L-type calcium channel blockers at therapeutic concentrations are not linked to CRAC channels and heart failure

Amlodipine has been used as a front-line anti-hypertensive therapy for decades by virtue of blocking voltage-operated calcium channels with high affinity and specificity. Recently, the safety of amlodipine has been questioned, as it was reported to activate Ca<sup>2+</sup> release-activated Ca<sup>2+</sup> (CRAC) channels and increase the risk of heart failure. Here we show, using a variety of approaches, that amlodipine does not activate CRAC channels at therapeutic concentrations. Combined with our previous meta-analysis, our study should reassure physicians that amlodipine should continue to be prescribed for treating hypertension.

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Publication Details

Journal
Clinical and Experimental Hypertension
Published
2025-07-12
DOI
https://doi.org/10.1080/10641963.2025.2515924
Primary Topic
Cardiac electrophysiology and arrhythmias
Type
article
Field-Weighted Citation Impact
0.00

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article

L-type calcium channel blockers at therapeutic concentrations are not linked to CRAC channels and heart failure

Sandosh Padmanabhan, Min Shi, Gary S. Bird, Charles J. Tucker et al.
Clinical and Experimental Hypertension
Cardiac electrophysiology and arrhythmias
article

L-type calcium channel blockers at therapeutic concentrations are not linked to CRAC channels and heart failure

Sandosh Padmanabhan, Min Shi, Gary S. Bird, Charles J. Tucker, Anant B. Parekh, Yu‐Ping Lin, Geoffrey A. Mueller
article en

Abstract

Amlodipine has been used as a front-line anti-hypertensive therapy for decades by virtue of blocking voltage-operated calcium channels with high affinity and specificity. Recently, the safety of amlodipine has been questioned, as it was reported to activate Ca<sup>2+</sup> release-activated Ca<sup>2+</sup> (CRAC) channels and increase the risk of heart failure. Here we show, using a variety of approaches, that amlodipine does not activate CRAC channels at therapeutic concentrations. Combined with our previous meta-analysis, our study should reassure physicians that amlodipine should continue to be prescribed for treating hypertension.

Clinical and Experimental HypertensionVol. 47(1)
National Institute of Environmental Health Sciences (US), University of Glasgow (GB), National Cheng Kung University (TW)
National Institute of Environmental Health Sciences
Good health and well-being
Openalex Percentile: Top 72%
Cardiac electrophysiology and arrhythmias
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