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. Author manuscript; available in PMC: 2012 Jan 30.
Published in final edited form as: Cell Calcium. 2010 Jan 15;47(2):101–102. doi: 10.1016/j.ceca.2009.12.011

Calcium dyshomeostasis and pathological calcium signalling in neurological diseases

Maiken Nedergaard 1, Alexei Verkhratsky 2,3
PMCID: PMC3268371  NIHMSID: NIHMS171233  PMID: 20079921

“All of the vital mechanisms, however varied they may be, have always one goal, to maintain the uniformity of the conditions of life in the internal environment. The stability of the internal environment is the condition for the free and independent life.” (Claude Bernard [1]).

The incredible diversity and complexity of life forms, which populated and still continue to populate the Earth, are built around several core principles, the most important of which is the principle of homeostasis. Indeed the main aim of every living creature, from primitive bacteria to the highly complex organisms of mammals and humans is the preservation of the status quo, preservation of quite narrow optimum of physical conditions that are compatible with life. Furthermore, this struggle for balance always comes at the expense, as it requires energy, and therefore the strategy of minimizing the effort is also generally employed. At the very same time, the more complex the living creatures are, the more they have to develop, from the single cell gamete that carries genetic code, to the full grown organism, that carries the gamete into the future from generation to generation. The complex programme of development as well as the need for co-ordination of cells within the multicellular body called for signalling systems, both inter- and intracellular. The intercellular signalling between physically separated cells (e.g. between majority of neurones) utilises simple chemical molecules, the transmitters, which, by diffusing between cells convey the information. The intracellular signalling system has a daunting task to convert the extracellular incoming signals (originating either from the environment or from the neighbouring cells) into cellular reaction.

There are surprisingly few molecular ensembles responsible for both inter- and intracellular signalling. The intercellular signalling is realised through ~ 10 major transmitters and ~50 major hormones. The intracellular signalling systems are built around several second messengers and enzymatic cascades regulated by these messengers. The most ubiquitous intracellular signalling cascade utilises Ca2+ ions as universal and omnipresent second messenger [2]. The evolution has chosen Ca2+ ions as major intracellular signaller very early [3] probably at the same moment when ATP emerged as the intracellular energy substrate (the reactions involving ATP require low Ca2+ concentration). Indeed, each and every cell on the Earth has a very low intracellular free Ca2+ concentration, and maintenance of this low cytoplasmic Ca2+ is vital. Therefore from very early in evolution the cells developed a robust Ca2+ homeostatic system that equilibrates transmembrane Ca2+ fluxes so that number of Ca2+ ions entering the cell equals number of Ca2+ ions leaving the cytosolic compartment. This homeostatic system is build by several molecular cascades, which either scavenge an excess of cytosolic Ca2+ (Ca2+ buffers) or relocate the excess of Ca2+ across cellular membranes (Ca2+ transporters; for the details on Ca2+ homeostasis signalling see [4-16]). This homeostatic system also provides the backbone for Ca2+ signalling as the concentration difference between extra- and intracellular space creates the driving force for Ca2+, underlying its diffusion through membrane channels. The membrane channels for Ca2+ emerged very early in the evolution, being, to all probability, the first forms of membrane channels [17-19]; first Ca2+ channels appeared in the form of non-proteinaceous structures [20, 21] and subsequently in the form of gated transmembrane channels that are present in both plasmalemma and endomembranes [22-26]. These channels, together with Ca2+ homeostatic mechanism form the basis for Ca2+ signalling system. The intracellular decoding of Ca2+ signals, created by coordinated influx and efflux of Ca2+ ions is accomplished by an extended family of Ca2+-sensitive enzymes, known as Ca2+ sensors.

Importantly, Ca2+ regulation is not uniform throughout the cell, and different compartments, represented by intracellular organelles, such as endoplasmic reticulum or mitochondria, are endowed with the specific Ca2+ regulating systems. In the ER, which represents the major cellular organelle involved in wide variety of functions from protein synthesis and posttranslational modification to long-range trafficking of various molecules, the free Ca2+ concentration is high, being comparable with the extracellular free Ca2+. This high intra-ER Ca2+ is instrumental for many functions of the ER, as it maintains activity of chaperones, regulates various ER-originating signalling events and makes the ER a dynamic Ca2+ store [14, 27, 28]. The mitochondrial Ca2+ homeostasis is also peculiar, as mitochondria utilise Ca2+ entry as an “energy demand” signal, however an excess of Ca2+ in mitochondrial matrix can damage the organelle [29].

This signalling machinery has proven to be omnipresent, versatile and robust. The stability of Ca2+ homeostatic (and hence signalling) machinery is provided by numerous feedbacks, which are mostly represented by Ca2+ ions themselves. Indeed, every element of Ca2+ homeostatic/signalling system is Ca2+ dependent. Increase in cytosolic Ca2+ invariably inactivates membrane Ca2+ channels, be they of ligand-operated or voltage-operated variety [30-33]. The same increases in cytosolic Ca2+ stimulate Ca2+ extrusion by membrane pumps and exchangers. In the ER the Ca2+ gradient between the lumen and the cytosol controls the availability of the Ca2+ release channels and also regulates the velocity of Ca2+ uptake by sarco(endo) plasmic reticulum Ca2+ ATPases (SERCA pumps - [34]).

It is not surprising therefore, that Ca2+ is intimately involved in cell damage and death in pathological conditions. The concept of Ca2+ toxicity has been recognised about 3 decades ago [35-37], and this concept is now firmly established. Failure of Ca2+ homeostasis with subsequent Ca2+ overload triggers necrotic cell death that generally accompanies all types of acute traumatic insults [38]. At the same time Ca2+ is instrumental in initiating and progressing the programmed cell death, which is critically important for development and is widespread in different forms of pathology [38, 39]. The dysregulation of Ca2+ homeostasis and pathological Ca2+ signalling however are not confined to acute insults; chronic changes in Ca2+ signalling machinery and in the intracellular Ca2+ distribution can occur over many years this contributing to the pathogenesis of various chronic diseases [40-44].

This special issue is dedicated to the role of imbalanced Ca2+ homeostasis and pathological Ca2+ signalling in the neurological diseases. These diseases are many, spreading from peripheral neuropathies to a devastating neurodegenerative processes that cause dementia – the decline of the intellect, the form of pathology most feared by the mankind. Nonetheless there are striking similarities in molecular pathogenesis of these diseases as they all involve dysregulation of Ca2+ homeostasis and signalling. We hope that this collection of papers may be of interest to a wide audience of scientists engaged in the neuropathological research.

Footnotes

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References

  • 1.Bernard C. In: Lectures on the phenomena common to animals and plants. Hoff HE, Guillemin R, Guillemin L, translators. Charles C Thomas; Springfield (IL): 1974. [Google Scholar]
  • 2.Petersen OH, Michalak M, Verkhratsky A. Calcium signalling: past, present and future. Cell Calcium. 2005;38:161–169. doi: 10.1016/j.ceca.2005.06.023. [DOI] [PubMed] [Google Scholar]
  • 3.Case RM, Eisner D, Gurney A, Jones O, Muallem S, Verkhratsky A. Evolution of calcium homeostasis: from birth of the first cell to an omnipresent signalling system. Cell Calcium. 2007;42:345–350. doi: 10.1016/j.ceca.2007.05.001. [DOI] [PubMed] [Google Scholar]
  • 4.Carafoli E. Calcium signaling: a tale for all seasons. Proc Natl Acad Sci U S A. 2002;99:1115–1122. doi: 10.1073/pnas.032427999. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Carafoli E, Santella L, Branca D, Brini M. Generation, control, and processing of cellular calcium signals. Crit Rev Biochem Mol Biol. 2001;36:107–260. doi: 10.1080/20014091074183. [DOI] [PubMed] [Google Scholar]
  • 6.Di Leva F, Domi T, Fedrizzi L, Lim D, Carafoli E. The plasma membrane Ca2+ ATPase of animal cells: structure, function and regulation. Arch Biochem Biophys. 2008;476:65–74. doi: 10.1016/j.abb.2008.02.026. [DOI] [PubMed] [Google Scholar]
  • 7.Berridge M, Lipp P, Bootman M. Calcium signalling. Curr Biol. 1999;9:R157–159. doi: 10.1016/s0960-9822(99)80101-8. [DOI] [PubMed] [Google Scholar]
  • 8.Berridge MJ. Calcium microdomains: organization and function. Cell Calcium. 2006;40:405–412. doi: 10.1016/j.ceca.2006.09.002. [DOI] [PubMed] [Google Scholar]
  • 9.Berridge MJ. Inositol trisphosphate and calcium signalling mechanisms. Biochim Biophys Acta. 2009;1793:933–940. doi: 10.1016/j.bbamcr.2008.10.005. [DOI] [PubMed] [Google Scholar]
  • 10.Berridge MJ, Bootman MD, Roderick HL. Calcium signalling: dynamics, homeostasis and remodelling. Nat Rev Mol Cell Biol. 2003;4:517–529. doi: 10.1038/nrm1155. [DOI] [PubMed] [Google Scholar]
  • 11.Berridge MJ, Lipp P, Bootman MD. The versatility and universality of calcium signalling. Nat Rev Mol Cell Biol. 2000;1:11–21. doi: 10.1038/35036035. [DOI] [PubMed] [Google Scholar]
  • 12.Petersen OH, Tepikin AV. Polarized calcium signaling in exocrine gland cells. Annu Rev Physiol. 2008;70:273–299. doi: 10.1146/annurev.physiol.70.113006.100618. [DOI] [PubMed] [Google Scholar]
  • 13.Petersen OH, Cancela JM. New Ca2+-releasing messengers: are they important in the nervous system? Trends Neurosci. 1999;22:488–495. doi: 10.1016/s0166-2236(99)01456-3. [DOI] [PubMed] [Google Scholar]
  • 14.Verkhratsky A. Physiology and pathophysiology of the calcium store in the endoplasmic reticulum of neurons. Physiol Rev. 2005;85:201–279. doi: 10.1152/physrev.00004.2004. [DOI] [PubMed] [Google Scholar]
  • 15.Parekh AB, Putney JW., Jr Store-operated calcium channels. Physiol Rev. 2005;85:757–810. doi: 10.1152/physrev.00057.2003. [DOI] [PubMed] [Google Scholar]
  • 16.Putney JW. Capacitative calcium entry: from concept to molecules. Immunol Rev. 2009;231:10–22. doi: 10.1111/j.1600-065X.2009.00810.x. [DOI] [PubMed] [Google Scholar]
  • 17.Durell SR, Guy HR. A putative prokaryote voltage-gated Ca2+ channel with only one 6TM motif per subunit. Biochem Biophys Res Commun. 2001;281:741–746. doi: 10.1006/bbrc.2001.4408. [DOI] [PubMed] [Google Scholar]
  • 18.Matsushita T, Hirata H, Kusaka I. Calcium channels in bacteria. Purification and characterization. Ann N Y Acad Sci. 1989;560:426–429. [Google Scholar]
  • 19.Shemarova IV, Nesterov VP. Evolution of mechanisms of calcium signaling: the role of calcium ions in signal transduction in prokaryotes. Zh Evol Biokhim Fiziol. 2005;41:12–17. doi: 10.1007/s10893-005-0029-z. [DOI] [PubMed] [Google Scholar]
  • 20.Reusch RN. Polyphosphate/poly-(R)-3-hydroxybutyrate) ion channels in cell membranes. Prog Mol Subcell Biol. 1999;23:151–182. doi: 10.1007/978-3-642-58444-2_8. [DOI] [PubMed] [Google Scholar]
  • 21.Reusch RN, Huang R, Bramble LL. Poly-3-hydroxybutyrate/polyphosphate complexes form voltage-activated Ca2+ channels in the plasma membranes of Escherichia coli. Biophys J. 1995;69:754–766. doi: 10.1016/S0006-3495(95)79958-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 22.Catterall WA, Perez-Reyes E, Snutch TP, Striessnig J. International Union of Pharmacology. XLVIII. Nomenclature and structure-function relationships of voltage-gated calcium channels. Pharmacol Rev. 2005;57:411–425. doi: 10.1124/pr.57.4.5. [DOI] [PubMed] [Google Scholar]
  • 23.Dolphin AC. A short history of voltage-gated calcium channels. Br J Pharmacol. 2006;147(Suppl 1):S56–62. doi: 10.1038/sj.bjp.0706442. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 24.Bezprozvanny I. The inositol 1,4,5-trisphosphate receptors. Cell Calcium. 2005;38:261–272. doi: 10.1016/j.ceca.2005.06.030. [DOI] [PubMed] [Google Scholar]
  • 25.Galione A, Ruas M. NAADP receptors. Cell Calcium. 2005;38:273–280. doi: 10.1016/j.ceca.2005.06.031. [DOI] [PubMed] [Google Scholar]
  • 26.Hamilton SL. Ryanodine receptors. Cell Calcium. 2005;38:253–260. doi: 10.1016/j.ceca.2005.06.037. [DOI] [PubMed] [Google Scholar]
  • 27.Berridge MJ. The endoplasmic reticulum: a multifunctional signaling organelle. Cell Calcium. 2002;32:235–249. doi: 10.1016/s0143416002001823. [DOI] [PubMed] [Google Scholar]
  • 28.Petersen OH, Verkhratsky A. Endoplasmic reticulum calcium tunnels integrate signalling in polarised cells. Cell Calcium. 2007;42:373–378. doi: 10.1016/j.ceca.2007.05.012. [DOI] [PubMed] [Google Scholar]
  • 29.Duchen MR, Verkhratsky A, Muallem S. Mitochondria and calcium in health and disease. Cell Calcium. 2008;44:1–5. doi: 10.1016/j.ceca.2008.02.001. [DOI] [PubMed] [Google Scholar]
  • 30.Chad J, Eckert R, Ewald D. Kinetics of calcium-dependent inactivation of calcium current in voltage-clamped neurones of Aplysia californica. J Physiol. 1984;347:279–300. doi: 10.1113/jphysiol.1984.sp015066. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 31.Medina I, Filippova N, Charton G, Rougeole S, Ben-Ari Y, Khrestchatisky M, Bregestovski P. Calcium-dependent inactivation of heteromeric NMDA receptor-channels expressed in human embryonic kidney cells. J Physiol. 1995;482(Pt 3):567–573. doi: 10.1113/jphysiol.1995.sp020540. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 32.Nilius B, Benndorf K. Joint voltage- and calcium dependent inactivation of Ca channels in frog atrial myocardium. Biomed Biochim Acta. 1986;45:795–811. [PubMed] [Google Scholar]
  • 33.Rosenmund C, Feltz A, Westbrook GL. Calcium-dependent inactivation of synaptic NMDA receptors in hippocampal neurons. J Neurophysiol. 1995;73:427–430. doi: 10.1152/jn.1995.73.1.427. [DOI] [PubMed] [Google Scholar]
  • 34.Burdakov D, Petersen OH, Verkhratsky A. Intraluminal calcium as a primary regulator of endoplasmic reticulum function. Cell Calcium. 2005;38:303–310. doi: 10.1016/j.ceca.2005.06.010. [DOI] [PubMed] [Google Scholar]
  • 35.Schanne FA, Kane AB, Young EE, Farber JL. Calcium dependence of toxic cell death: a final common pathway. Science. 1979;206:700–702. doi: 10.1126/science.386513. [DOI] [PubMed] [Google Scholar]
  • 36.Siesjo BK. Cell damage in the brain: a speculative synthesis. J Cereb Blood Flow Metab. 1981;1:155–185. doi: 10.1038/jcbfm.1981.18. [DOI] [PubMed] [Google Scholar]
  • 37.Choi DW. Glutamate neurotoxicity in cortical cell culture is calcium dependent. Neurosci Lett. 1985;58:293–297. doi: 10.1016/0304-3940(85)90069-2. [DOI] [PubMed] [Google Scholar]
  • 38.Lipton P. Ischemic cell death in brain neurons. Physiol Rev. 1999;79:1431–1568. doi: 10.1152/physrev.1999.79.4.1431. [DOI] [PubMed] [Google Scholar]
  • 39.Nicotera P, Petersen OH, Melino G, Verkhratsky A. Janus a god with two faces: death and survival utilise same mechanisms conserved by evolution. Cell Death Differ. 2007;14:1235–1236. doi: 10.1038/sj.cdd.4402161. [DOI] [PubMed] [Google Scholar]
  • 40.Bezprozvanny I, Mattson MP. Neuronal calcium mishandling and the pathogenesis of Alzheimer’s disease. Trends Neurosci. 2008;31:454–463. doi: 10.1016/j.tins.2008.06.005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 41.Stutzmann GE. The pathogenesis of Alzheimers disease is it a lifelong “calciumopathy”? Neuroscientist. 2007;13:546–559. doi: 10.1177/1073858407299730. [DOI] [PubMed] [Google Scholar]
  • 42.Chan CS, Gertler TS, Surmeier DJ. Calcium homeostasis, selective vulnerability and Parkinson’s disease. Trends Neurosci. 2009;32:249–256. doi: 10.1016/j.tins.2009.01.006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 43.Paschen W. Endoplasmic reticulum dysfunction in brain pathology: critical role of protein synthesis. Curr Neurovasc Res. 2004;1:173–181. doi: 10.2174/1567202043480125. [DOI] [PubMed] [Google Scholar]
  • 44.Paschen W, Mengesdorf T. Endoplasmic reticulum stress response and neurodegeneration. Cell Calcium. 2005;38:409–415. doi: 10.1016/j.ceca.2005.06.019. [DOI] [PubMed] [Google Scholar]

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