Three pharmacologically-defined classes of ionotropic glutamate receptors were originally named according to their agonist selectivity: N-methyl-D-aspartate (NMDA), a-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA), and kainate. The NMDA receptor consists of at least two distinct subunits, NR1 and NR2 1) (Fig. 1A). Each subunit has three transmembrane domains (M1, M3, and M4) plus a cytoplasm-facing re-entrant membrane loop (M2). The M2 loop region in the NR1 and NR2 subunits is a critical determinant of divalent cation permeability and Mg 2ϩ block. NR1 is a single gene product expressed as eight alternatively spliced mRNAs, and NR2A, NR2B, NR2C and NR2D are distinct gene products. NMDA receptors probably consist of tetrameric subunit assemblies that have different physiological and pharmacological properties depending on the specific NR2 subunit. In the central nervous system, NMDA receptors play critical roles in a variety of neurophysiological phenomena, including neurodevelopment, synaptic plasticity, and excitotoxicity, because of their high permeability to Ca 2ϩ . Neurodegeneration associated with a variety of acute and chronic disorders (e.g., ischemic stroke, Parkinson's disease, Alzheimer's disease and dementia) is due in part to overactivation of NMDA receptors (Fig. 1B). Inhibitors of NMDA receptors have thus been developed as anticonvulsants and neuroprotective agents.Polyamines (putrescine, spermidine and spermine) are ubiquitously present in prokaryotic and eukaryotic cells. In the central nervous system, specific interactions of polyamines with several structurally and functionally distinct types of cation channels have been reported previously.
2)Among these, the most striking are the blockade of some types of K ϩ channels and the modulation of NMDA receptors. Spermine has complex effects on NMDA receptors, including two types of stimulation and one type of voltage-dependent blockade. One of the effects of spermine is "glycineindependent" stimulation, observed in the presence of saturating concentrations of glutamate and glycine. With recombinant NMDA receptors, this type of stimulation is observed only at receptors containing splice variants of NR1 that lack the exon-5 insert, expressed together with the NR2B subunit.3) Inhibition by extracellular spermine is strongly voltage-dependent, being more pronounced at hyperpolarized and M2, and an intracellular C-terminal domain. The glycine and glutamate binding pockets involving residues from the N-terminal domain and from the M3-M4 loop of NR1 and NR2 subunits, respectively. (B) Excitotoxicity is thought to be a major mechanism contributing to neurodegeneration during central nervous system, ischemia, trauma and other neurological disorders. Excitotoxicity is thought to result from an excessive synaptic release of glutamate. Also, it is generally accepted that the NMDA receptor plays a key role in mediating at least certain aspects of glutamate neurotoxicity, possibly owing to their high Ca 2ϩ permeability. When Ca 2ϩ overloaded, such pro...