We have investigated the role of mitochondrial Ca2+ (Ca-m) homeostasis in c
ell survival. Disruption of Ca-m homeostasis via depletion of the mitochond
rial Ca2+ store was the earliest event that occurred during staurosporine-i
nduced apoptosis in neuroblastoma cells (SH-SY5Y), The decrease of Ca-m pre
ceded activation of the caspase cascade and DNA fragmentation. Overexpressi
on of the anti-apoptosis protein Bcl-2 led to increased Ca-m load, increase
d mitochondrial membrane potential (Delta Psi(m)), and inhibition of stauro
sporine-induced apoptosis, On the other hand, ectopic expression of the pro
-apoptotic protein Bik led to decreased Ca-m load and decreased Delta Psi(m
). Inhibition of calcium uptake into mitochondria by ruthenium red induced
a dose-dependent apoptosis as determined by nuclear staining and DNA. ladde
r assay. Similarly, reducing the Ca-m load by lowering the extracellular ca
lcium concentration also led to apoptosis, We suggest that the anti-apoptot
ic effect of Bcl-2 is related to its ability to maintain a threshold level
of Ca-m and Delta Psi(m) while the pro-apoptotic protein Bik has the opposi
te effect, Furthermore, both ER and mitochondrial Ca2+ stores are important
, and the depletion of either one will result in apoptosis, Thus, our resul
ts, for the first time, provide evidence that the maintenance of Ca-m homeo
stasis is essential for cell survival.