High levels of unconjugated bilirubin (UCB) can be neurotoxic. Nevertheless, the mechanism of UCB interaction with neural cells is still unknown. This study investigates whether cultured rat neurons and astrocytes respond differently to UCB exposure. UCB toxicity was evaluated by lactate dehydrogenase release, induction of apoptosis, cytoskeleton degeneration, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) reduction, and glutamate uptake. Primary cultures of rat brain astrocytes and neurons were incubated at 37°C with 85.5 M UCB plus 28.5 M albumin for 4 h. In assays of glutamate uptake, cells were exposed to 80 -120 M UCB plus 100 M albumin for 15 min. The results showed that after incubation with 85.5 M UCB, lactate dehydrogenase release was greater in neurons than in astrocytes (38% versus 14%, p Ϝ 0.05). Also, levels of apoptosis were markedly enhanced in neurons (29% versus 19%, p Ϝ 0.01). In accordance, neuronal cytoskeleton disassembly was evident during incubation with 85.5 M UCB, whereas equivalent effects on astrocytes required as much as 171 M. Conversely, inhibition of MTT metabolism and glutamate uptake by UCB was more pronounced in astrocytes than in neurons (74% versus 60%, p Ϝ 0.05 and 41% to 56% versus 25% to 33%, p Ϝ 0.05, respectively). In conclusion, the study demonstrates that astrocytes are more susceptible to inhibition of glutamate uptake and MTT reduction by UCB, whereas neurons are more sensitive to cell death by necrosis or apoptosis. These results suggest that UCB is toxic to both astrocytes and neurons, although through distinct pathways. Neonatal jaundice is a very common predicament, usually requiring therapeutic intervention in early life. The significance of neonatal hyperbilirubinemia can vary from a minor nontoxic phenomenon to death by kernicterus (1-3). In contrast to kernicterus, where permanent lesions or death are likely to occur (4 -6), bilirubin encephalopathy can result in transient or sometimes definitive effects of UCB toxicity, such as auditory and visual impairment (7-9). However, the mechanisms of bilirubin encephalopathy and kernicterus remain unclear.Nerve cells are the main target for UCB cytotoxicity. In fact, several effects of UCB toxicity to neurons have been reported either in brain sections (10 -12), cultured cell lines (13, 14), or isolated nerve terminals (15-18). Although neurons have been suggested as more susceptible than astrocytes (13), more recent reports describe compromised astrocyte function following UCB interaction (19 -22). Evidence is also arising on the influence of astrocytes in neuronal function, metabolism, and survival (23-26). The role of astrocytes on UCB toxicity is further reinforced by electron microscopic and autoradiographic studies on experimental kernicterus, indicating that these cells represent the main transporters of UCB from blood to neurons and are also involved in the release of waste products from UCB damaged neurons (27,28).We have previously shown that UCB significantly reduces glutamate uptake in ...