Cinobufagin, a bufadienolide of toad venom of Bufo bufo gargarizans, is used as a cardiotonic, central nervous system (CNS) respiratory agent, as well as an analgesic and anesthetic. However, several research showed that bufadienolide has a few side effects on the CNS, such as breathlessness or coma. Although cinobufagin was shown to display pharmacological effects in various models, the toxic effect of cinobufagin is elusive in brain cell models. The aim of this study was to explore whether cinobufagin affected viability, Ca 2+ homeostasis, and reactive oxygen species (ROS) production in Gibco ® Human Astrocyte (GHA) and HCN-2 neuronal cell line. In GHA cells but not in HCN-2 cells, cinobufagin (20-60 μM) induced [Ca 2+ ] i rises. In terms of cell viability, chelation of cytosolic Ca 2+ with 1,2-bis(2-aminophenoxy)ethane-N,N,N'N'-tetraacetic acid reduced cinobufagin-induced cytotoxicity in GHA cells. In GHA cells, cinobufagin-induced Ca 2+ entry was inhibited by 2-aminoethoxydiphenyl borate or SKF96365. In a Ca 2+ -free medium, treatment with thapsigargin or U73122 abolished cinobufagin-evoked [Ca 2+ ] i rises. Furthermore, treatment with N-acetylcysteine reversed ROS production and cytotoxicity in cinobufagin-treated GHA cells. Together, in GHA cells but not in HCN-2 cells cinobufagin caused cytotoxicity that was linked to preceding [Ca 2+ ] i rises by Ca 2+ influx via store-operated Ca 2+ entry and phospholipase C-dependent Ca 2+ release from the endoplasmic reticulum. Moreover, cinobufagin induced ROS-associated cytotoxicity.brain cell models Ca 2+ homeostasis, cinobufagin, cytotoxicity, ROS
| INTRODUCTIONChan Su, a traditional herbal medicine, is prepared from the skin glands of toad venom Bufo bufo gargarizans Cantor. [1,2] The major active components in Chan Su are bufadienolides, such as bufalin, cinobufagin, and resibufogenin. Bufadienolides, a group of steroid hormones, were shown to block the adenosine triphosphatase sodium-potassium pump, Na + /K + -ATPase. [3][4][5] Bufadienolides displayed many pharmacological effects through Na + /K + -ATPase, such as reduction of inflammation, [6] enhancement of cardiac contractility, [7] and inhibition of tumor. [8] Furthermore, cinobufagin was shown to have pharmacological applications in cancer treatment and analgesic properties. [9,10] The chemical structure of bufadienolides has similarities to digoxin, which is used to treat various heart conditions. [4,11,12] However, it has been shown that bufadienolides exhibit cardiotoxic effects by competing with K + ions for the same binding site on the Na + /K + -ATPase pump. [4,11,12] © 2021 Wiley Periodicals LLC Cinobufagin was reported to induce cytotoxicity in various cell models. It has been shown that cinobufagin induced apoptosis in MCF-7 human breast cancer cells [13] and 143B human osteosarcoma cells, [14] caused autophagy in U2OS human osteosarcoma cells, [15] evoked cell cycle arrest in MDA-MB-231 human breast cancer cells, [16] and exerted antiproliferation in U266 human multiple myeloma cells. [17] In Ca ...