Beyond classical benzodiazepines: novel therapeutic potential of GABAA receptor subtypes
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GABAA (γ-aminobutyric acid, type A) receptors are a family of ligand-gated ion channels that are essential for the regulation of central nervous system function. Benzodiazepines — which non-selectively target GABAA receptors containing the α1, α2, α3 or α5 subunits — have been in clinical use for decades and are still among the most widely prescribed drugs for the treatment of insomnia and anxiety disorders. However, their use is limited by side effects and the risk of drug dependence. In the past decade, the identification of separable key functions of GABAA receptor subtypes suggests that receptor subtype-selective compounds could overcome the limitations of classical benzodiazepines; furthermore, they might be valuable for novel indications such as chronic pain, depression, schizophrenia, cognitive enhancement and stroke.
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Benzodiazepines enhance the effect of GABA on GABAA receptors.
“Since benzodiazepines enhance the effect of GABA on GABAA receptors 72 ,”
From Developmental timing and critical windows for the treatment of psychiatric disorders (2016) · cites this paper as [72]
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Bernice Porjesz, A., Begleiter, H., Wang, K., Almasy, L. A., Chorlian, D. B., Stimus, A. T., Samuel Kuperman, C., O’Connor, S., Rohrbaugh, J., Bauer, L. O., et al. (2002) · Biological Psychology · doi:10.1016/s0301-0511(02)00060-1 · Cited by 109 · see citing works
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GABA A Receptor α5 Subunits Contribute to GABA A,slow Synaptic Inhibition in Mouse Hippocampus
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“NS11394 is antihyperalgesic in rat models of inflammatory and neuropathic pai”
BackgroundAntidepressant-like properties of α2-containing GABAA receptors
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“Indeed, α2 knockout mice display increased anxiety and depression-like behaviour in the conflict-based novelty-suppressed feeding test, and increased depression-like behaviour in the despair-based forced swim and tail suspension test”
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An Historical Perspective on Gabaergic Drugs
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“In vitro and in vivo properties of 3-tert-butyl-7-(5-methylisoxazol-3-yl)-2-(1-methyl-1H-1, 2,4-triazol-5-ylme thoxy)-pyrazolo[1,5-d]-[1,2,4] triazine (MRK-016), a GABAA receptor α5 subtypeselective inverse agonist.”
BackgroundLio, A. D., Benke, D., Besson, M. J., Desmeules, J. A., Daali, Y., Wang, Z., Edwankar, R. V., Cook, J. M., & Zeilhofer, H. U. (2010) · Neuropharmacology · doi:10.1016/j.neuropharm.2010.11.026 · Cited by 88 · cited 1× · see citing works
“Likewise, the compound HZ-166, a partial agonist with selectivity for α2- and α3-containing GABA A receptors, had antihyperalgesic action in mouse models of neuropathic and inflammatory pai”
BackgroundMirza, N. R., Larsen, J. S., Mathiasen, C., Jacobsen, T. A., Munro, G., Erichsen, H. K., Nielsen, A. N., Troelsen, K. B., NIELSEN, E. O., & Ahring, P. K. (2008) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1124/jpet.108.138859 · Cited by 87 · see citing works
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“Several studies in animals and humans have suggested that classical benzodiazepines can impair learning and memor”
BackgroundAtack, J. R., Maubach, K. A., Wafford, K. A., O'Connor, D. V., Rodrigues, A. D., Evans, D. C., Tattersall, F. D., Chambers, M. S., MacLeod, A. M., Eng, W., et al. (2009) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1124/jpet.109.157636 · Cited by 72 · see citing works
GABAA Receptor α2/α3 Subtype-Selective Modulators as Potential Nonsedating Anxiolytics
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“In vitro and in vivo properties of 3-tert-butyl-7-(5-methylisoxazol-3-yl)-2-(1-methyl-1H-1, 2,4-triazol-5-ylme thoxy)-pyrazolo[1,5-d]-[1,2,4] triazine (MRK-016), a GABAA receptor α5 subtypeselective inverse agonist.”
BackgroundAtor, N. A., Atack, J. R., Hargreaves, R. J., Burns, H. D., & Dawson, G. R. (2010) · The Journal of Pharmacology and Experimental Therapeutics · doi:10.1124/jpet.109.158303 · Cited by 66 · cited 1× · see citing works
“Furthermore, in self-administration experiments in baboons, a withdrawal syndrome was observed following cessation of TPA123 self-administration (this compound displays 23% efficacy at α1-containing GABA A receptors, 35% efficacy at α2-containing GABA A receptors, 43% efficacy at α3-containing GABA A receptors and 19%…”
ResultDiazepam impairs place learning in the Morris water maze
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GABAA-receptor α-subunit is an essential prerequisite for receptor formation in vivo
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“α5-containing GABA A receptors are predominantly expressed in the hippocampus (where they make up approximately 20% of all GABA A receptor”
BackgroundSelf-citationPrut, L., Prenosil, G., Willadt, S., Vogt, K., Fritschy, J. ‐., & Crestani, F. (2010) · Genes, Brain and Behavior · doi:10.1111/j.1601-183x.2010.00575.x · Cited by 53 · see citing works
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“However, unfavourable pharmacokinetic properties have precluded further development of this compoun”
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Reversal of Ketamine-Induced Working Memory Impairments by the GABAAα2/3 Agonist TPA023
Castner, S. A., Arriza, J. L., Roberts, J. C., Mrzljak, L., Christian, E. P., & Williams, G. V. (2010) · Biological Psychiatry · doi:10.1016/j.biopsych.2010.01.001 · Cited by 37 · cited 1× · see citing works
“It is interesting to note that TPA023 reversed ketamine-induced impairments in spatial working memory in rhesus monkeys but not the ketamine-induced hallucinatory-like behaviours, emphasizing the functional specificity of this approac”
BackgroundEfficacy of alprazolam in reducing fluoxetine-induced jitteriness in patients with major depression.
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“Before the functions of the different GABA A receptor subtypes were known, the non-selective partial agonist and anxiolytic bretazenil was shown to be efficacious as monotherapy in approximately 40% of patients with acute episodes of schizophrenia of moderate to marked severit”
BackgroundIsoflurane-induced surgical tolerance mediated only in part by β3-containing GABAA receptors
Lambert, S., Arras, M., Vogt, K. E., & Rudolph, U. (2005) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2005.04.030 · Cited by 35 · see citing works
Self-citationThe role of GABA-A receptor subtypes as analgesic targets
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“2a ), had anxiolytic but not sedative effects in rodents and in humans, as demonstrated in Phase I and Phase II studies with 127 and 60 patients, respectivel”
BackgroundFischer, B. D., Atack, J. R., Platt, D. M., Reynolds, D. S., Dawson, G. R., & Rowlett, J. K. (2010) · Psychopharmacology · doi:10.1007/s00213-010-2142-y · Cited by 26 · see citing works
ASSESSMENT OF BENZODIAZEPINE DEPENDENCE IN ALCOHOL AND DRUG DEPENDENT OUTPATIENTS: A RESEARCH REPORT
Kan, C. C., Breteler, M., van der Ven, A., Timmermans, M. A., & Zitman, F. (2001) · Substance Use & Misuse · doi:10.1081/ja-100104491 · Cited by 21 · cited 1× · see citing works
“However, in alcohol- and drug-dependent outpatients, benzodiazepine dependence was found to be prevalen”
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The Link between Depression and Chronic Pain: Neural Mechanisms in the Brain
Sheng, J., Shui, L., Wang, Y., Cui, R., & Zhang, X. (2017) · Neural Plasticity · doi:10.1155/2017/9724371 · Cited by 792 · see citing works
“Because the GABAA receptors, including the α1, α2, α3, or α5 subunit, have also been found to be involved in mood regulation [82], the benzodiazepines have a potential in antidepressant therapy.”
BackgroundCrystal structure of a human GABAA receptor
Miller, P. S., & Aricescu, A. R. (2014) · Nature · doi:10.1038/nature13293 · Cited by 713 · see citing works
Autistic-like behaviour in Scn1a+/− mice and rescue by enhanced GABA-mediated neurotransmission
Han, S., Tai, C., Westenbroek, R. E., Yu, F. H., Cheah, C. S., Potter, G. B., Rubenstein, J. L., Scheuer, T., de la Iglesia, H. O., & Catterall, W. A. (2012) · Nature · doi:10.1038/nature11356 · Cited by 643 · see citing works
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Alterations in Cortical Network Oscillations and Parvalbumin Neurons in Schizophrenia
Gonzalez-Burgos, G., Cho, R. Y., & Lewis, D. A. (2015) · Biological Psychiatry · doi:10.1016/j.biopsych.2015.03.010 · Cited by 497 · see citing works
“Future pharmacologic studies could use drugs with greater potency for GABAA receptors containing an α2 subunit (147) or that target other PV cell receptor subtypes, such as α1 subunit GABAA receptors, which are also disturbed in schizophrenia (26) and possess the fast kinetics necessary for gamma oscillations.”
BackgroundDepression, anxiety and acute pain: links and management challenges
Michaelides, A., & Zis, P. (2019) · Postgraduate Medicine · doi:10.1080/00325481.2019.1663705 · Cited by 430 · see citing works
“Benzodiazepines have therapeutic effects in neuropathic or inflammatory pain through their effects on the GABAA receptor [56] The GABAA receptor has different subunits that have also been found to be involved in mood regulation, demonstrating the anti-depressant potential of benzodiazepines [57].”
BackgroundCortical GABAergic Dysfunction in Stress and Depression: New Insights for Therapeutic Interventions
Fogaça, M. V., & Duman, R. S. (2019) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2019.00087 · Cited by 396 · see citing works
50 years of hurdles and hope in anxiolytic drug discovery
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GABAA receptors: structure, function, pharmacology, and related disorders
Ghit, A., Assal, D., Al‐Shami, A. S., & Hussein, D. E. (2021) · Journal of Genetic Engineering and Biotechnology · doi:10.1186/s43141-021-00224-0 · Cited by 413 · see citing works
“ceptor function usually have opposite pharmacological effects such as convulsion and anxiogenesis [78, 79].”
BackgroundDevelopmental timing and critical windows for the treatment of psychiatric disorders
Marín, O. (2016) · Nature Medicine · doi:10.1038/nm.4225 · Cited by 374 · see citing works
Hashimoto, K. (2019) · Psychiatry and Clinical Neurosciences · doi:10.1111/pcn.12902 · Cited by 335 · see citing works
“Negative modulators of α5 GABAA receptors The GABAA (γ-aminobutyric acid, type A) receptors play an important role in several psychiatric disorders, such as MDD, as the regulation of GABAA receptors reportedly influences glutamate neurotransmission.(165,166) Two negative allosteric modulators (NAM; MRK-016 and L-655,7…”
BackgroundGABAA receptor signalling mechanisms revealed by structural pharmacology
Masiulis, S., Desai, R., Uchański, T., Martin, I. S., Laverty, D. C., Karia, D., Malinauskas, T., Zivanov, J., Pardon, E., Kotecha, A., et al. (2018) · Nature · doi:10.1038/s41586-018-0832-5 · Cited by 559 · see citing works
Rudolph, U., & Möhler, H. (2014) · Annual Review of Pharmacology and Toxicology · doi:10.1146/annurev-pharmtox-011613-135947 · Cited by 319 · see citing works
“The recognition of GABAA receptor subtypes (Table 1) provided an incentive to search for novel anxiolytics that retain the rapid and robust antianxiety actions of benzodiazepines while limiting or avoiding their side effects (62, 66, 67).”
BackgroundSelf-citationThe GABAA Receptor as a Therapeutic Target for Neurodevelopmental Disorders
Braat, S., & Kooy, R. F. (2015) · Neuron · doi:10.1016/j.neuron.2015.03.042 · Cited by 294 · see citing works
Greenblatt, D. J., & Roth, T. G. (2012) · Expert Opinion on Pharmacotherapy · doi:10.1517/14656566.2012.667074 · Cited by 284 · see citing works
“Most, but not all [13], neurochemical studies of zolpidem indicate that the drug has relatively selective affinity for the BZ-1 (omega-1) receptor subtype, corresponding to the population containing alpha-1 subunits [14-20].”
BackgroundBi, D., Wen, L., Wu, Z., & Shen, Y. (2020) · Alzheimer's & Dementia · doi:10.1002/alz.12088 · Cited by 232 · see citing works
Carver, C. M., & Reddy, D. S. (2013) · Psychopharmacology · doi:10.1007/s00213-013-3276-5 · Cited by 247 · see citing works
“…, ∼15–20 % have the α 2 β 3 γ 2 combination, ∼10–15 % have the α 3 β x γ 2 combination, ∼ 5 % have the α 4 β x γ or α 4 β x δ combination, less than 5 % have the α 5 β 2 γ 2 combination, and, likewise, less than 5 % have the α 6 β 2/3 γ 2 combination (Mohler et al. 2002; Rudolph and Knoflach 2011).”
The direct actions of cannabidiol and 2-arachidonoyl glycerol at GABA A receptors
Bakas, T., van Nieuwenhuijzen, P. S., Devenish, S. O., McGregor, I. S., Arnold, J. C., & Chebib, M. (2017) · Pharmacological Research · doi:10.1016/j.phrs.2017.02.022 · Cited by 246 · see citing works
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An emerging circuit pharmacology of GABAA receptors
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Self-citationNeurogenetics of Aggressive Behavior: Studies in Rodents
Takahashi, A., & Miczek, K. A. (2013) · Current topics in behavioral neurosciences · doi:10.1007/7854_2013_263 · Cited by 212 · see citing works
“Mice with a point mutation in the benzodiazepine binding site of a specific a subunit and a knockout mouse for each subtype of GABAA receptor have been established (Rudolph and Knoflach 2011), and these mice will facilitate analysis of the function of each of these subunit in controlling aggression.”
BackgroundSieghart, W., & Savić, M. M. (2018) · Pharmacological Reviews · doi:10.1124/pr.117.014449 · Cited by 211 · see citing works
“…the mutations a1H101R, a3H126R, or a5H105R that are also used for demonstrating the function of the respective receptor subtypes in the brain (Rudolph and Knoflach, 2011; Rudolph and Möhler, 2014), other ligands of the benzodiazepine site, such as bretazenil or Ro15-4513, are even more…”
BackgroundAutism spectrum disorder causes, mechanisms, and treatments: focus on neuronal synapses
Won, H., Mah, W., & Kim, E. (2013) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2013.00019 · Cited by 204 · see citing works
Allosteric Modulation of GABAA Receptors via Multiple Drug-Binding Sites
Sieghart, W. (2014) · Advances in pharmacology · doi:10.1016/bs.apha.2014.10.002 · Cited by 198 · see citing works
“…as well as that on homologous sites in other GABAA receptor subtypes is a prerequisite for a future structure-based drug design that could dramatically accelerate the development of novel subtypeselective drugs of potential therapeutic use (Rudolph & Knoflach, 2011; Rudolph & Mohler, 2014).”
BackgroundNeurosteroids, stress and depression: Potential therapeutic opportunities
Zorumski, C. F., Paul, S. M., Izumi, Y., Covey, D. F., & Mennerick, S. J. (2012) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2012.10.005 · Cited by 196 · see citing works
Ugbogu, O. C., Emmanuel, O., Agi, G. O., Ibe, C., Ekweogu, C. N., Ude, V. C., Uche, M. E., Nnanna, R. O., & Ugbogu, E. A. (2021) · Heliyon · doi:10.1016/j.heliyon.2021.e08404 · Cited by 192 · see citing works
“Benzodiazepines and other allopathic medicines that nonselectively target gamma-aminobutyric acid (GABA) receptors are commonly used to treat anxiety (Rudolph and Knoflach, 2011).”
BackgroundLiu, Y., Cheng, A., Li, Y.-J., Yang, Y., Kishimoto, Y., Zhang, S., Wang, Y., Wan, R., Raefsky, S. M., Lu, D., et al. (2019) · Nature Communications · doi:10.1038/s41467-019-09897-1 · Cited by 176 · see citing works
Hackos, D. H., Lupardus, P. J., Grand, T., Chen, Y., Wang, T.-M., Reynen, P. H., Gustafson, A. E., Wallweber, H. J. A., Volgraf, M., Sellers, B. D., et al. (2016) · Neuron · doi:10.1016/j.neuron.2016.01.016 · Cited by 174 · see citing works
Chioca, L. R., Ferro, M. M., Baretta, I. P., Oliveira, S. M., Silva, C. R., Ferreira, J., Losso, E. M., & Andreatini, R. (2013) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2013.03.028 · Cited by 167 · see citing works
Urraca, N., Cleary, J., Brewer, V., Pivnick, E. K., McVicar, K., Thibert, R. L., Schanen, N. C., Esmer, C., Lamport, D., & Reiter, L. T. (2013) · Autism Research · doi:10.1002/aur.1284 · Cited by 164 · see citing works
“A similar pattern is typically seen in children treated with benzodiazepines or barbiturates, both of which promote GABA(A) receptors in the brain [T.R. Browne & Penry, 1973; Rudolph et al., 1999; Rudolph & Knoflach, 2011], but none of our subjects were on these medications.”
BackgroundGABA Receptors: Pharmacological Potential and Pitfalls
Jembrek, M. J., & Vlainić, J. (2015) · Current Pharmaceutical Design · doi:10.2174/1381612821666150914121624 · Cited by 164 · see citing works
“This ensures propagation of neurotransmission and represents basis of neural communication [4,5].”
BackgroundInfluentialLigand-Gated Ion Channels: New Insights into Neurological Disorders and Ligand Recognition
Lemoine, D., Jiang, R., Taly, A., Chataigneau, T., Specht, A., & Grütter, T. (2012) · Chemical Reviews · doi:10.1021/cr3000829 · Cited by 162 · see citing works
GABAergic inhibitory neurons as therapeutic targets for cognitive impairment in schizophrenia
Xu, M., & Wong, A. H. C. (2018) · Acta Pharmacologica Sinica · doi:10.1038/aps.2017.172 · Cited by 159 · see citing works
Martínez‐Cué, C., Martinez, P. M., Rueda, N., Vidal, R., García-Cerro, S., Vidal, V., Corrales, A., Montero, J. A., Pazos, Á., Flórez, J., et al. (2013) · Journal of Neuroscience · doi:10.1523/jneurosci.1203-12.2013 · Cited by 154 · see citing works
“Among the different GABAA receptor subtypes, GABAA 5 subunit-containing receptors are preferentially localized in the hippocampus and play a key modulatory role in cognition (Collinson et al., 2002; Crestani et al., 2002; Rudolph and Knoflach, 2011).”
BackgroundSelf-citationGABA A Receptors and the Diversity in their Structure and Pharmacology
Chua, H. C., & Chebib, M. (2017) · Advances in pharmacology · doi:10.1016/bs.apha.2017.03.003 · Cited by 154 · see citing works
Alcohol use disorders and current pharmacological therapies: the role of GABAA receptors
Liang, J., & Olsen, R. W. (2014) · Acta Pharmacologica Sinica · doi:10.1038/aps.2014.50 · Cited by 155 · see citing works
Schiöth, H. B., Roshanbin, S., Hägglund, M. G. A., & Fredriksson, R. (2013) · Molecular Aspects of Medicine · doi:10.1016/j.mam.2012.07.012 · Cited by 150 · see citing works
GABAA receptor-acting neurosteroids: a role in the development and regulation of the stress response
Gunn, B. G., Cunningham, L., Mitchell, S. G., Swinny, J. D., Lambert, J. J., & Belelli, D. (2015) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2014.06.001 · Cited by 149 · see citing works
“Sieghart, 2009; Rudolph and Knoflach, 2011; Rudolph and Mohler, 2014).”
Anxiolytic Effect of Essential Oils and Their Constituents: A Review
Zhang, N., & Yao, L. (2019) · Journal of Agricultural and Food Chemistry · doi:10.1021/acs.jafc.9b00433 · Cited by 148 · see citing works
THC and CBD: Similarities and differences between siblings
Stella, N. (2023) · Neuron · doi:10.1016/j.neuron.2022.12.022 · Cited by 149 · see citing works
Cutler, A. J., Mattingly, G. W., & Maletic, V. (2023) · Translational Psychiatry · doi:10.1038/s41398-023-02514-2 · Cited by 147 · see citing works
“Extrasynaptic GABAA receptors containing δ subunits are insensitive to benzodiazepines [32, 53, 62, 64, 78, 79, 91, 92, 167].”
BackgroundDysfunctional hippocampal activity affects emotion and cognition in mood disorders
Femenía, T., Gómez-Galán, M., Lindskog, M., & Magara, S. (2012) · Brain Research · doi:10.1016/j.brainres.2012.03.053 · Cited by 143 · see citing works
Seizing Control of KCC2: A New Therapeutic Target for Epilepsy
Moore, Y. E., Kelley, M. R., Brandon, N. J., Deeb, T. Z., & Moss, S. J. (2017) · Trends in Neurosciences · doi:10.1016/j.tins.2017.06.008 · Cited by 142 · see citing works
“GABAA receptors comprise five subunits selected from 19 isoforms: six a subunits, three b subunits, three g subunits, three r subunits, and one each of the e, d, u, and p subunits [1].”
Steeds, H., Carhart-Harris, R. L., & Stone, J. M. (2014) · Therapeutic Advances in Psychopharmacology · doi:10.1177/2045125314557797 · Cited by 134 · see citing works
“Although there is considerable interest in the potential for novel drugs targeting GABA neurotransmission in schizophrenia [Rudolph and Knoflach, 2011], results from existing compounds in patients have not been promising [Rudolph and Knoflach, 2011; Buchanan et al.”
BackgroundInfluentialXia, G., Han, Y., Meng, F., He, Y., Srisai, D., Farías, M., Dang, M., Palmiter, R. D., Xu, Y., & Wu, Q. (2021) · Molecular Psychiatry · doi:10.1038/s41380-021-01053-w · Cited by 133 · see citing works
Identification and Characterization of GABAA Receptor Autoantibodies in Autoimmune Encephalitis
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“…mediates most of the fast inhibitory synaptic transmission in the brain and is composed of heteropentameric assemblies of different subunit subtypes [ (1– 6), (1–3), (1–3), , , , , and (1–3)] to form chloride ion channels (Macdonald and Olsen, 1994; Jacob et al., 2008; Rudolph and Knoflach, 2011).”
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Electrophysiology of ionotropic GABA receptors
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“The most abundant subtype in the mammalian nervous system is α1β2γ2, possibly accounting for 60% of all GABAA receptors [65].”
BackgroundEngin, E., Liu, J., & Rudolph, U. (2012) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2012.08.006 · Cited by 129 · see citing works
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Immunological GABAergic interactions and therapeutic applications in autoimmune diseases
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“A uthor M anuscript A uthor M anuscript A uthor M anuscript A uthor M anuscript (Rudolph and Knoflach, 2011) an imperfect test of the hypothesis that these subunit selective compounds can play a role in schizophrenia therapeutics.”
Enhanced phasic GABA inhibition during the repair phase of stroke: a novel therapeutic target
Hiu, T., Farzampour, Z., Paz, J. T., Wang, E. H.-J., Badgely, C., Olson, A., Micheva, K. D., Wang, G. X., Lemmens, R., Tran, K. C., et al. (2015) · Brain · doi:10.1093/brain/awv360 · Cited by 125 · see citing works
“Moreover, as the GABAA receptors that mediate phasic and tonic inhibition differ in their subunit composition—phasic GABAARs contain primarily 13,5 subunits whereas tonic GABAARs contain primarily 4,6 subunits (Farrant and Nusser, 2005; Glykys et al., 2008; Rudolph and Knoflach, 2011; Hines et al., 2012)— it highlight…”
BackgroundThe GABAergic Hypothesis for Cognitive Disabilities in Down Syndrome
Contestabile, A., Magara, S., & Cancedda, L. (2017) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2017.00054 · Cited by 141 · see citing works
“…and/or expression of NKCC1 may play a role in sleep disorders in DS. Finally, the strong involvement of GABAA signaling in anxiety disorders (Rudolph and Knoflach, 2011; Möhler, 2012) and the observation that DS patients show increased anxiety (Vicari et al., 2013) may indicate that also…”
BackgroundInfluentialLüscher, B., & Möhler, H. (2019) · F1000Research · doi:10.12688/f1000research.18758.1 · Cited by 105 · see citing works
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Heart–brain interactions in cardiac and brain diseases: why sex matters
Rossi, A., Mikaïl, N., Bengs, S., Haider, A., Treyer, V., Buechel, R. R., Wegener, S., Rauen, K., Tawakol, A. A., Merz, C. N. B., et al. (2022) · European Heart Journal · doi:10.1093/eurheartj/ehac061 · Cited by 116 · see citing works
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Self-citationRegulation of GABAARs by Phosphorylation
Nakamura, Y., Darnieder, L. M., Deeb, T. Z., & Moss, S. J. (2014) · Advances in pharmacology · doi:10.1016/bs.apha.2014.11.008 · Cited by 114 · see citing works
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Differential assembly diversifies GABAA receptor structures and signalling
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GABA ergic signalling in the immune system
Barragán, A., Weidner, J. M., Jin, Z., Korpi, E. R., & Birnir, B. (2015) · Acta Physiologica · doi:10.1111/apha.12467 · Cited by 111 · see citing works
Tian, Z., Wang, Y., Zhang, N., Guo, Y., Feng, B., Liu, S., & Zhao, M. (2013) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2013.04.011 · Cited by 110 · see citing works
Benzodiazepines Modulate GABAAReceptors by Regulating the Preactivation Step after GABA Binding
Gielen, M. C., Lumb, M. J., & Smart, T. G. (2012) · Journal of Neuroscience · doi:10.1523/jneurosci.5663-11.2012 · Cited by 110 · see citing works
Ralvenius, W. T., Benke, D., Acuña, M. A., Rudolph, U., & Zeilhofer, H. U. (2015) · Nature Communications · doi:10.1038/ncomms7803 · Cited by 107 · see citing works
Self-citationAlterations in GABAA-Receptor Trafficking and Synaptic Dysfunction in Brain Disorders
Mele, M., Costa, R. O., & Duarte, C. B. (2019) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2019.00077 · Cited by 106 · see citing works
“…other receptors may be considered a mechanism for tuning inhibition in the CNS. Deficits in the functional expression of GABAAR have been implicated in the pathogenesis of several neurological and psychiatric diseases (Schwartz-Bloom and Sah, 2001; Rudolph and Knoflach, 2011; Kaila et al., 2014).”
BackgroundShi, Y., Dong, J., Zhao, J.-H., Tang, L.-N., & Zhang, J. (2014) · Current Neuropharmacology · doi:10.2174/1570159x11666131227001243 · Cited by 107 · see citing works
“However, BZDs have addictive properties and are associated with abuse liability, physical dependence, and tolerance, limiting their long-term use [18].”
BackgroundZanos, P., Nelson, M. E., Highland, J. N., Krimmel, S. R., Georgiou, P., Gould, T. D., & Thompson, S. M. (2017) · eNeuro · doi:10.1523/eneuro.0285-16.2017 · Cited by 106 · see citing works
“, 2009) and are under development as cognitive enhancers (Rudolph and Knoflach, 2011).”
BackgroundPossible alterations in GABAAreceptor signaling that underlie benzodiazepine‐resistant seizures
Deeb, T. Z., Maguire, J. L., & Moss, S. J. (2012) · Epilepsia · doi:10.1111/epi.12037 · Cited by 103 · see citing works
“…2012 doi: 10.1111/epi.12037 MOLECULAR PLASTICITY 79 the benzodiazepine-binding site is formed at the extracellular interface of a c2 and adjacent a1-3 or a5 subunit; the a4 and a6 subunits do not support benzodiazepine binding (Puia et al., 1991; Benson et al., 1998; Rudolph & Knoflach, 2011).”
BackgroundInfluentialGABAergic system in the endocrine pancreas: a new target for diabetes treatment
Wang, Q., Prud'homme, G., & Wan, Y. (2015) · Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy · doi:10.2147/dmso.s50642 · Cited by 100 · see citing works
“GABA A Rs are heteropentamers of different subunits that form fast-acting chloride channels.(22) There are 19 known”
BackgroundCognitive deficits caused by prefrontal cortical and hippocampal neural disinhibition
Bast, T., Pezze, M. A., & McGarrity, S. (2017) · British Journal of Pharmacology · doi:10.1111/bph.13850 · Cited by 92 · see citing works
“, 2008; Rudolph and Knoflach, 2011), studies using intra-cerebral microinfusions of broadly acting GABA agonists and antagonists may be complemented by studies using more selective ligands, to target specific GABA receptors subtypes (Rudolph and Knoflach, 2011), and opto- and pharmacogenetic methods, to modulate GABA…”
BackgroundInfluentialSmith, K. S., Engin, E., Meloni, E. G., & Rudolph, U. (2012) · Neuropharmacology · doi:10.1016/j.neuropharm.2012.03.001 · Cited by 94 · see citing works
“These receptors modulate processes as diverse as sleep, anxiety, learning and memory, seizures, depressive symptomatology, and reward (Rudolph and Knoflach, 2011).”
Self-citationGABAA receptor subtype involvement in addictive behaviour
Stephens, D. N., King, S. L., Lambert, J. J., Belelli, D., & Duka, T. (2016) · Genes Brain & Behavior · doi:10.1111/gbb.12321 · Cited by 92 · see citing works
“…by 𝛼1-containing and 𝛼2- (and perhaps 𝛼3-) subunit containing receptors respectively, while an action at 𝛼5-containing receptors makes a significant contribution to the well-characterized amnestic effects of benzodiazepines (Collinson et al. 2006; Mohler et al. 2002; Rudolph & Knoflach 2011).”
BackgroundNanostructured Lipid Carriers to Mediate Brain Delivery of Temazepam: Design and In Vivo Study
Eleraky, N. E., Omar, M. M., Mahmoud, H. A., et al. (2020) · Pharmaceutics · doi:10.3390/pharmaceutics12050451 · Cited by 91 · see citing works
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Cognitive Enhancers (Nootropics). Part 1: Drugs Interacting with Receptors
Froestl, W., Muhs, A., & Pfeifer, A. (2012) · Journal of Alzheimer s Disease · doi:10.3233/jad-2012-121186 · Cited by 91 · see citing works
“5 2 GABAA receptors, particularly abundant in the hippocampus, display valuable cognition enhancing properties (in chronological order) [544–555].”
Omran, A. J. A., Shao, A. S., Watanabe, S., Zhang, Z., Zhang, J., Chen, X., Watanabe, J., Davies, D. L., Shao, X. M., & Liang, J. (2022) · Journal of Neuroinflammation · doi:10.1186/s12974-021-02368-9 · Cited by 91 · see citing works
The balancing act of GABAergic synapse organizers
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Phytochemical analysis and biological properties of Cyperus rotundus L.
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“For each case, we noted the clinical phenotype according to the classification previously described: (1) epilepsy associated with fever sensibility, (2) early developmental epileptic encephalopathy, and (3) genetic generalized epilepsy.”
BackgroundMethodPrivileged Diazepine Compounds and Their Emergence as Bromodomain Inhibitors
Smith, S. G., Sánchez, R., & Zhou, M. (2014) · Chemistry & Biology · doi:10.1016/j.chembiol.2014.03.004 · Cited by 83 · see citing works
“…and through the use of BZD inhibition in the altered mice and in wild-type mice, were able to determine the activities controlled by each a subtype (Crestani et al., 2001, 2002; Löw et al., 2000; McKernan et al., 2000; van Rijnsoever et al., 2004; Rudolph et al., 1999; Rudolph and Knoflach, 2011).”
MethodTrotti, L. M. (2017) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2017.03.009 · Cited by 83 · see citing works
Arbon, E. L., Knurowska, M., & Dijk, D. (2015) · Journal of Psychopharmacology · doi:10.1177/0269881115581963 · Cited by 81 · see citing works
“…options for insomnia include benzodiazepine and non-benzodiazepine hypnotics that target γ-aminobutyric acid (GABA)A receptors and other hypnotics including melatonin receptor agonists (Ebert et al., 2006; Rudolph and Knoflach, 2011), the latter of which are sometimes referred to as chronobiotics.”
BackgroundShi, Y., Cui, M., Ochs, K., Brendel, M., Strübing, F., Briel, N., Eckenweber, F., Zou, C., Banati, R. B., Liu, G. J., et al. (2022) · Nature Neuroscience · doi:10.1038/s41593-022-01013-9 · Cited by 85 · see citing works
Self-citationDiscovery of allosteric modulators for GABAA receptors by ligand-directed chemistry
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Epperson, C. N., Rubinow, D. R., Meltzer-Brody, S. E., Deligiannidis, K. M., Riesenberg, R. A., Krystal, A. D., Bankole, K., Huang, M., Li, H., Brown, C., et al. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.09.143 · Cited by 77 · see citing works
GABAA receptor subtypes and benzodiazepine use, misuse, and abuse
Engin, E. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.1060949 · Cited by 79 · see citing works
“BDZs have anxiolytic, sedative, hypnotic, amnestic, anticonvulsant, myorelaxant effects (9).”
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Role of GABAA receptor subtypes in the behavioural effects of intravenous general anaesthetics
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“sedative action of diazepam was abolished, but the anxiolytic action was maintained.(26) In contrast, for the equivalent a2H101R mouse, the anxiolytic effect of diazepam was abolished, but the sedative effect remained intact.”
BackgroundInfluentialSeifi, M., Brown, J. F., Mills, J. J., Bhandari, P., Belelli, D., Lambert, J. J., Rudolph, U., & Swinny, J. D. (2014) · Journal of Neuroscience · doi:10.1523/jneurosci.0441-14.2014 · Cited by 76 · see citing works
“, 2012) and pharmacologically (Rudolph and Knoflach, 2011) diverse receptor subtypes within distinct regions (Wisden et al.”
BackgroundInfluentialSelf-citationThe effects of chamomile extract on sleep quality among elderly people: A clinical trial
Adib‐Hajbaghery, M., & Mousavi, S. N. (2017) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2017.09.010 · Cited by 76 · see citing works
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Impaired GABAergic inhibition in the hippocampus of Fmr1 knockout mice
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GABA Pharmacology: The Search for Analgesics
McCarson, K. E., & Enna, S. J. (2014) · Neurochemical Research · doi:10.1007/s11064-014-1254-x · Cited by 74 · see citing works
Wang, S., Liu, H., Wang, X., et al. (2020) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2020.112672 · Cited by 74 · see citing works
Cryo-EM: the resolution revolution and drug discovery
de Oliveira, T. M., van Beek, L., Shilliday, F., Debreczeni, J. É., & Phillips, C. (2021) · SLAS DISCOVERY · doi:10.1177/2472555220960401 · Cited by 73 · see citing works
Vitale, R. M., Iannotti, F. A., & Amodeo, P. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22094876 · Cited by 74 · see citing works
“Preclinical studies with transgenic mice and/or selective ligands suggested that diverse receptor isoforms have a different role in mediating the action of drugs in specific disorders: α1 is implicated in epilepsy and in sedative/hypnotic effects, α2/α3 mediate anxiolytic and analgesic actions, α5 is involved in learn…”
Background
- Authors
- Rudolph, U., & Knoflach, F.
- Affiliations
- Harvard University (US)
- F. Hoffmann-La Roche AG (CH)
- Corresponding author
- Rudolph, Uwe
- Venue
- Nature Reviews Drug Discovery
- Published
- 2011-07-29
- Volume
- 10
- Issue
- 9
- Pages
- 685-697
- ISSN
- 1474-1776 (ISSN-L)
- 1474-1784
- PMC
- PMC3375401
- OpenAlex
- W2013775967
- Semantic Scholar
- bfb4fcd647899053b94eaf5edf1fe9e748076c6b
- Cited by
- 733
- References
- 111
- Citations by year
- 2026: 41 · 2025: 42 · 2024: 35 · 2023: 46 · 2022: 43 · 2021: 55 · 2020: 49 · 2019: 56 · 2018: 51 · 2017: 58 · 2016: 52 · 2015: 45 · 2014: 62 · 2013: 58 · 2012: 38
- FWCI
- 4.90
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Drug Discovery (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R21MH087829, R01MH080006, R03MH085149, MH087829, MH085149, MH080006)
- National Institute on Drug Abuse (DA027051, DA026578, R03DA026578, R03DA027051)
- National Institute of General Medical Sciences (R01GM086448, GM086448)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Nicotinic Acetylcholine Receptors Study
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Keywords
- GABAA receptor, benzodiazepines, GABAA receptor subtypes, ligand-gated ion channels, chronic pain, depression, schizophrenia, cognitive enhancement, stroke, drug addiction
- MeSH terms
- Analgesics, Animals, Anxiety Disorders, Benzodiazepines, Depressive Disorder, Humans, Hypnotics and Sedatives, Sleep Initiation and Maintenance Disorders, Mutation, Receptors, GABA-A, Schizophrenia, Nootropic Agents, GABA Modulators, Substance-Related Disorders, Stroke
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