Mitochondrial calcium handling during ischemia-induced cell death in neurons

Mitochondria sense and shape cytosolic Ca²⁺ signals by taking up and subsequently releasing Ca²⁺ ions during physiological and pathological Ca²⁺ elevations. Sustained elevations in the mitochondrial matrix Ca²⁺ concentration are increasingly recognized as a defining feature of the intracellular cascade of lethal events that occur in neurons during cerebral ischemia. Here, we review the recently identified transport proteins that mediate the fluxes of Ca²⁺ across mitochondria and discuss the implication of the permeability transition pore in decoding the abnormally sustained mitochondrial Ca²⁺ elevations that occur during cerebral ischemia.