Evidence map›Paper›PMID 41698888›Full record

ArticleNature communications2026

The clinical missense variant E282K in PPP3CA/calcineurin shifts substrate dephosphorylation by altering active site recruitment.

Karina T Shirakawa, Tvesha Parikh, Luciana E S F Machado, Galini Poimenidou, Hieu T Nguyen, Mark L Dell'Acqua, Arminja N Kettenbach, Rebecca Page, Wolfgang Peti

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Karina T Shirakawa *Department of Molecular Biology and Biophysics, University of Connecticut Health Center, Farmington, CT, USA.
Tvesha Parikh *Department of Molecular Biology and Biophysics, University of Connecticut Health Center, Farmington, CT, USA.
Luciana E S F MachadoInstitute of Chemistry, University of Campinas, Campinas, SP, Brazil.ORCID http://orcid.org/0000-0002-2475-9324
Galini PoimenidouDepartment of Biochemistry and Cell Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Hieu T NguyenDepartment of Biochemistry and Cell Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.ORCID http://orcid.org/0000-0003-2153-9200
Mark L Dell'AcquaDepartment of Pharmacology, University of Colorado School of Medicine, Aurora, CO, USA.ORCID http://orcid.org/0000-0003-3798-3461
Arminja N KettenbachDepartment of Biochemistry and Cell Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.ORCID http://orcid.org/0000-0003-3979-4576
Rebecca PageDepartment of Cell Biology, University of Connecticut Health Center, Farmington, CT, USA.ORCID http://orcid.org/0000-0002-4645-1232
Wolfgang PetiDepartment of Molecular Biology and Biophysics, University of Connecticut Health Center, Farmington, CT, USA. peti@uchc.edu.ORCID http://orcid.org/0000-0002-8830-6594

Funding

Phosphorylation Signaling by Phosphoprotein PhosphatasesR35GM119455 · NIGMS · DARTMOUTH COLLEGE · PI Arminja Nadine Kettenbach · 2016 to 2026
$5.1M
L-type Ca2+ Channel Spike Regulation of Spine Structural Plasticity and Excitation-Transcription CouplingR01MH123700 · NIMH · UNIVERSITY OF COLORADO DENVER · PI DELL'ACQUA, MARK L · 2021 to 2025
$2.8M
The Regulation of PP1 in the NucleusR01GM098482 · NIGMS · UNIVERSITY OF ARIZONA · PI PAGE, REBECCA · 2011 to 2019
$2.8M
Serine/Threonine Phosphatases in Neurological DiseasesR01NS124666 · NINDS · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI Wolfgang Peti · 2023 to 2026
$2.0M
Protein Phosphatase 1 Holoenzyme FormationR01GM144483 · NIGMS · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI PETI, WOLFGANG · 2022 to 2025
$1.7M
The regulation of phosphoprotein phosphatases in the nucleusR01GM144379 · NIGMS · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI Rebecca Page · 2023 to 2026
$1.5M
NIGMS NIH HHS R01 GM144379NIGMS NIH HHS R35 GM119455NIMH NIH HHS R01 MH123700U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) R01GM098482U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) R01GM144483U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) R01NS124666
6 · The paper itself

Abstract

Recently, de novo heterozygous variants of Calcineurin (CN) were reported as the cause of a neurodevelopmental disorder that presents with epileptic encephalopathy and dysmorphism (DEE91), with the largest group of patients harboring the CN missense mutation E282K (glutamate → lysine). Here, we use molecular and cellular techniques to define how this mutation alters CN activity. We discover that basophilic substrates use an arginine residue to bind to CN via an acidic substrate recruitment pocket adjacent to the CN active site, the E282 pocket. Furthermore, we show that basic residues in the i-1 position of the substrate relative to the substrate phosphosite enhance CN-mediated dephosphorylation. While the CN

Indexed as

CalcineurinMutation, MissenseCatalytic DomainHEK293 CellsHumansModels, MolecularPhosphorylationSubstrate SpecificityCalcineurinPPP3CA protein, human

Identifiers

PMID41698888
PMCPMC13022171

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.