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Co-exposure to fluoride and arsenic induces endoplasmic reticulum stress in C2C12 myoblasts and MC3T3 preosteoblasts
Deepika Bhat K1, Joel Rimson Pinto1, Apoorva H Nagendra1
1Stem Cells and Regenerative Medicine Centre, Yenepoya Research Centre, Yenepoya Deemed to be University, Deralakatte, Mangalore, Karnataka 575018, India.
Toxicology
|August 10, 2026
Summary
Environmental fluoride and arsenic co-exposure harms skeletal muscle and bone cells by inducing oxidative and endoplasmic reticulum stress. C2C12 myoblasts showed higher susceptibility than MC3T3 preosteoblasts, impacting cell proliferation and differentiation.
Area of Science:
- Environmental toxicology
- Cellular biology
- Skeletal health
Background:
- Fluoride and arsenic are global environmental toxicants impacting skeletal development.
- Cellular mechanisms of combined fluoride and arsenic exposure on muscle and bone cells are poorly understood.
Purpose of the Study:
- To investigate the impact of sodium fluoride (NaF) and arsenic trioxide (As₂O₃) co-exposure on C2C12 myoblasts and MC3T3 preosteoblasts.
- To elucidate the cellular mechanisms, including oxidative and endoplasmic reticulum stress, involved in co-exposure toxicity.
Main Methods:
- Co-exposure of C2C12 myoblasts and MC3T3 preosteoblasts to NaF and As₂O₃.
- Assessed cell proliferation, lineage-specific transcription factor expression (MYOD, RUNX2), reactive oxygen species (ROS) production, and unfolded protein response (UPR) pathway activation.
Main Results:
- Co-exposure significantly reduced cell proliferation and MYOD/RUNX2 expression.
- Combined treatments elevated ROS production, with co-exposure causing the highest oxidative stress.
- Fluoride and arsenic co-exposure induced endoplasmic reticulum (ER) stress via UPR activation in both cell types.
- C2C12 myoblasts showed predominantly unresolved ER stress (PERK-Atf4-Chop activation), while MC3T3 cells exhibited adaptive responses (both PERK and IRE1α pathways activated).
Conclusions:
- Fluoride and arsenic co-exposure disrupts cellular homeostasis by inducing ER stress in both myoblasts and preosteoblasts.
- C2C12 myoblasts are more susceptible to co-exposure toxicity than MC3T3 preosteoblasts due to differential UPR pathway activation.