Background: Down-regulation of junctophilin-2 is associated with a variety of cardiac diseases. Results: Junctophilin-2 is cleaved by calpain at multiple sites, resulting in dysfunctional junctophilin-2 truncations. Conclusion: Calpain-mediated proteolysis contributes to posttranslational down-regulation of junctophilin-2. Significance: These data reveal, for the first time, the detailed molecular determinants responsible for calpain proteolysis of junctophilin-2.Junctophilin-2 (JP2), a membrane-binding protein that provides a structural bridge between the plasmalemma and sarcoplasmic reticulum, is essential for precise Ca 2؉ -induced Ca
2؉release during excitation-contraction coupling in cardiomyocytes. In animal and human failing hearts, expression of JP2 is decreased markedly, but the molecular mechanisms underlying JP2 down-regulation remain incompletely defined. In mouse hearts, ischemia/reperfusion injury resulted in acute JP2 downregulation, which was attenuated by pretreatment with the calpain inhibitor MDL-28170 or by transgenic overexpression of calpastatin, an endogenous calpain inhibitor. Using a combination of computational analysis to predict calpain cleavage sites and in vitro calpain proteolysis reactions, we identified four putative calpain cleavage sites within JP2 with three N-terminal and one C-terminal cleavage sites. Mutagenesis defined the C-terminal region of JP2 as the predominant calpain cleavage site. Exogenous expression of putative JP2 cleavage fragments was not sufficient to rescue Ca 2؉ handling in JP2-deficient cardiomyocytes, indicating that cleaved JP2 is non-functional for normal Ca 2؉ -induced Ca 2؉ release. These data provide new molecular insights into the posttranslational regulatory mechanisms of JP2 in cardiac diseases.Myocardial infarction, one of the most common causes of heart failure, is characterized by defects in cardiac excitationcontraction (E-C) 2 coupling (1, 2). In a normal cardiomyocyte, release from the sarcoplasmic reticulum (SR) via type 2 ryanodine receptors (RyR2) (3, 4). L-type Ca 2ϩ channels and RyR2s are physically and functionally organized into a tightly regulated structure known as the Ca 2ϩ release unit, which provides the structural basis for Ca 2ϩ -induced Ca 2ϩ release (4, 5). The integrity of the Ca 2ϩ release unit is maintained by the structural protein junctophilin-2 (JP2) that bridges the T-tubule membrane and the SR (6 -8). Disruption of the fine architecture of the E-C coupling machinery impairs Ca 2ϩ -induced Ca 2ϩ release, thereby leading to loss of contractility and heart failure (9). JP2, the major junctophilin isoform expressed in the heart, contains eight N-terminal membrane occupation and recognition nexus (MORN) domains that mediate interactions with the plasmalemma, a space-spanning ␣ helix, and a C-terminal transmembrane (TM) domain that anchors JP2 to the SR membrane (6). Consistent with a critical role for JP2 in E-C coupling, conditional silencing of JP2 in cardiomyocytes results in contractile dysfunction, abnormal Ca 2ϩ hand...