Summary:The cellular and molecular mechanisms of hyp oxiclischemic neurodegeneration are sensitive to numerous factors that modulate the time course and degree of neu ronal death. Among such factors is hypothermia, which can dramatically protect neurons from injury. To examine and control for temperature-dependent effects, we devel oped a technique that provides for a high-throughput, accu rate, and reproducible determination of the time course and degree of neurotoxicity in cultured cortical neurons at precisely defined temperatures. We used a fluorescence multi well plate scanner, modified by us to permit the con trol of temperature, to perform serial quantitative measureRecent years have seen a dramatic increase in our understanding of hypoxic/ischemic mechanisms. Much of this knowledge has arisen from in vitro stud ies in cultured neurons in which ischemia-like condi tions are simulated using either anoxic/hypoglycemic conditions or the application of excitatory amino acids (Choi, 1988(Choi, , 1990Lipton and Rosenberg, 1994; Tymianski and Tator, 1996). This approach has helped to unveil some of the molecular mechanisms bridging the onset of an insult and the resultant neu rodegeneration and has contributed to the devel opment of several emerging treatments for stroke (Koroshetz and Moskowitz, 1996 Many in vitro investigations of ischemic mecha nisms consist of simple manipulations of cellular pro cesses presumed to be associated with cell injury, usually by pharmacological means. Recently, it has also become widely appreciated that environmental manipulations, especially temperature, also signifi cantly affect cell survival (Busto et ai., 1987; Bruno et ai., 1994). Evaluation of such manipulations of in vitro preparations exposed to ischemia-like condition requires a precise assessment of cell viability. Also, because the temporal features of cell death may vary, it is important to be able to accurately gauge the time course of cell death. For example, agonists of N methyl-n-aspartate receptors often trigger rapidly oc curring neurodegeneration that can be complete within hours (Tymianski et ai., 1993a,b), whereas the activation of non-NMDA receptors triggers more de layed neurotoxicity (Rothman et ai., 1987; Koh et ai., 1990; Andreeva et ai., 1991;Dubinsky, 1993). It is likely that environmental manipulations, including 456 R. SATTLER ET AL.temperature changes, could also affect the timing of neurodegeneration.Here we describe a high-throughput neurotoxicity assay for cultured neurons that takes into account the temperature sensitivity of neurodegeneration and the need to precisely assay cell viability and that incorporates the ability to monitor the time course of neuronal cell death as a cardinal feature. The utility of this approach is demonstrated in further reports in which it is used to characterize and study the pro tective and toxic effects of moderate and profound hypothermia on excitotoxicity (Tymianski et ai., 1997a,b). The dissociated cells were plated in the precoated culture wells (15-mm d...