# Fluoride Exposure Increases the Activity of the Cystine/Glutamate Exchanger in Glia Cells

## TL;DR

Fluoride exposure increases the activity of a key amino acid transporter in glial cells, potentially contributing to neurotoxicity.

## Contribution

The study reveals that fluoride enhances the cystine/glutamate exchanger activity in glial cells via an antioxidant-sensitive mechanism and RNA-binding protein regulation.

## Key findings

- Fluoride increases the activity of the cystine/glutamate exchanger in glial cells in a time- and dose-dependent manner.
- Antioxidant Trolox mitigates the fluoride-induced increase in exchanger activity.
- Fluoride exposure increases the mRNA half-life of the exchanger and human antigen R.

## Abstract

Fluoride exposure in drinking water has been widely related to impairment of cognitive function. Even though this ion has been described as neurotoxic for more than two decades, the molecular mechanisms of fluoride neurotoxicity are not fully understood, however, increasing evidence suggests that glial cells are the site of early injury in fluoride neurotoxicity. Nevertheless, a convergence point of many studies is the effect on glutamatergic neurotransmission and the generation of reactive oxygen species. In this context, we evaluated here the expression and regulation of the cystine/glutamate exchanger upon fluoride exposure since this transporter is in the interface between excitotoxicity and the antioxidant response. We demonstrate here the functional expression of the cystine /glutamate exchanger in both the U373 human glioblastoma cells and chick cerebellar Bergmann glia cells. Using a [3H]-L-Glutamate uptake assay, we demonstrate that fluoride increases the activity of the exchanger in a time and dose-dependent manner. This augmentation is mitigated by the antioxidant Trolox. To gain insight into fluoride neurotoxicity mechanisms, we evaluated its effect on human antigen R, a RNA binding protein, that binds to the 3'-UTR region of exchanger mRNA increasing its half time life. An increase in human antigen R protein was recorded after a 6 h fluoride exposure, suggesting that this ion regulates the exchanger through this RNA-binding protein. Furthermore, we show that fluoride exposure increases both the exchanger and human antigen R mRNAs half-life. These results provide insights into fluoride neurotoxicity mechanisms and support the notion of a central role of glial cells in neuronal glutamatergic transmission disruption that leads to neuronal cell death.