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Calmodulin binds four calcium ions, inducing a conformational change that allows the calcium-calmodulin complex to bind downstream target proteins with high affinity. The complex activates these targets, including membrane proteins and enzymes like Ca2+ calmodulin-dependent kinases, which then phosphorylate other cellular proteins to generate specific responses such as muscle contraction.

CaM kinase II, abundant in the nervous system, consists of two stacked rings with six enzyme copies each. When the calcium-calmodulin complex binds its regulatory segment, the kinase becomes active. Through autophosphorylation, CaM kinase II remains active even after calcium levels drop, functioning as a memory device that records previous calcium spikes in neurons.

Calmodulin binds and activates phosphodiesterase, an enzyme that degrades cyclic AMP to 5-prime-AMP. This degradation inhibits the effects of cyclic AMP on protein kinase A, allowing calmodulin to cross-regulate cAMP-dependent protein kinase pathways and integrate multiple calcium-dependent signaling responses throughout the cell.

When cytosolic calcium concentration is high, the calcium-calmodulin complex binds calcium pumps on the plasma membrane. This binding activates the pumps to release excess calcium ions, maintaining feedback regulation of calcium concentration and preventing cellular calcium overload through active ion transport mechanisms.

GPCR stimulation activates phospholipase C-beta, which signals IP3 to increase cytosolic calcium concentration. Calcium ions then bind calmodulin to form the active calcium-calmodulin complex, initiating downstream signaling cascades that produce cellular responses like muscle contraction, nerve signaling, and oocyte fertilization.

At low calcium spike frequencies, CaM kinase II becomes inactive between spikes because autophosphorylation cannot sustain activity until the next spike arrives. At high frequencies, the enzyme remains partially active between spikes, progressively increasing catalytic activity until all domains are autophosphorylated and the enzyme reaches maximal activation.

CaM kinase II contains a kinase domain and a hub domain with a regulatory segment that inhibits kinase activity in the inactive state. Calcium-calmodulin binding to the regulatory segment unlocks the enzyme, allowing kinase domains to autophosphorylate each other. Protein phosphatase removes these phosphates to deactivate the enzyme and reset its state.