Mice engineered to lack GM2͞GD2 synthase (GalNAc-T), with resultant deficit of GM2, GD2, and all gangliotetraose gangliosides, were originally described as showing a relatively normal phenotype with only a slight reduction in nerve conduction. However, a subsequent study showed that similar animals suffer axonal degeneration, myelination defects, and impaired motor coordination. We have examined the behavior of cerebellar granule neurons from these neonatal knockouts in culture and have found evidence of impaired capacity for Ca 2؉ regulation. These cells showed relatively normal behavior when grown in the presence of physiological or moderately elevated K ؉ but gradually degenerated in the presence of high K ؉ . This degeneration in depolarizing medium was accompanied by progressive elevation of intracellular calcium and onset of apoptosis, phenomena not observed with normal cells. No differences were detected in cells from normal vs. heterozygous mice. These findings suggest that neurons from GalNAc-T knockout mice are lacking a calcium regulatory mechanism that is modulated by one or more of the deleted gangliosides, and they support the hypothesis that maintenance of calcium homeostasis is one function of complex gangliosides during, and perhaps subsequent to, neuronal development.GM1 ganglioside ͉ ganglioside-deficient neurons ͉ cerebellar granule neurons ͉ neuritogenesis ͉ intracellular calcium G angliosides are the major sialoglycoconjugates of the vertebrate central nervous system (1, 2) and have been proposed as important determinants in neuronal differentiation (3-5). Early support for this idea came from study of ganglioside storage disease, in which pyramidal neurons of the cerebral cortex were shown to sprout ectopic dendrites from the ''meganeurite'' ganglioside storage area with formation of aberrant synapses (6). The gangliotetraose family, consisting of GM1 and its oligosialo derivatives (GD1a, GD1b, GT1b, GQ1b, etc.), are the predominant forms in the neuron and are biosynthesized by a series of Golgi-localized enzymes that add sugars sequentially to the membrane-anchoring ceramide moiety (7,8). One approach to the study of their mechanistic roles has been development of genetically altered mice or cell lines that overexpress or lack one or more specific ganglioside. Neuro-2a cells overexpressing GD3 and complex gangliosides of the b-series underwent spontaneous neuritogenesis and cholinergic differentiation (9), whereas blockade of GM3 synthase with antisense vector reduced neuritogenesis in cerebellar granule neurons (CGN). † On the other hand, embryonic stem cells deficient in GD3 synthase could be induced to express a complex neurite network, suggesting that b-series gangliosides are not essential for neuronal differentiation of uncommitted precursor cells (10). NG-CR72 cells, mutants of the NG108-15 line deficient in GM1 synthase, were found to respond positively to dendritogenic agents with prolific neurite outgrowth but negatively to axonogenic stimuli with apoptosis (11). The latter effe...