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Fig. 2. Interaction of calcium in neuroprotection and oxygen-sensing mechanisms in
vertebrate neurons. Rapid responses to hypoxia are shown in red and more
slowly developing responses are shown in blue. (+) indicates a potentiating
effect on the target, () indicates an inhibitory one. Oxygen interacts
with a variety of target molecules, both at the cell surface, e.g. NMDA
receptors (Bickler et al.,
2003 ), K+ channels and NADPH oxidase
(Prabhakar and Overholt,
2000 ), and in the cytosol (e.g. HIF-1 and related proteins;
Semenza, 1999 ) in processes
that require Ca2+ (Mottet et
al., 2003 ). Hypoxia has indirect effects mediated by changes in
the bioenergetic state of mitochondria that involve Ca2+
(Berridge et al., 2000 ;
Bickler et al., 2000 ) and
reactive oxygen species (ROS) (Haddad and
Land, 2000 ). Signaling via the tyrosine-kinase receptor
family also requires Ca2+ and results in activation of Akt, an
inhibitor of apoptosis (Cheng et al.,
2003 ). Growth factors (Nicole
et al., 2001 ), cytokines and inorganic ions
(Millhorn et al., 2000 ) also
may modulate neuronal responses to hypoxia and depend on appropriate
[Ca2+]i for their action. Many of these signals converge
on calcium-dependent MAP kinase cassettes including the ERK, JNK and p38
pathways (Mattson, 1997 ;
Minet et al., 2000 ;
Semenza, 1999 ). This figure
was modified from Bickler and Donohoe
(2002 ).
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