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Updated: Jun 22, 2026

Quantifying Antibody-Dependent Cellular Cytotoxicity in a Tumor Spheroid Model: Application for Drug Discovery
Published on: April 26, 2024
Anti-cancer drugs interfere with intracellular calcium signaling
Ana-Maria Florea1, Dietrich Büsselberg
1Institut für Physiologie, Universitätsklinikum Essen, Universität Duisburg Essen, Hufelandstrasse 55, 45122 Essen, Germany.
Abstract:
(Neuro-)toxicity of metal and metal compounds is frequently highlighted. While specific metals or metal compounds are essential for cellular function, other metals are toxic and/or carcinogens. Metals can trigger accidental cell death in the form of necrosis, or activate programmed cell death in the form of apoptosis. The aim of anti-cancer therapy is induction of apoptosis in tumor cells. Therefore, there is an interesting twist in the toxicity of metals and metal compounds (e.g., arsenic trioxide, cisplatin); since they have a higher specificity to induce apoptosis in cancer cells (possibly due to the high turnover in these cells) they are used to cure some forms of cancer. A body of evidence suggests that second messengers, such as modulations in the intracellular calcium concentration, could be involved in metals induced toxicity as well as in the beneficial effects shown by anti-cancer drugs. Here we review the influence on calcium homeostasis induced by some metallic compounds: cisplatin, arsenic trioxide and trimethyltin chloride.
Insights
Certain metals induce cell death, with some anticancer drugs like cisplatin and arsenic trioxide selectively triggering apoptosis in cancer cells. This review explores how these metallic compounds affect calcium homeostasis.
Area of Science:
- Toxicology
- Cell Biology
- Pharmacology
Background:
- Metal compounds exhibit dual roles, with some essential for cellular function and others acting as toxins or carcinogens.
- Metals can induce cell death via necrosis or apoptosis, with apoptosis being a key target for anticancer therapies.
- Intracellular calcium concentration (calcium homeostasis) is implicated in both metal-induced toxicity and the therapeutic effects of anticancer drugs.
Purpose of the Study:
- To review the influence of specific metallic compounds on calcium homeostasis.
- To explore the role of calcium in metal-induced toxicity and anticancer drug efficacy.
Main Methods:
- Literature review focusing on the effects of cisplatin, arsenic trioxide, and trimethyltin chloride on calcium homeostasis.
- Analysis of existing evidence linking metal-induced apoptosis and calcium signaling.
Main Results:
- Metallic compounds like cisplatin and arsenic trioxide can selectively induce apoptosis in cancer cells, potentially due to higher cellular turnover.
- Modulations in intracellular calcium concentration are suggested to be involved in both the toxic effects of metals and the beneficial actions of anticancer drugs.
- The review examines the impact of cisplatin, arsenic trioxide, and trimethyltin chloride on cellular calcium levels.
Conclusions:
- Understanding the impact of metallic compounds on calcium homeostasis is crucial for both toxicology and cancer therapy.
- Targeting calcium signaling pathways may offer novel strategies for enhancing the efficacy of metal-based anticancer drugs.
- Further research into the specific mechanisms by which metals influence calcium homeostasis is warranted.
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