For further clarification of the mechanisms of pharmacological effects of salicylic and acetylsalicylic acids, the interactions of these acids with mitochondrial and erythrocyte membranes were studied and the role of calcium ions in the effects of salicylic and acetylsalicylic acids was examined. Salicylic acid and to a lesser extent acetylsalicylic acid at 0.5−2.0 mM concentration effectively inhibited the respiratory activity of isolated rat liver mitochondria, by uncoupling respiration and phosphorylation processes, induced depolarization of the mitochondrial membrane and potentiated Ca2+-stimulated formation of mitochondrial permeability transition pores in EGTA-free media. Cyclosporine A and ruthenium red partially inhibited the mitochondrial pore opening process induced by salicylic and acetylsalicylic acids both in the absence and presence of Ca2+ ions. Salicylic acid (180–360 µM) markedly accelerated proton-induced lysis of human erythrocytes (at pH 3.2) and caused hyperpolarization of erythrocyte membranes (at pH 5.5, but not at pH 7.4), probably as a result of proton transfer to the cytoplasm of the cell. Thus, salicylic and acetylsalicylic acids interact with mitochondrial and plasma membranes, act as effective proton/Ca2+ ionophores and stimulate the mitochondrial calcium uniporter.
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