Abstract

The TMEM16A/anoctamin-1 calcium-activated chloride channel (CaCC) contributes to a range of vital functions, such as the control of vascular tone and epithelial ion transport. The channel is a founding member of a family of 10 proteins (TMEM16x) with varied functions; some members (i.e., TMEM16A and TMEM16B) serve as CaCCs, while others are lipid scramblases, combine channel and scramblase function, or perform additional cellular roles. TMEM16x proteins are typically activated by agonist-induced Ca2+ release evoked by Gq-protein-coupled receptor (GqPCR) activation; thus, TMEM16x proteins link Ca2+-signalling with cell electrical activity and/or lipid transport. Recent studies demonstrate that a range of other cellular factors—including plasmalemmal lipids, pH, hypoxia, ATP and auxiliary proteins—also control the activity of the TMEM16A channel and its paralogues, suggesting that the TMEM16x proteins are effectively polymodal sensors of cellular homeostasis. Here, we review the molecular pathophysiology, structural biology, and mechanisms of regulation of TMEM16x proteins by multiple cellular factors.

Highlights

  • Introduction toTMEM16x PhysiologyPolymodal Control of TMEM16xThe TMEM16x eukaryotic protein family (HUGO gene nomenclature: Anoctamin) is composed of 10 paralogues in mammals that share high sequence homology while forming a functionally diverse group of proteins

  • TM6), effectively blocking the top of what constitutes the scramblase groove in scramblase homologues [105,107,108] (Figure 1). This results in the formation of a protein-enclosed ion-conductive pore in TMEM16A that is for the most part shielded from the membrane, but which might be partly accessible to lipids on its intracellular side [105,107,108], where the detachment of TM4 and TM6 forms a funnel-shaped vestibule that has portions directly exposed to the cytoplasm and the lipid bilayer

  • A series of mechanisms can explain the combined ion channel and scramblase function of some TMEM16x proteins; these include (1) the ‘alternating pore–cavity’ model, which implies that ions permeate through an intermediate, semi-closed conformation of the lipid/ion permeation pathway that is nonconductive to lipids, but permeable to ions [113], and (2) the proteolipidic pore model, which implies that ions and lipids are transported through the fully open cavity lined with lipid headgroups [158]

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Summary

Introduction to TMEM16x Physiology

The TMEM16x eukaryotic protein family (HUGO gene nomenclature: Anoctamin) is composed of 10 paralogues in mammals that share high sequence homology while forming a functionally diverse group of proteins. TMEM16x proteins may (1) form Ca2+ activated Cl− channels (CaCCs) (TMEM16A and B) [1]; (2) function as lipid scramblases, which facilitate bidirectional movement of lipids across the cell membranes, possibly in combination with non-selective ion channel activity (TMEM16D, E, F, K and J) [2,3,4,5,6,7,8]; or (3). Some TMEM16x (TMEM16C, G, and H) proteins play cellular roles other than serving as ion channels or lipid scramblases. TMEM16J is another TMEM16x with reported intracellular localisation [31,80,81]; heterologous expression in HEK293T cells promotes plasma membrane expression, where the TMEM16J works as a cation channel activated by a cAMP-dependent protein kinase. TMEM16J is overexpressed in pancreatic cancer cells [86], in gastrointestinal cancer [87], and in oesophageal squamous-cell carcinoma (ESCC) [81], and is associated with tumour progression [81,86,87]

TMEM16x Splice Variants
TheSplicing
The Factors Controlling Ion and Lipid Transport in TMEM16x Proteins
Overview of the Structure–Function Relationship in TMEM16x Proteins
Gating Mechanisms
Structural alignment of the experimentally determined
Ion and Lipid Conduction Pathways
Mechanisms of Modulation of TMEM16x Proteins’ Function
Summary of the principal factorsofthat control TMEM16x
Calmodulin
Intra- and Extracellular pH
Intra- and Extracellular ATP
Lipids
Other Lipids
Other Regulators of TMEM16x Activity
Additional Regulatory Mechanisms of TMEM16x Proteins
A Role for TMEM16F in the Pathology of SARS-CoV-2
Conclusions
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