Objective-The role of cyclophilins (chaperones that are widely expressed in different cell types, including human platelets) was explored in sarcoendoplasmic calcium (Ca 2ϩ ) adenosine triphosphatase (SERCA) activity. Methods and Results-Cyclophilin inhibition by cyclosporin A (CsA) evoked a time-and concentration-dependent reduction of Ca 2ϩ uptake by SERCA2b. However, other Ca 2ϩ -adenosine triphosphatases expressed in platelets, such as SERCA3 and plasma membrane Ca 2ϩ adenosine triphophatase, remained unaltered after CsA treatment. Cypermethrin, a non-CsA-related calcineurin inhibitor, did not alter SERCA2b activity. Furthermore, SERCA2b was affected by other CsA analogues, which do not interfere with calcineurin, such as PKF-211-811-NX5 (NIM811) and sanglifehrin A. Inhibition of the immunophilin family members using FK506 (tacrolimus) did not alter SERCA2b ability to sequester Ca 2ϩ into the dense tubular system. Coimmunoprecipitation experiments confirmed that cyclophilin A associates with SERCA2b and stromal interaction molecule-1 in resting platelets. This interaction is attenuated by the physiological agonist thrombin but enhanced by treatment with CsA or sanglifehrin A. T he immunophilin family groups proteins with rotenase or peptidylprolyl cis-transisomerase activity. 1,2 These proteins have been classified according to their sensitivity to specific immunosuppressor drugs: cyclophilins (CyPs) are specific targets of cyclosporin A (CsA) [1][2][3][4] ; immunophilins (FKBPs) are sensitive to FK506 (tacrolimus) and rapamycin (sirolimus), both structurally unrelated to CsA 4 -6 ; and FCBPs are sensitive to CsA and FK506. 2 CyPs are involved in two major cellular events: (1) indirect and nonspecific regulation of serine-threonine kinase proteins, an event mediated by the formation of stable CyP/CsA complexes that interact with the regulatory center of calcineurin (CaN), PP2B, or calcium (Ca 2ϩ )/calmodulin kinase (Ca 2ϩ /CaMK) phosphatase, reducing its activity 7 ; and (2) control of cell death by apoptosis through CyP D, which participates in the formation of the mitochondrial permeability transition pore and cytochrome c release in apoptotic cells. Furthermore, CyP B suppresses apoptosis evoked by oxidative, and endoplasmic reticulum, stress. 8 -10 Immunophilins participate in Ca 2ϩ homeostasis in several cell models. However, this role has been mainly attributed to FKBPs that control the opening of Ca 2ϩ channels located in the endoplasmic reticulum, such as ryanodine or inositol 1,4,5-trisphosphate receptors. [11][12][13][14] In contrast, little is known about the role of immunophilins on Ca 2ϩ reuptake or extrusion mechanisms, and the current studies [13][14][15][16] have reported contradictory results about the role of CyPs on the activity of sarcoendoplasmic Ca 2ϩ adenosine triphosphatase (ATPase) (SERCA) or the plasma membrane Ca 2ϩ ATPase (PMCA). In the present study, we have investigated the role of CyPs in the regulation of Ca 2ϩ reuptake by SERCA. We found that CsA reduces Ca 2ϩ reuptake by...