Ischemic and traumatic brain injury are likely to involve neuronal inj
ury triggered by glutamate receptor overactivation. Although excitotox
ic neuronal injury has been widely studied in the setting of primary c
ulture, the extent to which these in vitro injury paradigms resemble i
n vivo ischemic injury morphologically has not previously been well st
udied. We studied glutamate receptor mediated neuronal death by transm
ission electron microscopy and light microscopy. Morphologic character
istics of neurons injured by 10 min exposure to 500 mu M glutamate inc
lude rapid swelling of mitochondria and endoplasmic reticulum, and cyt
oplasmic and nuclear lucency. Both alpha-amino-3-hydroxy-5-methyl-4-is
oxazole propionic acid and kainic acid caused vacuolation, dilatation
of the endoplasmic reticulum, cytoplasmic condensation and random cond
ensation of chromatin with preserved mitochondria. None of these injur
ies was ameliorated by cycloheximide or actinomycin D; all were signif
icantly lessened by aurintricarboxylic acid. Gel electrophoresis showe
d no increase in DNA fragmentation over control. The morphologic chang
es seen with alpha-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid
and kainate are distinct from the changes induced by glutamate. Excit
otoxic injury in this system due to high concentrations of glutamate r
esembles necrosis while the other agonists produce a different form of
cell death which is neither necrosis nor apoptosis.