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      The Ca 2+-activated chloride channel ANO1/TMEM16A: An emerging therapeutic target for epithelium-originated diseases?

      review-article
      a , b , , c , a , b ,
      Acta Pharmaceutica Sinica. B
      Elsevier
      Ca2+-activated Cl– channels (CaCCs), ANO1, TMEM16A, CaCCinh-A01, T16Ainh-A01, Drug target, Cancer, Cystic fibrosis, Ang II, angiotensin II, ANO1, anoctamin-1, ASM, airway smooth muscle, BBB, blood–brain barrier, CaCCs, Ca2+ activated chloride channels, CAMK, Ca2+/calmodulin-dependent protein kinase, CF, cystic fibrosis, CFTR, cystic fibrosis transmembrane conductance regulator, DRG, dorsal root ganglion, EGFR, epidermal growth factor receptor, ENaC, epithelial sodium channels, ER, endoplasmic reticulum, ESCC, esophageal squamous cell carcinoma, FRT, fisher rat thyroid, GI, gastrointestinal, GIST, gastrointestinal stromal tumor, GPCR, G-protein coupled receptor, HNSCC, head and neck squamous cell carcinoma, HTS, high-throughput screening, ICC, interstitial cells of Cajal, IPAH, idiopathic pulmonary arterial hypertension, MAPK, mitogen-activated protein kinase, NF-κB, nuclear factor κB, PAH, pulmonary arterial hypertension, PAR2, protease activated receptor 2, PASMC, pulmonary artery smooth muscle cells, PIP2, phosphatidylinositol 4,5-bisphosphate, PKD, polycystic kidney disease, TGF-β, transforming growth factor-β, VGCC, voltage gated calcium channel, VRAC, volume regulated anion channel, VSMC, vascular smooth muscle cells, YFP, yellow fluorescent protein

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          Abstract

          Anoctamin 1 ( ANO1) or TMEM16A gene encodes a member of Ca 2+ activated Cl channels (CaCCs) that are critical for physiological functions, such as epithelial secretion, smooth muscle contraction and sensory signal transduction. The attraction and interest in ANO1/TMEM16A arise from a decade long investigations that abnormal expression or dysfunction of ANO1 is involved in many pathological phenotypes and diseases, including asthma, neuropathic pain, hypertension and cancer. However, the lack of specific modulators of ANO1 has impeded the efforts to validate ANO1 as a therapeutic target. This review focuses on the recent progress made in understanding of the pathophysiological functions of CaCC ANO1 and the current modulators used as pharmacological tools, hopefully illustrating a broad spectrum of ANO1 channelopathy and a path forward for this target validation.

          Graphical abstract

          The abnormal expression or dysfunction of Ca 2+ activated Cl channel anoctamin 1 (ANO1) is involved in pathological phenotypes and diseases, suggesting that pharmacological modulation of ANO1 may serve as therapeutic potential and strategy.

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          Most cited references211

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          Asthma

          Asthma-one of the most common chronic, non-communicable diseases in children and adults-is characterised by variable respiratory symptoms and variable airflow limitation. Asthma is a consequence of complex gene-environment interactions, with heterogeneity in clinical presentation and the type and intensity of airway inflammation and remodelling. The goal of asthma treatment is to achieve good asthma control-ie, to minimise symptom burden and risk of exacerbations. Anti-inflammatory and bronchodilator treatments are the mainstay of asthma therapy and are used in a stepwise approach. Pharmacological treatment is based on a cycle of assessment and re-evaluation of symptom control, risk factors, comorbidities, side-effects, and patient satisfaction by means of shared decisions. Asthma is classed as severe when requiring high-intensity treatment to keep it under control, or if it remains uncontrolled despite treatment. New biological therapies for treatment of severe asthma, together with developments in biomarkers, present opportunities for phenotype-specific interventions and realisation of more personalised treatment. In this Seminar, we provide a clinically focused overview of asthma, including epidemiology, pathophysiology, clinical diagnosis, asthma phenotypes, severe asthma, acute exacerbations, and clinical management of disease in adults and children older than 5 years. Emerging therapies, controversies, and uncertainties in asthma management are also discussed.
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            TMEM16A confers receptor-activated calcium-dependent chloride conductance.

            Calcium (Ca(2+))-activated chloride channels are fundamental mediators in numerous physiological processes including transepithelial secretion, cardiac and neuronal excitation, sensory transduction, smooth muscle contraction and fertilization. Despite their physiological importance, their molecular identity has remained largely unknown. Here we show that transmembrane protein 16A (TMEM16A, which we also call anoctamin 1 (ANO1)) is a bona fide Ca(2+)-activated chloride channel that is activated by intracellular Ca(2+) and Ca(2+)-mobilizing stimuli. With eight putative transmembrane domains and no apparent similarity to previously characterized channels, ANO1 defines a new family of ionic channels. The biophysical properties as well as the pharmacological profile of ANO1 are in full agreement with native Ca(2+)-activated chloride currents. ANO1 is expressed in various secretory epithelia, the retina and sensory neurons. Furthermore, knockdown of mouse Ano1 markedly reduced native Ca(2+)-activated chloride currents as well as saliva production in mice. We conclude that ANO1 is a candidate Ca(2+)-activated chloride channel that mediates receptor-activated chloride currents in diverse physiological processes.
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              TMEM16A, a membrane protein associated with calcium-dependent chloride channel activity.

              Calcium-dependent chloride channels are required for normal electrolyte and fluid secretion, olfactory perception, and neuronal and smooth muscle excitability. The molecular identity of these membrane proteins is still unclear. Treatment of bronchial epithelial cells with interleukin-4 (IL-4) causes increased calcium-dependent chloride channel activity, presumably by regulating expression of the corresponding genes. We performed a global gene expression analysis to identify membrane proteins that are regulated by IL-4. Transfection of epithelial cells with specific small interfering RNA against each of these proteins shows that TMEM16A, a member of a family of putative plasma membrane proteins with unknown function, is associated with calcium-dependent chloride current, as measured with halide-sensitive fluorescent proteins, short-circuit current, and patch-clamp techniques. Our results indicate that TMEM16A is an intrinsic constituent of the calcium-dependent chloride channel. Identification of a previously unknown family of membrane proteins associated with chloride channel function will improve our understanding of chloride transport physiopathology and allow for the development of pharmacological tools useful for basic research and drug development.
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                Author and article information

                Contributors
                Journal
                Acta Pharm Sin B
                Acta Pharm Sin B
                Acta Pharmaceutica Sinica. B
                Elsevier
                2211-3835
                2211-3843
                09 December 2020
                June 2021
                09 December 2020
                : 11
                : 6
                : 1412-1433
                Affiliations
                [a ]Department of Pharmacology, School of Pharmacy, Qingdao University Medical College, Qingdao 266073, China
                [b ]Institute of Innovative Drugs, Qingdao University, Qingdao 266021, China
                [c ]Department of Clinical Laboratory, Qingdao Third People's Hospital, Qingdao 266041, China
                Author notes
                []Corresponding authors. wangkw@ 123456qdu.edu.cn
                Article
                S2211-3835(20)30835-2
                10.1016/j.apsb.2020.12.003
                8245819
                34221860
                9973db73-4e55-4aab-acd2-19d9111aceec
                © 2021 Chinese Pharmaceutical Association and Institute of Materia Medica, Chinese Academy of Medical Sciences. Production and hosting by Elsevier B.V.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 30 June 2020
                : 19 August 2020
                : 14 September 2020
                Categories
                Review

                ca2+-activated cl– channels (caccs),ano1,tmem16a,caccinh-a01,t16ainh-a01,drug target,cancer,cystic fibrosis,ang ii, angiotensin ii,ano1, anoctamin-1,asm, airway smooth muscle,bbb, blood–brain barrier,caccs, ca2+ activated chloride channels,camk, ca2+/calmodulin-dependent protein kinase,cf, cystic fibrosis,cftr, cystic fibrosis transmembrane conductance regulator,drg, dorsal root ganglion,egfr, epidermal growth factor receptor,enac, epithelial sodium channels,er, endoplasmic reticulum,escc, esophageal squamous cell carcinoma,frt, fisher rat thyroid,gi, gastrointestinal,gist, gastrointestinal stromal tumor,gpcr, g-protein coupled receptor,hnscc, head and neck squamous cell carcinoma,hts, high-throughput screening,icc, interstitial cells of cajal,ipah, idiopathic pulmonary arterial hypertension,mapk, mitogen-activated protein kinase,nf-κb, nuclear factor κb,pah, pulmonary arterial hypertension,par2, protease activated receptor 2,pasmc, pulmonary artery smooth muscle cells,pip2, phosphatidylinositol 4,5-bisphosphate,pkd, polycystic kidney disease,tgf-β, transforming growth factor-β,vgcc, voltage gated calcium channel,vrac, volume regulated anion channel,vsmc, vascular smooth muscle cells,yfp, yellow fluorescent protein

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