“…Different studies demonstrated that inhibition of complex II governs a direct apoptotic process in neurons through cell-specific pathways. It was recently shown that neurons, which require high levels of energy, are sensitive to complex II-induced OxPhos impairment and this results in a rapid ATP decrease (Mandavilli et al, 2005;Liot et al, 2009;Mbaya et al, 2010), contrary to other cell types, which did not show such a rapid ATP drop in response to complex II inhibition by a SDHC mutant or by the inhibitor thenoyltrifluoroacetate (Senoo-Matsuda et al, 2001;Ishii et al, 2007;Soller et al, 2007;Byun et al, 2008). In neurons, this ATP decrease induced by either 3-nitropropionate, aptenin or a SDHA mutant causes a profound alteration of the intracellular and mitochondrial calcium homeostasis, which then leads to an amplification of mitochondrial ROS formation by complex II and probably by other sources, DC M loss and finally neuronal apoptotic cell death (Liot et al, 2009;Mbaya et al, 2010).…”