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Calcium Signaling

Molecular Biology · NLM MeSH · updated 2026-10-29 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 5 min read

Signal transduction mechanisms whereby calcium mobilization (from outside the cell or from intracellular storage pools) to the cytoplasm is triggered by external stimuli.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (851 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

Signal transduction mechanisms whereby calcium mobilization (from outside the cell or from intracellular storage pools) to the cytoplasm is triggered by external stimuli. Calcium signals are often seen to propagate as waves, oscillations, spikes, sparks, or puffs. The calcium acts as an intracellular messenger by activating calcium-responsive proteins.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Calcium Signalings; Signaling, Calcium; Signalings, Calcium; Calcium Puffs; Calcium Puff; Puff, Calcium; Puffs, Calcium; Calcium Spikes.

Where it fits in the MeSH classification

Broader topics
Second Messenger Systems; Ion Transport
Narrower topics
Excitation Contraction Coupling
See also
Calmodulin; Calcium Channels; Inositol 1,4,5-Trisphosphate

Research landscape

PubMed indexes 29,545 records tagged with the MeSH heading “Calcium Signaling” (counts retrieved 2026-10-29). 5,134 of them (17.4%) were published from 2020 onward, and the busiest period so far is 2010-2019 with 12,554 records.

Reviews account for 5,086 records (17.2%) and meta-analyses for 6. Randomized controlled trials number 17 (0.1%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 554 records; 2000-2009: 11,303 records; 2010-2019: 12,554 records; 2020 onward: 5,134 records554through 199911,3032000-200912,5542010-20195,1342020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 1999554
2000-200911,303
2010-201912,554
2020 onward5,134
Share of records by publication typeReviews: 17.2 percent; Meta-analyses: 0.0 percent; Randomized controlled trials: 0.1 percentReviews17.2% (5,086)Meta-analyses0.0% (6)Randomized controlled trials0.1% (17)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 29,545 PubMed records
TypeRecordsShare
Reviews5,08617.2%
Meta-analyses60.0%
Randomized controlled trials170.1%

Method: PubMed query "Calcium Signaling"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-29.

Reading the evidence in molecular biology

Molecular biology establishes mechanisms through controlled experiments, often in simplified systems such as purified proteins, cultured cells or model organisms. Such work can show what is possible in a defined system, but whether a pathway matters in a whole organism or in human disease needs further evidence. Check the experimental system, whether findings were reproduced by independent groups, and whether the authors tested the mechanism directly or inferred it from correlation.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Calcium Signaling Dynamics in Vascular Cells and Their Dysregulation in Vascular Disease
Dai C, Khalil RA
2025Review article
Design not recorded in structured metadata
46cc by
PMID 40563532 · DOI · PMC12191073
SIRT4 Promotes Pancreatic Cancer Stemness by Enhancing Histone Lactylation and Epigenetic Reprogramming Stimulated by Calcium Signaling
Lv M, Yang X, Xu C, Song Q, Zhao H, Sun T, et al.
2025Research article
Design not recorded in structured metadata
26cc by
PMID 40298941 · DOI · PMC12120773
CPK1 activates CNGCs through phosphorylation for Ca2+ signaling to promote root hair growth in Arabidopsis
Zhu M, Zhu M, Du BY, Tan YQ, Yang Y, Zhang Y, et al.
2025Research article
Design not recorded in structured metadata
21cc by
PMID 39809784 · DOI · PMC11733299
Calcium signaling in crops
Zhang C, Song Y, Kudla J
2026Review article
Design not recorded in structured metadata
10cc by
PMID 41367079 · DOI · PMC12824602

Calcium Signaling Dynamics in Vascular Cells and Their Dysregulation in Vascular Disease [1]

Review article Dai C, Khalil RA · · 2025 · cited 46 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Calcium (Ca2+) signaling is a fundamental regulatory mechanism controlling essential processes in the endothelium, vascular smooth muscle cells (VSMCs), and the extracellular matrix (ECM), including maintaining the endothelial barrier, modulation of vascular tone, and vascular remodeling.
Closing excerpt
Emerging therapeutic strategies targeting these Ca2+-dependent mechanisms, including Ca2+ channel blockers and PKC and ROCK inhibitors, hold promise for restoring Ca2+ homeostasis and mitigating vascular disease progression.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (290 words)

Calcium (Ca2+) signaling is a fundamental regulatory mechanism controlling essential processes in the endothelium, vascular smooth muscle cells (VSMCs), and the extracellular matrix (ECM), including maintaining the endothelial barrier, modulation of vascular tone, and vascular remodeling. Cytosolic free Ca2+ concentration is tightly regulated by a balance between Ca2+ mobilization mechanisms, including Ca2+ release from the intracellular stores in the sarcoplasmic/endoplasmic reticulum and Ca2+ entry via voltage-dependent, transient-receptor potential, and store-operated Ca2+ channels, and Ca2+ elimination pathways including Ca2+ extrusion by the plasma membrane Ca2+-ATPase and Na+/Ca2+ exchanger and Ca2+ re-uptake by the sarco(endo)plasmic reticulum Ca2+-ATPase and the mitochondria. Some cell membranes/organelles are multifunctional and have both Ca2+ mobilization and Ca2+ removal pathways. Also, the individual Ca2+ handling pathways could be integrated to function in a regenerative, capacitative, cooperative, bidirectional, or reciprocal feed-forward or feed-back manner. Disruption of these pathways causes dysregulation of the Ca2+ signaling dynamics and leads to pathological cardiovascular conditions such as hypertension, coronary artery disease, atherosclerosis, and vascular calcification. In the endothelium, dysregulated Ca2+ signaling impairs nitric oxide production, reduces vasodilatory capacity, and increases vascular permeability. In VSMCs, Ca2+-dependent phosphorylation of the myosin light chain and Ca2+ sensitization by protein kinase-C (PKC) and Rho-kinase (ROCK) increase vascular tone and could lead to increased blood pressure and hypertension. Ca2+ activation of matrix metalloproteinases causes collagen/elastin imbalance and promotes vascular remodeling. Ca2+-dependent immune cell activation, leukocyte infiltration, and cholesterol accumulation by macrophages promote foam cell formation and atherosclerotic plaque progression. Chronic increases in VSMCs Ca2+ promote phenotypic switching to mesenchymal cells and osteogenic transformation and thereby accelerate vascular calcification and plaque instability. Emerging therapeutic strategies targeting these Ca2+-dependent mechanisms, including Ca2+ channel blockers and PKC and ROCK inhibitors, hold promise for restoring Ca2+ homeostasis and mitigating vascular disease progression.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 40563532 · DOI · PMC12191073

SIRT4 Promotes Pancreatic Cancer Stemness by Enhancing Histone Lactylation and Epigenetic Reprogramming Stimulated by Calcium Signaling [2]

Research article Lv M, Yang X, Xu C, Song Q, Zhao H, Sun T, et al. · · 2025 · cited 26 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Mitochondria Sirtuins including SIRT4 erase a variety of posttranslational modifications from mitochondria proteins, leading to metabolic reprogramming that acts as a tumor suppressor, oncogenic promotor, or both.
Closing excerpt
Hence, the study links α2δ1-mediated calcium signaling to SIRT4-mediated histone lactylation epigenetic reprogramming in promoting the stem cell-like properties of pancreatic cancer, which holds significant potential for the development of novel therapeutic strategies by targeting TICs of pancreatic cancer.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (198 words)

Mitochondria Sirtuins including SIRT4 erase a variety of posttranslational modifications from mitochondria proteins, leading to metabolic reprogramming that acts as a tumor suppressor, oncogenic promotor, or both. However, the factors and the underlying mechanisms that stimulate and relay such a signaling cascade are poorly understood. Here, we reveal that the voltage-gated calcium channel subunit α2δ1-mediated calcium signaling can upregulate the expression of SIRT4, which is highly expressed in α2δ1-positive pancreatic tumor-initiating cells (TICs). Furthermore, SIRT4 is functionally sufficient and indispensable to promote TIC properties of pancreatic cancer cells by directly deacetylating ENO1 at K358, leading to attenuated ENO1's RNA-binding capacity, enhanced glycolytic substrate 2-PG affinity, and subsequently robust catalytic activity with boosted glycolytic ability and increased production of lactate acid. Interestingly, both SIRT4 and deacetylated mimetic of ENO1-K358 can increase the lactylation of histones at multiple sites including H3K9 and H3K18 sites, which resulted in epigenetic reprogramming to directly activate a variety of pathways that are essential for stemness. Hence, the study links α2δ1-mediated calcium signaling to SIRT4-mediated histone lactylation epigenetic reprogramming in promoting the stem cell-like properties of pancreatic cancer, which holds significant potential for the development of novel therapeutic strategies by targeting TICs of pancreatic cancer.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 40298941 · DOI · PMC12120773

CPK1 activates CNGCs through phosphorylation for Ca2+ signaling to promote root hair growth in Arabidopsis [3]

Research article Zhu M, Zhu M, Du BY, Tan YQ, Yang Y, Zhang Y, et al. · · 2025 · cited 21 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Cyclic nucleotide-gated channel 5 (CNGC5), CNGC6, and CNGC9 (CNGC5/6/9 for simplicity) control Arabidopsis root hair (RH) growth by mediating the influx of external Ca2+ to establish and maintain a sharp cytosolic Ca2+ gradient at RH tips.
Closing excerpt
Thus we discover the CPK1-CNGC modules essential for the Ca2+ signaling regulation and RH growth in Arabidopsis.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (166 words)

Cyclic nucleotide-gated channel 5 (CNGC5), CNGC6, and CNGC9 (CNGC5/6/9 for simplicity) control Arabidopsis root hair (RH) growth by mediating the influx of external Ca2+ to establish and maintain a sharp cytosolic Ca2+ gradient at RH tips. However, the underlying mechanisms for the regulation of CNGCs remain unknown. We report here that calcium dependent protein kinase 1 (CPK1) directly activates CNGC5/6/9 to promote Arabidopsis RH growth. The loss-of-function mutants cpk1-1, cpk1-2, cngc5-1 cngc6-2 cngc9-1 (shrh1/short root hair 1), and cpk1 shrh1 show similar RH phenotypes, including shorter RHs, more RH branching, and dramatically attenuated cytosolic Ca2+ gradients at RH tips. The main CPK1-target sites are identified as Ser20, Ser27, and Ser26 for CNGC5/6/9, respectively, and the corresponding alanine substitution mutants fail to rescue RH growth in shrh1 and cpk1-1, while phospho-mimic versions restore the cytosolic Ca2+ gradient at RH apex and rescue the RH phenotypes in the same Arabidopsis mutants. Thus we discover the CPK1-CNGC modules essential for the Ca2+ signaling regulation and RH growth in Arabidopsis.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 39809784 · DOI · PMC11733299

Calcium signaling in crops [4]

Review article Zhang C, Song Y, Kudla J · · 2026 · cited 10 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Calcium (Ca2+) signaling is integral to nearly all aspects of plant biology, including development and responses to biotic and abiotic stresses.
Closing excerpt
Finally, we discuss current challenges and emerging perspectives in translating Ca2+ signaling research into practical applications for crop improvement.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (197 words)

Calcium (Ca2+) signaling is integral to nearly all aspects of plant biology, including development and responses to biotic and abiotic stresses. It operates through two main layers: the generation of Ca2+ signals and their decoding by Ca2+-binding proteins, which act early in diverse signaling pathways. The system exhibits remarkable robustness and versatility, largely due to its network-like organization. While fundamental principles of Ca2+ signaling were initially established in noncrop model organisms, recent research has increasingly expanded toward major crop species and has demonstrated that natural and synthetically created variation in Ca2+ signaling components can shape agronomically important traits. In this review, we first provide a concise overview of the fundamental principles of plant Ca2+ signaling and then synthesize the current status of this research field in major crop plants. We discuss why exploiting existing natural and engineering synthetic genetic diversity in Ca2+ signaling components offers promising strategies to enhance crop stress resilience and yield stability. Subsequently, we delineate how - aided by artificial intelligence - superior alleles can be identified and/or created and incorporated into elite crop genomes. Finally, we discuss current challenges and emerging perspectives in translating Ca2+ signaling research into practical applications for crop improvement.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41367079 · DOI · PMC12824602

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Calcium signalling in T cells [5]
    Trebak M, Kinet JP · Nat Rev Immunol · 2019 · cited 442 times (Europe PMC)
  • Research article Mitochondrial calcium exchange in physiology and disease [6]
    Garbincius JF, Elrod JW · Physiol Rev · 2022 · cited 343 times (Europe PMC)
  • Research article Mammalian Transient Receptor Potential TRPA1 Channels: From Structure to Disease [7]
    Talavera K, Startek JB, Alvarez-Collazo J, Boonen B, Alpizar YA, Sanchez A, et al. · Physiol Rev · 2020 · cited 343 times (Europe PMC)
  • Research article The Role of Calcium-Calcineurin-NFAT Signaling Pathway in Health and Autoimmune Diseases [8]
    Park YJ, Yoo SA, Kim M, Kim WU · Front Immunol · 2020 · cited 281 times (Europe PMC)
  • Research article Regulation of Mitochondrial ATP Production: Ca2+ Signaling and Quality Control [9]
    Boyman L, Karbowski M, Lederer WJ · Trends Mol Med · 2020 · cited 274 times (Europe PMC)
  • Research article Fundamentals of Cellular Calcium Signaling: A Primer [10]
    Bootman MD, Bultynck G · Cold Spring Harb Perspect Biol · 2020 · cited 257 times (Europe PMC)

References

  1. Dai C, Khalil RA. Calcium Signaling Dynamics in Vascular Cells and Their Dysregulation in Vascular Disease. . 2025. PMID 40563532 · DOI · PMC12191073
  2. Lv M, Yang X, Xu C, Song Q, Zhao H, Sun T, et al.. SIRT4 Promotes Pancreatic Cancer Stemness by Enhancing Histone Lactylation and Epigenetic Reprogramming Stimulated by Calcium Signaling. . 2025. PMID 40298941 · DOI · PMC12120773
  3. Zhu M, Zhu M, Du BY, Tan YQ, Yang Y, Zhang Y, et al.. CPK1 activates CNGCs through phosphorylation for Ca2+ signaling to promote root hair growth in Arabidopsis. . 2025. PMID 39809784 · DOI · PMC11733299
  4. Zhang C, Song Y, Kudla J. Calcium signaling in crops. . 2026. PMID 41367079 · DOI · PMC12824602
  5. Trebak M, Kinet JP. Calcium signalling in T cells. Nat Rev Immunol. 2019. PMID 30622345 · DOI · PMC6788797
  6. Garbincius JF, Elrod JW. Mitochondrial calcium exchange in physiology and disease. Physiol Rev. 2022. PMID 34698550 · DOI · PMC8816638
  7. Talavera K, Startek JB, Alvarez-Collazo J, Boonen B, Alpizar YA, Sanchez A, et al.. Mammalian Transient Receptor Potential TRPA1 Channels: From Structure to Disease. Physiol Rev. 2020. PMID 31670612 · DOI
  8. Park YJ, Yoo SA, Kim M, Kim WU. The Role of Calcium-Calcineurin-NFAT Signaling Pathway in Health and Autoimmune Diseases. Front Immunol. 2020. PMID 32210952 · DOI · PMC7075805
  9. Boyman L, Karbowski M, Lederer WJ. Regulation of Mitochondrial ATP Production: Ca2+ Signaling and Quality Control. Trends Mol Med. 2020. PMID 31767352 · DOI · PMC7921598
  10. Bootman MD, Bultynck G. Fundamentals of Cellular Calcium Signaling: A Primer. Cold Spring Harb Perspect Biol. 2020. PMID 31427372 · DOI · PMC6942118

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-29.

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At a glance

29,545
PubMed records on this heading
17%
published since 2020
5,086
review articles
17
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-29; they show how much has been written, not how strong the evidence is.

Related topics See all →

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