Ca2+ is a uniquely important messenger that penetrates into cells through g
ated channels to transmit signals to a large number of enzymes. The evoluti
onary choice of Ca2+ was dictated by its unusual chemical properties, which
permit its reversible complexation by specific proteins in the presence of
much larger amounts of other potentially competing cations. The decoding o
f the Ca2+ signal consists in two conformational changes of the complexing
proteins, of which calmodulin is the most important. The first occurs when
Ca2+ is bound, the second (a collapse of the elongated protein) when intera
ction with the targeted enzymes occurs. Soluble proteins such as calmodulin
contribute to the buffering of cell Ca2+, but membrane intrinsic transport
ing proteins are more important. Ca2+ is transported across the plasma memb
rane (channel, a pump, a Na+/Ca2+ exchanger) and across the membrane of the
organelles. The endoplasmic reticulum is the most dynamic store: it accumu
lates Ca2+ by a pump, and releases it via channels gated by either inositol
1,4,5-trisphosphate (IP3) and cyclic adenosine diphosphate ribose (cADPr).
The mitochondrion is more sluggish, but it is closed-connected with the re
ticulum, and senses microdomains of high Ca2+ close to IF, or cADPr release
channels. The regulation of Ca2+ in the nucleus, where important Ca2'-sens
itive processes reside, is a debated issue. Finally, if the control of cell
ular Ca2+ homeostasis somehow fails (excess penetration), mitochondria "buy
time" by precipitating inside Ca2+ and phosphate. If injury persists, Ca2-death eventually ensues.