Background: Apoptosis is an endogenous cell suicide mechanism triggered in response to biological factors and genotoxic stimuli often resulting from oxidative stress. Neuronal apoptosis especially in the developing brain may cause long-term brain dysfunction. Cognitve deficits in the later childhood are frequent in preterm infants. Preterm infants are exposed to high oxygen due to their premature lungs. At the same time their nutritional regimens are deficient in antioxidant precursors. In cell cultures a relation between oxidative stress and cell death could be found. This study tested the hypothesis that differentiated rat adrenal medullary pheochromocytoma PC12 cells are less sensitive to hyperoxia than undifferentiated cells.Methods: PC12 cells differentiated with nerve growth factor protein (NGF) and undifferentiated cells were exposed to an atmosphere of 80% oxygen and treated with buthionine sulfoximine (BSO), a glutathione synthesis inhibitor. Control cells did not receive BSO. Cell viability was tested by reduction of MTT (3-(4,5-dimethylthiazol-2-yl)2,5-diphenyltetrazoliumbromide). Apoptosis was measured by flow cytometry (annexin/ propidiumjodid, caspase-3-activity).Results: Undifferentiated cells treated with BSO exposed to hyperoxia showed an increase in apoptosis (cytometry) and a significant decrease in viability (BSO+normoxia 81±5,1%, hyperoxia 95±3,1%, BSO+hyperoxia 22±3,0%, means ± S.E.M. for 4– 6 experiments, p< 0,05, cell viability assay). Differentiated cells showed reduced sensibility towards BSO and hyperoxia (BSO+normoxia 101±3,3%, hyperoxia 97±1,9%, BSO+hyperoxia 87,6±2,5%, cell viability assay). BSO alone did not induce apoptosis.Conclusion: We conclude that exposure to high oxygen in combination with limited antioxidant protection is responsible for increased cell death via apoptosis in undifferentiated neurons. This finding may contribute to longterm cognitive deficits in preterm infants exposed to high oxygen.