Parkinson's disease is a chronic neurodegenerative disorder characterized by loss of dopaminergic neurons in the substantia nigra. Rotenone, a pesticide, produces selective degeneration of dopaminergic neurons and motor dysfunction in rats. To determine the mechanisms underlying rotenoneinduced neuronal death, we investigated whether intracellular dopamine plays a role in rotenone (0.1-0.4 M)-induced apoptosis, using an in vitro model of human dopaminergic SH-SY5Y cells. The 40% decrease of dopamine content by inhibition of dopamine synthesis suppressed rotenoneinduced apoptosis. On the other hand, the 30% increase of dopamine content by inhibition of dopamine metabolism enhanced rotenone-induced apoptosis. Depletion of intracellular dopamine using reserpine (0.1-10 M) also prevented rotenone-induced apoptosis, and this effect was counteracted by dopamine (10 -100 M) replenishment. Inhibition of dopamine reverse transport increased cytosolic dopamine and enhanced rotenone-induced apoptosis. We examined the intracellular localization of dopamine in rotenone-treated cells immunocytochemically and quantitatively. Rotenone induced dopamine redistribution from vesicles to the cytosol. In this process, rotenone stimulated reactive oxygen species and protein carbonylation and decreased an antioxidant, glutathione. Addition of an antioxidant, N-acetylcysteine (3 mM), prevented dopamine being expelled from vesicles and inhibited rotenone-induced apoptosis. Our findings demonstrate that rotenone-generated reactive oxygen species are involved in dopamine redistribution to the cytosol, which in turn may play a role in rotenone-induced apoptosis of dopaminergic cells.Parkinson's disease (PD) is a chronic neurodegenerative disorder characterized by progressive loss of dopamine neurons in the substantia nigra, decreased striatal dopamine level, and consequent motor dysfunction (Dawson and Dawson, 2003). The etiology of the nigral dopamine neuronal degeneration is unknown, although both genetic mutations and environmental factors have been identified as contributing to certain forms of this disorder (Shastry, 2001). An established hallmark of PD is a reduction in the activity of brain mitochondrial enzyme complex I (Schapira et al., 1990). Complex I inhibitors, such as 1-methyl-4-phenylpyridinium ion (MPP ϩ ) and rotenone, have been shown to cause apoptosis of nigral dopaminergic neurons and parkinsonian dysfunction (Heikkila et al., 1985;Forno et al., 1993;Greenamyre et al., 2001;Ayala et al., 2007). Poly-(ADP-ribose) polymerase-1 (PARP-1) is involved in MPP ϩ -induced apoptosis and efficacious effects of PARP-1 inhibitors have been demonstrated in a PD model using MPP ϩ , although the role of PARP-1 in the pathogenesis of PD is unclear (Outeiro et al., 2007). These observations suggest that a defect in mitochondrial complex I activity may contribute to the neurodegenerative process in PD. These dopaminergic neurotoxins enhance production of reactive oxygen species (ROS) in mitochondria, but much less is known about ho...