We show here that transient forebrain ischemia selectively elevates le
vels of neuronal apoptosis inhibitory protein (NAIP) in rat neurons th
at are resistant to the injurious effects of this treatment. This obse
rvation suggests that increasing NAIP levels may confer protection aga
inst ischemic cell death. Consistent with this proposal, we demonstrat
e that two other treatments that increase neuronal NAIP levels, system
ic administration of the bacterial alkaloid K252a and intracerebral in
jection of an adenovirus vector capable of overexpressing NAIP in vivo
, reduce ischemic damage in the rat hippocampus. Taken together, these
findings suggest that NAIP may play a key role in conferring resistan
ce to ischemic damage and that treatments that elevate neuronal levels
of this antiapoptotic protein may have utility in the treatment of st
roke.