Calcium-Calmodulin-Calcineurin Signaling: A Globally Conserved Virulence Cascade in Eukaryotic Microbial Pathogens
Open accessAbstract
Calcium is an abundant intracellular ion, and calcium homeostasis plays crucial roles in several cellular processes. The calcineurin signaling cascade is one of the major pathways governed by intracellular calcium. Calcineurin, a conserved protein from yeast to humans, is a calcium-calmodulin-dependent serine-threonine-specific phosphatase that orchestrates cellular stress responses. In eukaryotic microbial pathogens, calcineurin controls essential virulence pathways, such as the ability to grow at host temperature, morphogenesis to enable invasive hyphal growth, drug tolerance and resistance, cell wall integrity, and sexual development. Therefore, the calcineurin cascade is an attractive target in drug development against eukaryotic pathogens. In the present review, we summarize and discuss the current knowledge on the roles of calcineurin in eukaryotic microbial pathogens, focusing on fungi and parasitic protists.
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The role of calcineurin in drug tolerance, persistence, and stable resistance is documented.
“While its role in drug tolerance, persistence, and stable resistance is documented [19, 20, 21, 22]”
From Calcineurin‐Dependent Stress Adaptation Enables Caspofungin Heteroresistance Leading to Stable Resistance in <i>Candida Glabrata</i> (2026) · cites this paper as [22]
The Conclusions (page unavailable) explicitly identify drug tolerance as a process governed by calcineurin. The discussion of calcineurin as an antifungal drug target describes effects of its inhibitors, but our copy does not document a role in persistence or stable resistance. (LLM, conf=0.86)
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- Authors
- Park, H.-S., Lee, S. C., Cardenas, M. E., & Heitman, J.
- Affiliations
- Kyungpook National University (KR)
- The University of Texas at San Antonio (US)
- Duke Medical Center (US)
- Duke University (US)
- Corresponding author
- Heitman, Joseph
- Venue
- Cell Host & Microbe
- Publisher
- Elsevier BV
- Published
- 2019-10
- Volume
- 26
- Issue
- 4
- Pages
- 453-462
- ISSN
- 1931-3128 (ISSN-L)
- PMC
- PMC6788756
- OpenAlex
- W2980031813
- Cited by
- 168
- References
- 81
- Citations by year
- 2026: 22 · 2025: 30 · 2024: 30 · 2023: 22 · 2022: 28 · 2021: 19 · 2020: 16 · 2019: 1
- FWCI
- 1.41
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell Host & Microbe (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Allergy and Infectious Diseases (R01 AI50438-10)
- Max and Minnie Tomerlin Voelcker Fund
- Canadian Institute for Advanced Research
- Korea Food Research Institute
- National Research Foundation of Korea (NRF-2019R1F1A1048574)
- National Cancer Institute (P01 AI104533-05, R01 AI112595-04, R01 CA154499, R03 AI119617, R21 AI141080-01)
- National Institutes of Health
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fungal and yeast genetics research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Signaling Pathways in Disease
- Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
- Keywords
- calcineurin, calcium signaling, calmodulin, fungal virulence, parasitic protists, hyphal morphogenesis, drug tolerance, cell wall integrity, sexual development, antifungal drug targets
- MeSH terms
- Animals, Calcium, Calmodulin, DNA-Binding Proteins, Fungi, Humans, Parasites, Transcription Factors, Virulence, Signal Transduction, Calcineurin, Saccharomyces cerevisiae Proteins
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