Clioquinol induces mitochondrial toxicity in SH-SY5Y neuroblastoma cells by affecting the respiratory chain complex IV and OPA1 dynamin-like GTPase

FEBS Lett. 2025 Apr;599(8):1135-1145. doi: 10.1002/1873-3468.70033. Epub 2025 Mar 24.

Abstract

Clioquinol has been thought of as the causative drug of subacute myelo-optic neuropathy (SMON). The underlying mechanisms of clioquinol toxicity, however, have not been elucidated in detail. Here, we revealed that clioquinol (20 μm) suppressed the expression of SCO1 and SCO2 copper chaperones for mitochondrial respiratory chain Complex IV (cytochrome c oxidase) in SH-SY5Y neuroblastoma cells. The assembly of Complex IV components and Complex IV activity were suppressed in clioquinol-treated cells. Clioquinol (10-50 μm) decreased cellular ATP levels in glucose-free media. Clioquinol (10-50 μm) induced OMA1 mitochondrial protease-dependent degradation of the dynamin-related GTPase OPA1 and suppressed the expression of CHCHD10 and CHCHD2 involved in the maintenance of cristae structure. These results suggest that mitochondrial toxicity is one of the mechanisms of clioquinol-induced neuronal cell death.

Keywords: CHCHD10; OMA1; SCO2; SMON; clioquinol; mitochondria.

MeSH terms

  • Adenosine Triphosphate / metabolism
  • Cell Line, Tumor
  • Clioquinol* / pharmacology
  • Clioquinol* / toxicity
  • DNA-Binding Proteins
  • Electron Transport Complex IV* / metabolism
  • GTP Phosphohydrolases* / genetics
  • GTP Phosphohydrolases* / metabolism
  • Humans
  • Membrane Proteins / genetics
  • Membrane Proteins / metabolism
  • Mitochondria* / drug effects
  • Mitochondria* / metabolism
  • Mitochondria* / pathology
  • Mitochondrial Proteins / genetics
  • Mitochondrial Proteins / metabolism
  • Molecular Chaperones / genetics
  • Molecular Chaperones / metabolism
  • Neuroblastoma* / metabolism
  • Neuroblastoma* / pathology
  • Transcription Factors

Substances

  • GTP Phosphohydrolases
  • Clioquinol
  • OPA1 protein, human
  • Electron Transport Complex IV
  • Mitochondrial Proteins
  • Molecular Chaperones
  • CHCHD2 protein, human
  • Adenosine Triphosphate
  • Membrane Proteins
  • SCO2 protein, human
  • SCO1 protein, human
  • DNA-Binding Proteins
  • Transcription Factors