Microfluorimetric measurements of intracellular calcium ion concentration [Ca2+], were employed to examine the effects of chronic hypoxia (2.5% O-2, 24 h) on Ca2+ stores and capacitative Ca2+ entry in human neuroblastoma (SH-SY5Y) cells. Activation of muscarinic receptors evoked rises in [Ca2+], which were enhanced in chronically hypoxic cells. Transient rises of [Ca2+]; evoked in Ca2+-free solutions were greater and decayed more slowly following exposure to chronic hypoxia. In control cells, these transient rises of [Ca2+], were also enhanced and slowed by removal of external Na+, whereas the same manoeuvre did not affect responses in chronically hypoxic cells. Capacitative Ca2+ entry, observed when re-applying Ca2+ following depletion of intracellular stores, was suppressed in chronically hypoxic cells. Western blots revealed that presenilin-1 levels were unaffected by chronic hypoxia. Exposure of cells to amyloid P peptide (1-40) also increased transient [Ca2+]; rises, but did not mimic any other effects of chronic hypoxia. Our results indicate that chronic hypoxia causes increased filling of intracellular Ca2+ stores, suppressed expression or activity of Na+/Ca2+ exchange and reduced capacitative Ca2+ entry. These effects are not attributable to increased amyloid P peptide or presenilin-1 levels, but are likely to be important in adaptive cellular remodelling in response to prolonged hypoxic or ischemic episodes.