Background and Purpose-Downregulation of the tumor suppressor, phosphatase and tensin homolog deleted on chromosome 10 (PTEN), is thought to be a novel neuroprotective strategy in ischemic stroke, but the underlying mechanisms remain unclear. In this study, we aimed to validate the use of PTEN regulation of ␥-aminobutyric acid subtype A receptors (GABA A Rs) as a molecular target for the treatment of ischemic stroke. Because suppression of GABA A Rs contributes to ischemic neuron death, describing the intracellular signaling that interacts with GABA A Rs in ischemic neurons would provide a molecular basis for novel stroke therapies. Methods-We measured surface GABA A R expression by immunocytochemical labeling and surface protein biotinylation assay. Knockdown and overexpression approaches were used to test the effects of PTEN on the expression and function of GABA A Rs. Neuronal death was detected in both in vitro and in vivo stroke models. Results-The knockdown and overexpression approaches provided the first evidence that PTEN negatively regulated membrane expression and function of GABA A Rs in rat hippocampal neurons. Importantly, we demonstrated that a PTEN inhibitor prevented the reduction of surface GABA A Rs in injured hippocampal neurons subjected to oxygen-glucose deprivation, an in vitro insult that mimics ischemic injury, whereas a GABA A R antagonist significantly reduced this PTEN inhibitor-induced neuroprotection in both the in vitro and in vivo ischemic stroke models. Conclusions-Our study provides direct evidence that downregulation of PTEN protects against ischemic neuron death by preserving GABA A R function. Targeting this pathway may be an effective strategy for development of selective, potent stroke treatments.