Calcium influx and elevation of intracellular free calcium ([Ca2+](i)), wit
h subsequent activation of degradative enzymes, is hypothesized to cause ce
ll injury and death after traumatic brain injury. We examined the effects o
f mild-to-severe stretch-induced traumatic injury on [Ca2+](i) dynamics in
cortical neurons cultured on silastic membranes. [Ca2+](i) was rapidly elev
ated after injury, however, the increase was transient with neuronal [Ca2+]
(i) returning to basal levels by 3 h after injury, except in the most sever
ely injured cells. Despite a return of [Ca2+](i) to basal levels, there wer
e persistent alterations in calcium-mediated signal transduction through 24
h after injury. [Ca2+](i) elevation in response to glutamate or NMDA was e
nhanced after injury. We also found novel alterations in intracellular calc
ium store-mediated signaling. Neuronal calcium stores failed to respond to
a stimulus 15 min after injury and exhibited potentiated responses to stimu
li at 3 and 24 h post-injury. Thus, changes in calcium-mediated cellular si
gnaling may contribute to the pathology that is observed after traumatic br
ain injury. (C) Harcourt Publishers Ltd 1999.