The effect of felbamate on excitatory amino acid-induced biochemical c
hanges was investigated in cultured cortical neurons. Felbamate inhibi
ted NMDA- and glutamate-induced neuronal injury in a dose-dependent ma
nner, but it did not rescue cells from kainate-induced neurotoxicity.
The neuroprotective effect was accompanied by a decrease in NMDA- and
glutamate-induced neuronal calcium (Ca2+) influx. Exogenous addition o
f glycine failed to modulate the effect of felbamate on NMDA-induced n
eurotoxicity or Ca2+ influx, although corresponding changes induced by
the strychnine-insensitive glycine antagonist, 5,7-dichlorokynurenic
acid could be modulated with glycine. Taken together, these results su
ggest that felbamate acts through a site on the NMDA receptor that is
distinct from the strychnine-insensitive site, and that the effect of
the drug on neuronal Ca2+ may be pivotal to its neuroprotective mechan
ism.