“…In fact, major pathological processes in ALS involving excitotoxicity and the ER-mitochondria Ca 2+ cycle are deeply connected and potentially trigger or/and are enhanced by intracellular Ca 2+ deregulation: (a) Glutamatergic excitotoxicity is tough to be mediated by an excessive influx of extracellular ions, including Ca 2+ , resulting in elevated intracellular Ca 2+ levels that can activate cytoplasmatic Ca 2+ -dependent apoptotic proteins (e.g., calcineurin, calpain) which promote cell death (Wang et al, 1999; Kim et al, 2002); (b) elevated intracellular levels of Ca 2+ also lead to mitochondrial Ca 2+ overload, that is deeply interconnected with mitochondrial dysfunction resulting in ROS production, oxidative stress and eventually to apoptosis or necrosis (Kawamata and Manfredi, 2010; Cozzolino and Carrì, 2012); and (c) depletion of Ca 2+ levels in the ER which is suggested to occur via a persistent shift of Ca 2+ from the ER to the mitochondria due to deregulated ER MCC leads to protein folding dysfunction and proteasome impairment, resulting in ER stress and apoptosis (Prell et al, 2013; Tadic et al, 2014). Mutations in critical proteins associated with ALS actually seem to increase the susceptibility for these toxic processes to occur.…”