Chinese Journal of Tissue Engineering Research ›› 2026, Vol. 30 ›› Issue (1): 111-119.doi: 10.12307/2025.929

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Effect of fluoride exposure on endoplasmic reticulum-mitochondrial calcium transfer and apoptosis in primary nerve cells

Lu Yongheng1, Zhu Shuang1, Zhao Feiyan1, Ai Fujun1, Liu Yanjie1, 2, Dong Yangting3, Guan Zhizhong1, 2, 3, Wei Na1, 2   

  1. 1Pathology Teaching and Research Section, Clinical Medical College, Guizhou Medical University, Guiyang 550004, Guizhou Province, China; 2Department of Pathology, Affiliated Hospital of Guizhou Medical University, Guiyang 550004, Guizhou Province, China; 3Key Laboratory of Endemic and Ethnic Minority Diseases (Guizhou Medical University) of Ministry of Education, Guiyang 550004, Guizhou Province, China
  • Received:2024-09-25 Accepted:2024-11-26 Online:2026-01-08 Published:2025-07-02
  • Contact: Wei Na, MD, Associate professor, Pathology Teaching and Research Section, Clinical Medical College, Guizhou Medical University, Guiyang 550004, Guizhou Province, China; Department of Pathology, Affiliated Hospital of Guizhou Medical University, Guiyang 550004, Guizhou Province, China
  • About author:Lu Yongheng, Master candidate, Pathology Teaching and Research Section, Clinical Medical College, Guizhou Medical University, Guiyang 550004, Guizhou Province, China
  • Supported by:
    National Natural Science Foundation of China, No. 82360672 (to WN); Natural Science Foundation of Guizhou Medical University, No. TJ23114 (to WN); Guizhou Provincial Science and Technology Plan Project, No. ZK[2022]439 (to WN); Guizhou Provincial Science and Technology Plan Project, No. ZK[2022]342 (to DYT)

Abstract: BACKGROUND: Previous studies have found that neuronal damage caused by continuous excessive fluoride exposure is related to Ca2+ overload, but the mechanism of Ca2+ flow conversion between intracellular calcium stores and cell apoptosis damage is still unclear.
OBJECTIVE: To investigate the effect of fluoride exposure on Ca2+ transport channel proteins and apoptosis levels in the mitochondria-associated endoplasmic reticulum membrane of primary cultured neural cells. 
METHODS: Primary nerve cells of neonatal SD rats were cultured in vitro and identified by immunofluorescence staining with neuronal nucleus-specific antibody up to day 7. The nerve cells were divided into control group (containing 0 mmol/L sodium fluoride), low fluoride group (containing 0.5 mmol/L sodium fluoride), and high fluoride group (containing 1 mmol/L sodium fluoride). The cell morphological changes were observed by light microscope 24 hours after fluorine exposure. The expression levels of apoptosis-related protein BAX/BCL-2 and calcium transfer-related pathways VDAC1, GRP 75, and IP3R were detected using western blot assay. The expression levels of VDAC1, GRP 75, and IP3R mRNA were detected by RT-PCR. Ca2+ levels were detected by Rhood-2AM Ca2+ probe. Mitochondrial membrane potential detection kit was used to detect the change in mitochondrial membrane potential. The level of apoptosis was determined by flow cytometry and TUNEL staining.  
RESULTS AND CONCLUSION: (1) The purity of neurons cultured on day 7 had been determined to be over 90%, with few impurities, good growth status, and tight cell network connections, meeting the requirements of subsequent experiments. (2) Compared with the control group, growth of neural cell clusters in the low-fluoride group and the high-fluoride group increased; the processes were broken; the cell body was rounded, and the connection network between cells was destroyed. Compared with the low-fluoride group, the cell damage changes in the high-fluoride group were more obvious. (3) Compared with the control group, the protein expressions of VDAC1, GRP75, and IP3R were increased in the low-fluoride group and the high-fluoride group (P < 0.05), and the ratio of apoptosis-related protein BAX/BCL-2 was increased (P < 0.05). Compared with the control group, the expression of VDAC1 and GRP75 mRNA in the low-fluoride group was significantly increased (P < 0.05); the expression levels of VDAC1, GRP75, and IP3R mRNA in the high-fluoride group were significantly increased (P < 0.01). (4) The level of cell apoptosis increased significantly after fluoride exposure, and the high-fluoride group was significantly higher than the control and low-fluoride groups (P < 0.01). (5) After fluoride exposure, the concentration of mitochondrial Ca2+ in nerve cells increased significantly (P < 0.05), the mitochondrial membrane potential decreased (P < 0.01), and the degree of damage in the high-fluoride group was more obvious (P < 0.05). The results show that fluoride exposure impairs the morphological structure of primary neural cells, resulting in upregulation of Ca2+ transfer pathway protein expression between the endoplasmic reticulum and mitochondria, mitochondrial Ca2+ overload, mitochondrial damage, and increased levels of apoptosis.


Key words: fluoride exposure, primary nerve cell, Ca2+ transfer, apoptosis, mitochondrial membrane potential, mitochondrial damage, mitochondria-associated endoplasmic reticulum membrane, calcium transport channel

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