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Calcium and Muscle Disease: Pathophysiology of Calpains and Limb-Girdle Muscular Dystrophy Type 2A (LGMD2A)

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Calcium: The Molecular Basis of Calcium Action in Biology and Medicine

Abstract

Precise regulation of numerous cellular events is essential for cell function and survival. Proteolysis in the cytosol is one of the important systems that modulate cellular functions internally. In muscle tissues, the involvement of several classes of proteases in various cellular events has been studied extensively, including their roles in myofibrillar protein turnover, myoblast fusion, cell cycle progression, and so on. Calpain, an intracellular Ca2+-dependent cysteine protease, is considered one of the most significant proteases in muscle tissues in both normal and pathological conditions. Muscular dystrophy is a group of neuromuscular disorders that present with necrosis and irregularly sized muscle fibers. Excessive degradation of myofibrillar proteins is responsible for this pathological change. Since degenerative muscle is often accompanied by an elevated cytosolic Ca2+ concentration, it is almost certain that proteolysis by calpain initiates the fiber necrosis. Therefore, the study of calpain in muscular dystrophy has aimed principally at developing means of suppressing calpain activity. Recent studies have revealed another aspect of the relationship between calpain and muscular dystrophy. A mutation in p94, also called calpain 3, is responsible for limb-girdle muscular dystrophy type 2A (LGMD2A). This provides definitive evidence that the calpain system is vital for normal muscle function. Moreover, it suggests for the first time that the activity of one calpain species might oppose the effect of another. In this chapter, we briefly review the molecular structure of calpain and focus on the uncertain, but likely, pathophysiological roles of calpain in muscle diseases based on current knowledge.

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Ono, Y., Hata, S., Sorimachi, H., Suzuki, K. (2000). Calcium and Muscle Disease: Pathophysiology of Calpains and Limb-Girdle Muscular Dystrophy Type 2A (LGMD2A). In: Pochet, R., Donato, R., Haiech, J., Heizmann, C., Gerke, V. (eds) Calcium: The Molecular Basis of Calcium Action in Biology and Medicine. Springer, Dordrecht. https://doi.org/10.1007/978-94-010-0688-0_26

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