Cell, Vol. 83,463-472, November 3, 1995, Copyright 0 1995 by Press Calcineurin Associated with the lnositol 1,4,5=Trisphosphate Receptor-FKBPI 2 Complex Modulates Ca*+ Flux

Andrew M. Cameron,* Joseph P. Steiner,* such as the transcription factor NFAT (for nuclear factor

A. Jane Roskams, l Siraj M. Ali, * Gabriele V. Ronnett,? of activated T cells) (Liu et al., 1991; O’Keefe et al., 1992; and Solomon H. Snyder**5 Clipstone and Crabtree, 1992; for review of calcineurin, *Department of Neuroscience see Klee et al., 1988). In its phosphorylated state, NFAT tDepartment of Neurology cannot translocate to the nucleus, where it regulates ex- $Department of Pharmacology and Molecular Sciences pression of genes critical for activation such as in- SDepartment of Psychiatry and Behavioral Sciences terleukin-2 (IL-2). Rapamycin acts differently than cyclo- Johns Hopkins University School of Medicine sporin A and FK506, as it blocks the actions of IL-2 rather Baltimore, Maryland 21205 than its synthesis (Bierer et al., 1990). Rapamycin binds with high affinity to FKBP12 and inhibits its rotamase activ- ity, but the rapamycin-FKBP12 complex does not interact Summary with calcineurin. Rather, this immunosuppressant-immu- nophilin complex binds to a recently identified target pro- The immunosuppressant drug FK506 binds to the im- tein designated RAFT (for rapamycin and FKBP12 target) munophilin protein FKBPl2 and inhibits its prolyl iso- or FRAP (for FKBP-rapamycin-associated protein) (Sa- meraseactivity. Immunosuppresiveactions, however, batini et al., 1994; Brown et al., 1994). are mediated via an FK506-FKBP12 inhibition of the Marks and colleagues have observed an association Ca*+-activated phosphatase calcineurin. Physiologic of FKBP12 with the (RyR) of skeletal cellular roles for FKBPl2 have remained unclear. muscle in the absence of FK506 (Jayaraman et al., 1992; FKBPl2 is physically associated with the RyR and IP3R Timerman et al., 1993; Brillantes et al., 1994). RyR is a Ca*+ channels in the absence of FK506, with added tetrameric Ca*+ channel that mediates Ca’+-induced Ca2+ FK506 disrupting these complexes. Dissociation of release in muscle, brain, and other tissues (Takeshima FKBPl2 results in alteration of channel Ca% conduc- et al., 1989; McPherson and Campbell, 1993). We have tance in both cases. We now report that calcineurin is demonstrated that the 1,4,5-trisphosphate (IP,) re- physiologically associated with the IP3R-FKBP12 and ceptor (IPBR), a structurally and functionally related tetra- RyR-FKBP12 receptor complexes and that this inter- merit Ca2+ channel that shares up to 40% homology to action can be disrupted by FK506 or rapamycin. Cal- RyR in some regions, is also a direct target of FKBP12 cineurin anchored to the IP3R via FKBP12 regulates (Cameron et al., 1995; for review see Furuichi and Miko- the phosphorylation status of the receptor, resulting shiba, 1995; Snyder and Sabatini, 1995). Whereas FK506 in a dynamic Ca*+ -sensitive regulation of IP3-mediated stimulates the binding of FKBP12 to calcineurin, FK506 Ca2+ flux. dissociates FKBP12 from RyR and from IP$R. When FKBP12 is “stripped” from the RyR-FKBPlP or IP3R- FKBP12 complex, the Ca2+ channels of these two proteins Introduction become “leaky.” Accordingly, net accumulation of Ca’+ into RyR-or IPsR-gated stores is diminished, and releasing The immunophilin proteins mediate the clinical effects of agents such as caffeine or IPa cause increased Ca*+ flux at the immunosuppressant drugs cyclosporin A, FK506, and lower concentrations. It was assumed that the isomerase rapamycin. Cyclophilins, thefirstclassof immunophilinsto activity of FKBP12 was the means by which this protein be identified, bind to cyclosporin A, acyclic undecapeptide modulates the RyR and IP3R. However, recent evidence (Handschumacher et al., 1984; for review see Walsh et obtained from mutant FKBP12 proteins lacking isomerase al., 1992). FK506 and rapamycin, structurally related mac- activity suggests that this is not the case (Timerman et rolides, instead bind to the FK506-binding protein (FKBP) al., 1995). Accordingly, we have attempted to investigate class of . Although there are a number of alternative means by which FKBP12 modulates IP,R- and membersoftheimmunophilinfamily, immunosuppressant RyR-mediated Ca*+ flux. actions appear largely attributable to cyclophilin A and IP3R can be phosphorylated at three distinct sites by B and FKBP12 (Bram et al., 1993). The cyclophilins and protein C (PKC), Caz+/~dependent pro- FKBPs do not share sequence similarity, but tein kinase II (CaMKII), and cyclic AMP-dependent protein both display peptidylprolyl-cis-trans isomerase (rota- kinase (PKA), respectively (Ferris et al., 1991). Whether mase) activity thought to be associated with protein folding phosphorylation and dephosphorylation physiologically (Schmid, 1993). Furthermore, immunophilin rotamase ac- regulate IP,R function has not been established. The asso- tivity is inhibited by their respective immunosuppressant ciation of FKBP12 with IP3R suggested a potential func- ligands. lmmunosuppressant actions, however, do not ap- tional link of calcineurin and IP3R. We now demonstrate a pear to derive from inhibition of this isomerase activity. physical association of calcineurin with the IP,R-FKBP12 Rather, the drug-immunophilin complex of cyclosporin and RyR-FKBP12 complexes that is potently disrupted A-cyclophilin or FK506-FKBP12 binds to the protein by treatment with FK506 or rapamycin. We also show that phosphatase calcineurin to inhibit its activity, thereby aug- complexed calcineurin modulates the phosphorylation menting levels of phosphorylated calcineurin substrates status and Ca’+ flux properties of IP3R. Cell 464

Results point that reflects the molecular mass of the IP3R tetramer, which is greater than 1.2 x 1 O6 Da. Subjecting the identical Copurification and Coimmunoprecipitation FPLC fractions to Western blot analysis with an antibody Demonstrate an FKSOBSensitive Association specific for calcineurin reveals that calcineurin immunore- of Calcineurin with IP3R and RyR activity closely parallels the distribution of IP3R (Figure To look for an association of calcineurin with IP3R, we 1B). lmmunoreactivity for both IP3R and calcineurin is purified lPBR from rat to apparent homogeneity blocked by preabsorption with antigen (data not shown). by sequential fractionation on heparin and concanavalin Thus, not only is calcineurin present in a highly purified A columns as previously described (Ferris et al., 1989). preparation of IPzR, but when such a preparation is frac- The purified receptor was then subjected to further frac- tionated by gel filtration calcineurin comigrates with the tionation on a fast protein liquid chromatography (FPLC) lPBR even though its molecular mass is only 10% that of Superose 6 column, which separates proteins according the IP3R tetramer. In contrast, when pure calcineurin is to their molecular mass. Purified IP& immunoreactivity fractionated by FPLC in an identical fashion, calcineurin is concentrated in fractions 9-12 (Figure lA), an elution immunoreactivity migrates in fractions 18-19, a later elu- tion point more consistent with a protein of molecular mass FPLC fraction # around 80 kDa (Figure 1C). Treating our preparation of IPzR with rapamycin, which disrupts the IP3R-FKBP12 in- teraction (Cameron et al., 1995), before FPLC fraction- ation causes calcineurin immunoreactivity to shift back to fractions 18 and 19 (Figure 1 D), while the IP3R continues A to run in fractions 9-12 (data not shown). We also demonstrate the specific association of cal- cineurin with IP3R and RyR by immunoprecipitation ex- periments. We employed antibodies to IP9R with crude preparations of rat cerebellar membranes. The immuno- precipitate displays immunoreactive calcineurin as well as IP3R (Figure 2). Inclusion of increasing concentrations of FK506 in the membrane preparation decreases the B amount of calcineurin in the immunoprecipitate. Quantifi- cation of band intensity reveals that half-maximal reduc- tion of the presence of calcineurin in the immunoprecipi- tate occurs between 10 and 100 nM FK506. This range is similar to the ECso obtained for FK506 dissociation of FKBP12 from RyR reported by Timerman and colleagues to be in the range of 120-500 nM (Timerman et al., 1993). Cyclosporin A fails to influence the calcineurin content of C the immunoprecipitate, while rapamycin, which like FK506 binds tightly to FKBP12, markedly reduces the calcineurin content of the immunoprecipitate. The association of cal- cineurin with the IP,R-FKBP12 complex appears to re- quire Ca’+, as EGTA depletes the calcineurin content of the immunoprecipitate (Figure 2). Control immunopre- cipitation experiments were carried out with antibodies against and microtubule-associated protein 2 D (MAP-P), which like IPsR are proteins of high abundance in cerebellar Purkinje cells. Calcineurin immunoreactivity was not seen in the immunoprecipitate in either case, nor in experiments using the anti-lP3R antibody preimmune serum (Figure 2). Figure 1. Copurification of Calcineurin with IP,R Is Disrupted by Treat- We have also demonstrated a similar association of cal- ment with Rapamycin cineurin with RyR (Figure 3A). lmmunoprecipitation of cer- In (A), (B) and (D), purified preparations of IP,R were subjected to ebellar homogenates with anti-RyR antibodies results in FPLC gel filtration and analyzed via Western blot analysis. coprecipitation of calcineurin. Both FK506 and EGTA de- (A) shows the majority of lPBR immunoreactivity in FPK fractions 9- 12, as reported previously (Cameron et al., 1995). plete the immunoprecipitate of calcineurin. The associa- (B) shows that calcineurin (CN) immunoreactivity is observed in these tion of calcineurin with IPsR and RyR is further supported same samples and closely parallels the distribution of IP,R immunore- by immunoprecipitation experiments conducted with anti- activity. bodies to calcineurin (Figure 3B). In these experiments, (C) shows that pure calcineurin, fractionated in an identical fashion, IP3R and RyR immunoreactivity is apparent in the cal- elutes in fractions 18 and 19. (D) shows that IP3R fractions treated with rapamycin before FPLC cineurin immunoprecipitate. Treatments with either FK506 fractionation contain calcineurin immunoreactivity in lanes 18 and 19. or EGTA prevent the appearance of IP,R or RyR in the Calcineurin-IPR-FKBP Complex and Ca2+ Flux 465

Figure3. Calcineurin Coimmunoprecipitates with RyR in a Ca*+- Dependent and FK506-Sensitive Manner (A) Demonstrates an experiment identical to that shown in Figure 2, but performed with an antibody specific for RyR. Calcineurin (CN) coimmunoprecipitation (lower panel) with RyR (upper panel) is blocked by the inclusion of FK506 or EGTA (20 mM), whereas RyR is present Relative amount of calcineurtn present in immunoprecipitate in the immunoprecipitate in constant amounts. (B) Shows an immunoprecipitation experiment using an antibodyspe- Figure 2. Coimmunoprecipitation of Calcineurin with IPR Is Ca*+ De- cific for calcineurin. While the upper panel demonstrates equal cal- pendent and FK506 Sensitive cineurin content in the immunoprecipitates, the lower panel demon- A crude homogenate was prepared from rat cerebellum and used for strates that IP,R or RyR will coimmunoprecipitate unless FK506 or coimmunoprecipitation assays. lmmunoprecipitationswere performed EGTA (20 mM) is added. as described and analyzed via Western blot analysis as indicated. lmmunoprecipitation with an antibody specific for IP,R precipitates calcineurin (CN) (middle panel), as well as lPBR (upper panel). The tent with previous observations that the FK506-FKBP12 calcineurin coimmunoprecipitation is blocked by the inclusion of in- complex, but neither molecule alone, inhibits calcineurin creasing amounts of FK506, rapamycin, or EGTA (20 mM), but not by cyclosporin A (CsA), whereas a constant amount of IP,R is present activity(Liu et al., 1991). Whereas rapamycin binds tightly in each immunoprecipitate. Relative intensity of immunoreactive cal- to FKBPlP, the complex does not interact with calcineurin cineurin bands was quantified and is shown in the lower panel for (Liu et al., 1991). Addition of rapamycin and FKBP does each condition, giving an EC& of dissociation of FKBP12 from IP3R not inhibit calcineurin activity in our assay. Cyclosporin in the range of IO-100 nM FK506. Control immunoprecipitations using antibodies against calbindin and MAP-2 under identical conditions did A added with FKBP12 also does not inhibit calcineurin not coimmunoprecipitate calcineurin (shown in panel on right). activity, consistent with the inability of cyclosporin A to bind to FKBP12. Analysis with a phosphorimager permits consistent quantification of the degree of phosphorylation immunoprecipitate. Probing the calcineurin immunopre- of MAP-2 and thus determination of calcineurin activity cipitate with anti-MAP-2 or anti-calbindin antibodies via against a specific substrate under varying experimental Western blot analysis shows no evidence of either of those conditions (Figure 48). two proteins in the calcineurin immunoprecipitate (data Our purified IPR preparations possess calcineurin ac- not shown). tivity (Figure 5A). In the presence of Caz+ and calmodulin, IP3R preparations dephosphorylate MAP-2 with the same Calcineurin Activity in IPaR-FKBP12-Calcineurin activity as purified calcineurin (units of phosphatase activ- Complex Regulates Phosphorylation Status ity per milligram of calcineurin addedor present in prepara- of IP,R tion). EGTA blocks this dephosphorylation. Addition of To ascertain whether calcineurin associated with the cyclosporin A and cyclophilin also inhibits phosphatase IP3R-FKBPl 2 complex retains catalytic activity, we devel- activity, as does addition of calcineurin autoinhibitory pep- oped a substrate-specific assay for calcineurin phospha- tide or deltamethrin, all of which are known to be potent tase activity. We first used a known calcineurin substrate, inhibitors of calcineurin activity (Liu et al., 1991; Hashi- MAP-2, phosphorylated by PKA. Addition of purified cal- moto et al., 1990; Enan and Matsumura, 1992). Treatment cineurin together with Cd+ and calmodulin markedly re- of calcineurin or IP3R preparations with permethrin, a non- duces phosphorylation of MAP-2 (Figure 4A). EGTA pre- inhibiting analog of deltamethrin (Enan and Matsumura, vents this activity. Addition of FK506 and FKBP12 inhibits 1992) or okadaic acid, a protein phosphatase inhibitor not calcineurin activity, whereas FKBPlP alone has no effect. active against calcineurin at low concentrations (Bialojan Likewise, addition of FK506 or rapamycin alone does not and Takai, 1988) does not inhibit observed phosphatase alter calcineurin activity (data not shown). This is consis- activity. Pretreatment of IP3R preparations with FK506 Cell 466

MAP-2

H PKA PKC IP3R-W LT I.25 I

Figure 5. Purified Preparations of IP$f Display Calcineurin Activity against MAP-2 and against Complexed IP3R Itself IP,R was purified as described and assayed for calcineurin (CN) activ- ity against MAP-2 as described above. (A) shows that no pretreatment or pretreatment of the preparation with rapamycin did not affect calcineurin activity, indicating that complexed calcineurin is catalytically active. Pretreatment of preparations with FK506 (1 mM) inhibited calcineurin activity. Pure calcineurin, as well as phosphatase activity from lPBR preparations, was sensitive to Figure 4. Measurement of Calcineurin Phosphatase Activity Toward cyclosporin A (CsA, 1 mM), calcineurin autoinhibitory peptide (100 a Specific Protein Substrate, Evaluated with MAP-Z mM), and deltamethrin (1 nM). Phosphatase activity was not inhibited MAP-Z was phosphorylated by PKA using radiolabeled ATP as de- by permethrin (1 nM) or okadaic acid (500 nM), both of which are scribed, and the reaction was stopped by addition of 10 NM Walsh known to be inactive against calcineurin. inhibitor. Phosphorylated MAP-2 was then incubated with calcineurin (B) shows phosphorylation of purified IP$f with PKA, CaMKII, or PKC (CN, 2 PM) for 30 min at 37O. Ca2+ (100 KM) and calmodulin (4 NM) as indicated. The inclusion of a specific calcineurin inhibitor (1 mM (indicated by an asterisk), EGTA (20 mM), FKBP12 (1 NM), FK506 (1 cyclosporin A and 1 mM cyclophilin) modestly enhances phosphoryla- KM), cyclosporin A (CsA, 1 PM), or rapamycin (1 MM) were included tion by PKA and CaMKll and dramatically increases phosphorylation in the calcineurin reaction as indicated. The reactions were terminated by PKC, demonstrating that IP,R itself is a substrate for complexed with 5 x sample buffer, and SDS-PAGE was performed. Gels were calcineurin. The asterisk indicates a significant difference in the case dried down and exposed on a Molecular Dynamics phosphorrmager, of PKA and PKC (p < ,005). This experiment was repeated four times which allowed identification of radiolabeled MAP-2 as shown in (A) with essentially the same results. and quantitation of MAP-2 phosphorylation as shown in (8). This exper- iment was repeated four times with essentially the same results.

calcineurin activity toward PKA-phosphorylated IP3R (data alone blocks the calcineurin activity seen in the complex. not shown). Accordingly, we directly examined whether This is consistent with FK506 binding to the FKBPlP con- complexed calcineurin is catalytically active toward asso- tained in the IP,R complex and inhibiting activity of the ciated IP3R that has been phosphorylated by PKA, CaM- associated calcineurin. By contrast, pretreatment of IPJI KII, and PKC. Since active calcineurin is already in a com- preparations with rapamycin fails to inhibit the associated plex with purified IP3R, the effects of its phosphatase calcineurin activity. Treatment of the complex with rapa- activity on IP3R are difficult to study. Instead, we ascer- mycin also disrupts the IPR-FKBP12 interaction and thus tained whether treatment with cyclosporin A and cyclophi- liberates calcineurin from the complex. The retention of lin, which together inhibit calcineurin, would alter the phos- calcineurin activity in these preparations is consistent with phorylation status of phosphorylated IP3R (Figure 58). In the failure of the rapamycin-FKBPlP complex to bind to the absence of cyclosporin A-cyclophilin treatment, the and inhibit calcineurin. level of phosphorylation of IP3R is about the same for PKA IPR can be phosphorylated by PKA, CaMKll, and PKC, and CaMKII, but is much lower for PKC. This fits with with the three enzymes phosphorylating at three distinct our earlier studies in which it was very difficult to detect sites (Ferris et al., 1991). Purified lPBR phosphorylated by substantial phosphorylation of purified IP3R with PKC (Su- PKA is a substrate for exogenously added calcineurin pattapone et al., 198813; Ferris et al., 1991). Treatment with (data not shown). Also, purified IPsR preparations display cyclosporin A and cyclophilin increases the final observed Calcineurin-IP+FKBP Complex and Ca2+ Flux 467

level of phosphorylation by PKC more than lo-fold, while only modestly increasing phosphorylation by PKA and CaMKII.

Phosphorylation and Calcineurin-Mediated Dephosphorylation Regulate IP&Associated Ca2+ Flux We examined the influence of phosphorylation status upon Ca*+ flux mediated by IP3R utilizing cerebellar micro- some preparations. We previously demonstrated IPs- induced Ca’+ flux in purified IP3R reconstituted into vesicles (Ferris et al., 1989). However, the additional ma- nipulations involved in phosphorylating the receptor pro- tein degrade the Ca*+ flux system, precluding analysis of phosphorylation influenceson Ca2+flux using purified IP3R in lipid vesicles. Microsome preparations made from rat cerebellum load Ca2+ in a time- and ATP-dependent fash- ion into IPs-sensitive and IP3-insensitive stores. IPs-sensitive stores comprise approximately 60% of the total in these preparations, and addition of varying concentrationsof IP, during loading will cause a net reduction in Ca’+ uptake via an outward flux through IP3R. This IP3-sensitive inhibi- tion of loading is consistently and reproducibly observed and allows for assessing potency of submaximal doses of IPs in stimulating Ca*+ flux via IP3R under a variety of experimental conditions (for further explanation of %a2+ D Effect of CN on PKC flux assays, see Experimental Procedures). The potency of IPs in augmenting Ca2+ flux from microsomes is dimin- CSAt/t%cP m - - ished in preparations treated with PKA when compared with matched preparations treated with PKA in the pres- -t ence of Walsh inhibitor of phosphorylation (Figure 6A). + - - These findings confirm our earlier observations (Supatta- --h-t + pone et al., 1988b). In the same preparations, the Walsh inhibitor markedly diminishes levels of PKA phosphoryla- tion of IP,R. Treatment with cyclosporin A and cyclophilin only slightly increases phosphorylation levels and does Figure 6. Effects of Calcineurin Inhibition on Enhancement of IPsR not significantly affect the potency of IP, on Ca*+ flux. Phosphorylation Parallel Actions on IPa-Mediated Ca2+ Flux Membranes phosphorylated by CaMKll display a greater Rat cerebellar microsomeswere prepared as described and phosphor- ylated by PKA, CaMKII, or PKC as indicated. Aspecific kinase inhibitor, potency for IPs in stimulating Ca’+ flux compared with control vehicle, or calcineurin inhibitor (1 mM cyclosporin A [CsA] and membranes treated with peptide [Ala-286]CaMKll(281- 1 mM cyclophilin) was included in the phosphorylation reaction, and 302), a specific inhibitor of CaMKll (Hvalby et al., 1994). the final phosphorylation status of the lPIR was determined (shown Cyclosporin A-cyclophilin only modestly increases on the left) along with IP3R-mediated Ca2+ flux properties (shown on the right) for each condition. CaMKll phosphorylation of IP3R further and does not sig- (A) shows that PKA phosphorylation of lPBR resulted in a decreased nificantly alter IPs effects on Ca*+ flux (Figure 6B). potency of IPs in causing Ca2+ flux, but neither degree of phosphoryla- Asobserved previously, phosphorylation of purified IP3R tion nor Ca*+ flux characteristics were altered by inhibition of cal- by PKC is much less than what is observed with PKA and cineurin. CaMKII, although inhibition of this phosphorylation is ob- (8) shows that CaMKII-phosphorylated membranes demonstrated an increased potency of IP3-mediated Ca2+ flux, but calcineurin inhibition served with PKC(19-36), a specific PKC inhibitor (Hvalby did not significantly alter phosphorylation status or Ca2+flux character- et al., 1994). Cyclosporin A-cyclophilin markedly aug- istics of IP3R. ments the PKC phosphorylation of IPaR. Inhibition of PKC (C)shows a pronounced enhancement of PKC phosphorylation of IP3R is associated with a slight but insignificant decrease in IPs by calcineurin inhibition, which was paralleled by a similar increase in the potency of IPa in fluxing Ca2+ from PKC-phosphorylated mem- potency in augmenting Ca*+ flux (Figure 6C). In contrast, branes in the presence of acalcineurin inhibitor. The asterisk indicates treatment with cyclosporin A and cyclophilin causes a that only for PKC did inhibition of calcineurin result in a significant marked augmentation of IPs potency in stimulating CaZ+ effect on IP,R phosphorylation and Caz+ flux. This experiment was flux, with the IGO for IPs reduced about 20-fold. The control repeated four times with essentially the same results. (D) shows measurement of PKC catalytic activity toward a substrate, experiment shown in Figure 6D demonstrates that cal- myelin basic protein, amino acids 4-14, which is not dephosphorylated by calcineurin. Thus, inclusion of activated calcineurin in the presence or absence of calcineurin inhibitors allows for assessment of the effect change in PKC activity was seen either with calcineurin activation or of calcineurin phosphatase activity on PKC kinase activity itself. No inhibition. Cell 468

cineurin activity itself has no effect on the catalytic activity itself. This is most evident for phosphorylation of IP3R by of PKC. Therefore, in our experiments enhancement of PKC, which is barely demonstrable in the absence of cal- IPJI phosphorylation by PKC following calcineurin inhibi- cineurin inhibition. tion must be due to an inhibition of calcineurin phospha- Interestingly, phosphorylation by the different tase activity toward phosphorylated IP$l. varies in effects on Ca2+ flux, with PKC and CaMKll aug- Thus, phosphorylation by both PKC and CaMKll in- menting IPs potency and PKA phosphorylation decreasing creases the potency of IPs in stimulating Ca2+ flux, while potency. Zhang et al. (1993) observed that low concentra- PKA phosphorylation decreases potency. Most strikingly, tions of Ca2+ augment the stimulation by IPs of Ca2+ flux in calcineurin complexed with IP3R appears to be a major permeabilized fibroblasts, an effect abolished by CaMKll regulator of the PKC phosphorylation and Ca2+ conduc- inhibitors. This is consistent with our findings that CaMKll tance of IP3R, as inhibition of calcineurin by cyclosporin phosphorylation increases IPs potency in stimulating Cap+ A-cyclophilin markedly influences IPs effects on Ca2+ flux flux. Zhang et al. (1993) also observed that high concentra- in PKC-phosphorylated preparations. tions of Ca2+ inhibit IPs stimulation of Ca2+ flux and that this effect is reversed by FK506, suggesting that with Discussion higher Ca2+ concentrations calcineurin activity decreases IPs effects. Since PKC and CaMKll are the two kinases The major finding of the present study is that calcineurin that stimulate IPs actions, presumably the calcineurin inhi- is physiologically associated in a physical and functional bition of flux reflects dephosphorylation of PKC- or CaM- complex with IP$t and FKBP12. Both copurification and KII-phosphorylated sites on IP3R (or both). Our findings coimmunoprecipitation experiments support this linkage. that the PKC site is much more sensitive to calcineurin The association is selectively disrupted by FK.506 and ra- than the CaMKll site strongly imply that FK506 primarily pamycin, but not by cyclosporin A. These data imply that blocks dephosphorylation of a PKC site. calcineurin is anchored to IPsR via FKBP12 (as is shown The IP3R displays a bell-shaped Cap+-sensitive response in Figure 7). However, we have not ruled out interactions to IPs, with low levels of Caz+ (<300 nM) enhancing IPs- of calcineurin with IP3R at a site removed from that of stimulated Ca2+ release and higher concentrations (>300 FKBPlP binding. In the latter model, the dissociation of nM) inhibiting Ca*+ release (lino, 1990). This biphasic re- calcineurin from the IP3R complex caused by rapamycin sponse allows for both a positive and negative feedback would be secondary to allosteric changes initiated by of Ca*+ levels on IP3R-mediated Ca*+ flux and is known to FKBP12 removal. The linkage appears to be Caz+ depen- be critical for Ca2+ wave propagation that is observed in dent, being inhibited by Ca2+-chelating agents. RyR also many cell types when stimulated by diverse agonists (Bez- occurs in a complex with calcineurin and FKBP12, which prozvanny et al., 1991; Finch et al., 1991; Miyazaki et al., is rapamycin and Ca2+ sensitive. RyR-mediated Cazf flux 1992; for review of Ca*+ oscillations, see Berridge and activity is regulated via phosphorylation by Ca’+-activated Galione, 1988; Clapham, 1995). From their results, Muel- kinases (Hain et al., 1995) and it will be interesting to lam and colleagues have suggested that the opposite ef- determine whether complexed calcineurin regulates RyR fects of low and high Ca*+ concentrations on IP3-stimulated function as it does for IP3R. Ca’+ flux might result from differential activation of Ca2+- In the IP3R complex, calcineurin retains its catalytic ac- activated kinases and phosphatases (Zhao and Muallem, tivity toward known substrates such as MAP-2, and, more 1990; Zhang et al., 1993). Our observations that Ca2+- importantly, it regulates the phosphorylation status of IP3R regulated kinases and phosphatases modulate IP3R in a

Figure 7. Calcineurin Is Associated with lPJR via an FKBP12 Anchor in a Ca*+-Sensitive Manner The figure shows the IP&FKBP12 complex in the membrane. When the receptor is activated by IPs, Ca*+ is liberated from the endoplasmic reticulum lumen via the IP,R channel, and the local cytoplasmic [Ca”] increases. This increase results in activation of PKC, which phosphorylates the lPJR and fur- ther increases IP3R-mediated Ca*+ flux. In- creased Ca*+ levels also activate calmodulin and calcineurin (CN), causing an association of calcineurin with the IP3R-FKBPf2 complex via FKBP12 and activation of the phosphatase activity of calcineurin. This activation results in dephosphorylation of the PKC-phosphorylated site on IP,R and a decrease in IP3R-mediated Ca*+ flux. The cyclic increases and decreases generated by this macromolecular complex may mediate Ca2+ oscillations. Calcineurin-IP,R-FKBP Complex and Ca2+ Flux 469

protein complex provide a potential molecular basis for tween FKBP12 and calcineurin suggests that FK506 mim- Ca*+ regulation of IP,R and for some aspects of the genera- ics an endogenous protein ligand that physiologically links tion of CaZ+ oscillations. Besides phosphorylation by PKA, FKBP12 and calcineurin. Consistent with these notions, CaMKII, and PKC, IP3R can autophosphorylate as well as extensive modeling of FK506 has revealed structural simi- phosphorylate exogenous substrates (Ferris et al., 1992). larities of the drug to the transition state structures for cis- The existence of kinase and phosphatase in a single mo- Vans isomerization of leucylprolyl and valylprolyl bonds, lecular complex with IP,R provides a means for exquisitely which are also the optimal rotamase substrates for modulated, rapid phosphorylation and dephosphorylation FKBPlP (Ikeda et al., 1994; Albers et al., 1990). Our find- of IP,R, which regulates its CaZ+ conductance. We propose ings that calcineurin interacts with FKBP12 in a physio- that such influences participate in the fine-tuning of intra- logic way via the IP3R-FKBP12 and RyR-FKBP12 com- cellular Ca*+ dynamics. Whether PKC or other kinases plexes suggest that IP3R and RyR have such “FK506-like” occur bound to the same complex as IP3R, FKBP12, and peptide domains within their structure, presumably in a calcineurin remains to be determined. region of high shared homology between the two recep- Ca*+ effects on IP3R function had also been implicated tors. Using the yeast two-hybrid system, we have recently by the inhibition of [3H]IP3 binding to IP3R in brain mem- identified the FKBP-binding domain within IP,R and have branes by iow Ca*+ concentrations (Supattapone et al., characterized residues critical for the IPaR-FKBP interac- 1988a). The failure of Ca2+ to inhibit [3H]IP3 binding to puri- tion (A. M. C. and S. H. S., unpublished data). Fleischer fied IP3R implied the existence of a tissue constituent, and colleagues (Timerman et al., 1995) showed that designated “calmedin,” that conferred Ca2+ effects on IP3R FKBP12 mutants lacking rotamase activity modulate Ca*+ and was lost during receptor purification (Danoff et al., conductance of RyR as effectively as native FKBP12. This 1988). Other studies suggested that Ca’+ inhibits [3H]IP3 suggests that some activity of FKBP12 other than prolyl binding to IP3R in membranes by activating isomerization accounts for its FK506sensitive effects on C to generate IPs, which dilutes added [3H]IP3 (Mignery RyR Ca2+ conductance. The anchoring of calcineurin to et al., 1992). While those studies may explain some as- IP3R and RyR by FKBP12, which enables the phosphatase pects of observed Ca2+ effects on IP3-mediated CaZf re- activity of calcineurin to modulate channel Ca*+ conduc- lease, the bell-shaped response of IP3R to Ca2+ is still tance, may be the means whereby FK506 influences poorly understood and is perhaps clarified by the observed Ca2+ conductance. Thus, the proposed physiologic role of association of FKBP and calcineurin with IP3R. FKBP12 in its complex with calcineurin and the IP3R or The influences of phosphorylation of membraneson IP,- RyR would be to facilitate the cycle of receptor phosphory- stimulated Ca2+ flux cannot be ascribed definitively to lation-dephosphorylation, which in turn would modulate phosphorylation of IPaR. Conceivably, phosphorylation of Ca*+conductance and participate in the generation of Ca*+ other proteins could indirectly affect IP3R function. How- oscillations (Figure 7). ever, there is a close relationship between the differential FKBP12 was first identified in T cells to explain the im- effects of phosphorylation of IP3R by the three kinases munosuppressant actions of FK506. Might our present and dephosphorylation by calcineurin with actions on Ca*+ findings account for aspects of T cell physiology? Antigen flux, which strongly implies that the observed changes in stimulation of T cells activates to gener- Ca’+ flux reflect alterations in the phosphorylation status ate IPs. This results in an IP&mediated Ca*+ elevation, of IP3R. which enhances calcineurin phosphatase activity toward Our findings provide a molecular mechanism for a NFAT, permitting its entry into the nucleus and initiation closely linked phosphorylation-dephosphorylation regula- of IL-2 transcription (Jayaraman et al., 1995). This eleva- tion of IP3R and presumably of RyR. Dynamic regulation tion in cytoplasmic Ca*+ (which at the cell population level of protein function by phosphorylation and dephosphoryla- can be observed to persist for hours) is thought to reflect tion is a ubiquitous phenomenon (Hunter, 1995), and in the summation of asynchronous CaZ+ oscillations in indi- other instances the kinase and phosphatase occur in a vidual cells (Lewis and Cahalan, 1989). The persistent os- molecular complex with their substrates to ensure fidelity cillatory response seems to be necessary for induction of protein phosphorylation (Hubbard and Cohen, 1993). of IL-2 transcription (Goldsmith and Weiss, 1988). When Calcineurin can be localized to key neuronal substrates FKBP12 was first identified, it was proposed as a modula- at postsynaptic densities by association with the A kinase torof ion channels involved in thesignal transduction path- anchoring protein, AKAP79 (Coghlan et al., 1995). Inter- way of T cell activation (Siekierka et al., 1989; Harding et estingly, the calcineurin-binding domain identified within al., 1989). Upon stimulation of T cells calcineurin moves AKAP79 resembles the domain within FKBPlP known to from a freely cytosolic to a membrane-bound form (Chant- participate in the interaction with calcineurin in the pres- ler, 1985). Our data imply that FKBP12 functionally links ence of FK506 (Aldape et al., 1992). For the calcineurin- calcineurin activity with modulation of IP3R, so that even IP3R-FKBP12 complex, FKBP12 may function analo- the low levels of FK506 given therapeutically, which are gously to AKAP79, anchoring a phosphatase, in this case sufficient for calcineurin inhibition, would alter IP3R Ca2+ calcineurin, to an appropriate substrate, in this case IP3R conductance as well as inhibit calcineurin activity toward (Figure 7). other cellular substrates such as NFAT (Figure 7). Further- The high affinity and specificity of FK506-FKBP12 inter- more, the recent demonstration of the presence and partic- actions and the role of the drug as “molecular glue” be- ipation of RyR in T cell activation (Hakamata et al., 1994) Cdl 470

is consistent with the notion of physically associated and (Sigma) as indicated in a buffer of 100 mM NaCI, 50 mM Tris (pH 7.4) spatially restricted Ca*+-activated kinases and phospha- 5 mM DTT, and 10 mM MgCI,. We included 2 pM calcineurin (Sigma) or 10 frg of purified IP3R pretreated for 1 hr at room temperature with tases modulating IP3R-FKBP12 and fly!+FKBP12 com- 1 PM immunosuppressant or control vehicle, as indicated. Calcineurin plexes to generate Caz+ oscillations and resultant physio- autoinhibitory peptide (100 PM), deltamethrin (1 nM), permethrin (1 logic responses. nM), or okadaic acid (500 nM; all from Biomol) were included as indi- cated. Reactions were allowed to proceed for 30 min at 37OC and then were stopped with SDS-PAGE sample buffer and loaded for PAGE. Experimental Procedures Gels were dried down and then analyzed by phosphorimager. Quantifi- cation of MAP-2 phosphorylation status was determined by the Im- FPLC ageQuant program and reported as shown. IP,R was purified as described previously (Ferris et al., 1989) and concentrated in Amicon Centriprep-100 concentrators. Concentrated Phosphorylation Reactions IP8 was run on an FPLC Superose 6 gel filtration column in a buffer Purified IP,R or microsomal preparations were phosphorylated as de- of 250 mM NaCI, 1% CHAPS, 50 mM Tris (pH 7.4) at a flow rate of scribed previously (Ferris et al., 1991) except that PKC was obtained 0.2 mllmin, and 1 ml fractions were collected as described previously from Promegaand CaMKll was provided byJ. P. S. Reactions included (Cameron et al., 1995). Purified calcineurin was obtained from Sigma, either 10 PM peptide inhibitor, control vehicle, or 1 wLM cyclophilin resuspended in running buffer as above, and fractionated by FPLC (Sigma) and 1 nM cyclosporin A. identically. Treatment of IP3R with rapamycin during preparation in- volved addition of 1 PM final concentration rapamycin to IP3R before IPJI Ca*+ Flux Assays concentration and inclusion of 1 KM rapamycin in FPLC running buffer. Rat cerebellar microsomes were prepared as described previously Samples were then loaded for SDS-polyacrylamide gel electrophore- (Verma et al., 1992), phosphorylated with cold ATP under conditions sis (SDS-PAGE) and visualized by Western blot analysis. described above, and assayed for IP3-sensitive “Ca*+ flux as described previously (Verma et al., 1992). Cerebellar microsomes take up 45Caz+ lmmunoprecipitations in a time- and ATP-dependent way, and in a typical assay Ca2+ loading Crude cerebellar membrane homogenates were prepared as follows: plateaus at 250 nmol of Ca2+ per milligram of protein. Free Ca*+ levels rat cerebella were removed and homogenized in a buffer of 50 mM are determined by using a Ca*+-sensitive electrode (Orion) and are Tris (pH 7.4) 1 mM EDTA, 1 mM BME, 0.1 mg/ml leupeptin, 1 mgl titrated to 100 nM by addition of EGTA. Free Ca2+ is spiked with asCa*+ ml pepstatin, and 0.1 mglml PMSF. The homogenate was centrifuged to give 100,000 cpm per assay. Total microsome loading is typically at 45,000 x g for 10 min. The pellet was resuspended in buffer with- around 20,000 cpm after an A231 67 (LC Services) blank is subtracted, out BME, solubilized in 1% CHAPS for 20 min, and recentrifuged at which is typically around 200 cpm. Treatment with the ionophore 45,000 x g for 20 min. The supernatant (1 ml) was then used as A23187 allows for complete equilibration of Ca2+ and establishment starting material for immunoprecipitation reactions and was treated of background counts per minute in the absence of loading. This net with final concentrations of 100 pM Caz+, 20 mM EGTA, varying con- uptake is inhibited in these preparations by releasing 45Ca2+ via the centrations of FK506, rapamycin, or ethanol control vehicle for 4 hr IP3R with the addition of increasing concentrations of IPs. Maximal at room temperature and then primary antibody or preimmune serum concentrations of IPa (10 KM) typically inhibit this total Ca*+ loading for 1 hrat 4O asindicated. Whereindicated, IP,Rantibodywas included 60%, giving a typical signal of 12,000 cpm for IP,.sensitive stores. at 1 Kg/ml, RyRantibody(Affinity Bioreagents)wasincluded at 1 pglml, Treatment of microsomes with submaximal doses of IP, reliably and calbindin antibody (SWant) was included at 1 frglml, MAP-2 antibody reproducibly inhibits Caz+ loading, from which an I& for IPs inhibition (Sternberger Monoclonals) was included at 1 Kg/ml, and calcineurin of Ca*+ loading can be calculated under a variety of experimental condi- antibody (Upstate Biotechnology) was included at 1 ~glml. Protein tions. Thus, in these experiments, IPs-mediated inhibition of micro- G-Sepharose (Pharmacia) was used to precipitate IP3R antibody and some 45Ca2+ uptake is reported as asCan+ flux. Inclusion of 10 pM IPs protein A-Sepharose (Oncogene Science) was used to precipitate results in approximately 60% inhibition of total a5Can+ uptake (the re- RyR, MAP-2, calbindin, and calcineurin antibodies. Immunoprecipi- maining 40% is loaded into IP3-insensitive pools), and no further inhibi- tates were washed two times each with PBS plus 1% CHAPS, PBS tion of loading is seen with higher concentrations of IPs. This maximal plus1%CHAPSplus0.5M NaCI, and PBS, IoadedforSDS-PAGEand release value is reported as 100% Ca*+ flux, and the inhibition seen subjected to Western blot analysis. Quantification of immunoreactive with submaximal concentrations of IPs is reported as a percentage of calcineurin band was performed by Adobe Photoshop analysis of mean that maximum control. The IPs concentration at which a 50% inhibition pixel intensity within a standard area containing each band. The value of loading of this IP3-sensitive Ca2+ pool is observed in replicates of of the intensity of the calcineurin band obtained with no FK506 added three and is reported as I& and can be compared under varying was arbitrarily set at 1 .O and the intensity of the other bands are re- conditions of phosphorylation as shown in Figure 6. ported relative to that. PKC Activity Assay Western Blotting Analysis A standard assay of PKC catalytic activity was performed as described Fractions obtained from FPLC or immunoprecipitation were analyzed previously (Yasuda et al., 1990) which employed a PKC substrate by conventional Western blot analysis using either an antibody specific (myelin basic protein, amino acids 4-14; Upstate Biotechnology) that for IP,R (Sharp et al., 1993) at a dilution of l:lO,OOO, an antibody is not a substrate for calcineurin phosphatase activity. Calmodulin specific for calcineurin (Upstate Biotechnology) at adilution of 1:4,000, (Sigma) was included at 4 PM, and where indicated calcineurin (Sigma) or an antibody specific for RyR (Affinity Bioreagents) at a dilution of was included at 2 KM, cyclosporin A at 1 PM, and human recombinant 1:4,000, as recommended. For Western blot analysis, anti-MAP-2 cyclophilin (Sigma) at 1 PM. In this way the effect of activated or inhib- (Sternberger Monoclonals) and anti-calbindin (SWant) antibodies were ited calcineurin on PKC activity could be independently assessed. both used at a dilution of 1:1,000. PKC activitywas assayed under fourconditionsas listed that examined the effect of both activated and inhibited calcineurin, as well as con- Calcineurin Assay trolled for the presence of a calcineurin inhibitor. Approximately 10 pg of purified MAP-2 was phosphorylated with 50 U of PKA (Sigma) and 10 pM [32P]ATP (Amersham) at 6000 Cilmmol. Acknowledgments The phosphorylation reaction was allowed to proceed for 1 hr at 37OC and then was stopped by inclusion of 10 KM Walsh inhibitor peptide. Correspondence should be addressed to S. H. S. We thank Whitte- Phosphorylated MAP-2 was then used as a substrate in a calcineurin more Tingley, Richard O’Brien, and David Matthews for insightful dis- assay, which typically involved a reaction volume of 100 pl and con- cussions and Lao Lit-Fui and Richard Huganir for technical advice tained either 20 mM EGTA, 100 KM Ca2+, 4 PM calmodulin (Sigma), and assistance. Wealso thank Karen Leach (Upjohn Pharmaceuticals) 1 VM human recombinant FKBP (Sigma), 1 trM FK506, 1 FM rapa- for a gift of antiserum to FKBP12, Samuel Danishevsky for a gift of mycin, 1 pM cyclosporin A, or 1 PM human recombinant cyclophilin FK506, and Suren Sehgal (Wyeth-Ayerst) for a gift of rapamycin. This Calcineurin-IPR-FKBP Complex and CaZ+ Flux 471

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