Glutamate (Glu), the primary excitatory neurotransmitter in the mammalian central nervous system (CNS), plays pivotal roles in regulating neuronal activity in many physiological processes such as synaptic plasticity, learning and memory.1,2) Glu is also important for neuronal migration, differentiation, and for the establishment or elimination of synapses in the developing brain. [3][4][5] The machinery for signal input consists of glutamate receptors including G-protein coupled receptors (metabotropic receptors or mGluRs), and ligandgated ion channels (ionotropic receptors or iGluRs).6) The latter are divided into three distinct subtypes, namely (S)-2-amino-3-(3-hydroxy-5-methylisoxazol-4-yl)-propionic acid (AMPA), kainate (KA), and N-methyl-D-aspartic acid (NMDA) receptors, according to the synthetic agonist that activates them preferentially. The NMDA ion-channel complex possesses different binding sites including the glycine coagonist binding site (Gly/NMDA). 7) Based on molecular cloning seven subunits (NR1, NR2A-D, and NR3A-B) for the NMDA receptor, four (GluR1-4) for the AMPA and five (GluR5-7, KA1-2) for the KA receptor have been identified. [8][9][10] There is considerable evidence that GluRs are involved in many neurological processes in the diseased CNS. In fact, glutamatergic hyperactivity can induce an increase of intracellular free Ca 2ϩ levels and cause collapse of mitochondrial function, potentially leading to secondary neurotoxic events and cell death. These processes are implicated in a large number of acute and chronic neurodegenerative pathologies such as cerebral ischemia, 11) epilepsy, 2) Alzheimer's 12,13) and Parkinson's 14) diseases, and amyotrophic lateral sclerosis (ALS).15) A large body of data indicate that glutamatergic neurotransmission is involved in nociceptive reflexes at the spinal cord level.
16)Several studies indicated that many compounds acting as iGluR antagonists have beneficial effects against neurodegenerative disorders.17-20) These findings gave life to extensive investigations of AMPA receptor antagonists belonging to the classical quinoxalinedione and heterocyclic-fused quinoxalinedione series most of which are endowed with interesting pharmacological profiles.21)The success of AMPA receptor antagonists over other well pharmacologically-characterized iGluR antagonists is probably due to their greater clinical potential. In fact, most of the NMDA receptor antagonists, though showing interesting neuroprotective activity in many animal models of cerebral ischemia, also produced important adverse effects including psychotomimetic activity.
22)In the near future, the emerging clinical application for competitive AMPA receptor antagonists will probably be as neuroprotectants in neurodegenerative diseases, such as epileptic conditions, [23][24][25][26] as an alternative to current therapies. In fact, most of the currently used antiepileptic drugs (AEDs) produce adverse effects, and show to be ineffective in refractory epilepsy. 27) As approximately 0.5-2% of the world popul...