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Commonly Used Therapeutics Associated with Changes in Arousal Inhibit GABAAR Activation.


ABSTRACT: GABAA receptor-positive modulators are well-known to induce sedation, sleep, and general anesthesia. Conversely, GABAA receptor negative allosteric modulators (GABAARNAMs) can increase arousal and induce seizures. Motivated by our studies with patients with hypersomnia, and our discovery that two GABAARNAMs can restore the Excitation/Inhibition (E/I) balance in vitro and arousal in vivo, we chose to screen 11 compounds that have been reported to modulate arousal, to see if they shared a GABA-related mechanism. We determined modulation with both conventional and microfluidic patch clamp methods. We found that receptor activation was variably modulated by all 11 compounds: Rifampicin (RIF), Metronidazole (MET), Minocycline (MIN), Erythromycin (ERY), Ofloxacin (OFX), Chloroquine (CQ), Hydroxychloroquine sulfate (HCQ), Flumazenil (FLZ), Pentylenetetrazol (PTZ), (-)-Epigallocatechin Gallate (EGCG), and clarithromycin (CLR). The computational modeling of modulator-receptor interactions predicted drug action at canonical binding sites and novel orphan sites on the receptor. Our findings suggest that multiple avenues of investigation are now open to investigate large and brain-penetrant molecules for the treatment of patients with diminished CNS E/I balance.

SUBMITTER: Kaplan A 

PROVIDER: S-EPMC9953295 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature

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Commonly Used Therapeutics Associated with Changes in Arousal Inhibit GABA<sub>A</sub>R Activation.

Kaplan Anling A   Nash Abigail I AI   Freeman Amanda A H AAH   Lewicki Lauren G LG   Rye David B DB   Trotti Lynn Marie LM   Brandt Asher L AL   Jenkins Andrew A  

Biomolecules 20230215 2


GABA<sub>A</sub> receptor-positive modulators are well-known to induce sedation, sleep, and general anesthesia. Conversely, GABA<sub>A</sub> receptor negative allosteric modulators (GABA<sub>A</sub>RNAMs) can increase arousal and induce seizures. Motivated by our studies with patients with hypersomnia, and our discovery that two GABA<sub>A</sub>RNAMs can restore the Excitation/Inhibition (E/I) balance in vitro and arousal in vivo, we chose to screen 11 compounds that have been reported to modula  ...[more]

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