Human immunodeficiency virus type 1 (HIV-1) dementia is the commonest form of dementia in North American people less than 60 years of age. HIV-1 envelope glycoprotein gp120 has been implicated in the neurotoxicity observed in, and the pathogenesis of, HIV-1 dementia. Recombinant gp120 (gp120) was pressure-applied on to cultured human fetal neurons and astrocytes and, by using single-cell calcium imaging, we determined the mechanisms responsible for gp120-induced increases in the levels of intracellular calcium ([Ca 2+] i). Significant dose-related increases in [Ca 2+] i were observed in neurons and astrocytes. In neurons, 5 pM gp120 increased [Ca 2+] i by 290±13 nM and increases of 2210±211 nM were found at 209 nM, the highest concentration of gp120 tested. The apparent ec 50 value for gp120 of 223±40 pM in neurons was not significantly different from that in astrocytes. Immunoelution of gp120 with polyclonal anti-gp120 and Ca 2+-free conditions blocked increases in [Ca 2+] i by gp120. Increases in [Ca 2+] i were significantly ( P<0.005) attenuated by the Na +/H + exchange blocker 5-( N-methyl- N-isobutyl)-amiloride in neurons and astrocytes. The L-type calcium channel blockers nimodipine, diltiazem and CdCl 2+NiCl 2 significantly ( P<0.005) reduced increases in [Ca 2+] i in neurons, but not astrocytes. Increases in [Ca 2+] i by gp120 were not significantly affected by blockers of N-, P- and Q-type calcium channels. The N-methyl- d-aspartate receptor antagonists (±)-2-amino-5-phosphonopentanoic acid (AP5), memantine and dizocilpine significantly ( P<0.01) lowered gp120-induced increases in [Ca 2+] i in neurons. AP5 and memantine, but not dizocilpine, significantly ( P<0.01) reduced increases in [Ca 2+] i by gp120 in astrocytes. Gp120 appears to activate astrocyte Na +/H + exchangers to release glutamate and potassium and, subsequent to this, increases in [Ca 2+] i in neurons and astrocytes result from activation of excitatory amino acid receptors on astrocytes and neurons, and voltage-operated calcium channels on neurons. Drugs that block gp120-induced changes in [Ca 2+] i in neurons and astrocytes may help in the treatment of HIV-1 dementia.
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