ReviewBcl-2 interaction with the inositol 1,4,5-trisphosphate receptor: Role in Ca2+ signaling and disease
Introduction
The bcl-2 (B cell lymphoma 2) gene was discovered through analysis of a chromosomal translocation, t(14;18), commonly associated with follicular lymphoma [1], [2], [3]. By placing bcl-2 under control of immunoglobulin gene enhancer elements, this translocation produces abnormally high-level expression of Bcl-2, the protein product encoded by the bcl-2 gene. In a closely related malignancy, chronic lymphocytic leukemia (CLL), Bcl-2 is elevated not by a chromosomal translocation but by loss of micro RNAs required to regulate Bcl-2 expression levels [4], [5]. Bcl-2 elevation contributes to the pathogenesis and therapeutic resistance of follicular lymphoma and CLL by inhibiting apoptosis. Therefore, agents that decrease Bcl-2 expression or inhibit its activity are currently under investigation for the treatment of cancer.
Conversely, a bcl-2 gene polymorphism associated with decreased Bcl-2 expression levels has been recently implicated in the pathogenesis of bipolar disorder [6], [7]. This is fascinating, since abnormal Ca2+ signaling is a hallmark of this disorder [8] and lithium, used for many years to treat patients with this illness, works at least in part by increasing Bcl-2 levels [8], [9].
The involvement of both increased and decreased levels of Bcl-2 in the pathogenesis of various disease states indicates that Bcl-2 plays a critical role in cellular homeostasis, perhaps even beyond its well-known role in regulating apoptosis. The recent discovery that Bcl-2 interacts with the inositol 1,4,5-trisphosphate receptor (IP3R) and both positively and negatively regulates IP3-mediated Ca2+ signals has opened a new window into Bcl-2's fundamental mechanism of action, as well as its role in various disease processes. These topics are the subject of this review. Ultimately, an in depth understanding of Bcl-2's role in regulating Ca2+ signals may provide novel ways to target Bcl-2 therapeutically for diseases associated with abnormal Bcl-2 expression.
Section snippets
Bcl-2 and its family members
Bcl-2 is the founding member of a large protein family known for its role in cell death regulation. Although this review primarily focuses on Bcl-2–IP3R interaction, related contributions of other family members to Ca2+ homeostasis and signaling will also be discussed. Membership in the Bcl-2 protein family is defined by the presence of domains of sequence homology, or Bcl-2-homology domains (BH domains) [10]. Each Bcl-2 family member is grouped into one of three subfamilies, based its BH
Summary
Ca2+ signaling is intimately linked with cell survival. In using Ca2+ as a messenger cells tread a tightrope between appropriate activity and catastrophic demise. Bcl-2 and its homologues play a critical part in tuning cellular Ca2+ signals to provoke survival, or to guide cells into physiological forms of cell death. Alteration of Bcl-2 expression or function can critically adjust the balance between malignant cell survival and untimely cell loss. Bcl-2 family members interact with cellular Ca
Acknowledgement
CWD receives research support from NIH/NCI grants CA085804 and CA42755. Martin Bootman is supported by BBSRC.
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