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Updated: Sep 1, 2025

Registration of Calcium Transients in Mouse Neuromuscular Junction with High Temporal Resolution using Confocal Microscopy
Published on: December 1, 2021
"Calcium bombs" as harbingers of synaptic pathology and their mitigation by magnesium at murine neuromuscular
Kosala N Dissanayake1,2, Robert R Redman1,2, Harry Mackenzie1,2
1Euan MacDonald Centre for Motor Neurone Disease Research, The University of Edinburgh, Edinburgh, United Kingdom.
Abstract:
Excitotoxicity is thought to be an important factor in the onset and progression of amyotrophic lateral sclerosis (ALS). Evidence from human and animal studies also indicates that early signs of ALS include degeneration of motor nerve terminals at neuromuscular junctions (NMJs), before degeneration of motor neuron cell bodies. Here we used a model of excitotoxicity at NMJs in isolated mouse muscle, utilizing the organophosphorus (OP) compound omethoate, which inhibits acetylcholinesterase activity. Acute exposure to omethoate (100 μM) induced prolonged motor endplate contractures in response to brief tetanic nerve stimulation at 20-50 Hz. In some muscle fibers, Fluo-4 fluorescence showed association of these contractures with explosive increases in Ca2+ ("calcium bombs") localized to motor endplates. Calcium bombs were strongly and selectively mitigated by increasing Mg2+ concentration in the bathing medium from 1 to 5 mM. Overnight culture of nerve-muscle preparations from WldS mice in omethoate or other OP insecticide components and their metabolites (dimethoate, cyclohexanone, and cyclohexanol) induced degeneration of NMJs. This degeneration was also strongly mitigated by increasing [Mg2+] from 1 to 5 mM. Thus, equivalent increases in extracellular [Mg2+] mitigated both post-synaptic calcium bombs and degeneration of NMJs. The data support a link between Ca2+ and excitotoxicity at NMJs and suggest that elevating extracellular [Mg2+] could be an effective intervention in treatment of synaptic pathology induced by excitotoxic triggers.
Insights
Elevating magnesium ions (Mg2+) can prevent excitotoxicity at neuromuscular junctions (NMJs), a key factor in amyotrophic lateral sclerosis (ALS). This approach mitigates calcium overload and nerve terminal degeneration, offering a potential therapeutic strategy for synaptic pathology.
Area of Science:
- Neuroscience
- Toxicology
- Muscle Physiology
Background:
- Excitotoxicity is implicated in amyotrophic lateral sclerosis (ALS) pathogenesis.
- Early ALS signs include motor nerve terminal degeneration at neuromuscular junctions (NMJs).
Purpose of the Study:
- To investigate excitotoxicity at NMJs using an organophosphorus (OP) compound model.
- To explore the role of calcium (Ca2+) and the potential of magnesium (Mg2+) in mitigating NMJ pathology.
Main Methods:
- Utilized isolated mouse muscle exposed to the OP compound omethoate to induce NMJ excitotoxicity.
- Measured motor endplate contractures and Ca2+ influx ('calcium bombs') using Fluo-4 fluorescence.
- Assessed NMJ degeneration in nerve-muscle preparations cultured with OP compounds and their metabolites.
- Investigated the effect of varying extracellular Mg2+ concentrations (1-5 mM) on NMJ responses.
Main Results:
- Omethoate induced prolonged motor endplate contractures and 'calcium bombs' at NMJs.
- Increased extracellular Mg2+ (1-5 mM) significantly mitigated both contractures and Ca2+ overload.
- OP insecticide exposure led to NMJ degeneration, which was also prevented by elevated Mg2+.
- Demonstrated a strong link between Ca2+ dynamics and NMJ degeneration under excitotoxic conditions.
Conclusions:
- Elevating extracellular Mg2+ effectively mitigates excitotoxicity-induced 'calcium bombs' and NMJ degeneration.
- The findings support a role for Ca2+ dysregulation in NMJ pathology relevant to ALS.
- Suggests that increasing extracellular Mg2+ is a promising therapeutic strategy for synaptic damage caused by excitotoxic triggers.
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