Abstract
The GABAB receptor (GABABR) agonist baclofen has been used to treat alcohol and several other substance use disorders (AUD/SUD), yet its underlying neural mechanism remains unclear. The present study aimed to investigate cortical GABABR dynamics following chronic alcohol exposure. Ex vivo brain slice recordings from mice chronically exposed to alcohol revealed a reduction in GABABR-mediated currents, as well as a decrease of GABAB1/2R and G-protein-coupled inwardly rectifying potassium channel 2 (GIRK2) activities in the motor cortex. Moreover, our data indicated that these alterations could be attributed to dephosphorylation at the site of serine 783 (ser-783) in GABAB2 subunit, which regulates the surface expression of GABABR. Furthermore, a human study using paired-pulse-transcranial magnetic stimulation (TMS) analysis further demonstrated a reduced cortical inhibition mediated by GABABR in patients with AUD. Our findings provide the first evidence that chronic alcohol exposure is associated with significantly impaired cortical GABABR function. The ability to promote GABABR signaling may account for the therapeutic efficacy of baclofen in AUD.
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Data availability
The original data are available from the corresponding author upon request.
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Acknowledgements
We thank Ke Zhang and Zhuang Peng for help during data collection and management.
Funding
The study was supported by NSFC grants (81822017, 81901349, 31771215), the Science and Technology Commission of Shanghai Municipality (18QA1403700, 18JC1420304, 18140901700), Shanghai Municipal Education Commission—Gaofeng Clinical Medicine Grant Support (20181715), Hundred-talent Fund from Shanghai Municipal Commission of Health (2018BR21), Medicine and Engineering Interdisciplinary Research Fund of Shanghai Jiao Tong University (ZH2018ZDA30, ZH2018QNA39), and innovative research team of high-level local universities in Shanghai. VV is supported by the Medical Research Council MR/P008747/1.
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S-YP, ZS, D-SZ, and T-FY designed the study; S-YP, ZS, D-SZ, X-YW, X-XL, X-LL, W-DW, and G-NL performed the study; S-YP, ZS, D-SZ, X-YW, B-XP, VV, AAG, MH, M-LW, and T-FY analyzed the results and wrote the paper together; and all authors have read and approved the final version of the manuscript.
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AAG receives consulting fees from Alkermes, Lundbeck, Takeda, Roche, Lyra, Concert. The rest authors declare that they have no conflict of interest.
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Peng, SY., Shi, Z., Zhou, DS. et al. Reduced motor cortex GABABR function following chronic alcohol exposure. Mol Psychiatry 26, 383–395 (2021). https://doi.org/10.1038/s41380-020-01009-6
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DOI: https://doi.org/10.1038/s41380-020-01009-6
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