In this study, we investigated the effects of nonsteroidal antiinflammatory drugs (NSAIDs) on 1-methyl-4-phenylpyridinium (MPP ϩ )-induced cell death in PC12 cells. Coincubation of PC12 cells with indomethacin, ibuprofen, ketoprofen, or diclofenac, but not aspirin or N- [2-(cyclohexyloxy)-4-nitrophenyl]methanosulfonamide (NS-398), significantly potentiated the MPP ϩ -induced cell death. In contrast, these NSAIDs had no effect on rotenone-induced cell death. The potentiating actions of these NSAIDs were not suppressed by treatment with phenyl-N-butyl-nitrone, a radical scavenger; N-acetyl-L-cysteine, an antioxidant; Ac-DEVD-CHO, a selective caspase-3 inhibitor; or 2-chloro-5-nitro-N-phenylbenzamide (GW9662), a selective antagonist of peroxisome proliferator-activated receptor ␥. Furthermore, we observed that DNA fragmentation, which is one of the hallmarks of apoptosis, was not induced by coincubation with MPP ϩ and NSAIDs. We confirmed that coincubation of PC12 cells with 30 M MPP ϩ and 100 M indomethacin, ibuprofen, ketoprofen, or diclofenac led to a significant increase in the accumulation of intracellular MPP ϩ compared with incubation with 30 M MPP ϩ alone. In addition, these NSAIDs markedly reduced the efflux of MPP ϩ from PC12 cells. (3-(3-(2-(7-Chloro-2-quinolinyl) ethenyl) phenyl ((3-dimethyl amino3oxo-propyl) thio) methyl) propanoic acid (MK 571), which is an inhibitor of multidrug resistance proteins (MRPs), mimicked the NSAIDs-induced effects, increasing cell toxicity and promoting the accumulation of MPP ϩ . Moreover, some types of MRPs' mRNA were detected in PC12 cells. These results suggest that some NSAIDs might cause a significant increase in the intracellular accumulation of MPP ϩ via the suppression of reverse transport by the blockade of MRP, resulting in the potentiation of MPP ϩ -induced cell death.The neurotoxin 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) causes a selective degeneration of nigrostriatal dopaminergic neurons and has been investigated extensively as part of an etiological model for Parkinson's disease (Tipton and Singer, 1993;Blum et al., 2001). The neurotoxic effects in vivo of MPTP are dependent on the conversion to its active metabolite 1-methyl-4-phenylpyridinium (MPP ϩ ) by monoamine oxidase B in glial cells and the uptake into neurons through transporters (Tipton and Singer, 1993;Kitayama et al., 1998). MPP ϩ induces an inhibition of complex I activity of the mitochondrial respiratory chain and cellular ATP depletion and a loss of mitochondrial transmembrane potential, resulting in cell death (Bates et al., 1994).Nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used for their anti-inflammatory, antipyretic, and analgesic properties. The molecular basis for the therapeutic effects of NSAIDs is the ability to inhibit cyclooxygenase (COX) activity and thereby suppress the production of prostaglandins (Vane, 1971). In addition to alleviating inflammaArticle, publication date, and citation information can be found at