Review of PIP2 in Cellular Signaling, Functions and Diseases

Phosphoinositides play a crucial role in regulating many cellular functions, such as actin dynamics, signaling, intracellular trafficking, membrane dynamics, and cell–matrix adhesion. Central to this process is phosphatidylinositol bisphosphate (PIP2). The levels of PIP2 in the membrane are rapidly altered by the activity of phosphoinositide-directed kinases and phosphatases, and it binds to dozens of different intracellular proteins. Despite the vast literature dedicated to understanding the regulation of PIP2 in cells over past 30 years, much remains to be learned about its cellular functions. In this review, we focus on past and recent exciting results on different molecular mechanisms that regulate cellular functions by binding of specific proteins to PIP2 or by stabilizing phosphoinositide pools in different cellular compartments. Moreover, this review summarizes recent findings that implicate dysregulation of PIP2 in many diseases


Introduction
Phosphoinositides (PPIs), are inositol-containing glycerophospholipids bearing variable numbers of phosphate groups on their headgroups [1]. PPIs are multifaceted molecules that have recently become an interesting player in regulating cell function due to their involvement in cellular functions such as actin dynamics, membrane trafficking, regulation of transmembrane proteins and signal transduction [2][3][4][5][6][7][8]. Although the total amount of PPIs in eukaryotic cell membranes is low, they play critical roles in cellular dynamics by regulating multiprotein complexes [9,10]. The spatiotemporal regulation of PPI-mediated biological processes is achieved by interconversion (Figure 1) of the phosphorylation states of PPIs by specific kinases and phosphatases, followed by recruitment of PPI-specific effectors. Inter-conversion of the phosphate groups is spatially controlled by phosphoinositide-metabolizing kinases and phosphatases as required for cellular functions [11,12]. PPIs generate seven possible isoforms by phosphorylating the inositol ring at positions 3, 4, and 5. Three isoforms of PPIs with two phosphate groups connected to the inositol ring, phosphatidylinositol-(4,5)-bisphosphate (PI(4, 5)P 2 ), phosphatidylinositol-(3,5)-bisphosphate (PI(3, 5)P 2 ) and phosphatidylinositol-(3,4)-bisphosphate (PI(3, 4)P 2 ) are the focus of this review. PI (3,4)P2 and PI (3,5)P2 are produced by the phosphorylation of PI3P, and PI (4,5)P2 is produced by the phosphorylation of PI4P or PI5P. The synthesis of PIP2 by phosphorylation of PI5P is regulated by PIP4K, which is one of the less studied pathways. In addition, PIP4K is able to phosphorylate PI3P, but only able to alter PI5P levels in vivo [13] (PI(4, 5)P 2 ) can be further phosphorylated to (PI(3,4,5)P 3 ) and (PI(3,4,5)P 3 ) is converted to (PI(4,5)P 2 ) by the enzyme phosphate and tensin homolog deleted from chromosome 10 (PTEN) [14]. PIP3 stimulates the activity of PDK1 and phosphorylates Akt [15,16]. This PIP3/Akt pathway is intensively studied and regulates many crucial processes in cells. PIP 3 and PTEN have been the subjects of excellent recent reviews, and the focus here is on PIP 2 [7]. Phosphoinositides control intracellular trafficking, membrane dynamics and cytoskeletal organization by interacting with many different proteins [17][18][19]. PIP 2 regulates other membrane phospholipids and their signaling functions [7,17]. The major roles it plays in the cell membrane include cytoskeletal linkage, regulation of ion channels, and intracellular trafficking [20]. PI dynamics and mechanism are precisely controlled by kinase and phosphatase [21,22]. Recent studies showed the direct implication of these enzymes in diseases including liver cancer, glioblastoma or neurodegeneration [7,11,23]. Thus, many studies target phosphoinositide kinase inhibitors for pathological studies.
In this review we summarize the recent development in understanding the role of PIP 2 in cellular function and signaling. We first discuss the effect of PIP 2 on actin binding proteins, addressing the mechanism of the actin cytoskeletal dynamics such as polymerization or depolymerization of the filamentous network or the coupling to membrane to generate forces. Next, we outline the role of PIP 2 in membrane dynamics. We summarized how the membrane organization depends upon PIP 2 in the presence of ions or transmembrane proteins that are sensitive to membrane curvature. We discuss how clathrin coated pits interact with adaptor proteins during the endocytosis process, which is facilitated by PIP 2 . Finally, we discuss the role of PIP 2 in cell signaling and diseases.
Actin polymerization is regulated by a variety of actin binding proteins [28,37]. Actin dynamics depend upon the continuous attachment of G-actin at the barbed (+) end and dissociation at the pointed (−) end, and that defines the filament length [38]. Cofilin is an actin binding protein that binds to both F-actin and G-actin and is a severing protein responsible for actin depolymerization (Figure 2) [38][39][40]. ADF/ cofilin binds to PIP 2 through a multivalent mechanism and the dissociation of ADF/cofilin to actin filament can accurately be regulated by changing PIP 2 density at the cell membrane [41]. One study found that cofilin binds to PIP 2 via a specific pocket which is pH dependent [42]. However, this result contrasts with recent finding showing that cofilin interaction with PIP 2 is not pH dependent, but the interaction of profilin with membrane, actin and multiple PIP 2 headgroup (clustering) is affected somewhat when pH is increased [41]. Cofilin's activity depends on phosphorylation, which is regulated by Rho-GTPase and LIM kinase (LIMK) and by binding PPIs [43]. The rho-family small GTPases, Rho, Rac, and Cdc42, play a central role in regulating actin reorganization through their various downstream effectors [44]. LIMK1 and LIMK2 are activated by the GTPase-dependent protein kinases ROCK and PAK1 by phosphorylation of Thr508 and Thr-505, respectively, in the activation loop of the kinase domain [4,45]. LIMK1 and LIMK2 both regulate actin cytoskeletal reorganization by phosphorylating and inactivating cofilin/ADF [4,6]. Hence, cofilin is regulated by the signals from both the Rho and Rac pathways. Epidermal growth factor (EGF) induces sudden loss of PIP 2 in membrane that activates local cofilin pool in membrane in carcinoma [46]. These altogether lead to a dramatic turnover of actin monomers ( Figure 2). Gelsolin is another actin severing and capping protein which binds to the barbed end of actin filaments [47]. The barbed end of the filament capped by gelsolin becomes available again through the binding of phosphatidylinositol lipids, such as PIP 2 , leading to filament elongation. Three PIP 2 binding sites for gelsolin have been characterized. Two of the binding sites compete with F-actin and G-actin sites [5,48]. Thus, the severing function of gelsolin can be inhibited by PIP 2 [5,47]. Gelsolin can bind to the cell membrane by PIP 2 which abrogates the gelsolin interaction with actin. Not only does the amount of phosphoinositide alter the free or actin-bound-gelsolin in cells, but also the lateral distribution of PIP 2 controls inactivation of gelsolin [49,50]. Recent studies showed that ATP competes with PIP 2 to bind with gelsolin [51,52]. Interaction of gelsolin with PIP 2 can be abrogated chemically in vitro by including profilin which is a competing PIP 2 binding protein [48]. PIP 2 binding to the gelsolin family of capping proteins is enhanced by calcium ions [47]. Ca 2+ potentiates gelsolin's binding to the end of the filament and promotes the polymerization of monomeric actin into filaments [29,48]. Antibacterial activity of rhodamine B (RhB)-conjugated peptides based on the PIP 2 binding site of gelsolin, which are cell membrane-permeant, has been shown to kill microorganisms, such as Escherichia, Pseudomonas aeruginosa, and Streptococcus pneumoniae [53,54].
Another important PPI-sensitive player for actin dynamics is the Arp2/3 complex, which regulates nucleation and branching of actin filaments. Lateral organization of PIP 2 in the lipid bilayer regulates nucleation [55]. Arp2/3 is primarily activated by the Wiskott-Aldrich syndrome protein (WASP) family, multidomain proteins, and PIP 2 promotes this activation ( Figure 2). WASP family proteins integrate PIP 2 and other signals to regulate cytoskeletal response through the Arp2/3 complex. Moreover, PIP 2 interaction with PH domain of WASP regulates the stabilization of WASP at the membrane. In Xenopus egg extracts N-WASP interacts with Cdc42, which is a small GTPase protein of the Rho family and is required for actin polymerization. An increase in N-WASP activity is coordinated by Cdc42 and PIP 2 synergistically [34,56,57].
Profilin is another essential actin regulatory protein which interacts with many other proteins [58]. Decreased of profilin1 expression increases cellular motility by regulating PIP 2 along with lammellipodin accumulation at the cell leading edge [59]. An in vitro study showed that profilin, isolated from platelets, binds to PIP 2 along with other phospholipids in lipid bilayers [60]. Profilin regulates tyrosine kinase-coupled PIP 2 hydrolysis [61]. PLC-γ1 hydrolyzes profilin-bound PIP 2 by competing the inhibitory effect of profilin [60]. Profilin binds to G-actin and increases the ATP binding to actin [61]. This leads to ATP-actin binding at (+) end of filamentous actin. Profilin binding to actin competes with binding of PIP 2 . Profilin interacts with actin and poly-L-proline (PLP) stretches, which is essential for profilin function in fission yeast [62]. Profilin binds to both PLP and actin monomers simultaneously [7]. In addition, profilin binds to the cell membrane by PI(4,5)P 2 , which prevents actin and PLP interaction [7,58].
A large body of literature shows that PIP 2 turnover regulates the activity of both gelsolin and profilin. It is clear by now that phosphoinositides and these actin binding proteins interact. However, the mechanism at the molecular level remains elusive. A recent study focuses on different actin binding proteins such as mDia2, N-WASP and gelsolin interaction with PIP 2 at the membrane by using molecular dynamics simulation and experimental approaches. The study showed that the cholesterol and PIP 2 distribution alters the interaction between actin binding protein and PIP 2 . With large unilamellar vesicle containing PIP 2 , a multivalent binding model showed that PIP 2 activates mDia2 and NWASP to nucleate straight and branched actin filaments, respectively, but inhibits gelsolin's ability to cap the fast-growing barbed end of F-actin or to sever the actin filament [49]. Cortactin is also an actin associated protein that can bind and regulate Arp2/3 and N-WASP [63]. Cortactin mutant cells show reduced binding of Arp2/3 complex or dynamin2 to actin. By performing in vitro experiments it is shown that dynamin2 enhances the nucleation of actin by Arp2/3 and cortactin in PIP 2 containing vesicles [64].

PIP 2 in Adhesion Dynamics
PIP 2 binds to many focal adhesion proteins, such as vinculin, talin, and the focal adhesion kinase FAK. PIP 2 serves as linkage to focal adhesion and actin binding proteins. There are actin binding proteins such as α-actinin, ezrin or filamin which also bind to focal adhesions. A synthetic peptide of α-actinin inhibits PLC-γ1 and PLC-δ1 activity and inhibition is induced by PIP 2 competition [40]. PIP 2 binding to α-actinin is inhibited by the treatment of cells with platelet derived growth factor, resulting in actin depolymerization. A recent study showed that the architecture of α-actinin-2 and 3 provides a suitable spatial orientation platform for PIP 2 bonding by performing molecular dynamics (MD) simulations [65]. In smooth muscle in which α-actinin was discovered, PIP 2 is found in large amounts which facilitates gelation of actin [66,67]. The length of smooth muscle depends upon the PIP 2 synthesis, which regulates inositol phospholipid turnover [68]. Filamin A is another crosslinker protein which forms contacts between focal adhesions and F-actin. Filamin is associated to the cell membrane by β integrins. PIP 2 bound to filamin A inhibits the gel formation of actin. Filamin has three isoforms called FLNa, FLNb, and FLNc. FLNa is recruited by CD28 followed by lipid raft accumulation at the immunological synapsis in T lymphocyte activation. PIP 2 is essential for the clustering of lipid raft [69]. Ezrin is one of the ERM (ezrin, radixin, moesin) family proteins, which also forms linkages between the cellular membrane and cytoskeleton. Ezrin exists in both active and inactive states within cells. PIP 2 activates Ezrin by binding with it and becomes available for phosphorylation by Rho-kinase and many PKC isoforms [70]. Neutron scattering experiment showed for the first-time, the conformational changes of ezrin when it simultaneously binds to PIP 2 and F-actin [71].
Focal adhesion kinase (FAK) is a protein tyrosine kinase implicated in many signaling pathways to regulate cellular functions including migration. When a cell binds to the extracellular matrix (ECM), FAK is recruited to focal adhesion (FA) sites and undergoes conformational change, which is activated by phospholipids such as PIP 2 by unblocking the FERM domain and kinase domain. Simulation results show that FAK transiently binds to PIP 2 through electrostatic interactions [72]. Molecular dynamics simulation and fluorescence resonance energy transfer (FRET) experiments both showed that FAK binding to ATP decreases the FRET signal confirming that the PIP 2 binding acts in the reverse direction [73,74]. Phosphatidylinositol 4-phosphate 5-kinase type Iγ (PIP5KIγ) is required for efficient FAK activation and generates PIP 2 locally in FAs by PIP5KIγ. Thus, PIP 2 is a strong mediator in integrin-FAK signaling pathways [73].
Talin plays a crucial role in activating integrins [75,76]. Within the cytosol talin is in an inactivated form, where its C-terminal rod domain binds to the N-terminal head domain. Many pathways lead to disruption of the interaction between talin's C-terminal and N-terminal including binding with PIP5KIγ which generates PIP 2 from PI4P [77]. Ye et al. delineate a detailed account of PIP 2 in activating talin by using FRET. They showed interaction of talin with lipid bilayers is altered by PIP 2 [78]. The FERM domain of talin-1 binds to the cytosolic domain of β 3 -integrin weakly ( Figure 3). However, the interaction affinity increases three-fold when it synergistically binds to acidic PIP 2 [8,79,80]. Membrane bound talin recruits and activates vinculin. Vinculin localizes at the adhesion complex and interacts with PIP 2 to associate with the membrane (Figure 3) [81]. Simulation data shows that PIP 2 is not required for vinculin localization at FAs but is needed for the activation of FA turnover during mechanotransduction processes [81]. Other studies mentioned that PIP 2 is required for FA formation and vinculin phosphorylation and trafficking [82].

PIP 2 in Membrane Dynamics and Organization
Phosphoinositides are minor component of the lipid bilayer that forms the plasma membrane, constituting 1% of total cellular phospholipid. Eukaryotic cell plasma membranes maintain a balanced composition of sterols, phospho-and sphingo-lipids that is distinct from other cellular membranes, which is required for cellular integrity. All seven PIPs are spatially localized uniquely in the plasma membrane. However, PIP 2 is the most abundant among all seven species of PIPs. Many PIP 2 binding proteins are characterized as high affinity ligands for these lipids to regulate signaling [83] and are activated by agonists for numerous cell surface receptors [33]. Several studies reported that PIP 2 is highly enriched in the plasma membrane within segregated domains with an approximate size of 73 nm by showing PC12 cell staining with anti-PIP 2 antibody and high-resolution STED imaging [84,85]. The plasma membrane is fluid like with proteins and lipids co-existing within in a heterogeneous distribution. Also, the negative charge on PIP 2 plays a crucial role in the interaction with membrane bound proteins.

Charge Dependence and Electrostatic Interaction
Over 30 years the electrostatic properties of membranes have been highlighted in the literature [86,87]. Many theoretical models have been proposed based on the smeared charge model of Gouy-Chapman theory, Finite-difference Poisson-Boltzmann (FDPB) method, based on dielectric properties of the solvent [88,89]. Afterwards, it was proposed that flat lipid bilayers can be considered for the electrostatic calculations of the present PIP-based systems when proper choice of orientations are made, concluding that the specific charge of PIP 2 with respect to the cell membrane is required for lipid signaling events to occur [90]. Effort has been made to understand the atomic level structural of PIP 2 such as its protonation state and binding to cations, by using hybrid quantum mechanics and molecular mechanics simulation methods which determine the optimal geometry of PIP 2 [91]. PIP 2 has high negative charge density obtained by deprotonation of two phosphomonoester groups, which can range from −3e to −5e, depending on pH and the counterions present, which brings the net lipid charge to -3.99 ± 0.10e. The charges on PIP 2 regulate its interaction with proteins [55].
Another important characteristic of, phosphatidylinositol-(4,5)-bisphosphate (PI(4, 5)P 2 ) is that the different lateral organizations, such as small clusters or large stable aggregates, which are interconvertible, within the region of the membrane are associated with diverse functionality [92,93]. PI(4, 5)P 2 turnover at the plasma membrane has been observed by immunofluorescence probes suggesting the evidence of spatially segregated of PI(4, 5)P 2 pools [93]. Non-homogeneous distribution of PI(4, 5)P 2 in membranes is due to electrostatic interaction between neighboring lipids [85,94]. Levental et al. showed that of PIP 2 clustering depends upon the multivalency of the counterion and high charge density of the lipids by using lipid monolayers [93]. Lateral organization on a large range of length scales can be remodeled when Ca 2+ is introduced to PIP 2 containing membrane monolayers at different concentrations. This leads to domain formation and reduces phase co-existence surface pressure in of PIP 2 containing monolayer [93]. The formation of the domains or nano clusters has relevance in cellular function, and is regulated by the Ca 2+ ions in the absence of proteins [94,95]. Not only Ca 2+ but other divalent ions such as Mg 2+ and Zn 2+ also affect lateral organization of PIP 2 in the asymmetric membrane at physiological concentration which in turn regulate PIP 2 protein interaction [94]. Bradley et al. have characterized multivalent lipid cation interaction by the number of lipids bound within a specific distance (called N-bridge), showing the largest cluster formations up to 60 lipids for the combination of PIP 2 and Ca 2+ (Figure 4). The formation of clusters is also dependent on physiological trivalent ions such as Fe 3+ and Al 3+ [96]. These findings suggest that the electrostatic sequestration and condensation of PIP 2 by divalent and trivalent ions resulted in increasing the molecular packing and ordering the more disordered phase, which has important biological relevance. In the lipid bilayer, lateral distribution of PIP 2 has been affected by both electrostatic interaction and cholesterol dependent phase mixing [50]. The cholesterol enriched region in the membrane forms heterogeneous nanoscale clusters having a size of 10-200 nm, known as lipid rafts which are compartmentalized in the plasma membrane and regulate different cellular functions [84]. Nano clusters of phosphoinositide, localized in the membrane can be visualized by fluorescently labeled pleckstrin homology (PH) domains, which allow PIP 2 visualization by protein-domain-GFP chimeras in live cells and PLCδ 1 -PH at plasma membrane and OSBP-PH at Golgi membrane; and for PI(3,4)P 2 visualization with Akt-PH at plasma membrane [36,97].

PIP 2 Regulation in Membrane Curvature Sensing and Transport
PIP 2 interacts with many transmembrane proteins such as Bin-Amphiphysin-Rvs (BAR) domain proteins, curvature sensing proteins that are important in regulating membrane shape transitions during endocytosis and membrane trafficking [98,99]. These BAR domain protein interactions with PIP 2 are charge dependent. By coarse grain modeling Li et al. showed that the electrostatic interaction between PIPs head group which contains large negative charges and many positive charged residues in the BAR is the origin of membrane binding [100]. PIP 2 binds to both sides of BAR proteins to form membrane protrusion by synergistically binding to actinm [101]. Experimentally and by simulation it has been shown that PIP 2 has preference in binding to the negatively curved membrane over positively curved membranes ( Figure 5) [98]. Thus, membrane curvature can promote the spatial regulation on PIP 2 binding and local enrichment of lipids. It has been shown in vitro and also in cells that the phosphoinositide binding domain of BIN1 targets the membrane by interacting with PIP 2 .The N-BAR domain of BIN1 clusters with PIP 2 to promote the recruitment of its downstream partner dynamin and is responsible for membrane tubulation 2 . Amphiphysin1 (BIN1) in PIP 2 -containing membranes induces curvature [102]. Membrane curvature sensing and generation of BIN1 is abrogated in membranes lacking PIP 2 . However, BIN1 alone can initiate membrane tubulation ( Figure 6). BIN1 membrane curvature sensing and generation show autoinhibition regulated by downstream ligands and PIP 2 [102]. A recent study demonstrates that mutation of BIN1 N-BAR impairs membrane T tubulation [103]. This affects the regulation of muscle functioning or nuclear positioning, leading to diseases like centronuclear myopathies [2,104].  PIP 2 is a major regulator of voltage gated ion channels, in which PIP 2 binds to the transmembrane domain [20]. Kobayashi et al. showed in skeletal muscle that PIP 2 is a major activator of Ca 2+ channels. Depletion of PIP 2 induces increases in voltage sensitivity and a decrease in voltage amplitude in K + ion channels in Xenopus oocytes. PIP 2 controls both movement and stability of the channels by interacting through linkers [21]. ATP-sensitive K+ channel rundown, the process by which a channel steadily decreases in conductance until the channel inactivates, is induced by Ca 2+ , and this process is shown to be regulated by PIP 2 . KCNQ is another family of channels that absolutely requires PIP 2 . The importance of PIP 2 in modulating KNCQ channels is well studied in neurons, showing that PIP 2 hydrolysis increases neuroexcitability and in cardiac arrythmias in patients by showing PIP 2 dependent channel activation [22,105].
A potentially important event that occurs at the cell surface is the interaction between the lipid bilayer with Ras, a small GTPase and with its effectors. These interactions are shown by molecular dynamics simulation or FRET in live cells. Ras proteins, such as H-Ras, N-Ras, and K-Ras, operate in the inner plasma membrane and are mutated in many cancer types [106]. Recent studies have shown Ras enrichment in nano clusters within phosphatidylserine-rich regions. PIP 2 binds to Ras G-domain and K-Ras4b HVR, which is one of the isoforms of Ras 3 . Experimental or computational studies showed the tight binding between PI(4, 5)P 2 and K-Ras4b by measuring rotational dynamics by random amine labeling and by atomic force microscopy. The rotational dynamics of K-Ras are important for signaling in cancer cells [3,107].

Intracellular Trafficking
PPIs are spatially localized in different compartments in intracellular organelles [7,108]. For example, the Golgi is enriched with PI(3)P or PI(4)P, which are also enriched in early endosomes [109,110]. The Golgi plays a crucial role in membrane trafficking [18,25]. Phosphoinositide 3-kinase converts PI(4, 5)P 2 to PI(3,4,5)P 3 which is important for vesicular trafficking [111]. New studies demonstrate that the cell surface membrane is a major site of action for PIP 2 , and the localization of it in different compartments is directly correlated to intracellular trafficking such endocytosis and exocytosis [112]. By specifically interacting with proteins, PIP 2 controls the formation and spatiotemporal organization of many protein complexes that are involved in intracellular trafficking.
Clathrin mediated endocytosis, in which cargo is packaged into vesicles with clathrin coating, plays a crucial role in cell signaling, migration and cell-cell interactions. PIP 2 has been implicated in clathrin-mediated endocytosis [113]. However, clathrin does not directly bind to the membrane or cargos but to adaptor proteins such as adaptor protein 2 (AP2) or accessory protein AP180 and espin [114]. A recent study reported that during clathrin coated pit (CCP) assembly initiation AP2 is recruited to the plasma membrane and colocalizes with the nucleation complex which binds to both cargo and PIP 2 , when stained with anti-PIP 2 antibody 111 . The formation of PI(3,4)P 2 by class II PI3-kinase C2α (PI(3)K C2α) spatiotemporally controls clathrin-mediated endocytosis. The depletion of PI(3,4)P 2 hinders the maturation of CCPs before fission. PIP5K is associated with the initiation of CCPs but its activity is not found to mature them. Another study shows that PIP 2 is an established regulator of endocytosis. Endosomal PI(4,5)P 2 is required for the sorting of active epidermal growth factor receptor (EGFR) towards multivesicular bodies (MVB) and further termination of the signal (Figure 7). Sun et al. showed that type I gamma phosphatidylinositol phosphate kinase (PIPKIγ) is an enzyme that synthesizes PIP 2 by phosphorylation of PtdIns4P and regulates EGFR sorting from endosomes to lysosomes [115]. This was done by performing flow cytometry analysis and quantification of internalized Alexa Fluor 488-labelled EGF in control and PIPIγi5-knockdown cells [111,115]. PIPIγi5 interacts with sorting nexin 5 (ANX5) which is the effector of PIP 2 in the early endosome, but cells lacking SNX5 still localize PIPIγi5 to endosomes [116]. SNX5 has been reported to inhibit EGFR degradation when overexpressed. However, knockdown of SNX5 does not affect EGFR trafficking to early endosomes, but blocks trafficking to the late endosome/lysosome [115,117]. On the other hand, EGFR regulates Ras activity, which is implicated in PIP3 and MAP kinase pathways [118]. Another crucial role of PIP 2 is in bidirectional homeoprotein trafficking. Homeoproteins are a class of transcription factor that predominantly resides in the nucleus. Chick engrailed 2 (EN2) is a homeoprotein that shuttles between the nucleus and cytosol. In the cytosol, EN2 associates with those membrane fractions enriched in cholesterol and glycosphingolipids. EN2 directly binds to PIP 2 . Dephosphorylation of PIP 2 reduces EN2 secretion. Moreover, PIP 2 is involved in EN2 internalization [119].
Phosphoinositides are interconvertible and the balance of production and usage is tightly controlled in a specific organelle. Contrary to the plasma membrane, the Golgi membrane has less PIP 2 and high abundance of PI4P and PI4K enzymes [1,[120][121][122]. There is a possibility that the plasma membrane PI4P pool is due to vesicular trafficking of PI4P from Golgi membrane. The recent discovery of lipid binding domains enables the lifetime monitoring of lipid synthesis by fusing with green fluorescent protein GFP. GFP-tagged PKB/Akt PH and GFP-PH (PLCδ) are possible markers for live monitoring PIP 3 and PIP 2 . Utilizing recent advancements, a study demonstrated PIP 2 level decreases in the plasma membrane when stimulated by angiotensin II (AngII) by showing the change in PLCδ 1 PH-GFP expression level in HEK-293 cells and an increase of GFP in cytosol [123,124]. Recovery experiment shows that Golgi PI4P eliminated cells recover slowly compare to control. These studies confirm that although PI4P takes part in the maintenance of the PIP 2 level pool at plasma membrane, it is not requisite for the process [109].
Phosphatidylinositol 3,5-bisphosphate PI(3,5)P 2 is synthesized from PI3P by FYVE-domain-containing PI kinase (PIKfyve) in mammalian cells [125]. FYVE domain appears to target the enzyme to PI3P -rich membranes [126]. However, a similar process occurs in yeast called Saccharomyces cerevisiae, and the PI(3,5)P 2 synthesis is found to be processed by Fab1p. Since Fab1 is not responsible for the full synthesis, additional unknown effector proteins are expected to be involved. PI(3,5)P 2 is involved in vacuole to lysosome membrane trafficking and packaging of proteins in multivesicular bodies (MVBs) [1,127].

Amyloid-β peptide oligomers
Alzheimer's disease [138] PI(3,4) P 2 . PIP3 Akt/PKB Cell survival and growth, cancer. [16,130,131] PI(4,5) P 2 PRL-3 Melanoma, colon cancer. [131,136,137] Phosphoinositides play a major role in intracellular signaling pathways which are implicated in carcinogenesis such as hepatocellular carcinoma (HCC) or melanoma [33,128,139,140]. Thus, many signaling pathways are targeted for therapies including phosphoinositide 3-kinase (PI3K)/Akt, mitogen-activated protein kinase (MAPK) pathways [141]. Numerous proteins are regulated downstream of these pathways. Generally, pathways are activated by the alteration of the cell's microenvironment or genetic alteration [33]. Our recent work shows that, when Huh7 cells, a hepatocellular carcinoma cell line, adhere to soft hyaluronic acid (HA) gels, they show similar behavior as cells adhered on stiff polyacrylamide gels by regulating phosphoinositide signaling. The result is confirmed by pAkt expression level by immunoblotting and by quantifying the total amount of PIP 3 on HA and Poly acrylic acid (PAA) substrates by using mCherry Grp1, a fluorescent protein that specifically binds to PIP 3 [33,142]. PIP 3 which increases Akt activity via PDK1, is activated by Ras (Figure 8). PDK1 activates Akt by phosphorylation of threonine site. The overexpression of PAK, which is one of the downstream effectors of PIP3, is correlated with many cancer types such as ovarian cancer [15,106]. PI3K catalyzes PIP 2 into PIP 3 [143] (Figure 8). One of the major downstream effectors of Akt is mTORc1 which is deregulated in many cancers when phosphatase and tensin homolog deleted on chromosome 10 (PTEN) gene dephosphorylates PIP 3 to PIP 2 ( Figure 8) [15]. The PIP3-Akt pathway also synergistically activates MAPK signaling pathway in melanoma cancer development [118]. The MAPK pathway is one of the most investigated signaling pathways in melanoma cancer [143]. Thus, a series of inhibitors for these pathways are targeted for the therapeutics of melanoma. It has been observed that PI3K activity is increased in melanoma due to loss of PTEN (Figure 8) or increased levels of Akt3 activity, and that plays a crucial role in early melanoma development. A recent study has shown that Akt3 phosphorylates B-Raf (Figure 8) which is often mutated in melanoma cancer [118]. Lipid binding domains such as PH domains of Akt/PKB, are important in signaling, which depends upon PIP synthesis. Akt/PKB binds to PI(3,4)P 2 and PIP 3 to regulate cell survival and growth, which is independent of PI(4,5)P 2 . In cases of melanoma, 50% of patients progress to metastatic stress due to upregulation of protein tyrosine phosphate (PTP) promoting cell migration and invasiveness [139]. PTPs bear phosphatase activity toward lipidic substrates, including phosphoinositides. PRL-3 is one of the dual specificity phosphatases which is associated with intracellular membranes and cellular migration [129]. PRL-3 dephosphorylates PI(4.5)P 2 and thus alters the phosphoinositide level in cells [144]. PRLs are overexpressed in many cancer types and have become the target of many cancer therapies including melanoma [129,139,145].
ORCL (oculo-cerebro-renal syndrome of Lowe) enzymatic activity is found in many compartments in cells especially concentrated at the Golgi network. The mutation of ORCL causes oculo-cerebro-renal syndrome of Lowe which is an X-linked condition [133]. Lowe syndrome leads to many diseases including renal Fancomi syndrome, glaucoma, cataracts, blindness, mental retardation (Table 1). ORCL is a key component of endocytic trafficking which is involved in clathrin coated pits and other binding motifs, such as AP2, APPL1, and Rab GTPase, including Rab5, Rab6, and Rab14. Therefore, inactivation of ORCL leading to deregulation of PI(4,5)P 2 level influences trans-Golgi network and endosomal activity. Imbalance of PIP 2 levels further affects actin dynamics and actin binding proteins. Moreover, ORCL controls reabsorption of proteins via PI(4,5)-phosphatase in renal proximal tubule cells (PTCs) [134]. Another regulator for Down's syndrome is synaptojanin1 which acts on both PI(4,5)P 2 and PI(3,5)P 2 , found in endocytic intermediate nerve terminals. Synaptojanin regulates the actin pool, as well as the de-coating of cathrin mediated endocytic vesicles and synaptic vesicles. In synaptojanin deficient mice, the PI(4,5)P 2 level increases whereas a decreased level of cytosolic inositol 5 phosphatases in neurons is observed. Also, an increase in clathrin coated vesicles in nerve terminals is observed [135]. Inositol polyphosphate-4-phosphatase (INPP 4 ) which binds to PI(4,5)P 2 , shows a reduced level in an asthma mouse model due to restrictive stress [130]. Oxidative stress which is generated by reactive oxygen species (ROS) stimulates the accumulation of PI(4,5)P 2 . ROS has been implicated in airway inflammation. INPP 4 deficiency also leads to cancer, including breast cancer and neurodegeneration [131].
The mutation of myotubularin (MTM) causes several disorders such as failure of skeletal muscle development. MTM related proteins, MTMR1-13 which is an inactive partner of MTMR2 causes the same mutation as active member. Each MTM protein regulates a specific pool of PI(3)P and PI(3,5)P 2 . Another disease where PI(4,5)P 2 regulation is important involves the human immunodeficiency virus-1 (HIV-1). Viral entry into the host cell requires actin cytoskeletal reorganization. Viral receptor clustering is regulated by actin adaptor proteins, such as moesin, filamin A, gelsolin, tailn, vinculin, profilin, WASP, and Arp2/3, that are controlled by PI(4,5)P 2 . PI(4,5)P 2 production is regulated by HIV-1 attachment and promotes viral infection. Hence, the virus controls actin dynamics during cycle, by facilitating actin polymerization and depolymerization [137]. In HIV-1 infection, CD4 and coreceptors clustering at the cell surface is induced by glycoprotein g120, which facilitates virus envelope and cell membrane fusion. PI(4,5)P 2 is required to recruit the gag protein at the cell membrane to facilitate invasion. A high density of PI(4,5)P 2 is not only required for HIV-1 recruitment but also to maintain glycoprotein at the membrane [136]. PIP 2 plays a central role in many neuronal and synaptic functions by regulating endocytosis, exocytosis, cytoskeletal reorganization, and ion channels. In Alzheimer's disease, Amyloid-β peptide(Aβ) oligomers cause impairment of synaptic function. Elevation of Aβ in the Alzheimer's diseased brain results in decreased levels of PI(4,5)P 2 [138].

Conclusions
This review summarizes the role of PIP 2 and other PPIs in cell membrane dynamics, focal adhesion, actin organization, intracellular signaling and disease. PIP 2 regulates actin binding protein activity which either promotes polymerization and depolymerization of actin filament. Past evidence suggests that actin is connected to the membrane via actin binding proteins such as α-actinin or filamin which are regulated by phosphoinositides. These interactions also affect the binding of actin filaments with focal adhesion proteins such as paxillin, talin, FAK, or vinculin. The distribution of PIP 2 in the membrane regulates cell signaling. PIP 2 activity depends upon the concentration of cholesterol and divalent ions such as Ca 2+ , Mg 2+ , or Zn 2+ . In addition, PIP 2 plays a crucial role in modulating many signaling pathways such as PIP3/Akt, mTORc1, or Rho dependent pathways that have implications in many diseases including cancer, neurodegenerative disease, or down syndrome.
Although PPIs are essential for many cellular functions, there are disparities in many processes which need further studies. PIP 2 plays an important role in actin reorganization and filament dynamics. However, the role of PIP 2 in any other cytoskeletal component has not yet been well studied. Among PIP 2 binding actin proteins, LIMK1 and LIMK2 play an overlapping role in actin reorganization in the Rho-ROCK pathway. Further studies are required to differentiate the functional role of LIMK1 and LIMK2. Moreover, it is unclear if members of ROCK and PAK family proteins function as LIMKactivating kinases. Cortactin shows dependencies on PIP 2 and Rac in dissociating from actin-myosin complex, although the direct implication of PIP 2 in regulating cortactin still remains controversial [146], and other activators such as the endocytic protein Abp1p remain unclear. It has been shown that a synthetic peptide of α-actinin inhibits PLC-γ1 and PLC-δ1. It is ambiguous whether PIP 2 bound to α-actinin is hydrolyzed by activated PLC-γ1 or not. The interaction of vinculin and membrane is based upon either full length or tail domain of vinculin in lipid bilayers or in cells. However, a specific lipid binding site has yet to be discovered.