Slow- and fast-twitch myofibers of adult skeletal muscles express uniq
ue sets of muscle-specific genes, and these distinctive programs of ge
ne expression are controlled by variations in motor neuron activity. I
t is well established that, as a consequence of more frequent neural s
timulation, slow fibers maintain higher levels of intracellular free c
alcium than fast fibers, but the mechanisms by which calcium may funct
ion as a messenger linking nerve activity to changes in gene expressio
n in skeletal muscle have been unknown. Here, fiber-type-specific gene
expression in skeletal muscles is shown to be controlled by a signali
ng pathway that involves calcineurin, a cyclosporin-sensitive, calcium
-regulated serine/threonine phosphatase. Activation of calcineurin in
skeletal myocytes selectively up-regulates slow-fiber-specific gene pr
omoters. Conversely, inhibition of calcineurin activity by administrat
ion of cyclosporin A to intact animals promotes slow-to-fast fiber tra
nsformation. Transcriptional activation of slow-fiber-specific transcr
iption appears to be mediated by a combinatorial mechanism involving p
roteins of the NFAT and MEF2 families. These results identify a molecu
lar mechanism by which different patterns of motor nerve activity prom
ote selective changes in gene expression to establish the specialized
characteristics of slow and fast myofibers.