how does gaba inhibit neurons? - hypersomnia foundation

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2/14/19 1 How does GABA inhibit neurons? Dr. Amanda Freeman + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +

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2/14/19

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HowdoesGABAinhibit

neurons?

Dr.AmandaFreeman

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DifferentTypesofGABAReceptors

GABAA GABAB

Insid

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uron

Outsid

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uron

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GABAA

Chloride(Cl-)-GABA

DifferentTypesofGABAReceptors

Insid

ene

uron

Outsid

ene

uron

GABAA

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GABA

Insid

ene

uron

Outsid

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uron

Importanttargetfor- Tranquilizers- Anesthetics- Anticonvulsants

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GABAB

DifferentTypesofGABAReceptors

+Potassium(K+)

Insid

ene

uron

Outsid

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uron

GABAA

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GABAGABA

GABAB

+

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uron

Outsid

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uron

Importanttargetfor- MuscleRelaxants- Antiepileptics

GABA

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GABAA GABAB

Young&Chu(1990)DrugDevelopmentResearch.21:161-167.

GABAA Receptor

From the side From the top

α

α β

βγ

α

α β

βγ

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GABAA ReceptorGABAbindingsites

From the side From the top

α

α β

βγ

α

α β

βγ

GABAA ReceptorEthanolandvolatileanestheticbindingsites

From the side From the top

α

α β

βγ

α

α β

βγ

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GABAA ReceptorBenzodiazepinebindingsite

From the side From the top

α

α β

βγ

α

α β

βγ

GABAAreceptorsubtype

PercentageofallGABAA receptors

Function

α1(α1β2γ2)

60%

AnestheticsSedation*Amnesia*

Anticonvulsant*

α2 15-20% Anxiolytic*

α3 10-15% Musclerelaxation*Anxiolytic*

α5 <5% Learning andMemory

*EffectsofBenzodiazepines

BaseduponNutt(2006)JournalofClinicalSleepMedicine,2(2):S7-S11.

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Pirkeretal.(2000)Neuroscience.101(4):815-850.

GABAAreceptorsubunits

WhatdoesGABAhavetodo

withsleep?

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HistamineSerotonin

NorepinephrineAcetylcholine

Hypocretin/Orexin

WakePromoting

GABAFromVentrolateralPreopticArea(VLPO)

SleepPromoting

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(2012)ScienceTranslationalMedicine4(161):161ra151

WakeHistamineSerotonin

NorepinephrineAcetylcholine

Hypocretin/Orexin

SleepGABA

GABA

Chloride

GABA

GABA

Chloride

GABA-relatedHypersomnia

GABA

Chloride

GABA-relatedHypersomnia+Flumazenil

GABA

Chloride

Benzodiazepine