SUMMARYCalpain is an intracellular Ca 2+ -activated protease and an important mediator of the actions of calcium. Cleavage by calpain is critical in a variety of calcium-regulated cellular processes such as muscle contraction, neuronal excitability, secretion, signal transduction, cell proliferation, differentiation, cell cycle progression, and apoptosis. Deregulation of calpain caused by a disruption of calcium homeostasis during cardiac pathologies such as atrial fibrillation, heart failure, hypertrophy, or ischemia reperfusion, is critically involved in the myocardial damage. This review will summarize the physiologic and pathophysiologic basis of calpain. Atrial fibrillation is chosen as one example to explain the specific consequences of an increased calpain activity in cardiac muscle.Calpain is an intracellular Ca 2+ -activated protease and an important mediator of the actions of calcium. This protease is regarded as a modulator protease and hydrolyzes substrates in a limited manner, modulates thereby their activities, specificities, structures, intracellular localizations, and half-life. This regulated cleavage by calpain is critical in a variety of calcium-regulated cellular processes such as muscle contraction, neuronal excitability, secretion, signal transduction, cell proliferation, differentiation, cell cycle progression, and apoptosis [1][2][3][4][5]. Deregulation of calpain caused by a disruption of calcium homeostasis during cardiac pathologies such as atrial fibrillation (AF), heart failure, hypertrophy, or ischemia reperfusion, is critically involved in the myocardial damage.
General Properties of the Calpain FamilyFor several years, calpain has been described under different names: Ca 2+ -dependent neutral protease [6], kinase-activating factor (KAF) [7], calcium-activated sarcoplasmic factor hydrolyzing Z-lines (CaSF) [8], protein kinase C-activating factor [9], or calcium-activated neutral protease (CANP) [10]. Finally, Suzuki unified the different designations as calpain (calcium iondependent papain-like cysteine protease) in 1991 [11].The classical calpains are heterodimers composed of a large 80 kDa catalytic subunit (80K encoded by CAPN1 (EC3.4.22.52) and CAPN2 (EC3.4.22.53) for μ-and m-calpains, respectively) and a common 30 kDa regulatory subunit (30K encoded by CAPN4). Whereas the small subunit is identical for both enzymes, the large subunits share 55-65% sequence homology [4,12]. The μ-and m-calpains differ in their requirements of intracellular Ca 2+ and require for their activity the presence of micromolar and millimolar Ca 2+ concentrations, respectively.The word "calpain" was originally used for classical μ-and mcalpains, but because 80K itself is fully active, the word "calpain" is now used for 80K as well [13]. The 80K and 30K contain four (I-IV) and two (V and VI) domains, respectively [14] (Figure 1). The N-terminal region of domain I of the large subunit is autolyzed upon activation by Ca 2+ . This autoproteolysis seems to be required for full protease activity, and reduces ...