Kainic acid (KA) receptors belong to the group of ionotropic glutamate receptors and are expressed throughout in the central nervous system (CNS). The KA receptors have been shown to be involved in neurophysiological functions such as mossy fiber long-term potentiation (LTP) and synaptic plasticity and are thus potential therapeutic targets in CNS diseases such as schizophrenia, major depression, neuropathic pain and epilepsy. Extensive effort has been made to develop subtype-selective KA receptor antagonists in order to elucidate the physiological function of each of the five subunits known (GluK1-5). However, to date only selective antagonists for the GluK1 subunit have been discovered, which underlines the strong need for continued research in this area. The present review describes the structure-activity relationship and pharmacological profile for 10 chemically distinct classes of KA receptor antagonists comprising, in all, 45 compounds. To the medicinal chemist this information will serve as reference guidance as well as an inspiration for future effort in this field.Keywords: Glutamate receptors, kainic acid receptors, competitive antagonists, medicinal chemistry, structureactivity relationship studies T he common R-amino acid (S)-glutamate (Glu) functions as the major endogenous excitatory neurotransmitter in the central nervous system (CNS). Upon its release into the synaptic cleft, it activates the Glu receptors. These receptors have been divided into two major classes: the ligand-gated ion channels named the ionotropic receptors (iGluRs) and the slower acting G-protein coupled receptors named the metabotropic receptors (mGluRs). On the basis of ligand affinity studies, the class of iGluRs has been divided into three subgroups: the N-methyl-D-aspartate (NMDA), (S)-2-amino-3-(3-hydroxy-5-methyl-4-isoxazolyl)propionic acid (AMPA) and kainate (KA) receptors (1-3). With focus on the KA receptors, it is believed that this subgroup of receptors are potential therapeutic targets in diseases such as schizophrenia, major depression, pain, and epilepsy. In order to elucidate the role of the KA receptors, medicinal chemists have attempted to develop subtype-selective KA receptor ligands for the last two to three decades. Although extensive effort has been made, only a limited number of subtype-selective KA receptor ligands have been reported. For a comprehensive review on KA receptor agonists, see our recent review (4). The aim of this review is to provide the medicinal chemists (and others) who have an interest in the structure-activity relationship (SAR) of competitive KAR antagonists with an overview of the field. This information may aid the design of new subunit-selective KA receptor antagonists.