Structure and properties of STIM1. (a) Domain structure of human STIM1 (adapted with permission from Reference 27). Shown are the signal peptide (S), the canonical EF-hand 1 (cEF1), the noncanonical EF-hand 2 (ncEF2), the SAM (sterile α-motif ) domain, the transmembrane domain (TM), three predicted coiled-coil regions (cc1, cc2, and cc3), the proline- and serine-rich region, and the lysine-rich (polybasic) region at the C terminus. The EF-SAM fragment whose structure was determined by NMR spectroscopy is indicated. The region to the left of the TM is located in the ER lumen, whereas the region to the right is located in the cytoplasm. Residue numbers at the approximate boundaries of the domains are indicated above the diagram. Coiled-coils cc1 and cc2 have long been recognized in STIM proteins (97, 98, 105) and are assigned high probability in STIM1 by COILS; the predicted coiled-coil cc3 is assigned a low probability by COILS in STIM1, but a relatively high probability in Aedes aegypti Stim and Anopheles gambiae Stim, and in STIM2 when core hydrophobic positions are weighted. The existence and precise boundaries of cc3 require experimental confirmation. (b) Sequence conservation in the STIM C-terminal region. Each horizontal black bar represents the human STIM1 sequence, with gaps introduced as necessary to maintain alignment with human STIM2, fish STIM1 orthologs, or insect Stim proteins, as indicated. Vertical green lines indicate identity of the human STIM1 residue with the residue at the corresponding position of human STIM2; vertical magenta lines indicate identity of the human STIM1 residue with residues at the corresponding position in at least four of five fish orthologs; vertical blue lines indicate identity with residues in at least two of three insect Stim proteins. Adapted from Reference 36. (c) Structure of the EF-SAM fragment deduced by NMR spectroscopy (adapted with permission from Reference 27). Alpha-helices are depicted as cylinders. (The canonical EF-hand 1 is magenta, the noncanonical EF-hand 2 is beige, and the SAM domain is green; the Ca²⁺ ion bound to EF-hand 1 is a yellow sphere.) Two views related by a 90° rotation are shown.

Sequence of steps in store-operated Ca²⁺ entry. (a) Schematic diagrams of STIM1 and ORAI1 in the resting state, when ER Ca²⁺ stores are replete. ORAI is depicted as a tetramer for reasons discussed in the text. STIM1 is depicted as a monomer for convenience, but its oligomerization state in resting cells is not yet fully defined. (b) STIM1 oligomerization. STIM1 forms oligomers when ER stores are depleted. Oligomers are depicted here as dimers for convenience, but their stoichiometry in activated cells is unknown. (c) STIM1 redistribution. Oligomerization of STIM1 in the ER membrane is followed by migration of STIM1 to ER–plasma membrane appositions. This redistribution involves binding of the STIM1 polybasic regions to PIP₂ and PIP₃ in the plasma membrane. STIM1 oligomers then recruit ORAI1 to ER–plasma membrane junctions by binding a C-terminal region of ORAI1. (d ) STIM1-ORAI1 gating. STIM1 oligomers open ORAI channels, possibly by binding to an N-terminal region of ORAI1.

Pedigrees of immunodeficient patients with mutations in (a–c) ORAI1 and (d ) STIM1. (Filled symbols, patients; strike-through, deceased; ?, DNA unavailable for sequencing; dot within symbol, individual is heterozygous for the mutant allele.) Adapted with permission from References 91, 93.

Schematic diagram of the signaling pathway that connects store-operated Ca²⁺ entry with NFAT-dependent gene transcription in T cells. (a) Resting T cells have a membrane potential (maintained primarily by Kv1.3 K⁺ channels) of approximately −50 mV and intracellular free Ca²⁺ concentrations ([Ca²⁺]_i) of 50–100 nM that are maintained by the plasma membrane Ca²⁺ ATPase (PMCA), the sarco-endoplasmic reticulum Ca²⁺-ATPase (SERCA) that pumps Ca²⁺ into the lumen of the endoplasmic reticulum (ER), and electrogenic Na⁺-Ca²⁺ exchangers (NCX, not shown). Immunoreceptors include antigen receptors on T and B cells (TCR, BCR), Fcε receptors on mast cells, or Fcγ receptors on NK cells. The concentration of free Ca²⁺ in the ER ([Ca²⁺]_ER) is several hundred μM; hence the EF-hand of STIM1 is saturated with Ca²⁺, and STIM1 does not form higher-order oligomers (dimers are depicted, but the oligomerization state of STIM1 in resting cells is not fully defined). The transcription factor NFAT is heavily phosphorylated and localized to the cytoplasm. (b) Activated T cells. T cell receptors assemble into signaling complexes that contain scaffold proteins such as LAT and SLP-76, tyrosine kinases such as Lck, ZAP70, and Itk, and phospholipase C (PLC)γ (not all of which are shown). Inositol 1,4,5-trisphosphate (IP₃) produced by PLCγbinds to IP₃ receptors in the ER membrane, causing the release of Ca²⁺ from the ER. As a result of the depletion of ER Ca²⁺ stores, Ca²⁺ dissociates from EF-hand 1 of STIM1 and causes a conformational change (unfolding of the EF-SAM domain in the ER lumen) that leads to oligomerization (tetramers are depicted, but the oligomerization state of STIM1 in activated cells is not fully defined). The STIM oligomers move to sites of ER–plasma membrane apposition, recruit ORAI proteins to these sites, and cause CRAC channels to open. The resulting increase in [Ca²⁺]_i causes the universal and abundant cytoplasmic Ca²⁺ sensor calmodulin (CaM) to bind to many channels and enzymes and modulate their activity. Among the targets of CaM are the phosphatase calcineurin, which dephosphorylates NFAT and causes its nuclear translocation, thus activating NFAT-dependent transcription; the PMCA pump whose activity is increased by CaM binding; and the KCa3.1 K⁺ channel that maintains membrane potential and the driving force for Ca²⁺ entry. Activated cells also show relocalization of mitochondria toward the plasma membrane, a process expected to maintain CRAC channel activity by diminishing Ca²⁺-dependent inactivation. MCU: mitochondrial Ca²⁺ uniporter. CK1, GSK3, DYRK: NFAT kinases.

Schematic representation of full-length STIM1. The cytoplasmic region contains three predicted coiled-coil regions (cyan), a serine- and proline-rich region (red ), and a polybasic tail (blue). The coiled coils can span the distance, estimated to be 8 nm (109) or ~17 nm (29), that separates the ER and the plasma membrane at the junctions where STIM and ORAI accumulate upon ER Ca²⁺ store depletion. For an explanation of the three coiled-coil regions, see the caption to Figure 2a.

Amino acid sequence of human ORAI1. Residues E106, D110, D112, D114, and E190, that when mutated affect channel properties, are shown in blue. Residues R91, A103, and L194, that when mutated to W, E, and P, respectively, are associated with human immunodeficiency, are shown in red (20, 93). Residues 65 and 74 are indicated; truncated ORAI1 proteins that begin at either residue are able to assemble and function as CRAC channels (33, 36, 150).