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Updated: Jan 19, 2026
Calmodulin-dependent Signaling
Calmodulin-dependent signalling pathways are activated and mediate the acute inflammatory response of injured
Jijie Hu1, Dandan Shi2,3, Maochao Ding2,4
1Department of Orthopaedics and Traumatology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Key Points:
There is a close relationship between skeletal muscle physiology and Ca2+ /calmodulin (CaM) signalling. Despite the effects of Ca2+ /CaM signalling on immune and inflammatory responses having been extensively explored, few studies have investigated the role of CaM pathway activation on the post-injury muscle inflammatory response. In this study, we investigated the role of CaM-dependent signalling in muscle inflammation in cardiotoxin induced myoinjuries in mice. The Ca2+ /calmodulin-dependent protein kinase II (CaMII), Ca2+ /calmodulin-dependent protein kinase IV (CaMKIV), and nuclear factor of activated T cells (NFAT) pathways are likely to be simultaneously activated in muscle cells and in infiltrating lymphocytes and to regulate the immune behaviours of myofibres in an inflammatory environment, and these pathways ultimately affect the outcome of muscle inflammation.
Abstract:
Calcium/calmodulin (Ca2+ /CaM) signalling is essential for immune and inflammatory responses in tissues. However, it is unclear if Ca2+ /CaM signalling interferes with muscle inflammation. Here we investigated the roles of CaM-dependent signalling in muscle inflammation in mice that had acute myoinjuries in the tibialis anterior muscle induced by intramuscular cardiotoxin (CTX) injections and received intraperitoneal injections of either the CaM inhibitor calmidazolium chloride (CCL) or CaM agonist calcium-like peptide 1 (CALP1). Multiple inflammatory parameters, including muscle autoantigens and toll-like receptors, mononuclear cell infiltration, cytokines and chemokines associated with peripheral muscle inflammation, were examined after the injury and treatment. CALP1 treatment enhanced intramuscular infiltration of monocytes/macrophages into the damaged tibialis anterior muscle and up-regulated mRNA and protein levels of muscle autoantigens (Mi-2, HARS and Ku70) and Toll-like receptor 3 (TLR3), and mRNA levels of tumor necrosis factor α (TNF-α), interleukin-6 (IL-6), Monocyte chemoattractant protein-1 (MCP1), Monocyte chemoattractant protein-3 (MCP3) and Macrophage inflammatory protein-1(MIP-1α) in damaged muscle. In contrast, CCL treatment decreased the intramuscular cell infiltration and mRNA levels of the inflammatory mediators. After CALP1 treatment, a substantial up-regulation in Ca2+ /calmodulin-dependent protein kinase II (CaMKII), Ca2+ /calmodulin-dependent protein kinase IV (CaMKIV) and nuclear factor of activated T cells (NFAT) activity was detected in CD45+ cells isolated from the damaged muscle. More pro-inflammatory F4/80+ Ly-6C+ cells were detected in CD45-gated cells after CALP1 treatment than in those after CCL treatment or no treatment. Consistently, in interferon-γ-stimulated cultured myoblasts and myotubes, CALP1 treatment up-regulated the activities of CaMKII, CaMKIV and NFAT, and levels of class I/II major histocompatibility complexes (MHC-I/II) and TLR3. Our findings demonstrated that CaM-dependent signalling pathways mediate the injury-induced acute muscle inflammatory response.
Insights
Calcium/calmodulin (CaM) signaling influences muscle inflammation post-injury. Activating CaM pathways with CALP1 increased inflammatory markers, while inhibiting with CCL reduced them, highlighting CaM
Area of Science:
- Muscle physiology and immunology
- Cellular signaling pathways
- Inflammatory responses
Background:
- Calcium/calmodulin (Ca2+/CaM) signaling is crucial for immune responses.
- Its role in post-injury muscle inflammation remains largely unexplored.
- Skeletal muscle physiology is closely linked to Ca2+/CaM signaling.
Purpose of the Study:
- To investigate the role of CaM-dependent signaling in acute muscle inflammation.
- To examine the effects of CaM modulation on inflammatory parameters following cardiotoxin-induced myoinjury in mice.
- To elucidate the involvement of CaMKII, CaMKIV, and NFAT pathways in muscle inflammation.
Main Methods:
- Induction of myoinjury in mice using cardiotoxin (CTX).
- Administration of CaM inhibitor (calmidazolium chloride, CCL) or CaM agonist (calcium-like peptide 1, CALP1).
- Analysis of inflammatory markers, including cell infiltration, autoantigens, TLR3, cytokines, chemokines, and signaling pathway activation (CaMKII, CaMKIV, NFAT).
Main Results:
- CALP1 treatment enhanced monocyte/macrophage infiltration and upregulated inflammatory mediators (autoantigens, TLR3, TNF-α, IL-6, MCP1, MCP3, MIP-1α).
- CCL treatment decreased cell infiltration and inflammatory mediator levels.
- CALP1 treatment significantly increased CaMKII, CaMKIV, and NFAT activity in immune cells and cultured muscle cells, alongside elevated MHC-I/II and TLR3 levels.
Conclusions:
- CaM-dependent signaling pathways are critical mediators of the injury-induced acute muscle inflammatory response.
- Modulation of CaM activity directly impacts inflammatory cell infiltration and mediator expression in damaged muscle.
- CaMKII, CaMKIV, and NFAT pathways are key players in CaM-mediated muscle inflammation.
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