ABSTRACT-The effect of muscimol on N-methyl-D-aspartate (NMDA)-induced injury of primary cultured cerebral cortical neurons was examined. NMDA induced a dose-dependent leakage of LDH activ ity, which was significantly inhibited by (±)-5-methyl-10,11-dihydro-5H-dibenzo- [a,d]cyclopentan-5,10-imine (MK-801). Muscimol significantly reduced the NMDA-induced increase of lactic dehydrogenase (LDH) leakage, and bicuculline abolished this protective effect of muscimol. Similarly, muscimol reduced the NMDA-induced increase in trypan blue staining of the cells, and bicuculline suppressed this inhibitory ac tion of muscimol. These results suggest that GABAA-receptor stimulation exerts a protective action against the neuronal injury induced by NMDA-receptor activation.Keywords: GABAA-receptor agonist, NMDA receptor, Neuronal injuryThe N-methyl-D-aspartate (NMDA) receptor, a sub type of glutamate receptors, has been supposed to par ticipate in the neuronal cell damage observed in central nervous system disorders such as Huntington's disease, epilepsy, parkinsonism, ischemia and trauma (1 -4). The excessive accumulation of Ca" in neuronal cells induced by over-activation of NMDA receptors under the patho logical conditions results in the neuronal injury (1, 2). On the other hand, an inhibitory receptor, GABAA receptor, has been reported to negatively regulate excitatory func tions of NMDA receptors (5 7). This suggests that GABAA-receptor stimulation may suppress the excitatory actions of NMDA receptors, especially NMDA-induced neuronal toxicity. In the present study, we examined the effect of GABAA-receptor activation on NMDA-induced neuronal injury by measuring the leakage of lactic de hydrogenase (LDH) activity from primary cultured mouse cerebral cortical neurons and the staining of the neurons with trypan blue dye.Cell isolation and primary culture were carried out by the previously reported procedures (8). In brief, the neo pallium free of meninges dissected from 15-day-old fetuses of ddY strain mice were minced, trypsinized and centrifuged. Collected cells were incubated in Dulbecco's modified Eagle medium (DMEM) supplemented with 15% fetal calf serum at 371C for 3 days in humidified 95% air 5 °1o C02, followed by the exposure to 10 uM cytosine arabinoside for 24 hr to suppress the proliferation of non neuronal cells. Neurons were then cultured in DMEM con taining 10% horse serum under the culture conditions described above until they were used for the experiments. The culture medium was exchanged every 4 days. All neu rons used in the experiments were from 13-day-old cell cul tures.For measuring the leakage of LDH activity from neu rons, the neurons were exposed to NMDA by the previous ly reported method (9) with a minor modification. Neu rons were washed 3 times with ice-cold, Mg2+-free Krebs Ringer bicarbonate buffer (KRB: pH 7.4) and then pre incubated with Mg2+-free KRB at 37 C for 10 min. There after, the neurons were incubated with NMDA and other agents for 15 min. Following this incubation, the incuba tion medi...