Topology of inositol trisphosphate (IP3) receptors (IP3Rs) and models of IP3R interactions with other ion channels. A: structure of an IP3R subunit. SR, sarcoplasmic reticulum. B: model. IP3 (1) promotes (2) a physical interaction between IP3Rs and canonical transient receptor potential (TRP) (TPRC)3 channels that (3) activates TRPC3 and promotes membrane depolarization, resulting in (4) an increase in the open probability of CaV1.2 channels, an elevation in intracellular Ca2+, and contraction of vascular smooth muscle cells. C: stretch promotes IP3 production and activation of IP3Rs, as well as diacylglycerol (DAG) production leading to activation of TRPC6 channels. The activation of IP3Rs and TRPC6 channels increases local intracellular Ca2+ near melastatin TRP (TRPM)4 channels, which are then activated to cause membrane depolarization and vascular smooth muscle contraction. In this model, it is proposed that IP3Rs, TPRC6, and TRPM4 form a nanocomplex. Figures created with Biorender.com.