Parkinson disease (PD) is a progressive neurodegenerative disorder characterized by a selective loss of dopaminergic neurons in the substantia nigra of the brain. 1) Currently, no cure is available that can impede the progress of neuronal cell death in PD. The majority of PD cases are sporadic with unknown etiology. However, since the identification of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine, a by-product of illegal heroin synthesis, as a causative agent for an acute PDlike disorder among drug abusers and of its toxic metabolite 1-methyl-4-phenylpyridinium (MPP ϩ ) as an inhibitor of complex I (reduced nicotinamide adenine dinucleotide (NADH): ubiquinone oxidoreductase), 2) mitochondrial toxins from the environment, including pesticides and herbicides, have gained attention as risk factors for sporadic PD. In fact, mitochondrial complex I dysfunction is associated with patients with sporadic PD. 3,4) Rotenone is used as a pesticide and as an inhibitor of mitochondrial electron transport chain complex I in various experimental studies. Similar to the case of MPP ϩ neurotoxicity, exposure to rotenone induces not only PD-like symptoms in experimental animals, 5) but also cytotoxicity along with pathological hallmarks including cytosolic protein aggregates in cultured neuronal cells.6,7) Nevertheless, the cytotoxic mechanism is not fully understood, and several mechanisms have been proposed, including energy failure, reactive oxygen production, and microtubule destabilization. [8][9][10][11][12] Neoechinulin A ( Fig. 1) is an indole alkaloid isolated from marine fungi. 13,14) Previously, we found that neoechinulin A can protect neuronal PC12 cells from cytotoxicity due to oxidative/nitrosative stress induced by the superoxide/nitric oxide co-generator 3-morpholinosydnonimine (SIN-1). [13][14][15] Subsequently, we found that neoechinulin A can also protect PC12 cells from MPP ϩ by ameliorating downstream lethal events resulting from mitochondrial complex I inactivation.16) Although the cytoprotective mechanism of neoechinulin A remains unclear, it is probably not a single mechanism; while cytoprotection against SIN-1 can be afforded by pretreatment of cells with neoechinulin A at least for 12 h before SIN-1 challenge, 13) protection against MPP ϩ toxicity does not require pretreatment but its co-presence during the neurotoxin treatment.16)The present study was aimed at clarifying the cytoprotective mechanism of neoechinulin A in mitochondrial dysfunction-induced cell death. By using rotenone, we demonstrate here that neoechinulin A can also protect PC12 cells from rotenone cytotoxicity while paradoxically lowering cellular ATP levels. Possible links between the decreased ATP levels and the cytoprotection afforded by neoechinulin A against rotenone are discussed. Life and Environmental Sciences, Kyoto Prefectural University; 1-5 Shimogamo Hangi-cho, Sakyo-ku, Kyoto 606-8522, Japan. Received September 7, 2010; accepted November 26, 2010; published online November 29, 2010 Neoechinulin A, an indole alkaloid f...