011).
The large CCA-α2δ proteins each contain a domain that show significant sequence similarity and similar topologies with EClC family members (TC# 1.A.13). Homologues are found ubiquitously including in prokaryotes.
The presence of the α2δ subunit facilitates activation of voltage-sensitive Ca2+ channels (VSCC). Hence, one might expect that drugs that bind to and inhibit the α2δ subunit, e.g. gabapentin and pregabalin, would be protective against absence epilepsy, and that mice lacking the α2δ subunit would be resistant to evoked absence seizures, but this is not the case, suggestioni that these subunits have additional functions (Celli et al. 2017).