钙网蛋白的生理及病理生理学作用

钙网蛋白（calreticulin,CRT）是内质网／肌浆网主要的Ca2^＋结合蛋白,通过协助蛋白质正确折叠和维持细胞Ca^2＋稳态而参与调节细胞凋亡、黏附、类固醇敏感性基因表达和自身免疫反应等,并与多种人类疾病的发生、发展和预后相关。本文综述钙网蛋白的生理功能及其在心肌肥大与衰竭、血管新生和应激等病理状态下的变化。     

钙网蛋白与肿瘤免疫

钙网蛋白是内质网分子伴侣,负责糖蛋白的折叠及维持细胞内Ca2＋平衡。新近研究发现,某些凋亡刺激能诱导肿瘤细胞内的钙网蛋白快速转位到肿瘤细胞膜上,这种表面包被有大量钙网蛋白的肿瘤细胞,能被抗原呈递细胞有效识别和吞噬,由此激发抗同种肿瘤的特异性免疫杀伤效应,提示钙网蛋白在肿瘤免疫治疗中的潜在应用价值。对钙网蛋白在肿瘤免疫中的研究进展作一综述。     

周期性张应力刺激下成肌细胞钙网蛋白的表达及变化

目的：检测成肌细胞钙网蛋白（CRT）在循环拉伸应力刺激下的表达变化。方法：体外构建面颌部成肌细胞力学刺激模型。加力组以0．5赫兹的加载频率和10％细胞拉伸变形幅度对细胞进行加力培养1h,6h,12h,24h,运用实时荧光定量PCR技术跟Westem Blot技术分别检测在周期性张应力作用下成肌细胞CRT在基因水平及蛋白水平的表达变化。结果：当对细胞加力6h后,CRTmRNA及蛋白表达量开始增多,加力12h后CRTmRNA及蛋白表达量到达最多（P〈0．01）,加力0h组与加力12h组之间差异有显著的统计学意义（P〈0．01）。结论：持续的周期性张应力刺激下CRTmRNA及蛋白表达增加。     

阿霉素损伤心肌细胞miRNA378与网腔钙结合蛋白、内质网应激的关系

目的：研究阿霉素损伤心肌细胞miRNA378与网腔钙结合蛋白（calumenin）、内质网应激相关性。方法：原代培养乳鼠心肌细胞分为6组：对照组、阿霉素组、miRNA378过表达对照组、miRNA378过表达组、miRNA378沉默对照组、miRNA378沉默组,采用免疫组化法检测细胞α-SMA蛋白;慢病毒质粒转染心室肌细胞,实时荧光定量PCR技术检测各组心肌细胞miRNA378、calumenin及葡萄糖调节蛋白78（GRP78） mRNA表达。结果：与阿霉素组相比较,miRNA378过表达组心肌细胞calumenin mRNA表达增加（P<0.01）,而GRP78 mRNA表达减少（P<0.01）;与阿霉素组相比较,miRNA378沉默组calumenin及GRP78 mRNA表达无统计学差异。结论：阿霉素损伤乳鼠心肌细胞是通过减少calumenin蛋白表达进而引起内质网应激,该作用通过上调miRNA378得到缓解。     

miRNA378*表达对柯萨奇B3病毒感染乳鼠心肌细胞凋亡、网腔钙结合蛋白、内质网应激伴侣蛋白表达的影响

目的：研究沉默miRNA378^*表达对柯萨奇B3病毒（CVB3）感染心肌细胞凋亡、内质网应激、网腔钙结合蛋白（calumenin）影响。方法：原代培养乳鼠心肌细胞分为：对照组（正常细胞）、柯萨奇病毒感染组（正常细胞+柯萨奇B3病毒）、miRNA378^*沉默对照组（正常细胞+柯萨奇B3病毒+转染miRNA378^*空质粒）、miRNA378^*沉默组（正常细胞+柯萨奇B3病毒+转染miRNA378^*沉默质粒）,各组细胞分别转染和感染处理后置37℃、CO₂培养箱中培养3 d。检测细胞α-平滑肌肌动蛋白（α-SMA）、细胞凋亡率、网腔钙结合蛋白、葡萄糖调节蛋白78（GRP78）及内质网应激信号通路因子激活转录因子6（ATF6）、转录因子C/EBP同源蛋白（CHOP）的表达。结果：通过检测ɑ-SMA蛋白,证实分离乳鼠细胞为心室肌细胞。TUNEL法检测不同组心室细胞凋亡情况发现,柯萨奇病毒感染组心室肌细胞凋亡明显,与柯萨奇病毒感染组心肌细胞相比较,miRNA378^*沉默组心肌细胞凋亡细胞量明显减少。与柯萨奇病毒感染组比较,Calumenin表达减少（P<0.01）,而GRP78、ATF6、CHOP表达增加（P<0.01）。结论：CVB3病毒感染心肌细胞作用与miRNA378^*,引发内质网应激并激活信号通路因子,心肌细胞凋亡增加。     

早孕小鼠子宫内膜钙网蛋白的表达规律

采用RT-PCR、间接免疫荧光组织化学、Western 印迹及原位杂交技术分别检测未孕(d0)和妊娠d1、d2、d3、d4、d5、d6、d7天小鼠子宫内膜中钙网蛋白(calreticulin, CRT)的表达规律, 探讨CRT在胚胎着床中的作用.结果显示CRT mRNA在妊娠小鼠子宫内膜中的表达明显高于未孕小鼠(P <0.05), 且随着妊娠天数的增加呈逐渐增强的趋势.间接免役荧光组织化学结果显示CRT表达于子宫内膜基质细胞、腺上皮以及腔上皮, 并在妊娠第4、5天基质细胞的胞浆中呈现高峰.实验结果提示, CRT在妊娠早期子宫内膜的持续表达, 可能通过调节整合素介导的细胞信号通路而调节胚胎滋养层细胞的黏附、侵袭, 参与胚胎着床.     

低氧预处理通过上调钙网蛋白表达减轻大鼠心肌细胞氧化应激损伤

本文旨在探讨钙网蛋(calreticulin,CRT)是否参与低氧预处理(hypoxic preconditioning,HPC)对心肌细胞氧化应激损伤的保护及其信号转导过程.将原代培养的Sprague.Dawley乳鼠心肌细胞随机分为8组:氧化应激(H2O2)组、短暂低氧(HPC)组、HPC H202组、SB203580(p38 MAPK特异性抑制剂) HPC H2O2组、干扰心肌细胞CRT表达的反义寡核苷酸(antiscnse oligodeoxynucleotides,AS)组、AS H2O2组、AS HPC H202组和对照组,以细胞存活率、乳酸脱氢酶(1actate dehydrogenase,LDH)漏出及流式细胞术检测细胞损伤情况;采用RT-PCR和Western blot分别检测CRT表达和p38MAPK磷酸化水平.结果表明:(1)HPC可减轻氧化应激损伤,与H202组比较,HPC H2O2组细胞存活率增高18.0%,细胞凋亡率和LDH漏出分别降低19.4%和53.0%(均P<0.05);HPC前以SB203580预孵育可消除HPC保护作用,与HPC H202组相比,SB203580 HPC H2O2组细胞凋亡率和LDH漏出分别增高13.1%和96.0%,存活率降低7.3%(均P<0.05);(2)氧化应激明显上调CRT表达(H202组较对照组高7.1倍,P<0.05);HPC也诱导CRT表达上调(HPC组较对照组高2.4倍,P<0.05),但上调程度较H2O2组低59%(P<0.05);即HPC可减轻氧化应激诱导的CRT过表达:(3)AS干扰CRT表达后,HPC保护作用降低,相关性分析显示HPC诱导的CRT适度表达与细胞存活率呈正相关(r=0.8023,P<0.05);(4)HPC前SB203580预孵育可抑制CRT表达上调(分别较HPC H2O2组和HPC组低75%和53%,均P<0.05).上述结果提示,HPC可能通过p38 MAPK信号途径诱导CRT表达上调,减轻心肌细胞氧化应激损伤.     

A Mechanism of Release of Calreticulin from Cells During Apoptosis

Calreticulin (CRT) is an endoplasmic reticulum (ER) chaperone responsible for glycoprotein folding and Ca²⁺ homeostasis. CRT also has extracellular functions, e.g. tumor and apoptotic cell recognition and wound healing, but the mechanism of CRT extracellular release is unknown. Cytosolic localization of CRT is determined by signal peptide and subsequent retrotranslocation of CRT into the cytoplasm. Here, we show that under apoptotic stress conditions, the cytosolic concentration of CRT increases and associates with phosphatidylserine (PS) in a Ca²⁺-dependent manner. PS distribution is regulated by aminophospholipid translocase (APLT), which maintains PS on the cytosolic side of the cell membrane. APLT is sensitive to redox modifications of its SH groups by reactive nitrogen species. During apoptosis, both CRT expression and the concentration of nitric oxide (NO) increase. By using S-nitroso-l-cysteine-ethyl-ester, an intracellular NO donor and inhibitor of APLT, we showed that PS and CRT externalization occurred together in an S-nitrosothiol-dependent and caspase-independent manner. Furthermore, the CRT and PS are relocated as punctate clusters on the cell surface. Thus, CRT induced nitrosylation and its externalization with PS could explain how CRT acts as a bridging molecule during apoptotic cell clearance.     

Calreticulin and cancer

Calreticulin (CALR) is an endoplasmic reticulum (ER)-resident protein involved in a spectrum of cellular processes. In healthy cells, CALR operates as a chaperone and Ca²⁺ buffer to assist correct protein folding within the ER. Besides favoring the maintenance of cellular proteostasis, these cell-intrinsic CALR functions support Ca²⁺-dependent processes, such as adhesion and integrin signaling, and ensure normal antigen presentation on MHC Class I molecules. Moreover, cancer cells succumbing to immunogenic cell death (ICD) expose CALR on their surface, which promotes the uptake of cell corpses by professional phagocytes and ultimately supports the initiation of anticancer immunity. Thus, loss-of-function CALR mutations promote oncogenesis not only as they impair cellular homeostasis in healthy cells, but also as they compromise natural and therapy-driven immunosurveillance. However, the prognostic impact of total or membrane-exposed CALR levels appears to vary considerably with cancer type. For instance, while genetic CALR defects promote pre-neoplastic myeloproliferation, patients with myeloproliferative neoplasms bearing CALR mutations often experience improved overall survival as compared to patients bearing wild-type CALR. Here, we discuss the context-dependent impact of CALR on malignant transformation, tumor progression and response to cancer therapy.Subject terms: Oncogenes, Tumour immunology, Protein folding, Endoplasmic reticulum     

Calreticulin and Arginylated Calreticulin Have Different Susceptibilities to Proteasomal Degradation

Post-translational arginylation has been suggested to target proteins for proteasomal degradation. The degradation mechanism for arginylated calreticulin (R-CRT) localized in the cytoplasm is unknown. To evaluate the effect of arginylation on CRT stability, we examined the metabolic fates and degradation mechanisms of cytoplasmic CRT and R-CRT in NIH 3T3 and CHO cells. Both CRT isoforms were found to be proteasomal substrates, but the half-life of R-CRT (2 h) was longer than that of cytoplasmic CRT (0.7 h). Arginylation was not required for proteasomal degradation of CRT, although R-CRT displays ubiquitin modification. A CRT mutant incapable of dimerization showed reduced metabolic stability of R-CRT, indicating that R-CRT dimerization may protect it from proteasomal degradation. Our findings, taken together, demonstrate a novel function of arginylation: increasing the half-life of CRT in cytoplasm.     

Overexpression of Calreticulin in Pre-eclamptic Placentas: Effect on Apoptosis, Cell Invasion and Severity of Pre-eclampsia

Endoplasmic reticulum (ER) stress has recently been identified as an important process involved in the pathology of pre-eclampsia (PE). Calreticulin (CRT) is an important ER resident protein which participates in the regulation of intracellular Ca(2+) homeostasis, cell adhesion, and cell apoptosis. In order to clarify the role of this protein in normal human pregnancy and in PE, this study has examined the expression of CRT in pre-eclamptic placenta compared with control placenta. The expression of CRT mRNA and protein was elevated in the pre-eclamptic placentas in comparison with control placentas. Furthermore, the expression level was related to the severity of symptoms experienced by PE patients. Therefore, this study aimed to identify the biological characteristics of the CRT gene in trophoblast cells. A CRT-expressing vector was transfected into the JEG-3 human choriocarcinoma cell line. Investigations showed that both proliferation and invasion were inhibited and apoptosis was promoted by CRT expression in JEG-3 cells. These data suggest that augmentation of CRT in the placenta may induce cell apoptosis and impair the invasion of extravillous trophoblast cells, thus leading to shallow placentation in PE.     

钙网蛋白与神经系统病变

钙网蛋白（calreticulin,CRT）是内质网中的一种多功能的分子伴侣,在协助蛋白质正确折叠和维持细胞Ca2＋稳态（Ca2＋信号）中发挥重要作用。近来的研究发现,钙网蛋白与神经系统病变包括阿尔茨海默氏病、帕金森病等有密切关系。     

Calreticulin in the heart

Calreticulin is a Ca²⁺ binding/storage chaperone resident protein of the endoplasmic reticulum. This protein plays a key role in the calreticulin/calnexin cycle and the quality control pathways in the endoplasmic reticulum. Calreticulin deficiency is lethal due to impaired cardiac development. However, over-expression of the protein in developing and postnatal heart leads to bradycardia, complete heart block and sudden death. Ultrastructural evidence indicates that the deficiency associated with the absence of calreticulin in the heart may be due to a defect in the development of the contractile apparatus and/or a defect in development of the conductive system as well as a metabolic abnormality. Collectively, we postulate that calreticulin and endoplasmic reticulum plays an important role in cardiac development and postnatal pathologies. (Mol Cell Biochem 263: 137–142, 2004)     

钙网蛋白的免疫生物学活性研究进展

钙网蛋白(calreticulin,CRT)是内质网中的Ca2+结合蛋白,对维持细胞内的Ca2+稳态具有重要作用。CRT还可作为分子伴侣,帮助新合成的内质网蛋白正确折叠。除此之外,CRT还出现在细胞膜表面及细胞外环境中,并发挥重要的免疫调节作用。膜表面的CRT参与凋亡细胞的清除和抗肿瘤免疫应答,在T细胞活化早期也发挥重要作用。可溶性CRT出现在自身免疫病患者的血清中,且其浓度与疾病活动度相关。重组可溶性CRT腹腔注射可显著影响小鼠的Th1/Th2平衡。重组可溶性CRT分子不仅具有超强免疫刺激活性,还表现出很强的佐剂效应,提示可溶性CRT可能在自身免疫性疾病的发生与发展过程中发挥一定作用。可以预见,CRT分子的免疫生物学活性将在不久的将来成为该领域研究的一个热点。     

Calreticulin affects beta-catenin-associated pathways

Calreticulin, a Ca(2+) storage protein and chaperone in the endoplasmic reticulum, also modulates cell adhesiveness. Overexpression of calreticulin correlates with (i) increased cell adhesiveness, (ii) increased expression of N-cadherin and vinculin, and (iii) decreased protein phosphorylation on tyrosine. Among proteins that are dephosphorylated in cells that overexpress calreticulin is beta-catenin, a structural component of cadherin-dependent adhesion complexes, a member of the armadillo family of proteins and a part of the Wnt signaling pathway. We postulate that the changes in cell adhesiveness may be due to calreticulin-mediated effects on a signaling pathway from the endoplasmic reticulum, which impinges on the Wnt signaling pathway via the cadherin/catenin protein system and involves changes in the activity of protein-tyrosine kinases and/or phosphatases.