We have investigated the role of mitochondrial calcium buffering in ex
citotoxic cell death. Glutamate acts at NMDA receptors in cultured rat
forebrain neurons to increase the intracellular free calcium concentr
ation. Although concurrent inhibition of mitochondrial calcium uptake
substantially enhanced this cytoplasmic calcium increase, it significa
ntly reduced glutamate-stimulated neuronal cell death. Mitochondrial i
nhibition did not affect nitric oxide production or MAP kinase phospho
rylation, which have been proposed to mediate excitotoxicity. These re
sults indicate that very high levels of cytoplasmic calcium are not ne
cessarily toxic to forebrain neurons, and that potential-driven uptake
of calcium into mitochondria is required to trigger NMDA-receptor-sti
mulated neuronal death.