Suramin is a large naphthyl-polysulfonate compound that inhibits an array of receptors and enzymes, and it has also been reported to block currents mediated by glutamate receptors. This study shows that suramin and several structurally related compounds [8,8Ј-[carbonylbis(imino- Inhibition often was less than complete at saturating drug concentrations and thus seems to be noncompetitive in nature. Pyridoxal-5Ј-phosphate-6-(2Ј-naphthylazo-6Ј-nitro-4Ј,8Ј-disulfonate) (PPNDS) is a potent antagonist of purinoceptors that shares some structural elements with suramin yet is smaller than the latter. PPNDS also had potent effects on AMPA receptors (EC 50 value of 4 M) but of a kind not seen with the other compounds in that it increased binding affinity for radioagonists severalfold. In addition, PPNDS slowed association and dissociation rates more than 10 times. In physiological experiments with GluR2 receptors, PPNDS at 50 M reduced the peak current by 30 to 50% but had only small effects on other waveform aspects such desensitization and steady-state currents. This pattern of effects differentiates PPNDS from other compounds such as thiocyanate and up-modulators, which increase agonist binding by enhancing desensitization or slowing deactivation, respectively. Receptor model simulations indicate that most effects can be accounted for by assuming that PPNDS slows agonist binding/ unbinding and stabilizes the bound-closed state of the receptor. By extension, suramin is proposed to stabilize the unbound state and thereby to reduce affinity for agonists. These drugs thus act through a novel type of noncompetitive antagonism.Suramin is an extended molecule with a symmetrical backbone of amide-linked aromatic rings and with three negatively charged sulfonate substituents on each of the terminal naphthyl elements (Fig. 1). As such, it shares many structural similarities with a broader class of polysulfonated compounds that include the azo-dyes trypan blue, Evans blue, Chicago sky blue, and basilen blue (also called reactive blue 2). Like many of the latter, suramin has a remarkably diverse range of pharmacological actions, yet the mechanisms underlying these effects are in most instances still obscure. Suramin was developed 80 years ago and is still occasionally used for the treatment of trypanosomiasis and onchocerciasis (Wang 1995). In vitro, suramin affects a bewildering array of molecular and cellular processes. It inhibits numerous signaling proteins, including growth factors and interleukins (Voogd et al., 1993); among its many other targets are G proteins (Freissmuth et al., 1996) and enzymes such as reverse transcriptase (De Clercq, 1987) and ectonucleotidases This work was supported by National Institutes of Health grant NS41020. Article, publication date, and citation information can be found at