Tuning GABAergic Inhibition: Gephyrin Molecular Organization and Functions
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Rs to the cytoskeleton, thus ensuring the accurate accumulation of postsynaptic receptors at the right place. This protein undergoes several post-translational modifications which control protein-protein interaction and downstream signaling pathways. In addition, through the constant exchange of scaffolding elements and receptors in and out of synapses, gephyrin dynamically regulates synaptic strength and plasticity. The aim of the present review is to highlight recent findings on the functional role of gephyrin at GABAergic inhibitory synapses. We will discuss different approaches used to interfere with gephyrin in order to unveil its function. In addition, we will focus on the impact of gephyrin structure and distribution at the nanoscale level on the functional properties of inhibitory synapses as well as the implications of this scaffold protein in synaptic plasticity processes. Finally, we will emphasize how gephyrin genetic mutations or alterations in protein expression levels are implicated in several neuropathological disorders, including autism spectrum disorders, schizophrenia, temporal lobe epilepsy and Alzheimer's disease, all associated with severe deficits of GABAergic signaling. This article is part of a Special Issue entitled: Honoring Ricardo Miledi - outstanding neuroscientist of XX-XXI centuries.
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Gephyrin post-translational modifications modulate its affinity for GABAergic and glycinergic receptors, thus balancing inhibitory stability with plastic remodeling.
“These modulate its affinity for GABAergic and glycinergic receptors, thus balancing inhibitory stability with plastic remodeling [57,58,59,60].”
From Molecular Physiology of the Neuronal Synapse (2026) · cites this paper as [59]
In the Introduction (‘Gephyrin at inhibitory synapses: features, regulations and roles’; page not provided), the review says gephyrin binds both GABAA and glycine receptors and that phosphorylation affects GABAA receptor dynamics and synaptic stabilization. It also links gephyrin to inhibitory plasticity. The cited passages do not establish that gephyrin’s post-translational modifications modulate its binding affinity for both receptor types; that specific mechanism is unsupported. (LLM, conf=0.84)
Experimental — accuracy not yet measuredGenetic mutations or alterations in gephyrin expression are implicated in several disorders, specifically including temporal lobe epilepsy, autism, and Alzheimer's disease.
“Genetic mutations or alterations in gephyrin expression are implicated in several disorders, specifically including temporal lobe epilepsy, as well as autism and Alzheimer’s disease [59].”
From Molecular Physiology of the Neuronal Synapse (2026) · cites this paper as [59]
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Neuroligins and neurexins link synaptic function to cognitive disease
Südhof, T. C. (2008) · Nature · doi:10.1038/nature07456 · Cited by 1,849 · cited 1× · see citing works
“…mediated by a trans-synaptic mechanism involving neuroligin 2 (Varley et al., 2011), an adhesion molecule belonging to the neuroligin family, known to transsynaptically interact with presynaptic neurexins to ensure the crosstalk between the post- and presynaptic specializations (Südhof, 2008).”
The Postsynaptic Architecture of Excitatory Synapses: A More Quantitative View
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A trans-synaptic nanocolumn aligns neurotransmitter release to receptors
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“, 2019) and a nanoscale rearrangement during the expression of synaptic plasticity (Nair et al., 2013,; Haas et al., 2018; Hruska et al., 2018; Tang et al., 2016; Barberis, 2019).”
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Molecular Physiology of the Neuronal Synapse
Ramírez-Expósito, M. J., Cueto-Ureña, C., & Martínez-Martos, J. M. (2026) · Current Issues in Molecular Biology · doi:10.3390/cimb48010088 · Cited by 6 · see citing works
“Genetic mutations or alterations in gephyrin expression are implicated in several disorders, specifically including temporal lobe epilepsy, as well as autism and Alzheimer’s disease [59].”
- Authors
- Pizzarelli, R., Griguoli, M., Zacchi, P., Petrini, E. M., Barberis, A., Cattaneo, A., & Cherubini, E.
- Affiliations
- European Brain Research Institute (IT)
- University of Trieste (IT)
- Italian Institute of Technology (IT)
- Scuola Normale Superiore (IT)
- Scuola Internazionale Superiore di Studi Avanzati (IT)
- Corresponding author
- Cherubini, Enrico
- ORCID
- Venue
- Neuroscience
- Publisher
- Elsevier BV
- Published
- 2020-07
- Volume
- 439
- Pages
- 125-136
- ISSN
- 0306-4522 (ISSN-L)
- PMC
- PMC7351109
- OpenAlex
- W2966533410
- Cited by
- 69
- References
- 5
- Citations by year
- 2026: 9 · 2025: 12 · 2024: 8 · 2023: 6 · 2022: 11 · 2021: 13 · 2020: 9 · 2019: 1
- FWCI
- 1.13
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Neuroscience (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- ArTS Archivio della ricerca di Trieste (University of Trieste https://www.units.it/) (submittedVersion, cc-by-nc-nd)
- Scuola Normale Superiore di Pisa (submittedVersion, cc-by-nc-nd)
- Funders
- Fondazione Telethon
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Receptor Mechanisms and Signaling
- Keywords
- gephyrin, GABAergic inhibition, inhibitory synapses, synaptic scaffolding, cytoskeleton, post-translational modification, synaptic plasticity, autism spectrum disorder, schizophrenia, temporal lobe epilepsy, Alzheimer's disease, GABAergic neurotransmission
- MeSH terms
- Carrier Proteins, Humans, Membrane Proteins, Receptors, GABA-A, Synapses
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