Abstract
Incubation of cultured astrocytes in Ca2+-containing medium after exposure to Ca2+-free medium causes Ca2+ influx followed by delayed cell death. Here, we summarize the mechanisms underlying the Ca2+-mediated injury of cultured astrocytes and the protective effects of drugs against Ca2+-reperfusion injury. Our results show that Ca2+-reperfusion injury of astrocytes appears to be mediated by apoptosis as evidenced by DNA fragmentation and nuclear condensation. Calpain, reactive oxygen species (ROS) production, calcineurin, caspase-3, and NF-κB activation are involved in Ca 2+-reperfusion injury. Several drugs including T-588 and idebenone protect astrocytes against Ca2+-reperfusion injury. The protective effect of idebenone is mediated by nerve growth factor production, whereas that of T-588 is mediated mainly by the mitogen-activated protein/extracellular signal-regulated kinase signal cascade.