Calreticulin is a Ca2؉ -binding molecular chaperone of the lumen of the endoplasmic reticulum. Calreticulin has been shown to be essential for cardiac and neural development in mice, but the mechanism by which it functions in cell differentiation is not fully understood. To examine the role of calreticulin in cardiac differentiation, the calreticulin gene was introduced into rat cardiomyoblast H9c2 cells, and the effect of calreticulin overexpression on cardiac differentiation was examined. Upon culture in a differentiation medium containing fetal calf serum (1%) and retinoic acid (10 nM), cells transfected with the calreticulin gene were highly susceptible to apoptosis compared with controls. In the gene-transfected cells, protein kinase B/Akt signaling was significantly suppressed during differentiation. Furthermore, protein phosphatase 2A, a Ser/Thr protein phosphatase, was significantly up-regulated, implying suppression of Akt signaling due to dephosphorylation of Akt by the up-regulated protein phosphatase 2A via regulation of Ca 2؉ homeostasis. Thus, overexpression of calreticulin promotes differentiation-dependent apoptosis in H9c2 cells by suppressing the Akt signaling pathway. These findings indicate a novel mechanism by which cytoplasmic Akt signaling is modulated to cause apoptosis by a resident protein of the endoplasmic reticulum, calreticulin.
Calreticulin (CRT)1 is a Ca 2ϩ -binding molecular chaperone in the endoplasmic reticulum (ER) (1). It is a highly conserved protein with Ͼ90% amino acid identity in mammals, including human, rabbit, rat, and mouse (2). The gene has also been found in insects, nematodes, protozoa, and plants, but not in yeast or prokaryotes (1, 3), suggesting a general function in living cells. CRT is involved in many biological process, including regulation of Ca 2ϩ homeostasis and intracellular signaling, cell adhesion, gene expression, and glycoprotein folding (3, 4) and nuclear transport (5).CRT is well expressed in embryonic rat heart, but its expression is significantly suppressed after birth (6). Cardiac development is believed to be regulated cooperatively by a variety of proteins, including signaling molecules (e.g. fibroblast growth factor, transforming growth factor-, ErbB2/B4, neuregulin, etc.), cell adhesion molecules (e.g. vascular cell adhesion molecule, ␣ 4 integrin, and versican), ion channels, and transcription factors (e.g. GATA, myocyte enhancer factor-2, HAND, chicken ovalbumin upstream promoter transcription factor II, Nkx2.5, TBX5, NF-ATc, Smad6, Pax3, retinoid X receptor/retinoic acid receptor, TEF-1, WT-1, etc.) (7). Interestingly, CRT gene expression is known to be regulated by a transcription factor (Nkx2.5) that is involved in the regulation of gene expression for cardiac development (8). Recently, it has been shown that CRT is essential for cardiac and neural development in mice (9, 10). CRT-deficient embryonic cells show impaired nuclear import of the transcription factor NF-AT3 (nuclear factor of activated T cells), indicating that CRT function...