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Introduction
The calcium (Ca2+) ion, as a ubiquitous intracellular messenger, regulates many different cellular functions, including
contraction, secretion, metabolism, gene expression, cell survival and cell
death[1]. Likewise, reactive oxygen species (ROS)
such as superoxide anion
(O2·_ ) and hydrogen peroxide
(H2O2) are widely involved in physiological and pathophysiological
processes through oxidizing proteins, lipids and
polynucleotides[2,3]. Recent studies have underscored the notion that the
Ca2+ and ROS signaling systems are intimately integrated such that
Ca2+-dependent regulation of components of ROS
homeostasis might influence intracellular redox balance, and
vice versa. On one hand, a number of ROS-generating and
antioxidant systems of living cells have been shown to be
Ca2+-dependent[4,5]. Con-versely, regulation of
Ca2+ signals can be redox-dependent. The incredible versatile
Ca2+ signals, depending on an extensive
Ca2+ signaling toolkit, can act in various contexts of space, time and
amplitude[1,6]. Redox modulation of components of the
Ca2+ signaling toolkit occurs in different physiological and pathological processes, resulting in altered amplitude and spatiotemporal characteristics of
Ca2+ signals. In this brief review, we discuss the specific mechanisms underlying the interaction and integration of these two
powerful intracellular signaling systems in different types of cells.
Ca2+ modulation of ROS homeostasis
ROS play an important role in physiological cellular functions by activating several enzymatic cascades and transcription
factors[7]. Excessive ROS signals, however, are detrimental, causing
Ca2+ overload, mitochondrial depolariza-tion,
cytochrome c release, lipid peroxidation, transcription factor activation and DNA damage, and lead to apoptotic and non-apoptotic
cell death. As such, oxidative stress is increasingly recognized as a causative factor in the development of a diverse array of
diseases, including neurodegenerative diseases, malignant diseases, diabetes mellitus, atherosclerosis, and
ischemia/reperfusion injury[7]. The intracellular redox state reflects the dynamic balance between ROS production and the antioxidant
capacity of the cell. Increasing evidence indicates that intracellular
Ca2+ modulates both ROS generation and ROS clearance
processes and thereby shifts the redox state toward either a more oxidized or reduced direction in a context-sensitive manner.
Ca2+-induced ROS production There are many intracellular ROS generation sites (Figure 1). Of them, the electron
transport chain resides on the mitochondria and there are plenty of extramitochondrial enzymes in the plasma membrane or in
the cytosol, such as cell-surface NADPH-oxidase, peroxisomes, cytochrome P450, xanthine oxidase, cyclooxy-genase, and
lipooxygenase[8,9]. Mitochondria provide the main source of physiological ROS production, with 1%_2% of total electrons
flowing through the respiratory chain leaking to produce
ROS[10]. The primal ROS made by electron transport chains is
O2·_ , which is changed to
H2O2 either by spontaneous dismutation or catalyzed by superoxide dismutase (SOD). One important
function of mitochondrial Ca2+ is to stimulate the tricarboxylic acid (TCA)
cycle[11] and oxidative
phosphorylation[12_15]. Specifically, 3 dehydrogenases of the TCA cycle (pyruvate dehydrogenase, isocitrate dehydrogenase and oxoglutarate
dehydrogenase)[11], the ATP synthase (complex
V)[14], and the adenine nucleotide
trans-locase[12] are all activated by
Ca2+. Hence, Ca2+ might increase ROS generation by enhancing metabolism. During this process, more electrons leak from the
respiratory chain while more O2 is consumed to produce ATP. To this end, previous studies have shown a positive
correlation between mitochondrial ROS generation and the basal metabolic
rate[16,17]. Interestingly,
Ca2+ can also enhance ROS production when complexes of the electron transport chain are inhibited.
As shown by in vitro experiments,
Ca2+ stimulates ROS production in isolated rat heart mitochondria in the presence of
antimycin A (complex III inhibitor)[18]. Similar observations have been made with rotenone (complex I inhibitor) treatment of
brain mitochondria[19]. This phenomenon appears to be tissue-specific, because addition of
Ca2+ to brain mitochondria in the presence of antimycin A does not stimulate ROS
generation[19].
The underlying mechanism for Ca2+-induced mitochondrial ROS generation is not fully understood. Cadenas and Boveris
proposed that mitochondria depolarization is responsible for the
Ca2+ effects[18], whereas others have attributed the
Ca2+ effects to the alteration of mitochondrial membrane
structure[19]. Studies on isolated
mitochondria[4,20_22] have demonstrated
that high concentration of mitochondrial
Ca2+ ([Ca2+]m) triggers mitochondrial permeability transition pore (mPTP) opening
and enhances ROS production, but the cascade of events linking mPTP opening to ROS generation remains elusive. The
Ca2+-induced mPTP opening can be inhibited by antioxidants such as
MCI-186[23] or catalase[24]. Furthermore, nearly 100
different proteins are lost from the mitochondrial inner membrane, including cytochrome c, glutathione (GSH) and other matrix
solutes during mPTP opening. In principle, any of these molecules could enhance ROS generation.
In addition to the regulation of mitochondrial ROS production,
Ca2+ regulates multiple extramitochondrial ROS-generating
enzymes both in physiological and pathological processes. Cell-surface NADPH oxidases, with rapid kinetics of activation
and inactivation, are the most important multienzyme complexes in the generation of ROS involved in receptor-mediated
signaling cascades[8]. The best studied among them is the phagocyte NADPH-oxidase, which consists of a dimer of
transmembrane subunits,
gp91phox and
p22phox, and three cytosolic subunits,
p67phox,
p47phox, and rac2. An additional component,
p40phox, is also associated with oxidase, but its functional role is
unclear[25]. Activity of neutrophil oxidases, including
NADPH-oxidase, is
Ca2+-dependent[26]. Buffering intracellular or extracellular
Ca2+ decreases generation of oxygen
metabolites in human neutrophils[27]. NAD(P)H oxidase and its homologs are present in a variety of nonphagocytic cells including
smooth muscle cells, chondrocytes, kidney epithelial cells, endothelial cells, prostate cancer
cells[21], and
spermatocytes[28]. In response to
elevations of the cytosolic
Ca2+ concentration
([Ca2+]c), NADPH oxidase 5 (NOX5), a homolog of the
gp91phox subunit of the phagocyte NADPH oxidase, generates large amounts of
superoxide[28], which attributes to conformation
change of NOX5 induced by Ca2+[29]. It has been
shown[30,31] that activities of other ROS-generating enzymes are regulated
by [Ca2+]c directly or indirectly.
Ca2+ regulation of antioxidant defense
system To counteract the damaging potential of ROS, cells use the antioxidant
defense system, which involves both enzymatic and nonenzymatic oxidant defense mechanisms.
Ca2+ can directly activate antioxidant enzymes, such as plant catalase and GSH reductase, increase the level of SOD in animal
cells[5], and induce mitochondrial GSH release early in
Ca2+-induced mPTP opening[4]. Alternatively, calmodulin (CaM), a ubiquitous
Ca2+-binding protein, interacts with antioxidant enzymes involved in ROS homeostasis. CaM binds to and activates some plant
catalases in the presence of
Ca2+, and downregulates
H2O2 levels[32]. Collectively, these studies indicate that
Ca2+ plays dual roles in regulating ROS homeostasis. The net
Ca2+ effects on ROS generation and annihilation appear to be tissue-specific
and context-sensitive, and, within a given cell, are differentially regulated in local subcellular compartments.
ROS regulation of Ca2+ signaling
The Ca2+ signaling system comprises hundreds and up to thousands of protein players that are involved in virtually every
aspect of cell biology and physiology. Any influence on the
Ca2+ signaling toolkit might change the spatiotemporal profile
of local and global Ca2+ signals, contributing to the efficiency, specificity and complexity of
Ca2+ signal transduction. In this section we briefly discuss how ROS modify key
Ca2+ signaling proteins and reshape local and global
Ca2+ signal amplitudes and kinetics (Figure 1).
Voltage-dependent Ca2+
channels Ca2+ entry into excitable cells through voltage-dependent
Ca2+ channels (VDCCs) is essential for membrane electrical activity and intracellular signal transduction. Many studies have focused on ROS
modulation of VDCC activity.
H2O2 has been shown to
accelerate the overall channel opening process in neuronal
P/Q-type Ca2+ channels expressed in
Xenopus oocytes[8]. Studies in whole-cell-clamped guinea pig ventricular myocytes
have shown that exogenous ROS suppresses L-type
Ca2+ current[33]. Similarly, sulphydryl-oxidating agents, 2,2-dithiodipyridine
and thimerosal, also inhibit the activity of rabbit smooth muscle L-type
Ca2+ channels expressed in CHO
cells[34], and it was found that free SH groups of L-type
Ca2+ channels are essential for ROS modulation. Although the effects of
H2O2 and other ROS on single DHPR channel activity have not been reported; previous studies indicate a ROS-induced decrease in this
current of skeletal muscle[31]. In contrast, it has also been reported that
H2O2 exerts no significant effect on L-type
Ca2+ current in pancreatic b-
cells[35]. In Arabidopsis guard cells, Pei and
colleagues[36] identified a hyperpolarization-dependent
Ca2+-permeable cation channel that is activated by
H2O2.
Intracellular Ca2+ release
channels The release of Ca2+ from the endo/sarcoplasmic reticulum (ER/SR) mediated by
ryanodine receptors (RyR) and 1,4,5-inositol-triphosphate receptors
(IP3R) is a primary Ca2+ signaling event. An RyR or
IP3R channel is a homotetramer with each subunit containing many free cysteine residues that are susceptible to redox reaction by
ROS. For instance, each of the four homologous 560 kDa
RyR1 proteins contains approximately 50 free
cysteine residues[37], and approximately 21 free cysteines per subunit of
RyR2[38]. Changes in the redox state of RyR and
IP3R would affect their activities. There are three types of RyR expressed in mammalian cells, known as
RyR1, RyR2, and
RyR3. RyR1 is the dominant isoform in skeletal muscle,
RyR2 is found in high levels in cardiac muscle, and
RyR3 is expressed at relatively low levels in many tissues including diaphragm and
brain[39]. RyR1 channels,
in vitro, were markedly activated by 100
mmol/L and 1 mmol/L H2O2 under redox potential clamp
conditions[40]; were inhibited by 10 mmol/L
H2O2[41]. Moreover, 3_5
mmol/L H2O2 directly modified the gating of sheep cardiac
RyR2, resulting in an increase in channel open probability without
affecting the conductance[33]. Similarly,
H2O2 enhances
Ca2+ release from SR in isolated ventricular myocytes. This effect is
more prominent in cells previously dialyzed with low concentration thiol reductants, GSH (2 mmol/L) or dithiothreitol (DTT;
0.5 mmol/L)[42]. It is noteworthy that high concentration GSH (10 mmol/L) or DTT (2 mmol/L) itself strongly inhibits
Ca2+ release in
cardiomyocytes[42]. In neurons, activation of
RyR3 by ROS might modify
Ca2+-dependent long-term potentiation and long-term
depression[37]. In the case of
IP3R, it has been reported that
O2·_ enhances
IP3-induced Ca2+ release from
fractionated vascular smooth muscle
SR[43], and oxidized GSH induces
Ca2+ release from IP3R in intact
hepatocytes[44]. Moreover, the data reported by Hu
et al[45] demonstrated that exogenous NADPH (substrate of NADPH oxidase) or
H2O2 increases the sensitivity of intracellular
Ca2+ stores to IP3 in human endothelial cells. Despite these advances, it remains to
be convincingly demonstrated whether endogenous ROS can appropriately modify RyR and
IP3R activity in intact cells.
Ca2+ pumps and
Na+/Ca2+ exchanger Both the plasma membrane
Ca2+-ATPases (PMCA) and the ER/SR
Ca2+-ATPases
(SERCA), as well as Na+/Ca2+ exchangers (NCX), are sensitive to ROS regulation. ROS can effectively inhibit
Ca2+ transport by SERCA in smooth muscle
cells[2] and depress cardiac sarcolemmal
Ca2+-ATPase[46]. SERCA is more sensitive to
ROS than PMCA is. For example,
H2O2 and
O2·_ can completely uncouple the hydrolytic reaction of PMCA and inhibit the
hydrolytic reaction of SERCA[33]. Both stimulating and inhibiting regulation of ROS on NCX have been reported in isolated
sarcolemmal vesicles and in intact cells. It has been proposed that
H2O2 generated from the xanthine/xanthine oxidase system
(X/XO) enhances NCX activity in ventricular myocytes, causing
Ca2+ overload and triggering arrhythmia during reperfusion,
because of the NCX pathological inverted
running[47]. Similar results were obtained in sarcolemmal vesicles from bovine
heart[48,49]. In contrast, oxidants from hypoxanthine/xanthine oxidase depress NCX activity in guinea pig ventricular myocytes
under voltage-clamp conditions[50]. The exchanger activity is also inhibited by the oxidizing agent
HOCl[48]. Although mitochondrial NCX and
Ca2+ uniporter have been reported to participate in mitochondrial
Ca2+ regulation[51], it is not yet clear
how they are modulated by intramitochondrial ROS.
Other components of the Ca2+ signaling system that are modulated by ROS include store-operated
Ca2+ channel[51],
KCa channel[33,52], and
CaM[8]. Taken together, ROS as intracellular signaling molecules might directly and indirectly modify
components of Ca2+ signaling pathways, thus altering
Ca2+ homeostasis and reshaping local and global
Ca2+ signals.
Global Ca2+ signaling It has been widely accepted that exogenous ROS could induce dynamic changes in
[Ca2+]c in a variety types of
cells[54_59]. This effect might be due to mobilization of intracellular
Ca2+ stores and to influx of extracellular
Ca2+. As an important feature of the cross-regulation between ROS and
Ca2+, the ROS effect on Ca2+ signaling can vary from
stimulative to repressive, depending on the type of oxidants, their concentrations, and duration of exposure. When treated
with 100 mmol/L H2O2,
[Ca2+]c of rat cardiomyocytes increased markedly, and continued to rise after washout, whereas 1
mmol/L H2O2 had no effect on
[Ca2+]c[58]. At an even higher dose, 1 mmol/L
H2O2 elicits biphasic response in cardiac myocytes, a
transient augmentation of Ca2+-induced
Ca2+ release followed by a suppression of
[Ca2+]c transient after 5 min exposure. The
biphasic nature could be explained by a possible ER/SR depletion due to a combination of release enhancement and SERCA
inhibition (Figure 1). Conversely, reducing agents such as GSH and DTT
attenuate [Ca2+]c
transients[3]. The effect of ROS on
Ca2+ signaling is also tissue specific. For instance, it had been shown
that H2O2 (100_300 mmol/L) activates contraction in skinned skeletal muscle fibers without producing an increase in
[Ca2+]c[60]. Under pathological conditions, such as hypoxia and ischemia/reperfusion injury, mitochondria dysfunction results in ROS
increase that mediates the following cytosolic
Ca2+ overload[4,59] by triggering
Ca2+ release from the ER through
RyR[59] or from the external through
PMCA[4].
Local Ca2+ signaling
Ca2+ sparks[61] constitute the elementary
Ca2+ releasing events and play an important role in local
control of Ca2+ signaling in many types of cells. As is the case with ROS regulation of global
Ca2+ signaling, ROS modulation of
Ca2+ sparks occurs in a ROS species- and tissue-specific fashion. For example,
O2·_ generated from X/XO elicits a slowly
developing decrease of Ca2+ spark frequency down to 56% of control in permeabilized rat ventricular
myocytes[62]. In contrast, mitochondria-derived ROS, generated from diazoxide (an ATP-sensitive
K+ channel opener)- induced mitochondrial
depolarization, elevates Ca2+ spark frequency and enhances the coupling of sparks to
Ca2+-sensitve K+ channels in smooth
muscle cells[63]. In permea-bilized rat skeletal muscle fibers, 50
mmol/L H2O2 was also found to increase
Ca2+ spark frequency[64]. More direct evidence is needed to confirm the regulation of local and global
Ca2+ signals by mitochondria-derived ROS
in physiological and pathological conditions.
Concluding remarks
Cross-talk between Ca2+ and ROS signaling systems occurs at multiple levels in different subcellular compartments (eg,
the plasma membrane, the cytosol and mitochondria), and involves a constellation of molecular players (Figure 1). The
reciprocal interactions between Ca2+ and ROS signaling systems can be both stimulatory and inhibitory, depending on the
type of target proteins, the ROS species, the dose, the time history, and the cell contexts. Both ROS generation and clearance
as well as Ca2+ signaling are subject to tight local regulation, therefore future study should unravel endogenous high local or
compartmentalized ROS (eg, inside the mitochondrial matrix, ER/SR lumen or nucleoplasm) interacting with
Ca2+ signaling molecules, and vice versa. Such cross-talk provides not only a fine-tuning mechanism for homeostatic regulation of either
system, but also a coupling mechanism for signaling integration in the regulation of physiological functions. Under
pathophysiological conditions, however, abnormalities in either signaling system could propagate into the other system, and
feedback reinforcement could cause instabilities in both systems. We eagerly await future investigations to enlighten us on
the cell logic behind the complex bi-directional interactions of the two signaling systems.
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