This study examined whether propofol altered [Ca2+]i and caused cell death in DBTRG-05MG cells. Propofol at 400–1000μM increased [Ca2+]i in a concentration-dependent manner. The signal was decreased partially by removal of extracellular Ca2+. Propofol-induced Ca2+ influx was not altered by nifedipine, econazole, SK&F96365, and protein kinase C (PKC) activators; but was inhibited by PKC inhibitor. In Ca2+-free medium, pretreatment with the endoplasmic reticulum Ca2+ pump inhibitors thapsigargin or 2,5-di-tert-butylhydroquinone (BHQ) nearly abolished propofol-induced [Ca2+]i rise. Incubation with propofol inhibited thapsigargin or BHQ-induced [Ca2+]i rise. Inhibition of phospholipase C (PLC) with U73122 abolished propofol-induced [Ca2+]i rise. At 300–700μM, propofol killed cells in a concentration-dependent manner. The cytotoxic effect of propofol was partly reversed by prechelating cytosolic Ca2+ with 1,2-bis(2-aminophenoxy)ethane-N,N,N′,N′-tetraacetic acid (BAPTA). Annexin V/PI staining further showed that 300–500μM propofol evoked apoptosis. Propofol also increased reactive oxygen species (ROS) production. Overall, propofol induced a [Ca2+]i rise by inducing PLC- and PKC-dependent Ca2+ release from the endoplasmic reticulum and Ca2+ entry via non store-operated Ca2+ channels. Propofol induced cell death that might involve ROS-mediated apoptosis.
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