The neuroprotective effects of dantrolene, an inhibitor of calcium rel
ease from intracellular stores, were investigated in a model of cell d
eath induced by calcium release from endoplasmic reticulum in vitro. T
hapsigargin (50 nM), a selective inhibitor of endoplasmic reticular Ca
2+-ATPase, significantly increased the cytosolic Ca2+ concentration to
230% over basal levels, induced DNA fragmentation, and reduced cell v
iability from 94% in control cells to 41% after a 24-h treatment in GT
1-7 hypothalamic neurosecretory cells. Pretreatment with dantrolene fo
r 30 min significantly inhibited elevation of cytosolic Ca2+ levels, D
NA fragmentation, and GT1-7 cell death induced by thapsigargin in a do
se-dependent manner. To determine if dantrolene would also be protecti
ve in an in vivo model of neurodegeneration, it was administered intra
venously immediately following a 5-min global cerebral ischemia in ger
bils, and the number of intact hippocampal CA1 pyramidal neurons was c
ounted 7 days later. The effects of dantrolene on brain and rectal tem
perature were monitored in a separate experiment. Dantrolene significa
ntly increased the number of intact CA1 pyramidal neurons from 40% (un
treated ischemic animals) to 67 (10 mg/kg), 78 (25 mg/kg), or 83% (50
mg/kg) of values in sham controls (all p < 0.001). No significant chan
ges in brain or rectal temperature were detected for 4 h following 50
mg/kg dantrolene, These results suggest that abnormal Ca2+ release fro
m intracellular stores can induce neuronal death and that such a mecha
nism may contribute to delayed hippocampal neuronal death after cerebr
al ischemia. Dantrolene may be a potentially useful drug for neuroprot
ection after cerebral ischemia.