Cellular injury was evaluated in superfused cerebrocortical slices (350 lm) from 7-day-old Sprague-Dawley rats exposed to 30 min hypoxia followed by 4 h of reoxygenation. At the end of hypoxia homogenous cytosolic immunoreactivity of cytochrome c increased approximately fourfold, cytochrome c intensity in western blot analyses increased more than fivefold, and whole cell and cytosolic cleaved caspase-9 underwent 50% and 100% increases, respectively. Immunostaining of sections taken 1.5 h after hypoxia showed: (i) more than a threefold increase in cleaved caspase-9; (ii) localization of cleaved caspase-9 to the interior and peripheral exterior of nuclei; and (iii) homogeneously distributed cytochrome c in the cytosol. Western blot analysis for 1.5 h after hypoxia showed that cytosolic caspase-9 returned to control values, while whole cell caspase-9 stayed approximately the same, suggesting translocation of caspase-9 to nuclei. By 4 h after hypoxia there was significant nuclear fragmentation and an increase in TUNEL positive staining. 31 P/ 1 H nuclear magnetic resonance (NMR) confirmed substantial decreases of ATP and phosphocreatine during hypoxia, with rapid but incomplete recovery being close to steady state 1 h after reoxygenation. At all time points after hypoxia the primary injury was cytochrome c associated apoptosis. Keywords: apoptosis, ATP, brain slice, cytochrome c, hypoxia, nuclear magnetic resonance. Hypoxia is known to lead to mitochondrial release of cytochrome c to the cytosol, thereby initiating mitochondrial governance of the apoptotic cascade, or Ôintrinsic pathwayÕ apoptosis (Green and Reed 1998;Murphy et al. 1999). In this cascade, cytochrome c binds to the scaffold protein Apaf-1 in a reaction that requires deoxy-ATP (dATP), after which procaspase-9 attaches, forming a complex known as the apoptosome. Procaspase-9 has generally been regarded as a cytosolic protein. However, in many types of neurons it is found in the mitochondrial intermembrane space and also released to the cytosol during hypoxia (Krajewski et al. 1999). Apoptosis occurs after bound procaspase-9 is cleaved to become activated caspase-9 by a mechanism requiring ATP hydrolysis (Zou et al. 1997(Zou et al. , 1999Kuida 2000). Studies by others (Fujimura et al. 1998;Sugawara et al. 1999;Noshita et al. 2001) imply that hypoxia in our superfused brain slice preparation should cause substantial mitochondrial release of cytochrome c followed by extensive apoptosis. Respiring, superfused brain slices are well suited for ATPrelated mechanistic studies of hypoxia because nuclear magnetic resonance (NMR) spectroscopy can be used to continually monitor energy metabolites and it is convenient to rapidly obtain tissue for immunochemical and immunohistochemical measures. We therefore decided to use our brain slice model to investigate and compare posthypoxic time courses of cytosolic cytochrome c levels, associated apoptosis, and mitochondrial function, with the latter being assessed Abbreviations used: BSA, bovine serum albumin; DAP...