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Advanced Neurology                                                        TRPM7 signaling in glioblastoma



            from our migration assay showed that CsA significantly   the next steps should involve genetic manipulation of
            decreased U251 cell migration, and naltriben alone had the   calcineurin levels by employing techniques such as RNA
            opposite effect (Figure 4A-D). However, CsA and naltriben   interference. In summary, calcineurin is a downstream
            co-treatment significantly reduced migration compared to   player in the TRPM7-mediated signaling pathway that
            the naltriben-only group, and not significantly different   regulates GBM cell function.
            compared to the CsA-only group. Similar trends were found
            in the rate of cell invasion (Figure 4E), and phosphorylation   5. Conclusion
            levels of AKT and ERK (Figure 5). Taken together, CsA   The present findings provide evidence that the transient
            treatment appears to occlude the potentiating effect of   receptor potential melastatin 7 (TRPM7) channel interacts
            naltriben on GBM cell function, thereby suggesting that   with calcineurin A-subunit proteins, either directly or
            calcineurin acts downstream of TRPM7. To strengthen   indirectly. Aberrant TRPM7 activity can upregulate GBM
            this finding, future studies can simultaneously investigate if   cell  function through  various pathways, and  calcineurin
            pharmacological TRPM7 inhibition, such as with the use of   is potentially one of its downstream targets (Figure 6). In
            carvacrol or waixenicin A [15,16] , has similar effects on GBM   this study, we employed one GBM cell line (i.e., U251) to
            cell function as pharmacological inhibition of calcineurin.
            In addition, 24-h CsA treatment increased TRPM7    elucidate the proposed mechanism. It is important to note
            mRNA  and protein  levels in  U251  cells  (Figure  3B-D).   that the present findings with the U251 cell line may not
            One possible explanation is that reduction of calcineurin   necessarily reflect the nature of TRPM7-mediated signaling
            activity due to CsA-mediated inhibition may stimulate the   in glioma stem cells. Moving forward, future studies should
            cell to synthesize excess TRPM7 protein as compensation   consider confirming the interaction between TRPM7 and
            for the loss of downstream calcineurin-related signaling.   calcineurin using other GBM cell lines as well as glioma
            Overall, our results suggested that TRPM7 may function   stem cells. By identifying potential drug targets within the
            as an upstream regulator of calcineurin activity in GBM.  TRPM7-mediated signaling pathway, the ultimate goal is
                                                               to advance the development of novel chemotherapeutic
              Since the activation of the MEK/ERK pathway is involved   agents for the treatment of GBM.
            in GBM invasiveness, migration, and death resistance [35,36] ,
            the decreasing trend in p-ERK level following CsA   Acknowledgments
            treatment was expected (Figure 5E). However, in contrast
                              [20]
            with a previous report , higher p-ERK levels following   We would like to thank Haorui Zhang, Neruja Loganathan,
            naltriben treatment were not observed. This may be due   and Andy Tran for their technical assistance.
            to the lower dosage (i.e., 25 µM instead of 50 µM) used   Funding
            in the present experiments to preserve cell viability in the
            naltriben and CsA co-treatment group. Furthermore, we   This work was supported by the following grants: Canadian
            employed a different GBM cell line from this previous   Institutes of Health Research (CIHR PJT-153155) to ZPF;
            study (i.e., U251 instead of U87), suggesting potential cell   Natural Sciences and Engineering Research Council of
            line-dependent effects . Nevertheless, the co-treatment   Canada (NSERC) Discovery Grants (RGPIN-2016-04574)
                              [20]
            group showed a decreasing trend in p-ERK levels, similar   to HSS.
            to the CsA-only group, and trended towards reduction
            when compared to control or naltriben groups. These   Conflict of interest
            results were consistent with our migration and invasion   The authors declare that they have no conflicts of interest
            assay findings. Interestingly, p-AKT levels in U251  cells   with the contents of this article.
            were significantly elevated with CsA treatment, consistent
            with previous reports in other cell types, where it has been   Author contributions
            rationalized that the loss of dephosphorylating activity
            due to calcineurin inhibition would lead to higher p-AKT   Conceptualization: Zhong-Ping Feng, Hong-Shuo Sun
            levels [24,26] . However, the literature shows that the activation   Formal analysis: All authors
            of the PI3K/AKT pathway promotes GBM proliferation   Investigation: Haifan Gong
            and tumor invasion, and inhibiting TRPM7 decreases   Writing – original draft:  Haifan  Gong,  Raymond  Wong,
            the p-AKT level [16,37] . One possible explanation is that any   Julia Bandura
            potential GBM-enhancing effects due to CsA-mediated   Writing – review & editing: All authors
            upregulation of p-AKT are outweighed by the collective   Ethics approval and consent to participate
            inhibitory effects of CsA on other mechanisms involved
            in GBM cell function. To build on our present findings,   Not applicable.


            Volume 2 Issue 3 (2023)                         8                          https://doi.org/10.36922/an.334
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