Original Article

Neuropsychopharmacology (2008) 33, 332–339; doi:10.1038/sj.npp.1301403; published online 28 March 2007

Are GABAA Receptors Containing alpha5 Subunits Contributing to the Sedative Properties of Benzodiazepine Site Agonists?

Miroslav M Savic acute1, Shengming Huang2, Roman Furtmüller3, Terry Clayton2, Sigismund Huck3, Dragan I Obradovic acute4, Nenad D Ugres caronic acute1, Werner Sieghart3, Dubravko R Bokonjic acute5 and James M Cook2

  1. 1Department of Pharmacology, Faculty of Pharmacy, University of Belgrade, Belgrade, Serbia
  2. 2Department of Chemistry and Biochemistry, University of Wisconsin-Milwaukee, Milwaukee, WI, USA
  3. 3Center for Brain Research, Medical University Vienna, Vienna, Austria
  4. 4Department of Pharmacology, Medical Faculty, University of Belgrade, Belgrade, Serbia
  5. 5National Poison Center, Military Medical Academy, Belgrade, Serbia

Correspondence: Dr MM Savic acute, Department of Pharmacology, Faculty of Pharmacy, University of Belgrade, Vojvode Stepe 450, Belgrade 11221, Serbia. Tel: +381 11 3970379 ext. 680; Fax: +381 11 3972840; E-mail: miroslav@pharmacy.bg.ac.yu

Received 3 November 2006; Revised 15 February 2007; Accepted 23 February 2007; Published online 28 March 2007.

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Abstract

Classical benzodiazepines (BZs) exert anxiolytic, sedative, hypnotic, muscle relaxant, anticonvulsive, and amnesic effects through potentiation of neurotransmission at GABAA receptors containing alpha1, alpha2, alpha3 or alpha5 subunits. Genetic studies suggest that modulation at the alpha1 subunit contributes to much of the adverse effects of BZs, most notably sedation, ataxia, and amnesia. Hence, BZ site ligands functionally inactive at GABAA receptors containing the alpha1 subunit are considered to be promising leads for novel, anxioselective anxiolytics devoid of sedative properties. In pursuing this approach, we used two-electrode voltage clamp experiments in Xenopus oocytes expressing recombinant GABAA receptor subtypes to investigate functional selectivity of three newly synthesized BZ site ligands and also compared their in vivo behavioral profiles. The compounds were functionally selective for alpha2-, alpha3-, and alpha5-containing subtypes of GABAA receptors (SH-053-S-CH3 and SH-053-S-CH3-2'F) or essentially selective for alpha5 subtypes (SH-053-R-CH3). Possible influences on behavioral measures were tested in the elevated plus maze, spontaneous locomotor activity, and rotarod test, which are considered primarily predictive of the anxiolytic, sedative, and ataxic influence of BZs, respectively. The results confirmed the substantially diminished ataxic potential of BZ site agonists devoid of alpha1 subunit-mediated effects, with preserved anti-anxiety effects at 30 mg/kg of SH-053-S-CH3 and SH-053-S-CH3-2'F. However, all three ligands, dosed at 30 mg/kg, decreased spontaneous locomotor activity, suggesting that sedation may be partly dependent on activity mediated by alpha5-containing GABAA receptors. Hence, it could be of importance to avoid substantial agonist activity at alpha5 receptors by candidate anxioselective anxiolytics, if clinical sedation is to be avoided.

Keywords:

GABAA, benzodiazepine, sedation, anxiety, ataxia, subtype-selectivity

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