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Genovese et al. Cancer Drug Resist 2018;1:164-80  I  http://dx.doi.org/10.20517/cdr.2018.10                                         Page 165

               SORCIN STRUCTURE AND ACTIVATION
               Soluble resistance-related calcium binding protein (Sorcin) was named “resistance-related” since it was
                                                                            [1]
               found to be co-amplified with ABCB1 in multidrug (MD)-resistant cells . The gene coding for Sorcin (SRI)
               is located in the chromosome region 7q21 and is about 21.9 kb-long. At least four alternative Sorcin isoforms
               are transcribed, i.e., isoforms A (a transcript of 15 kb with eight exons and seven introns, translated into a
               198-residues long, 22-kDa Sorcin), B, C and D, translated into shorter 19-kDa isoforms, where part of the
               N-terminal domain and/or of the last aminoacids of the C-terminal domain are missing. Most literature
               refers to isoform A, although a few studies deal about 19-kDa form of Sorcin. The pseudogene Sorcin-like
                                                  [2]
               (SRIL) is in the chromosomal region 4q12 .

               Sorcin is present in vertebrates, and more generally in metazoans. Its sequence is highly conserved among
               species: protein sequences of mouse and human Sorcin show only eight differences, concentrated in the
               second half of the protein, and six of them regard possibly phosphorylatable serine and threonine residues,
               indicating that species-specific phosphorylation-dependent regulation of Sorcin may occur.

               Usually calcium-binding proteins contain an even number of EF-hands, paired both structurally and
               functionally. Sorcin belongs to the small penta-EF-hand (PEF) family, containing an odd (5) number of EF-
               hands. Sorcin is a homodimer, although heterodimerization with another PEF protein, grancalcin, has been
               observed . Sorcin monomers are formed by two domains, i.e., a rather short, flexible, glycine- and proline-
                       [3,4]
               rich N-terminal domain and a C-terminal domain Sorcin calcium-binding domain (SCBD), globular and
               composed by eight alpha-helices, which form five EF-hands (EF1-5) [Figure 1].


               EF-hands couple through short β-sheets: EF1 pairs with EF2; EF3 pairs with EF4; the odd EF5 pairs with
               another EF5, belonging to the other monomer, forming part of the dimeric interface. The dimer contains five
               EF pairs and can be considered the structural unit of Sorcin. The long and rigid D- and G-helices connect
               different EF-hands pairs, with the D-helix belonging to both EF2 and EF3, and the G-helix connecting EF4
               and EF5. The SCBD can be divided in two subdomains: the EF1-3 subdomain (residues 33-134) is composed
               by the three EF-hands that bind calcium with high affinity, while the EF4-5 subdomain (residues 135-198)
                                                                                               2+
               mediates dimerization, contains many potential phosphorylation sites, but does not bind Ca  with high
               affinity. Calcium binding to EF hands determines the transition from a “closed” structure to an “open”
                       [5,6]
               structure . Binding of calcium to EF3, the highest-affinity calcium-binding motif, EF2 and EF1 sites
               activate Sorcin: Ca  binding to EF3 alters the conformation of the loop containing Glu124, and this change
                               2+
               is transmitted to EF2 via a movement of the long D-helix connecting EF3 with EF2. Overall, calcium binding
               to the EF1-3 hands promotes a large conformational change in Sorcin structure, involving a movement of
               the long D-helix and the opening of EF1, with the two subdomains moving away of 21° [Figure 1]. This
               movement determines the exposure to solvent of hydrophobic residues of the D-helix, of the EF loop and
               of the G-helix, with a consequent dramatic decrease of solubility, thus allowing Sorcin to translocate from
               cytosol to membranes, and to bind and regulate a series of target proteins . The hydrophobic pocket can
                                                                              [6-9]
               accommodate in Ca -bound Sorcin a portion of the N-terminal domain displaying the consensus binding
                                2+
               motif identified by phage display experiments [Figure 2].


               THE ROLES OF SORCIN IN THE CELL: SORCIN LOCALIZATION, CELL CYCLE, AND FUNCTIONS

               IN THE CELL
               Sorcin is one of the most expressed human calcium binding proteins; it is expressed in most human tissues,
               at high levels in bone, heart, brain, B- and T-lymphocytes, monocytes, kidney, breast and skin (sources:
               MOPED, PaxDb and MaxQB databases) . In addition, Sorcin is overexpressed in many cancer types,
                                                   [2]
               and especially in MD-resistant cells (see below). Cell localization of Sorcin is dynamic. During interphase
               Sorcin is localized in the nucleus, in the cytosol, in the plasma membranes, at the endoplasmic reticulum
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