IUPHAR/BPS Guide to Pharmacology CITE
https://doi.org/10.2218/gtopdb/F130/2025.3
Calcium activated chloride channel (CaCC) in GtoPdb v.2025.3
Henry Danahay1,
Martin Gosling1 and
Paolo Tammaro2
- Enterprise Therapeutics, UK
- University of Oxford, UK
Abstract
Chloride channels activated by intracellular Ca2+ (CaCC) are widely expressed in excitable and non-excitable cells where they perform diverse functions [25]. CaCCs are activated by a rise in intracellular free Ca2+ concentration ([Ca2+]i), typically following activation of Gq protein coupled receptors (GqPCR). This section centres on CaCC channels encoded by the TMEM16A gene (HUGO gene nomenclature: Anoctamin 1). The TMEM16 family consists of 10 paralogs (TMEM16A-K; Anoctamin 1-10). The TMEM16A and TMEM16B genes (ANO1 and ANO2) encode for CaCCs, while the other members function as lipid scramblases or have combined scramblase and non-selective ion channel function [26, 46, 18, 1, 41]. TMEM16A has a broad tissue distribution and a variety of established cellular roles, while the main physiological role for TMEM16B identified thus far is in olfaction [31, 16]. Alternative splicing regulates the voltage- and Ca2+-dependence of TMEM16A and such post-transcriptional process may be tissue-specific and contribute to functional diversity [19]. TMEM16A is a potential drug target for a variety of conditions spanning from respiratory to vascular (see "Comments" section for further detail).
Contents
This is a citation summary for Calcium activated chloride channel (CaCC) in the
Guide to Pharmacology
database (GtoPdb). It exists purely as an adjunct to the database to
facilitate the recognition of citations to and from the database by
citation analyzers. Readers will almost certainly want to visit the
relevant sections of the database which are given here under database
links.
GtoPdb is an expert-driven
guide to pharmacological targets and the substances that act on them.
GtoPdb is a reference work which is most usefully represented as an
on-line database. As in any publication this work should be
appropriately cited, and the papers it cites should also be
recognized. This document provides a citation for the relevant parts
of the database, and also provides a reference list for the research
cited by those parts. For further details see [7].
Please note that the database version for the citations given in
GtoPdb are to the most recent preceding version
in which the family or its subfamilies and targets were substantially
changed. The links below are to the current version. If you
need to consult the cited version, rather than the most recent version, please contact
the GtoPdb curators.
Database links
Calcium activated chloride channel (CaCC)
https://www.guidetopharmacology.org/GRAC/FamilyDisplayForward?familyId=130
Channels and Subunits
CaCC
https://www.guidetopharmacology.org/GRAC/ObjectDisplayForward?objectId=708
References
- Agostinelli E and Tammaro P. (2022) Polymodal Control of TMEM16x Channels and Scramblases. Int J Mol Sci 23 [PMID:35163502]
- Al-Hosni R, Agostinelli E, Ilkan Z, Scofano L, Kay R, Dinsdale RL, Acheson K, MacDonald A, Rivers D and Biosa A et al.. (2025) Pharmacological profiling of small molecule modulators of the TMEM16A channel and their implications for the control of artery and capillary function BJP
- Al-Hosni R, Agostinelli E, Ilkan Z, Scofano L, Kaye R, Dinsdale RL, Acheson K, MacDonald A, Rivers D and Biosa A et al.. (2025) Pharmacological profiling of small molecule modulators of the TMEM16A channel and their implications for the control of artery and capillary function. Br J Pharmacol 182: 1719-1740 [PMID:39829151]
- Al-Hosni R, Ilkan Z, Agostinelli E and Tammaro P. (2022) The pharmacology of the TMEM16A channel: therapeutic opportunities. Trends Pharmacol Sci 43: 712-725 [PMID:35811176]
- Bai X, Cheng Y, Wan H, Li S, Kang X and Guo S. (2023) Natural Compound Allicin Containing Thiosulfinate Moieties as Transmembrane Protein 16A (TMEM16A) Ion Channel Inhibitor for Food Adjuvant Therapy of Lung Cancer. J Agric Food Chem 71: 535-545 [PMID:36574498]
- Boedtkjer DM, Kim S, Jensen AB, Matchkov VM and Andersson KE. (2015) New selective inhibitors of calcium-activated chloride channels - T16A(inh) -A01, CaCC(inh) -A01 and MONNA - what do they inhibit? Br J Pharmacol 172: 4158-72 [PMID:26013995]
- Buneman P, Christie G, Davies JA, Dimitrellou R, Harding SD, Pawson AJ, Sharman JL and Wu Y. (2020) Why data citation isn't working, and what to do about it Database 2020 [PMID:32367113]
- Cherian OL, Menini A and Boccaccio A. (2015) Multiple effects of anthracene-9-carboxylic acid on the TMEM16B/anoctamin2 calcium-activated chloride channel. Biochim Biophys Acta 1848: 1005-13 [PMID:25620774]
- Cil O, Anderson MO, Yen R, Kelleher B, Huynh TL, Seo Y, Nilsen SP, Turner JR and Verkman AS. (2019) Slowed gastric emptying and improved oral glucose tolerance produced by a nanomolar-potency inhibitor of calcium-activated chloride channel TMEM16A. FASEB J 33: 11247-11257 [PMID:31299174]
- Cil O, Chen X, Askew Page HR, Baldwin SN, Jordan MC, Myat Thwe P, Anderson MO, Haggie PM, Greenwood IA and Roos KP et al.. (2021) A small molecule inhibitor of the chloride channel TMEM16A blocks vascular smooth muscle contraction and lowers blood pressure in spontaneously hypertensive rats. Kidney Int 100: 311-320 [PMID:33836171]
- Danahay H, Fox R, Lilley S, Charlton H, Adley K, Christie L, Ansari E, Ehre C, Flen A and Tuvim MJ et al.. (2020) Potentiating TMEM16A does not stimulate airway mucus secretion or bronchial and pulmonary arterial smooth muscle contraction. FASEB Bioadv 2: 464-477 [PMID:32821878]
- Danahay H and Gosling M. (2020) TMEM16A: An Alternative Approach to Restoring Airway Anion Secretion in Cystic Fibrosis? Int J Mol Sci 21 [PMID:32235608]
- Danahay H, Lilley S, Adley K, Charlton H, Fox R and Gosling M. (2023) Niclosamide does not modulate airway epithelial function through blocking of the calcium activated chloride channel, TMEM16A. Front Pharmacol 14: 1142342 [PMID:36950016]
- Danahay HL, Lilley S, Fox R, Charlton H, Sabater J, Button B, McCarthy C, Collingwood SP and Gosling M. (2020) TMEM16A Potentiation: A Novel Therapeutic Approach for the Treatment of Cystic Fibrosis. Am J Respir Crit Care Med 201: 946-954 [PMID:31898911]
- De La Fuente R, Namkung W, Mills A and Verkman AS. (2008) Small-molecule screen identifies inhibitors of a human intestinal calcium-activated chloride channel. Mol Pharmacol 73: 758-68 [PMID:18083779]
- Dibattista M, Pifferi S, Hernandez-Clavijo A and Menini A. (2024) The physiological roles of anoctamin2/TMEM16B and anoctamin1/TMEM16A in chemical senses. Cell Calcium 120: 102889 [PMID:38677213]
- Fedigan S, Bradley E, Webb T, Large RJ, Hollywood MA, Thornbury KD, McHale NG and Sergeant GP. (2017) Effects of new-generation TMEM16A inhibitors on calcium-activated chloride currents in rabbit urethral interstitial cells of Cajal. Pflugers Arch 469: 1443-1455 [PMID:28733893]
- Feng Z, Di Zanni E, Alvarenga O, Chakraborty S, Rychlik N and Accardi A. (2024) In or out of the groove? Mechanisms of lipid scrambling by TMEM16 proteins. Cell Calcium 121: 102896 [PMID:38749289]
- Ferrera L, Caputo A, Ubby I, Bussani E, Zegarra-Moran O, Ravazzolo R, Pagani F and Galietta LJ. (2009) Regulation of TMEM16A chloride channel properties by alternative splicing. J Biol Chem 284: 33360-8 [PMID:19819874]
- Galietta LJV. (2022) TMEM16A (ANO1) as a therapeutic target in cystic fibrosis. Curr Opin Pharmacol 64: 102206 [PMID:35364521]
- Genovese M, Borrelli A, Venturini A, Guidone D, Caci E, Viscido G, Gambardella G, di Bernardo D, Scudieri P and Galietta LJV. (2019) TRPV4 and purinergic receptor signalling pathways are separately linked in airway epithelia to CFTR and TMEM16A chloride channels. J Physiol 597: 5859-5878 [PMID:31622498]
- Genovese M, Buccirossi M, Guidone D, De Cegli R, Sarnataro S, di Bernardo D and Galietta LJV. (2023) Analysis of inhibitors of the anoctamin-1 chloride channel (transmembrane member 16A, TMEM16A) reveals indirect mechanisms involving alterations in calcium signalling. Br J Pharmacol 180: 775-785 [PMID:36444690]
- Genovese M and Galietta LJV. (2024) Anoctamin pharmacology. Cell Calcium 121: 102905 [PMID:38788257]
- Greenwood IA and Leblanc N. (2007) Overlapping pharmacology of Ca2+-activated Cl- and K+ channels. Trends Pharmacol Sci 28: 1-5 [PMID:17150263]
- Hartzell C, Putzier I and Arreola J. (2005) Calcium-activated chloride channels. Annu Rev Physiol 67: 719-58 [PMID:15709976]
- Hawn MB, Akin E, Hartzell HC, Greenwood IA and Leblanc N. (2021) Molecular mechanisms of activation and regulation of ANO1-Encoded Ca2+-Activated Cl- channels. Channels (Austin) 15: 569-603 [PMID:34488544]
- Ho MW, Shears SB, Bruzik KS, Duszyk M and French AS. (1997) Ins(3,4,5,6)P4 specifically inhibits a receptor-mediated Ca2+-dependent Cl- current in CFPAC-1 cells. Am J Physiol 272: C1160-8 [PMID:9142840]
- Hu Y, Zhang Y, He J, Rao H, Zhang D, Shen Z and Zhou C. (2025) ANO1: central role and clinical significance in non-neoplastic and neoplastic diseases. Front Immunol 16: 1570333 [PMID:40356890]
- Huang F, Wong X and Jan LY. (2012) International Union of Basic and Clinical Pharmacology. LXXXV: calcium-activated chloride channels. Pharmacol Rev 64: 1-15 [PMID:22090471]
- Kaye R, Pearson C, Babiker T, Agostinelli E, Al-Hosni R and Tammaro P. (2025) Clinically relevant niclosamide concentrations modulate TMEM16A and CaV1.2 channels to control artery tone and capillary diameter. Br J Pharmacol [PMID:40491382]
- Leblanc N, Forrest AS, Ayon RJ, Wiwchar M, Angermann JE, Pritchard HA, Singer CA, Valencik ML, Britton F and Greenwood IA. (2015) Molecular and functional significance of Ca(2+)-activated Cl(-) channels in pulmonary arterial smooth muscle. Pulm Circ 5: 244-68 [PMID:26064450]
- Leblanc N, Ledoux J, Saleh S, Sanguinetti A, Angermann J, O'Driscoll K, Britton F, Perrino BA and Greenwood IA. (2005) Regulation of calcium-activated chloride channels in smooth muscle cells: a complex picture is emerging. Can J Physiol Pharmacol 83: 541-56 [PMID:16091780]
- Li S, Sun W, Li S, Zhu L, Guo S, He J, Li Y, Tian C, Zhao Z and Yu T et al.. (2025) Tamsulosin ameliorates bone loss by inhibiting the release of Cl- through wedging into an allosteric site of TMEM16A. Proc Natl Acad Sci U S A 122: e2407493121 [PMID:39739807]
- Liang P, Wan YCS, Yu K, Hartzell HC and Yang H. (2024) Niclosamide potentiates TMEM16A and induces vasoconstriction. J Gen Physiol 156 [PMID:38814250]
- Liu B, Linley JE, Du X, Zhang X, Ooi L, Zhang H and Gamper N. (2010) The acute nociceptive signals induced by bradykinin in rat sensory neurons are mediated by inhibition of M-type K+ channels and activation of Ca2+-activated Cl- channels. J Clin Invest 120: 1240-52 [PMID:20335661]
- Liu S, Feng J, Luo J, Yang P, Brett TJ and Hu H. (2016) Eact, a small molecule activator of TMEM16A, activates TRPV1 and elicits pain- and itch-related behaviours. Br J Pharmacol 173: 1208-18 [PMID:26756551]
- Miner K, Labitzke K, Liu B, Wang P, Henckels K, Gaida K, Elliott R, Chen JJ, Liu L and Leith A et al.. (2019) Drug Repurposing: The Anthelmintics Niclosamide and Nitazoxanide Are Potent TMEM16A Antagonists That Fully Bronchodilate Airways. Front Pharmacol 10: 51 [PMID:30837866]
- Namkung W, Thiagarajah JR, Phuan PW and Verkman AS. (2010) Inhibition of Ca2+-activated Cl- channels by gallotannins as a possible molecular basis for health benefits of red wine and green tea. FASEB J 24: 4178-86 [PMID:20581223]
- Oh SJ, Hwang SJ, Jung J, Yu K, Kim J, Choi JY, Hartzell HC, Roh EJ and Lee CJ. (2013) MONNA, a potent and selective blocker for transmembrane protein with unknown function 16/anoctamin-1. Mol Pharmacol 84: 726-35 [PMID:23997117]
- Piechowicz KA, Truong EC, Javed KM, Chaney RR, Wu JY, Phuan PW, Verkman AS and Anderson MO. (2016) Synthesis and evaluation of 5,6-disubstituted thiopyrimidine aryl aminothiazoles as inhibitors of the calcium-activated chloride channel TMEM16A/Ano1. J Enzyme Inhib Med Chem 31: 1362-8 [PMID:26796863]
- Pifferi S, Dibattista M and Menini A. (2009) TMEM16B induces chloride currents activated by calcium in mammalian cells. Pflugers Arch 458: 1023-38 [PMID:19475416]
- Pinto MC, Silva IAL, Figueira MF, Amaral MD and Lopes-Pacheco M. (2021) Pharmacological Modulation of Ion Channels for the Treatment of Cystic Fibrosis. J Exp Pharmacol 13: 693-723 [PMID:34326672]
- Piper AS, Greenwood IA and Large WA. (2002) Dual effect of blocking agents on Ca2+-activated Cl(-) currents in rabbit pulmonary artery smooth muscle cells. J Physiol 539: 119-31 [PMID:11850506]
- Qu Z, Yao W, Yao R, Liu X, Yu K and Hartzell C. (2014) The Ca(2+) -activated Cl(-) channel, ANO1 (TMEM16A), is a double-edged sword in cell proliferation and tumorigenesis. Cancer Med 3: 453-61 [PMID:24639373]
- Sabirova RKh and Farkhutdinov RG. (1972) [Changes in serotonin metabolism in patients with hypertension]. Kardiologiia 12: 19-22 [PMID:4642630]
- Schreiber R, Ousingsawat J and Kunzelmann K. (2024) The anoctamins: Structure and function. Cell Calcium 120: 102885 [PMID:38642428]
- Seo Y, Lee HK, Park J, Jeon DK, Jo S, Jo M and Namkung W. (2016) Ani9, A Novel Potent Small-Molecule ANO1 Inhibitor with Negligible Effect on ANO2. PLoS One 11: e0155771 [PMID:27219012]
- Shi S, Ma B, Sun F, Qu C and An H. (2021) Theaflavin binds to a druggable pocket of TMEM16A channel and inhibits lung adenocarcinoma cell viability. J Biol Chem 297: 101016 [PMID:34329684]
- Ta CM, Adomaviciene A, Rorsman NJ, Garnett H and Tammaro P. (2016) Mechanism of allosteric activation of TMEM16A/ANO1 channels by a commonly used chloride channel blocker. Br J Pharmacol 173: 511-28 [PMID:26562072]
- Tradtrantip L, Namkung W and Verkman AS. (2010) Crofelemer, an antisecretory antidiarrheal proanthocyanidin oligomer extracted from Croton lechleri, targets two distinct intestinal chloride channels. Mol Pharmacol 77: 69-78 [PMID:19808995]
- Truong EC, Phuan PW, Reggi AL, Ferrera L, Galietta LJV, Levy SE, Moises AC, Cil O, Diez-Cecilia E and Lee S et al.. (2017) Substituted 2-Acylaminocycloalkylthiophene-3-carboxylic Acid Arylamides as Inhibitors of the Calcium-Activated Chloride Channel Transmembrane Protein 16A (TMEM16A). J Med Chem 60: 4626-4635 [PMID:28493701]
- Verkman AS and Namkung W. (2017) Small molecule activators of calcium-activated chloride channels and methods of use Patent number: US9790218B2. Assignee: University of California. Priority date: 03/08/2012. Publication date: 17/10/2017.
- Wray S, Prendergast C and Arrowsmith S. (2021) Calcium-Activated Chloride Channels in Myometrial and Vascular Smooth Muscle. Front Physiol 12: 751008 [PMID:34867456]
- Zhao Z, Xue Y, Zhang G, Jia J, Xiu R, Jia Y, Wang Y, Wang X, Li H and Chen P et al.. (2021) Identification of evodiamine and rutecarpine as novel TMEM16A inhibitors and their inhibitory effects on peristalsis in isolated Guinea-pig ileum. Eur J Pharmacol 908: 174340 [PMID:34265294]