In a substantial number of cases, Human Immunodeficiency Virus type 1 (HIV-
1) infection causes neuronal cell loss and leads to the development of AIDS
associated dementia. Several studies have suggested that both host and vir
al factors contribute to neuronal loss. Here we studied the effect of HIV-1
Tat in primary rat neuronal cells as a model to understand mechanism of ne
uronal cell death. At nano molar concentration, recombinant Tat induced cel
l death in primary rat mixed cortical neurons. Tat could also induce uptake
of calcium in primary rat cultures. When cells were incubated with NMDA re
ceptor antagonists, MK-801 and D-CPP, cell death and Ca-45 uptake were inhi
bited. Under similar conditions non-NMDA antagonists, NBQX, DNQX and CNQX,
and sodium channel antagonist, TTX, did not inhibit Tat induced neuronal ce
ll death. In a similar way HIV associated products from in vitro HIV-1 infe
cted cells induced neuronal cell death which was inhibited by NMDA receptor
antagonist. Results presented in this paper suggest that activation of NMD
A receptors by HIV-1 Tat is responsible for neuronal cell death in primary
rat cortical neurons.