Activation of delta opioid receptors increases survival time during ac
ute, lethal hypoxia in mice. delta Agonists therefore present a promis
ing avenue for therapeutic application to reduce the morbidity and mor
tality associated with clinical hypoxia in settings such as drowning h
ead injury apnea, and complicated childbirths. However, most delta ago
nists now available are peptides, and may have limited clinical utilit
y. In the present study, we evaluate the neuroprotective ability of an
alkaloid delta agonist, BW373U86. Alkaloid compounds, due to increase
d stability and increased systemic distribution, may be more favorable
for clinical use. We found that BW373U86, like the peptide delta agon
ist, DPDPE ([D-Pen(2),D-Pen(5)]-enkephalin), increases survival time o
f mice during lethal hypoxia. The mechanism of neuroprotection induced
by delta receptor activation appears to involve decreasing body tempe
rature. Further, using selective opioid receptor antagonists, it appea
rs that BW373U86 exerts these neuroprotective effects by acting at del
ta-opioid receptors.