The contribution of intracellular stores to axonal Ca2+ overload during chemical
ischemia in vitro was examined by confocal microscopy. Ca2+ accumulation was measured by
fluo-4 dextran (low-affinity
dye, KD approximately 4 microM) or by
Oregon Green 488 BAPTA-1 dextran (highaffinity
dye, KD approximately 450 nM). Axonal Na+ was measured using CoroNa Green.
Ischemia in CSF containing 2 mM Ca2+ caused an approximately 3.5-fold increase in
fluo-4 emission after 30 min, indicating a large axonal Ca2+ rise well into the micromolar range. Axonal Na+ accumulation was enhanced by
veratridine and reduced, but not abolished, by TTX.
Ischemia in Ca2+-free (plus
BAPTA) perfusate resulted in a smaller but consistent Ca2+ increase monitored by
Oregon Green 488 BAPTA-1, indicating release from intracellular sources. This release was eliminated in large part when Na+ influx was reduced by replacement with N-methyl-D-glucamine (NMDG+; even in depolarizing high K+ perfusate), Li+, or by the application of TTX and significantly increased by
veratridine. Intracellular release also was reduced significantly by
neomycin or 1-(6-[(17beta-methoxyestra-1,3,5 [10]-
trien-17-yl) amino] hexyl)-1H-
pyrrole-2,5-dione (
U73122 [GenBank]) (
phospholipase C inhibitors),
heparin [
inositol trisphosphate (
IP3) receptor blocker], or 7-chloro-5-(2-chlorophenyl)-1,5-dihydro-4,1-benzothiazepin-2(3H)-one (
CGP37157; mitochondrial Na+/Ca2+ exchange inhibitor) as well as
ryanodine. Combining
CGP37157 with
U73122 [GenBank] or
heparin decreased the response more than either agent alone and significantly improved electrophysiological recovery. Our conclusion is that intra-axonal Ca2+ release during
ischemia in rat optic nerve is mainly dependent on Na+ influx. This Na+ accumulation stimulates three distinct intra-axonal sources of Ca2+: (1) the mitochondrial Na+/Ca2+ exchanger driven in the Na+ import/Ca2+ export mode, (2) positive modulation of
ryanodine receptors, and (3) promotion of IP3 generation by
phospholipase C.