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Table 1.

Overview of the expression profile and disease links of Ca2+-ATPases

Gene Isoform Tissue distribution Human disease and associated alterations on genetic/protein level OMIM
ATP2A1 SERCA1a Fast twitch skeletal muscle (adult) Brody disease (autosomal recessive inheritance): splice site mutations, premature stop codons, missense mutations 108730
SERCA1b Fast twitch skeletal muscle (fetal) Myotonic dystrophy type 1: SERCA1b alternative mRNA splicing and dysregulated expression
ATP2A2 SERCA2a Highly expressed in cardiac and slow twitch skeletal muscle, smooth muscle, neuronal cells Darier–White disease (autosomal dominant): acrokeratosis verruciformis 108740
SERCA2b Ubiquitous Heart failure: impaired SERCA2a protein expression and ATPase activity, mutations in PLB and reduced DWORF expression
SERCA2c Cardiac muscle (slow and fast twitch) skeletal muscle, myeloid and nonmyeloid cells, primary blood monocytes Cancer: dysregulated protein expression, targeted SERCA inhibition as cancer therapy
ATP2A3 SERCA3a–f 3a, d, f: cardiac muscle; nonisoform specific: smooth muscle and other nonmuscle cells (endothelial, epithelial cells, lung, and pancreas) Gastric carcinomas, colon and lung cancer: dysregulated protein expression
Diabetes: dysregulated protein expression
601929
ATP2C1 SPCA1a–d Ubiquitous Hailey–Hailey disease (autosomal inheritance): nonsense, splice-site, and nonconservative missense mutations; frameshift insertion and deletions
Breast cancer: up-regulated protein expression
604384
ATP2C2 SPCA2 Gastrointestinal tract, trachea, thyroid gland, salivary gland, mammary gland, prostate, brain (hippocampal neurons), keratinocytes (mRNA level) Breast cancer: up-regulated protein expression 613082
ATP2B1 PMCA1a–e Ubiquitous (1b: fetal; 1a: adult)
1a, 1c, 1e: brain; 1c in skeletal muscle
Cardiovascular disease risk, preeclampsia, salt sensitivity: associated SNPs 108741
ATP2B2 PMCA2a–f Brain (fetal and adult), cerebellar Purkinje cells, hair cells in the inner ear, mammary gland Autosomal-recessive deafness: heterozygous point mutation (one case report)
Autism: associated SNPs
108733
ATP2B3 PMCA3a–c Widely expressed in the embryo
Brain: cerebellum
Early-onset spinocerebellar ataxia-1 (X-linked): point mutation 300014
Aldosterone-producing adenomas: somatic point mutation
ATP2B4 PMCA4a–g Ubiquitous Familial spastic paraplegia: point mutation
Malaria resistance: associated SNPs
108732

Overview of the specific characteristics of expression profile and disease links of Ca2+-ATPases. SERCA, SPCA, and PMCA are closely related based on phylogeny and their function as active Ca2+-transporters. However, differences in physiological function between these proteins arise through the expression of multiple isoforms, their structural differences, and specific tissue distribution. Additionally, many of these genes/proteins are linked to several human diseases and therefore may serve as interesting therapeutic targets. OMIM, Online Mendelian Inheritance in Man; mRNA, messenger RNA; PLB, phospholamban; DWORF, DWARF open reading frame; GWAS, genome-wide association studies; SNPs, single-nucleotide polymorphisms.