Elevation of cytosolic calcium (ICa2+I;) has been reported to induce apoptosis in a number of cell types. However, in the neutrophil, which undergoes apoptosis constitutively during aging in vitro, activation by inflammatory mediators elevates ICa2Ji; and prolongs lifespan via inhibition of apoptosis. To examine this paradox, we investigated the effects of modulation of [Ca2" I upon apoptosis of neutrophils in vitro. Calcium ionophores (A23187, ionomycin) retarded apoptosis in neutrophil populations after 20 h (P < 0.001). Conversely, intracellular Ca2+-chelation, using bis-(o-aminophenoxy)-NNNN'-tetraacetic acid (BAPTA) acetoxymethyl ester (AM) promoted apoptosis (P < 0.02). W-7 (an inhibitor of calmodulin) also promoted apoptosis (P < 0.05). Measurements of ICa2+I,, using fura-2, showed (a) increased apoptosis in neutrophil populations was not associated with elevated ICa2I]1, (b) neutrophils cultured with ionophore at concentrations inhibiting apoptosis exhibited transient ( < 1 h) elevations of[Ca2Ijl, to levels previously reported with receptor-mediated stimuli, and (c) BAPTA was able to prevent the elevation of ICa2+Ij and the inhibition of apoptosis produced by ionophore. Modulation of apoptosis occurred without alterations in intracellular pH. Thus, in the neutrophil, unlike lymphoid cells, elevation of ICa2+Ii exerts an inhibitory effect upon apoptosis. Furthermore, these data suggest that transient elevation of ICa2"I elicits signaling events leading to prolonged inhibition of apoptosis. (J. Clin. Invest. 1993. 92:446-455.)