Also known as... Protein phosphatase 2B (PP2B) and occasionally Ca2+–calmodulin-activated protein phosphatase. Only the Human Genome Organization nomenclature committee calls it PP3. What is it and what does it do? Calcineurin is a phosphoprotein serine/threonine phosphatase, activated physiologically by Ca2+–calmodulin. In plain language, calcineurin couples intracellular Ca2+ to dephosphorylation of selected substrates. The biological consequences are diverse and depend on the cellular context. Thus, in mammals, calcineurin contributes to regulation of enzymes and ion channels, chemotaxis and neuronal growth cone pathfinding, membrane vesicle trafficking, development of cardiac valves and osteoclasts, and genetic programs of activation in lymphocytes and differentiation in skeletal muscle. What does it look like? Calcineurin is a dimer of an A catalytic subunit and a B subunit (Figure 1). Calmodulin becomes tightly associated with calcineurin only in the presence of elevated, but physiological, levels of Ca2+. In mammals three isoforms of calcineurin A (Aα, Aβ, Aγ) and two isoforms of calcineurin B (B1, B2) are expressed from separate genes. Where can it be found? Calcineurin is present in all eukaryotes investigated except higher plants. It is found in all tissues in mammals, with notably high levels in brain. Calcineurin can have a pivotal role in intracellular signalling even at relatively low levels, however, as exemplified in T lymphocytes and skeletal muscle. In budding yeast, calcineurin has a role in coordinating adaptation to environmental stress both through the calcineurin–Crz1p transcriptional pathway and through post-translational mechanisms. What are its substrates? Substrates that contribute to transcriptional signalling, in particular nuclear factor of activated T cells (NFAT), have sometimes overshadowed calcineurin’s substrates in non-transcriptional pathways, which constitute a vast majority of the identified substrates. Substrate selection is determined in part by a docking site in calcineurin that recognizes the consensus PxIxIT motif in NFAT and some other substrates. Since not all substrates depend on binding at this site, there are probably additional substrate recognition sites. Another contribution to substrate selection is made by scaffold proteins, e.g. AKAP79, which target the phosphatase to neuronal synapses or other cellular sites. Calcineurin also delegates work to protein phosphatase 1 (PP1) through a phosphatase cascade, in which dephosphorylation of the PP1 antagonists DARPP-32 or inhibitor-1 by calcineurin relieves their inhibitory effect on PP1, and allows PP1 to act on its own preferred substrates. What are its inhibitors? Cyclosporin A (CsA) and FK506 bind tightly to the abundant intracellular proteins cyclophilin A and FKBP12, respectively, and the resulting ligand–protein complex binds to calcineurin and impedes access of protein substrates to the active site. Blockade of a biological process by CsA and independently by FK506 is diagnostic for calcineurin involvement. Other inhibitors that find frequent experimental use are the autoinhibitory peptide from calcineurin and fragments of the regulatory proteins DSCR1/MCIP/calcipressin/Rcn1p, Cabin1/cain, and AKAP79. Does it have any medical relevance? Calcineurin signalling is prominent in transplant rejection and autoimmune disease, where the inhibitors CsA and FK506 are used clinically, and is being studied for its contribution to myocardial hypertrophy and to virulence in fungal pathogens.
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