Background and Purpose-Evidence suggests that glutamate contributes to ischemic brain damage through activation of the ␣-amino-3-hydroxy-5-methyl-4-isoxazole propionate (AMPA) receptor. We tested the novel, selective AMPA receptor antagonist PD152247 (PNQX) in a model of temporary focal ischemia to determine the dose-response relationship and to investigate the contribution of drug-induced hypothermia to the neuroprotective action of AMPA receptor antagonists. Methods-Temporary focal cerebral ischemia was induced in Sprague-Dawley rats by occluding the middle cerebral artery and both carotid arteries for 3 hours. Body temperature was monitored by telemetry. PNQX was administered intraperitoneally or by intravenous infusion with various doses for 6 hours. Lesion volume was determined after 3 days by stereological methods. Results-PNQX reduced the lesion volume by 51% after intraperitoneal administration. The intravenous dose-response study demonstrated that the lowest effective dose of PNQX was 1.0 mg/kg per hour, which corresponded to a steady state plasma level of 685 ng/mL. Neuroprotection was demonstrated at PNQX plasma concentrations that did not lower body temperature over the entire course of the experiment. Conclusions-AMPA receptor activation plays an important role in the development of ischemic brain damage. Thus, novel AMPA receptor antagonists may be useful for the treatment of stroke in humans. (Stroke. 1999;30:1472-1477.)Key Words: cerebral ischemia, focal Ⅲ glutamate antagonists Ⅲ middle cerebral artery occlusion Ⅲ neuroprotection Ⅲ rats E levation of extracellular glutamate after cerebral ischemia is thought to play a major role in the pathophysiological processes leading to death of ischemic brain tissue. Early studies demonstrated that glutamate killed neurons in culture by a calcium-dependent process that was blocked by selective antagonists of the N-methyl-D-aspartate (NMDA) subtype of glutamate receptors. 1,2 ␣-Amino-3-hydroxy-5-methyl-4-isoxazole propionate (AMPA), the ligand for a distinct non-NMDA glutamate receptor subtype, also results in cell death in cultured neurons with a slower time course. 3 The observation that extracellular brain glutamate levels, measured by microdialysis, are increased in ischemic tissue 4,5 suggested that the excitotoxicity demonstrated in culture may be relevant to ischemic cell death in vivo. Subsequently, it was demonstrated that blockers of the NMDA receptor reduce brain damage in several animal models of cerebral ischemia. 6 -10 See Editorial Comment, page 1477More recently, several antagonists of the AMPA subtype of the glutamate receptor have been discovered and shown to be neuroprotective in a variety of models of cerebral ischemia. 11 2,3-Dihydroxy-6-nitro-7-sulfamoyl-benzo(F)quinoxaline (NBQX), a quinoxalinedione, was the first selective, competitive AMPA antagonist demonstrated to be effective in reducing ischemic brain damage. 12 Unlike NMDA receptor antagonists, the AMPA receptor antagonist NBQX reduces selective neuronal death after globa...