1. Introduction
Aluminum (Al) is the most abundant metal in the Earth’s crust, with global ore reserves estimated at 40–50 billion tons [
1,
2]. Furthermore, the utilization of Al-containing products is increasing in daily life, due to its low production cost, light weight, and malleability. Al can enter the land ecosystem, causing soil acidification and yield reduction [
3]. It has been reported that the Al concentration has increased 2000 times compared to what it was six years prior in rivers in Xian, China. This situation is undeniably hazardous to the health of individuals who use the water from these rivers [
4]. Consequently, humans can come into contact with Al. Humans are exposed to Al through both dietary and non-dietary sources. Aluminum salts are commonly added to a variety of commercially available foods, used as flocculants in drinking water treatment, and employed in food packaging and storage materials [
5]. Additionally, significant non-dietary exposure occurs through the use of aluminum-containing adjuvants in vaccines, as well as in pharmaceuticals, cosmetics, sunscreens, deodorants, and makeup products [
6]. Al can impair spermatogenesis and adversely affect sperm quality in humans through various mechanisms, such as inducing oxidative stress, disrupting cell signaling, and interfering with endocrine system function [
7,
8]. Al poses a significant threat to male reproductive health, and the biotoxicity associated with Al exposure has garnered widespread global attention.
Al exposure is toxic to male reproductive systems [
9]. The administration of aluminum chloride (AlCl
3) in a rodent model led to decreases in sperm motility, concentration, and abnormal morphology, as well as reductions in testosterone levels and offspring numbers [
10,
11]. Oral administration of AlCl
3 to rats at environmentally relevant doses significantly reduced sperm count, daily sperm production, sperm motility, and the percentage of morphologically normal sperm [
12]. AlCl
3 impacts the male reproductive tract detrimentally via multiple mechanisms. These involve heightened oxidative stress, modifications to membrane function, disruption of cell signaling pathways, inactivation or depletion of enzymes, and disturbance of the blood–testis barrier. Exposure to AlCl
3 increases ROS levels, resulting in oxidative damage to DNA and lipids, alterations in protein structure/function, and additional adverse outcomes [
13]. Moreover, oxidative stress triggers apoptosis in germ cells, leading to impaired spermatogenesis and decreased ATP production, which subsequently compromises sperm motility [
9]. Furthermore, AlCl
3 may interfere with calcium channels in Sertoli and Leydig cells, thereby impairing androgen production [
14]. While it is well documented that AlCl
3 exerts male reproductive toxicity through oxidative stress, perturbation of calcium channels, and compromising the blood–testis barrier, the molecular regulators and associated gene networks underlying this toxicity in germ cells are still largely unclear.
As short, non-coding, single-stranded RNA molecules, microRNAs (miRNAs) mediate post-transcriptional gene silencing via the RNA interference (RNAi) mechanism, leading to reduced mRNA stability and inhibition of protein translation [
15]. Accumulating evidence indicates that miRNAs mediate biological responses to heavy metal exposure. Co-exposure to fluoride and aluminum upregulates miR-29b-3p to inhibit Dusp2 expression, exacerbating apoptosis in NG108–15 cells [
16]. The microRNAs miR-122, novel-miR6, miR-193a-3p, and miR-27a-5p represent potential molecular indicators of Cd-induced injury to the head kidney in common carp [
17]. Additionally, methotrexate (METH) elevates miR-29a expression in testicular tissues, which correlates strongly with METH-induced testicular toxicity [
18]. GC-1 spg cells are an immortalized cell line derived from mouse spermatogonia, widely used as an in vitro model for studying spermatogenesis and male germ cell biology. The role of miRNAs in GC-1spg cells exposed to AlCl
3 remains uncharacterized. Thus, identifying key miRNAs involved in AlCl
3-induced toxicity in GC-1spg cells is of paramount significance.
In this study, GC-1spg cells were divided into a control group and an AlCl3-treated group, followed by transcriptome and small RNA (sRNA) sequencing. Bioinformatics approaches were applied to identify differentially expressed genes (DEGs) and microRNAs (DEMs). An integrative analysis of these datasets enabled the reconstruction of a miRNA–mRNA regulatory network. Apoptosis induced by AlCl3 exposure was assessed using Western blotting and Hoechst 33342 staining. Additionally, the functional role of mmu-miR-503-5p in conferring resistance to AlCl3 stress was further investigated. Collectively, these findings provide critical insights into the molecular mechanisms underlying GC-1spg cell responses to AlCl3 toxicity.
2. Materials and Methods
2.1. Cell Culture and Transfection
The mouse-spermatogonia-derived GC-1spg cell line and the human embryonic kidney HEK-293T cell line were obtained from Baidi Biotech Ltd. (Zhejiang, China, C5066). Both lines were routinely cultured in Dulbecco’s Modified Eagle Medium (DMEM; Wuhan, China, Servicebio, G4511) supplemented with 10% (v/v) fetal bovine serum (FBS; Servicebio, G8002) and 1% (v/v) penicillin–streptomycin solution (Shanghai, China, Beyotime, C0222) under standard conditions of 37 °C and 5% CO2 in a humidified incubator. The culture medium was replaced every 48 h to maintain optimal growth conditions. When cells reached approximately 80–90% confluence, they were passaged using the following procedure: Culture medium was aspirated, and cells were washed once with sterile phosphate-buffered saline (PBS) (Servicebio, G4202-500ML). Cells were then dissociated with 0.25% trypsin–EDTA (Servicebio, G4001-100ML) for 3 min at 37 °C. Trypsinization was neutralized by adding complete growth medium-containing serum. The cell suspension was centrifuged at 1000 rpm for 5 min, and the pellet was resuspended in fresh complete medium. For routine subculture, cells were typically split at a ratio of 1:4. All procedures were performed under sterile conditions in a biosafety cabinet.
2.2. Establishment of Gene Overexpression and Knockdown GC-1spg Cells
GC-1spg cells were seeded into 6-well plates at a density of 5 × 105 cells per well. After attachment, they were transfected with either 500 ng of mmu-miR-503-5p-overexpression plasmid or Islr-knockdown plasmid using Lipo8000™ transfection reagent (Beyotime, C0533), following the manufacturer’s instructions. Cells transfected with an empty vector were used as negative controls. All plasmids were sourced from Sangon Biotech (Shanghai) Co., Ltd (Shanghai, China). Transfection efficiency and target gene modulation were subsequently confirmed at the mRNA level by reverse transcription–quantitative PCR (RT-qPCR).
2.3. Cell Counting Kit-8 Assay
Exponentially growing GC-1spg cells were seeded into 96-well plates at a density of 2000 cells per well. After adherence, cells were treated with culture media containing increasing concentrations of AlCl3 (0, 2, 3, 4, and 5 mM), with the 0 mM group serving as the control. Each condition was performed in triplicate. Following 24 h of exposure, 10 µL of Cell Counting Kit-8 (CCK-8) reagent (Suzhou, China, UElandy, C6005M) was added to each well, and plates were incubated at 37 °C for 2 h. Cell viability was assessed by measuring absorbance at 450 nm using a microplate reader (Maennedorf, Switzerland, SPARK, TECAN). For functional assays, the precursor sequence of mmu-miR-503-5p was cloned into the PiggyBac Dual promoter-U6 (pBD-U6) vector to enable miRNA overexpression. GC-1spg cells were seeded in 96-well plates at 5 × 103 cells/well, allowed to adhere for 24 h, and then transfected with 150 ng of pBD-U6 plasmid per well. After 48 h of transfection, cell proliferation was evaluated using the CCK-8 assay, with five independent biological replicates conducted for statistical robustness.
2.4. Transcriptome Sequencing and Analysis
Exponentially growing cells were seeded in 6-well plates and cultured until 75% confluence, after which they were treated with medium containing either 0 mM (control) or 3 mM AlCl3. Three biological replicates were performed. After a 48 h treatment period, subsequent experiments were conducted. Total RNA was extracted using Trizol Reagent (Thermo Fisher Scientific, Waltham, MA, USA) according to the manufacturer’s protocol. The integrity and quality of the extracted total RNA were evaluated using the NanoDrop ND-1000 (NanoDrop, Wilmington, DE, USA) and Bioanalyzer 2100 (Agilent, Santa Clara, CA, USA).
For transcriptome library preparation, 2 µg of total RNA was processed using the VAHTS Universal V6 RNA-seq Library Prep Kit for Illumina® (Nanjing, China, Vazyme, NR604-02). DNA fragments in the size range of 250–350 bp were subsequently selected using VAHTS DNA Clean Beads (Vazyme, N411-01). Paired-end sequencing (2 × 150 bp) was performed on the NovaSeq X Plus platform (Illumina, San Diego, CA, USA).
Raw sequencing reads were subjected to quality control and adapter trimming with fastp v0.20.0 (
https://github.com/OpenGene/fastp, accessed on 15 January 2026), yielding high-quality clean reads. These reads were then aligned to the reference mouse genome (GCF_000001635.27;
https://www.ncbi.nlm.nih.gov/datasets/genome/GCF_000001635.27/, accessed on 15 January 2026) using HISAT2 v2.2.1 (
https://daehwankimlab.github.io/hisat2/, accessed on 15 January 2026). Transcript abundance was quantified via StringTie v2.0.4 (
https://github.com/gpertea/stringtie, accessed on 15 January 2026), with expression levels normalized as FPKM (Fragments Per Kilobase of transcript per Million mapped reads). Differential gene expression analysis was conducted using DESeq2 v1.10.1. Genes were defined as differentially expressed (DEGs) if they met the criteria of |log
2 (fold change)| ≥ 1 and a false discovery rate (FDR) < 0.05. Functional annotation of DEGs was carried out through Gene Ontology (GO) enrichment analysis using the GOseq R package v1.54.0, while pathway enrichment was assessed via KOBAS v3.0 with a significance threshold of
p < 0.05.
2.5. Small RNA Sequencing and Analysis
Small RNA (sRNA) libraries were prepared from three biological replicates using the VAHTS™ Small RNA Library Prep Kit for Illumina (Vazyme, NR801-02), strictly following the manufacturer’s protocol. Sequencing was carried out on an Illumina NovaSeq 6000 platform to generate 50 bp single-end reads. Raw reads were processed using in-house Perl scripts provided by Tsingke Biotechnology Co., Ltd. (Beijing, China) to eliminate adapter dimers, poly-N-containing reads, and low-quality sequences. Clean reads were further filtered to remove ribosomal RNA (rRNA), transfer RNA (tRNA), small nuclear RNA (snRNA), small nucleolar RNA (snoRNA), other non-coding RNAs (ncRNAs), and repetitive elements via alignment with the Bowtie aligner. The remaining reads were used for miRNA identification: known miRNAs were annotated by mapping to the mouse reference genome and cross-referencing with miRBase, while novel miRNAs were predicted based on sequence and structural features. The secondary structures of candidate novel miRNAs were assessed using the Randfold tool. Differentially expressed miRNAs (DEMs) were determined with DESeq2 v1.10.1, applying a significance threshold of p < 0.01 and |log2 (fold change)| > 1.
2.6. Construction of the miRNA–Target Interaction Network
Target genes of DEMs were predicted using the TargetScan database according to the Total Context++ Score. The Total Context++ Score is a quantitative metric generated by TargetScan to predict the efficacy of miRNA–mRNA interactions. It integrates multiple features, including: seed match type, local AU content around the site, position of the site within the 3′UTR, presence of 3′-compensatory pairing, and target site abundance. A more negative Total Context++ Score indicates stronger predicted repression of the target gene by the miRNA. Since miRNAs typically suppress the expression of their target genes, we integrated the prediction results with gene expression profiles to identify putative functional interactions. Based on this integration, a miRNA–target regulatory network was constructed using Cytoscape v3.10.3.
2.7. Reverse-Transcription Quantitative PCR (RT-qPCR)
The same RNA samples used for RNA-seq were subjected to reverse transcription–quantitative PCR (RT-qPCR) for validation. For mRNA analysis, first-strand cDNA synthesis and qPCR were performed using ToloScript All-in-one RT EasyMix for qPCR (Tolobio, Shanghai, China; Cat. No. 22107) and 2× Universal Blue SYBR Green qPCR Master Mix (Servicebio, Wuhan, China; Cat. No. G3326-01), respectively, in accordance with the manufacturers’ protocols. GAPDH was used as the reference (housekeeping) gene. For miRNA quantification, reverse transcription was carried out with the miRNA First Strand cDNA Synthesis Kit (Polyadenylation Method; Servicebio, Wuhan, China; Cat. No. G3334-25), followed by qPCR using the same 2× Universal Blue SYBR Green qPCR Master Mix. U6 small nuclear RNA served as the internal control. All reactions were run in triplicate for each sample, and three independent biological replicates were included. Relative expression levels were calculated using the 2
−ΔΔCt method. The primer sequences used in this study are listed in
Table S1.
2.8. Western Blot
Total cellular proteins were extracted using RIPA lysis buffer (Beyotime, P0013B) supplemented with 1 mM phenylmethylsulfonyl fluoride (PMSF; Beyotime, ST506). Protein concentrations were determined with the Detergent-Compatible Bradford Protein Assay Kit (Beyotime, P0006C). Equal amounts of protein were resolved by 12% SDS-PAGE (Epizyme, PG213) at a constant voltage of 80 V for 1 h. Proteins were then electrotransferred onto polyvinylidene fluoride (PVDF) membranes at 400 mA for 30 min. Membranes were blocked with QuickBlock™ Blocking Buffer (Beyotime, P0252) for 15 min at room temperature, followed by overnight incubation at 4 °C with primary antibodies diluted in blocking buffer. The following primary antibodies from Proteintech were used: GAPDH (1:10,000; 60004-1-Ig), BAX (1:50,000; 50599-2-Ig), p21 (1:1500; 82669-2-RR), p53 (1:25,000; 80077-1-RR), and phospho-p53 (Ser15) (1:5000; 80195-1-RR). After washing, membranes were incubated for 1 h at room temperature with HRP-conjugated secondary antibodies: goat anti-mouse IgG (Beyotime, A0216) or goat anti-rabbit IgG (Beyotime, A0208). Immunoreactive signals were visualized using BeyoECL Plus reagent (Beyotime, P0018S). Band intensities were quantified by densitometry using ImageJ v1.54 software, and all target protein levels were normalized to GAPDH. Experiments were independently repeated three times (biological replicates).
2.9. Dual-Luciferase Reporter Assay
The wild-type (WT) and mutant (MUT) fragments of the Islr 3′-UTR containing the predicted miR-503-5p binding sites were cloned into the pmirGLO dual-luciferase reporter vector using the Seamless Cloning Kit (Beyotime, D7010S), according to the manufacturer’s protocol. HEK-293T cells were seeded in 96-well plates at a density of 5 × 103 cells per well and allowed to adhere overnight. Cells were then co-transfected with 75 ng of either WT or MUT pmirGLO reporter plasmid together with 75 ng of pU6-mmu-miR-503-5p expression plasmid. After 48 h of incubation, firefly luciferase activity was measured and normalized to Renilla luciferase activity to account for transfection efficiency. All experiments were independently repeated in three biological replicates.
2.10. Cell Apoptosis Assay
The Hoechst Staining Kit (C0003, Beyotime) was used to evaluate cell apoptosis according to the manufacturer’s instructions. Fluorescent signals were recorded using a fluorescence microscope (Floid, Invitrogen, Carlsbad, CA, USA). The nuclei of normal cells exhibited a typical blue color, while those of apoptotic cells appeared densely stained, either as intact dense structures or fragmented dense clumps with a slightly pale tint. Apoptotic cells were counted per 100 cells, and the assay was conducted with three biological replicates.
2.11. Superoxide Anion Assay
The concentration of superoxide anion was quantified with a dihydroethidium (DHE)-based detection kit (Reactive Oxygen Species Assay Kit for Superoxide Anion, Beyotime, S0064S), following the supplier’s instructions. Fluorescence intensity was measured with a microplate reader (SPARK, TECAN, Switzerland), and fluorescence images were captured using a fluorescence microscope (Floid, Invitrogen, USA). The experiment was performed with three biological replicates.
2.12. Statistical Analysis
All statistical analyses were conducted using SPSS version 20.0. Data are expressed as mean ± standard deviation (SD). Prior to applying parametric tests, the normality of each dataset was verified using the Shapiro–Wilk test, with p > 0.05 indicating a normal distribution. All datasets subjected to Student’s t-test or one-way ANOVA satisfied the assumptions of both normality and homogeneity of variances. Comparisons between two independent groups were performed using a two-tailed unpaired Student t-test. For experiments involving more than two groups, one-way analysis of variance (ANOVA) was employed, followed by Tukey’s post hoc test for pairwise comparisons. Statistical significance was defined as p < 0.05.
4. Discussion
The exposure of GC-1spg cells to AlCl
3 involves the complex interplay of multiple genes and regulatory factors [
19,
20]. This study employed transcriptome and small RNA sequencing to characterize the genetic and molecular responses underlying AlCl
3 exposure in GC-1spg cells. In this study, we selected 3 mM AlCl
3 based on preliminary in vitro dose–response experiments using the CCK-8 assay (
Figure S1). This concentration reduced GC-1spg cell viability, whereas no obvious effect was observed at 2 mM AlCl
3, providing a clear phenotypic effect for investigating molecular responses. We note that this concentration may not reflect physiological exposure levels. Notably, a recent study employed an even higher in vitro concentration (4 mM AlCl
3) in mouse GC-2spd cells to successfully elucidate ROS-mediated mitophagy and apoptosis mechanisms—highlighting that supraphysiological doses are often used in mechanistic toxicology to ensure robust signal detection [
9]. We agree that such in vivo validation is important and plan to include it in future work.
A comprehensive transcriptome analysis of GC-1spg cells upon AlCl
3 exposure was performed. Several signaling pathways were significantly enriched, suggesting extensive effects on cellular processes. Notably, both the p53 signaling pathway and apoptosis-related pathways were enriched. Under aluminum stress, activated MAPK in spermatogonia phosphorylates p53, triggering p53 pathway activation. Activated p53 then upregulates pro-apoptotic genes, exacerbating spermatogonia apoptosis induced by aluminum. Balanced crosstalk among MAPK-p53–apoptosis pathways maintains spermatogonia viability; aluminum disrupts this balance. Impaired pathway crosstalk reduces spermatogonia resistance to aluminum, harming spermatogenesis [
13].
MicroRNAs are important modulators of gene expression in spermatogenetic process [
21]. Exposure of spermatogonia to toxicants can induce changes in miRNA expression levels. Specifically, the spermatocyte-derived GC-2spd cell line exhibited 40 differentially expressed miRNAs following exposure to polystyrene microplastics [
22]. This study identified 2053 negative miRNA–target pairs, including 65 DEMs and 723 target genes. This extensive regulatory network indicates that miRNA-mediated post-transcriptional regulation in AlCl
3-stressed GC-1spg cells may feature “multiple miRNA–multiple target” synergy, rather than single-molecule independent action. In particular, mmu-miR-128-1-5p had the highest number of targets, with 112 genes confirmed as its potential binding partners. miR-128-1-5p plays a potential regulatory role in AlCl
3 exposure response by targeting key genes and pathways. It inhibits TGF-β1/Smad signaling to alleviate fibrosis [
23], suppresses Gadd45g-mediated apoptosis to counteract oxidative stress [
24], and regulates PRKCQ-related pathways to modulate cell proliferation and inflammation [
25]. These pathways are closely linked to Al-induced toxicity. Future studies should verify its expression in Al-exposed models and confirm regulatory interactions with target genes.
Transcription factors act as central molecular “switches” for targeted regulation, orchestrating the cellular response to reproductive toxicity by alleviating oxidative stress, suppressing inflammatory responses, and fostering testicular homeostasis [
26,
27]. For instance, Etv4 was significantly upregulated in GC-1spg cells under AlCl
3 exposure. ETV4 regulates mitochondrial ROS in ovarian cancer [
28], implying that Etv4 regulated ROS in GC-1spg cells under AlCl
3 exposure. The differentially expressed transcription factors identified in this study could serve as potential targets associated with spermatogonial toxicity, warranting further investigation.
Further experimental assays confirmed that apoptosis was induced through activation of the p53-BAX signaling axis, indicating that GC-1spg cells undergo apoptosis under aluminum stress. Similarly, exposure to AlCl
3 triggered the generation of reactive oxygen species (ROS), reduced cell viability and ATP production, and induced a decline in mitochondrial membrane potential (MMP) [
9]. These changes subsequently led to mitophagy and apoptosis in GC-2spd cells. The mmu-miR-146a-5p was significantly upregulated in GC-1spg cells following AlCl
3 exposure. Notably, previous studies have reported that elevated miR-146a-5p expression is associated with β cell apoptosis and compromised insulin secretion [
29], implying that mmu-miR-146a-5p may potentially participate in GC-1spg cell apoptosis following AlCl
3 exposure. Furthermore, elevated P21 protein levels implied that cell cycle arrest occurred upon AlCl
3 exposure. It has been reported that aluminum chloride exposure blocks the onset of spermatogenesis [
10,
30,
31], and cell cycle arrest may play a critical role in this spermatogenetic arrest. Exposure to AlCl
3 resulted in marked downregulation of mmu-miR-16-1-3p and mmu-miR-16-2-3p in GC-1spg cells. Notably, miR-16-5p has been demonstrated to impact cell cycle regulatory genes in colorectal cancer models [
32]. Collectively, these findings imply that the two miR-16 family members may be involved in mediating AlCl
3-induced cell cycle alterations in GC-1spg cells. We acknowledge that the enhanced aluminum tolerance in GC-1spg cells may not stem from a stress response, but rather from the indirect effect of apoptosis induced by 3 mM AlCl
3. This high aluminum dose could eliminate sensitive cells via apoptosis, leaving inherently resistant cells whose survival might be misinterpreted as “enhanced tolerance” rather than stress-mediated adaptation.
The functional involvement of miRNAs in aluminum-induced stress in GC-1spg cells has not been previously elucidated. Among the differentially expressed miRNAs identified, mmu-miR-503-5p was prioritized for functional validation. Ectopic overexpression of mmu-miR-503-5p enhanced cellular tolerance to AlCl
3-induced cytotoxicity, underscoring its pivotal role in the adaptive response to aluminum exposure. Notably, prior work has demonstrated that mmu-miR-503-5p is implicated in cellular responses to both genotoxic and non-genotoxic carcinogens in primary mouse hepatocytes. Mechanistically, this miRNA exerts its regulatory effects by targeting Ccnd2, a critical downstream effector within the p53 signaling pathway [
33]. In addition, mmu-miR-503-5p was found to be significantly downregulated in a murine model of invasive pulmonary aspergillosis [
34]. miR-503-5p can promote neuronal endoplasmic reticulum stress-mediated apoptosis in ischemic stroke [
35]. These findings highlight the essential role of miR-503-5p in the regulation of apoptosis. Consistent with this, our study further reveals that mmu-miR-503-5p contributes to aluminum-induced apoptosis in GC-1spg cells, reinforcing its evolutionarily conserved function in apoptotic control.
ISLR has been reported to activate the PI3K–AKT signaling pathway in osteosarcoma cells, leading to increased phosphorylation of PI3K and AKT. This activation suppresses apoptosis by upregulating the anti-apoptotic protein Bcl-2 and downregulating the pro-apoptotic factors Bax and Caspase-3 [
36]. The PI3K-AKT pathway is a well-characterized negative regulator of p53. In conclusion, we hypothesize that the mmu-miR-503-5p/Islr axis converges on the p53 pathway to regulate Al-induced apoptosis, and this regulatory effect is mediated by targeting the PI3K-AKT pathway. To validate this hypothesis, additional experiments will be performed in future studies. Furthermore, the target gene Islr of mmu-miR-503-5p also exhibited tolerance to AlCl
3-induced stress; however, its effect was less significant than that of mmu-miR-503-5p. These results suggest that mmu-miR-503-5p contributes to AlCl
3 tolerance by targeting additional genes, which remain to be further investigated. Notably, these conclusions about mmu-miR-503-5p and its target Islr are drawn from the GC-1spg cell line, and their applicability in more physiological contexts requires further validation. Additionally, direct experimental evidence verifying the functional causality between miR-503-5p/Islr and the p53 pathway remains lacking, and this gap warrants further investigation in subsequent studies.
Although this study was conducted in the immortalized mouse spermatogonial cell line GC-1spg, the findings may have important implications for human male reproductive health. The p53-mediated apoptotic pathway and miRNA regulatory networks identified here are highly conserved between mice and humans. Therefore, our results suggest that similar molecular mechanisms may operate in human spermatogonia under AlCl3 stress. While direct validation in human cells is warranted, this work provides a mechanistic foundation for understanding Al-induced male reproductive toxicity and highlights potential biomarkers or protective targets for future translational research.
A notable limitation of this study is that all experiments were conducted using a single concentration of AlCl3. As a result, we cannot definitively determine whether the observed apoptosis in GC-1spg cells represents a specific, early molecular event directly triggered by AlCl3 exposure or a secondary consequence of general cellular stress resulting from cytotoxic overload. Future dose–response and time-course studies are warranted to dissect the temporal sequence of molecular events and clarify whether p53-mediated apoptosis acts as a primary driver or a downstream outcome of AlCl3-induced toxicity.