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Vol. 283, Issue 3, 1177-1184, 1997
Department of Pharmacology and Toxicology, University of Arkansas
for Medical Sciences, Little Rock, Arkansas
The role of Ca++ in cell death is controversial.
Extracellular Ca++ influx and calpain activation occurred
during the late phase of renal proximal tubule cell injury produced by
the mitochondrial inhibitor antimycin A. Chelation of intracellular
Ca++, extracellular Ca++, the calcium channel
blocker nifedipine, calpain inhibitor 1 and the dissimilar calpain
inhibitor PD150606 blocked antimycin A-induced influx of extracellular
Ca++ and cell death. The calcium channel blocker verapamil
was ineffective. Calpain inhibitor 1 and PD150606 were cytoprotective
also against tetrafluoroethyl-L-cysteine-,
bromohydroquinone-, oxidant (t-butylhydroperoxide)- and
calcium ionophore (ionomycin)-induced cell death. Extracellular Ca++ influx was associated with the translocation of
calpain activity from the cytosol to the membrane and was prevented by
calpain inhibitor 1, PD150606 and nifedipine. Finally, nifedipine,
calpain inhibitor 1, PD150606 and the Cl
channel
inhibitors [5-nitro-2-(3-phenylpropylamino)-benzoate, niflumic acid,
diphenylamine-2-carboxylate, and indanyloxyacetic acid] blocked the
increase in Cl
influx that occurs during the late phase
of cell injury and triggers terminal cell swelling and death. These
data suggest that Ca++ and calpains play a common and
critical role in renal proximal tubule cell death produced by diverse
agents. In addition, calpain activation appears to play a dual role
during the late phase of cell injury. Initial calpain activation
elicits extracellular Ca++ influx through a
nifedipine-sensitive pathway, resulting in calpain translocation to the
membrane and in turn Cl
influx.
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