STIM1

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STIM1 (Stromal Interaction Molecule 1) is an integral membrane protein that plays a crucial role in cellular calcium homeostasis. STIM1 functions as a sensor of calcium levels within the endoplasmic reticulum (ER). When calcium levels within the ER fall, STIM1 activates store-operated calcium entry (SOCE) by interacting with ORAI1, a plasma membrane calcium channel, facilitating the influx of calcium ions into the cell. This process is vital for numerous cellular functions, including muscle contraction, gene expression, and cell growth.

Function[edit | edit source]

STIM1 detects the depletion of calcium ions in the ER through its EF-hand domain, a calcium-binding motif. Upon calcium depletion, STIM1 undergoes a conformational change, oligomerizes, and translocates closer to the plasma membrane. There, it interacts with ORAI1 channels through its CRAC activation domain (CAD), also known as the STIM1-Orai Activating Region (SOAR), initiating the process of SOCE. This interaction is essential for the refilling of ER calcium stores and the regulation of cellular calcium signaling.

Clinical Significance[edit | edit source]

Mutations in the STIM1 gene have been associated with several diseases. Loss-of-function mutations can lead to immunodeficiency due to impaired calcium influx in immune cells, affecting the immune response. Conversely, gain-of-function mutations in STIM1 have been linked to conditions such as Stormorken syndrome, a rare disorder characterized by thrombocytopenia, asplenia, miosis, ichthyosis, short stature, and skeletal and cardiac anomalies. Additionally, alterations in STIM1 expression and function have been implicated in cancer progression, where it can influence cell proliferation, apoptosis, and metastasis.

Molecular Biology[edit | edit source]

The STIM1 gene is located on human chromosome 11p15.4 and encodes a protein of 685 amino acids. The STIM1 protein has several key domains, including a single transmembrane domain, an EF-hand domain for calcium binding, and a SAM (sterile alpha motif) domain involved in protein-protein interactions. The cytoplasmic region of STIM1, containing the SOAR/CAD domain, is critical for its function in activating ORAI1 and the subsequent SOCE.

Research and Therapeutic Potential[edit | edit source]

Given its central role in calcium signaling and homeostasis, STIM1 is a target of interest for therapeutic intervention in diseases related to abnormal calcium signaling. Small molecule inhibitors and activators of STIM1-ORAI1 interaction are being explored for their potential in treating immune disorders, cardiovascular diseases, and cancers. Understanding the precise mechanisms of STIM1 function and regulation may lead to novel therapeutic strategies for these conditions.


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Contributors: Prab R. Tumpati, MD