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Updated: Jun 1, 2026

Modeling Neuronal Death and Degeneration in Mouse Primary Cerebellar Granule Neurons
Published on: November 6, 2017
Salinomycin induces calpain and cytochrome c-mediated neuronal cell death
1Department of Neurology, Charite-Universitätsmedizin Berlin, Berlin, Germany. wolfgang.boehmerle@charite.de
Abstract:
Salinomycin is a polyether antibiotic with properties of an ionophore, which is commonly used as cocciodiostatic drug and has been shown to be highly effective in the elimination of cancer stem cells (CSCs) both in vitro and in vivo. One important caveat for the potential clinical application of salinomycin is its marked neural and muscular toxicity. In the present study we show that salinomycin in concentrations effective against CSCs exerts profound toxicity towards both dorsal root ganglia as well as Schwann cells. This toxic effect is mediated by elevated cytosolic Na(+) concentrations, which in turn cause an increase of cytosolic Ca(2+) by means of Na(+)/Ca(2+) exchangers (NCXs) in the plasma membrane as well as the mitochondria. Elevated Ca(2+) then leads to calpain activation, which triggers caspase-dependent apoptosis involving caspases 12, 9 and 3. In addition, cytochrome c released from depolarized mitochondria directly activates caspase 9. Combined inhibition of calpain and the mitochondrial NCXs resulted in significantly decreased cytotoxicity and was comparable to caspase 3 inhibition. These findings improve our understanding of mechanisms involved in the pathogenesis of peripheral neuropathy and are important to devise strategies for the prevention of neurotoxic side effects induced by salinomycin.
Insights
Salinomycin effectively eliminates cancer stem cells but causes neurotoxicity. This study reveals that elevated sodium and calcium levels trigger apoptosis in nerve cells, offering insights for preventing salinomycin
Area of Science:
- Pharmacology
- Neuroscience
- Cancer Biology
Background:
- Salinomycin, an ionophore antibiotic, shows promise in eliminating cancer stem cells (CSCs).
- A significant limitation to its clinical use is its neurotoxicity and muscular toxicity.
Purpose of the Study:
- To elucidate the mechanisms underlying salinomycin-induced neurotoxicity.
- To identify potential targets for mitigating these adverse effects.
Main Methods:
- Investigated the effects of salinomycin on dorsal root ganglia and Schwann cells in vitro.
- Utilized ion measurements, calcium imaging, and apoptosis assays.
- Examined the role of Na+/Ca2+ exchangers (NCXs) and caspase activation.
Main Results:
- Salinomycin induces neurotoxicity by increasing cytosolic Na+, leading to Ca2+ overload via NCXs.
- This Ca2+ dysregulation activates calpain and caspase-dependent apoptosis.
- Inhibition of calpain and mitochondrial NCXs significantly reduced salinomycin's cytotoxicity.
Conclusions:
- Salinomycin's neurotoxicity is mediated by Na+- and Ca2+-dependent apoptotic pathways.
- Targeting calpain and mitochondrial NCXs may prevent salinomycin-induced peripheral neuropathy.
- Findings provide a basis for developing strategies to manage salinomycin's side effects.
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