Biology:Calcineurin

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Calcineurin (CaN) is a calcium and calmodulin dependent serine/threonine protein phosphatase (also known as protein phosphatase 3, and calcium-dependent serine-threonine phosphatase).[1] It activates the T cells of the immune system and can be blocked by drugs. Calcineurin activates nuclear factor of activated T cell cytoplasmic (NFATc), a transcription factor, by dephosphorylating it. The activated NFATc is then translocated into the nucleus, where it upregulates the expression of interleukin 2 (IL-2), which, in turn, stimulates the growth and differentiation of the T cell response. Calcineurin is the target of a class of drugs called calcineurin inhibitors, which include ciclosporin, voclosporin, pimecrolimus and tacrolimus.

Calcineurin is a highly conserved protein within eukaryotic life, appearing within organisms from yeasts to mammals.[2]

Structure

Calcineurin is a heterodimer of a 61-kD calmodulin-binding catalytic subunit, calcineurin A and a 19-kD Ca2+-binding regulatory subunit, calcineurin B. In humans, there are three isozymes of the catalytic subunit, each encoded by a separate gene (PPP3CA, PPP3CB, and PPP3CC) and two isoforms of the regulatory, also encoded by separate genes (PPP3R1, PPP3R2).

protein phosphatase 3, catalytic subunit, alpha isozyme
Identifiers
SymbolPPP3CA
Alt. symbolsCALN, CALNA
NCBI gene5530
HGNC9314
OMIM114105
RefSeqNM_000944
UniProtQ08209
Other data
EC number3.1.3.16
LocusChr. 4 q24
protein phosphatase 3, catalytic subunit, beta isozyme
Identifiers
SymbolPPP3CB
Alt. symbolsCALNB
NCBI gene5532
HGNC9315
OMIM114106
RefSeqNM_021132
UniProtP16298
Other data
EC number3.1.3.16
LocusChr. 10 q22.2
protein phosphatase 3, catalytic subunit, gamma isozyme
Identifiers
SymbolPPP3CC
NCBI gene5533
HGNC9316
OMIM114107
RefSeqNM_005605
UniProtP48454
Other data
EC number3.1.3.16
LocusChr. 8 p21.3
protein phosphatase 3, regulatory subunit B, alpha
Identifiers
SymbolPPP3R1
NCBI gene5534
HGNC9317
OMIM601302
RefSeqNM_000945
UniProtP63098
Other data
EC number3.1.3.16
LocusChr. 2 p14
protein phosphatase 3, regulatory subunit B, beta
Identifiers
SymbolPPP3R2
NCBI gene5535
HGNC9318
OMIM613821
RefSeqNM_147180
UniProtQ96LZ3
Other data
EC number3.1.3.16
LocusChr. 9 q31

Calcineurin A contains the active site, which is between 57-9 kDa depending on isoform, with larger catalytic subunits found in lower eukaryotes such as Saccharomyces fungus[2]. This catalytic subunit consists of a catalytic domain homologous to other serine/threonine protein phosphatases as well as three unique regulatory domains at the COOH terminus[2]. These three regulatory domains were found to be the binding domain of the regulatory subunit of calcineurin B, the domain for calmodulin binding, and the autoinhibitory domain[2]. When calmodulin or Ca2+ is absent, the autoinhibitory domain binds to the active site, inhibiting activity[2]. Conformational changes with the binding of calmodulin or Ca2+ frees the active site and resumes calcineurin function[2].

Mechanism of action

When an antigen-presenting cell interacts with a T cell receptor on T cells, there is an increase in the cytoplasmic level of calcium, which activates calcineurin by binding a regulatory subunit and activating calmodulin binding.[3] Calcineurin induces transcription factors (NFATs) that are important in the transcription of IL-2 genes. IL-2 activates T-helper lymphocytes and induces the production of other cytokines. In this way, it governs the action of cytotoxic lymphocytes. The amount of IL-2 being produced by the T-helper cells is believed to influence the extent of the immune response significantly.

Calcineurin directly dephosphorylates cytoplasmic subunits of the NFAT1 transcription complex, operating through direct binding through a conserved N terminus[4]. Translocation of the NFAT transcription factors into the nucleus is maintained via the concentration of Ca2+ ions due to the integration of Ca2+ signaling within mitogen-activated protein kinase in NFAT, the activity of Calmodulin can act as a coincidence detector for Ras signaling pathways[4]. Dissociation of histone deacetylase 4 (HDAC) by calcineurin leads to regulation of the Mef2 transcription factor, which mediates transition of fast muscle fibers to slow muscle fibers[4]. This ability to regulate muscular fiber conversion has implications for the developmental impact of the protein and also is believed to be connected to regulation of programmed cell death[4].

Function

Formation of Structures in Newborn Mammals

Synaptic Connection

Calcineurin is suggested to be a critical component in the formation of synaptic connections. NFATc4 is found to be expressed in hippocampal neurons, with translocation via depolarization and normal synaptic activity[4]. This in conjunction with a potential downstream gene encoding a Ca2+ channel (IP3R1) form the basis for the potential linkage of calcineurin to synaptic connections, especially within newborn animals which have activation of IP3R1[4]. Should further research support the possible connection between this protein and synapse connection, it would open new directions of study for neurological development in animals.

Cardiovascular

Heart valve formation and myocardial hypertrophy are also believed to be signaled through the calcineurin signaling pathway. Mutations in the NFATc1 gene are reported to cause failure of development in heart valves[4], meaning that the calcineurin transcription factor controls a vital developmental pathway for survival of newborn animals. In transgenic mice presenting this mutation are shown to die from congestive heart failure in utero[2]. Stress-induced hypertrophy, a response in cardiac muscle cells, is dependent on calcium, and was discovered to also be induced by overexpression of calcineurin A[4]. Additionally, overexpression of NFATc4 could also induce similar results, and cyclosporin A prevents cardiac hypertrophy development in response to certain stimuli[4].

Calcineurin is also found to play a critical role in the development of several other structures and functions, such as the liver, skin, inflammatory and immune response[4]. This is shown through the augmentation of suboptimal stimuli through the use of calcium, as well as blocking by cyclosporin A[4].

Cell Cycle Arrest Recovery in Saccharomyces cerevisiae

Mediation of pheromone-induced growth arrest for mating is performed by a Ca2+ increase and activation of calcineurin[2]. Strains lacking in either of two yeast calcineurin A subunits were unable to recover from growth arrest[2]. Calmodulin is also found to be required from this growth arrest[2], meaning that all factors which govern calcineurin activation as well as the protein itself are necessary for proper function of yeast cells. Without the ability to escape growth arrest, yeast cells are unable to exit G1, removing the ability to continue through the cell cycle and engage in asexual reproduction.

Functions in Sleep

Presence and abundance of Calcineurin Aα in mice affects the intensity of non-rapid eye movement sleep (NREMS)[5]. In mice which overexpression of the protein subunit occurs, it is observed that the amount of sleep and as a result wakefulness is increased[5]. Furthermore, deficiency or knockout of the subunit leads to diminished NREMS in affected mice[5], showing the coupling of sleep with the function of the calcineurin protein. Severe insomnia was also exhibited in mice which lacked CnB1, as well as an increased circadian period as compared to wild type mice[5].

Clinical relevance

Rheumatic diseases

Calcineurin inhibitors are prescribed for adult rheumatoid arthritis (RA) as a single drug or in combination with methotrexate. The microemulsion formulation is approved by the U.S. Food and Drug Administration for treatment of severely active RA. It is also prescribed for: psoriatic arthritis, psoriasis, acute ocular Behçet's disease, juvenile idiopathic arthritis, adult and juvenile polymyositis and dermatomyositis, adult and juvenile systemic lupus erythematosus, adult lupus membranous nephritis, systemic sclerosis, aplastic anemia, steroid-resistant nephrotic syndrome, atopic dermatitis, severe corticosteroid-dependent asthma, severe ulcerative colitis, pemphigus vulgaris, myasthenia gravis, and dry eye disease, with or without Sjögren's syndrome (administered as ophthalmic emulsion).[6]

Schizophrenia

Calcineurin is linked to receptors for several brain chemicals including glutamate, dopamine and GABA.[7] An experiment with genetically-altered mice that could not produce calcineurin showed similar symptoms as in humans with schizophrenia: impairment in working memory, attention deficits, aberrant social behavior, and several other abnormalities characteristic of schizophrenia.[8]

Diabetes

Calcineurin along with NFAT, may improve the function of diabetics' pancreatic beta cells.[9][10] Thus tacrolimus contributes to the frequent development of new diabetes following renal transplantation.[11]

Calcineurin/NFAT signaling is required for perinatal lung maturation and function.[12]

Organ transplantation

Calcineurin inhibitors such as tacrolimus and ciclosporin are used to suppress the immune system in organ allotransplant recipients to prevent rejection of the transplanted tissue.[13]

Interactions

Calcineurin has been shown to interact with RCAN1[14] and AKAP5.[15]

Viral Inhibition

Inhibition of calcineurin is also found to be performed by encoded proteins in viruses. Notably, the African swine fever virus encodes the A238L protein, which binds to calcineurin and inhibits translocation and function of NFATc[4]. Given sequence similarity between A238L and NFATc family members suggests that the protein induces cyclosporin-like immunosuppression in host cells[4].

References

  1. "Characterization of a human regulatory subunit of protein phosphatase 3 gene (PPP3RL) expressed specifically in testis". Mol. Biol. Rep. 32 (1): 41–5. March 2005. doi:10.1007/s11033-004-4250-4. PMID 15865209. 
  2. 2.00 2.01 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 Rusnak, Frank; Mertz, Pamela (2000-01-10). "Calcineurin: Form and Function" (in en). Physiological Reviews 80 (4): 1483–1521. doi:10.1152/physrev.2000.80.4.1483. ISSN 0031-9333. PMID 11015619. https://www.physiology.org/doi/10.1152/physrev.2000.80.4.1483. 
  3. "T cell receptor-induced calcineurin activation regulates T helper type 2 cell development by modifying the interleukin 4 receptor signaling complex". J. Exp. Med. 191 (11): 1869–79. June 2000. doi:10.1084/jem.191.11.1869. PMID 10839803. 
  4. 4.00 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 4.11 4.12 Crabtree, Gerald R. (January 2001). "Calcium, Calcineurin, and the Control of Transcription" (in en). Journal of Biological Chemistry 276 (4): 2313–2316. doi:10.1074/jbc.R000024200. PMID 11096121. 
  5. 5.0 5.1 5.2 5.3 Yin, Xin; Zhang, Zihan; Zhou, Rui; Zuo, Peng; Sang, Di; Zhou, Shuang; Shi, Bihan; Chen, Lin et al. (2025-01-28). "Calcineurin governs baseline and homeostatic regulations of non–rapid eye movement sleep in mice" (in en). Proceedings of the National Academy of Sciences 122 (4). doi:10.1073/pnas.2418317122. ISSN 0027-8424. PMID 39847332. 
  6. "Pharmacology and side effects of cyclosporine and tacrolimus". 2014-04-10. http://www.uptodate.com/contents/pharmacology-and-side-effects-of-cyclosporine-and-tacrolimus. 
  7. "Activity-dependent tuning of inhibitory neurotransmission based on GABAAR diffusion dynamics". Neuron 62 (5): 670–82. 2009. doi:10.1016/j.neuron.2009.04.023. PMID 19524526. 
  8. "Conditional calcineurin knockout mice exhibit multiple abnormal behaviors related to schizophrenia". Proc. Natl. Acad. Sci. U.S.A. 100 (15): 8987–92. July 2003. doi:10.1073/pnas.1432926100. PMID 12851457. Bibcode2003PNAS..100.8987M. 
  9. "Calcineurin/NFAT signalling regulates pancreatic beta-cell growth and function". Nature 443 (7109): 345–9. September 2006. doi:10.1038/nature05097. PMID 16988714. Bibcode2006Natur.443..345H. 
  10. "Calcineurin/NFAT signaling in the beta-cell: From diabetes to new therapeutics". BioEssays 29 (10): 1011–21. October 2007. doi:10.1002/bies.20644. PMID 17876792. 
  11. "Transplant-associated hyperglycemia: a new look at an old problem". Clin J Am Soc Nephrol 2 (2): 343–55. 2007. doi:10.2215/CJN.03671106. PMID 17699434. 
  12. "Calcineurin/Nfat signaling is required for perinatal lung maturation and function". J. Clin. Invest. 116 (10): 2597–609. October 2006. doi:10.1172/JCI27331. PMID 16998587. 
  13. "Tacrolimus". 1 March 2019. https://www.nzf.org.nz/nzf_4754. 
  14. "DSCR1, overexpressed in Down syndrome, is an inhibitor of calcineurin-mediated signaling pathways". Hum. Mol. Genet. 9 (11): 1681–90. July 2000. doi:10.1093/hmg/9.11.1681. PMID 10861295. 
  15. "AKAP79 inhibits calcineurin through a site distinct from the immunophilin-binding region". J. Biol. Chem. 273 (42): 27412–9. October 1998. doi:10.1074/jbc.273.42.27412. PMID 9765270. 

Further reading