The glutamate receptor system is implicated in the development and maintena
nce of epileptic seizures, and animal studies have disclosed potent anticon
vulsant activity of a number of inhibitors of AMPA and/or kainate (KA) rece
ptor activity. These results make such inhibitors potential future antiepil
eptic drugs. Different series of compounds with inhibitory activity towards
AMPA receptors have been developed. Most of these inhibitors are structura
lly derived from AMPA, quinoxalinedione or 2,3-benzodiazepine. In contrast,
only a limited number of inhibitors of KA receptor activity have been deve
loped, most of which contain quinoxalinedione or decahydroisoquinoline skel
etons. In spite of promising anticonvulsant activity in various animal mode
l studies, no AMPA/KA receptor inhibitors are in clinical use against epile
psy today. Based on molecular biology studies, AMPA and KA receptors are at
present divided into four and five subtypes, respectively, and attempts to
develop subtype selective compounds have been initiated. Future studies an
d development of such compounds will indicate whether AMPA/KA receptor inhi
bition is a feasible therapeutic strategy for the treatment of epilepsy.