RT Journal Article SR Electronic T1 Decreased calmodulin recruitment triggers PMCA4 dysfunction and pancreatic injury in cystic fibrosis JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.09.10.290940 DO 10.1101/2020.09.10.290940 A1 Tamara Madácsy A1 Árpad Varga A1 Noémi Papp A1 Barnabás Deák A1 Bálint Tél A1 Petra Pallagi A1 Viktória Szabó A1 Júlia Fanczal A1 Zoltan Rakonczay, Jr. A1 Zsolt Rázga A1 Meike Hohwieler A1 Alexander Kleger A1 Mike Gray A1 Péter Hegyi A1 József Maléth YR 2020 UL http://biorxiv.org/content/early/2020/09/11/2020.09.10.290940.abstract AB Exocrine pancreatic damage is a common complication of cystic fibrosis (CF), which can significantly debilitate the quality of life and life expectancy of CF patients. The cystic fibrosis transmembrane conductance regulator (CFTR) has a major role in pancreatic ductal ion secretion, however, it presumably has an influence on intracellular signaling as well. Here we describe in multiple model systems, including iPSC-derived human pancreatic organoids from CF patients, that the activity of PMCA4 is impaired by the decreased expression of CFTR in ductal cells. The regulation of PMCA4, which colocalizes and physically interacts with CFTR on the apical membrane of the ductal cells, is dependent on the calmodulin binding ability of CFTR. Moreover, CFTR seems to be involved in the process of the apical recruitment of calmodulin, which enhances its role in calcium signaling and homeostasis. Sustained intracellular Ca2+ elevation in CFTR KO cells undermined the mitochondrial function and increased apoptosis. Based on these, the prevention of sustained intracellular Ca2+ overload may improve the exocrine pancreatic function and may have a potential therapeutic aspect in CF.