Cold Spring Harb Perspect Biol. 2026 Apr 27. pii: a041771. [Epub ahead of print]
Inositol 1,4,5-trisphosphate receptors (IP3Rs) are an important class of ion channels that mediate calcium (Ca2+) release from the endoplasmic reticulum and other organelles, thereby critically controlling cell function. Dysregulation of these channels, including excessive IP3R activity, has been implicated in a plethora of diseases. The current arsenal of tools to acutely inhibit IP3Rs consists of various antagonists with distinct mechanisms of action. Yet, most suffer from limited selectivity due to their impact on several other Ca2+-transport systems, cellular targets, and/or lack of membrane permeability. This shortage of highly specific IP3R antagonists limits biomedical research and hampers the development of therapeutic strategies targeting IP3R channels. This work aims to provide a comprehensive overview of IP3R-antagonizing tools that were developed and characterized over the past decades, focusing on three classes of molecules: (1) pharmacological antagonists that directly affect IP3Rs by binding to the channel, (2) biological antagonists that directly affect IP3Rs by interacting with the IP3R, and (3) antagonism of IP3R activity via regulation of the phosphoinositide signaling pathway upstream of IP3Rs.