Inhibition of a tonic inhibitory conductance in mouse hippocampal neurones by negative allosteric modulators of α5 subunit-containing γ-aminobutyric acid type A receptors: implications for treating cognitive deficits.

Manzo, Marc A; Wang, Dian-Shi; Li, Winston W; Pinguelo, Arsène; Popa, Mariana O; Khodaei, Shahin; Atack, John R; Ross, Ruth A et al. · Br J Anaesth · 2021

basic_science · Level V

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Abstract

Multiple cognitive and psychiatric disorders are associated with an increased tonic inhibitory conductance that is generated by α5 subunit-containing γ-aminobutyric acid type A (α5 GABA<sub>A</sub>) receptors. Negative allosteric modulators that inhibit α5 GABA<sub>A</sub> receptors (α5-NAMs) are being developed as treatments for these disorders. The effects of α5-NAMs have been studied on recombinant GABA<sub>A</sub> receptors expressed in non-neuronal cells; however, no study has compared drug effects on the tonic conductance generated by native GABA<sub>A</sub> receptors in neurones, which was the goal of this study. The effects of five α5-NAMs (basmisanil, Ono-160, L-655,708, α5IA, and MRK-016) on tonic current evoked by a low concentration of GABA were studied using whole-cell recordings in cultured mouse hippocampal neurones. Drug effects on current evoked by a saturating concentration of GABA and on miniature inhibitory postsynaptic currents (mIPSCs) were also examined. The α5-NAMs caused a concentration-dependent decrease in tonic current. The potencies varied as the inhibitory concentration for 50% inhibition (IC<sub>50</sub>) of basmisanil (127 nM) was significantly higher than those of the other compounds (0.4-0.8 nM). In contrast, the maximal efficacies of the drugs were similar (35.5-51.3% inhibition). The α5-NAMs did not modify current evoked by a saturating GABA concentration or mIPSCs. Basmisanil was markedly less potent than the other α5-NAMs, an unexpected result based on studies of recombinant α5 GABA<sub>A</sub> receptors. Studying the effects of α5 GABA<sub>A</sub> receptor-selective drugs on the tonic inhibitory current in neurones could inform the selection of compounds for future clinical trials.

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