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Experimental models indicate that these contacts facilitate the initiation of Ca 2+ -dependent exocytosis, support efficient ATP production, and limit the excessive accumulation of Ca 2+ in the cytosol, thereby preserving cell viability ( Under physiological conditions, calcium signals generated by the ER in response to stimulation of acetylcholine (ACh) or CCK receptors are transmitted to mitochondria via a sequence of protein structures: IP 3 R (inositol trisphosphate receptors) channels on the ER, the chaperone GRP75 (75-kDa glucose-regulated protein), the channel VDAC1 (voltage-dependent anion channel 1) on the outer mitochondrial membrane (OMM), and the mitochondrial calcium uniporter (MCU) on the inner mitochondrial membrane (IMM)

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