25 Calcium ions as a second messenger
Cellular Ca2+ metabolism
A variety of cellular responses are mediated by changes in the concentration of cytosolic Ca2+ (e.g. contraction, secretion, glycogenolysis). Binding of Ca2+ induces conformational changes in Ca2+-sensitive proteins that modulate their activity. Cells go to great lengths to maintain extremely low (100–200nmol/l) cytosolic Ca2+concentrations ([Ca2+]i) in spite of the large electrochemical gradient (10000:1), which favours strongly the influx of Ca2+ from the interstitial fluid (1–2mmol/l) (Fig. 3.25.1). Although there is limited buffering of Ca2+ by binding to intracellular proteins, cells need to expend energy to extrude Ca2+ through the plasma membrane or to sequester it in intracellular vesicular stores. Indeed, total cell [Ca2+] can be in the millimolar range when stored Ca2+ is taken into account. Extrusion occurs via Ca2+-ATPase and Na+–Ca2+ exchangers in the plasma membrane and sequestration into intracellular vesicular stores via the sarco(endo)plasmic reticulum Ca2+-ATPase (SERCA) (Fig. 3.25.1). In the lumen of these stores, the free [Ca2+] is buffered by binding to low-affinity Ca2+