Department of Physiology, University of Toronto, Toronto, ON, Canada.
Medicines Discovery Institute, Cardiff University, Cardiff, Wales.
Br J Anaesth. 2021 Mar;126(3):674-683. doi: 10.1016/j.bja.2020.11.032. Epub 2020 Dec 30.
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) receptors. Negative allosteric modulators that inhibit α5 GABA receptors (α5-NAMs) are being developed as treatments for these disorders. The effects of α5-NAMs have been studied on recombinant GABA receptors expressed in non-neuronal cells; however, no study has compared drug effects on the tonic conductance generated by native GABA 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) 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 receptors. Studying the effects of α5 GABA receptor-selective drugs on the tonic inhibitory current in neurones could inform the selection of compounds for future clinical trials.
多种认知和精神障碍与由含 α5 亚基的 γ-氨基丁酸 A(α5 GABA)受体产生的紧张性抑制性电导率增加有关。正在开发抑制 α5 GABA 受体(α5-NAMs)的负变构调节剂作为这些疾病的治疗方法。已经在非神经元细胞中表达的重组 GABA 受体上研究了 α5-NAMs 的作用;然而,尚无研究比较药物对神经元中天然 GABA 受体产生的紧张性电导的作用,这是本研究的目的。
使用培养的小鼠海马神经元中的全细胞记录研究了五种 α5-NAMs(basmisanil、Ono-160、L-655,708、α5IA 和 MRK-016)对低浓度 GABA 诱发的紧张性电流的影响。还检查了药物对饱和浓度 GABA 诱发的电流和微小抑制性突触后电流(mIPSCs)的影响。
α5-NAMs 引起紧张性电流的浓度依赖性降低。效力因抑制浓度 50%(IC)的 basmisanil(127 nM)显著高于其他化合物(0.4-0.8 nM)而有所不同。相比之下,药物的最大功效相似(抑制 35.5-51.3%)。α5-NAMs 不改变饱和 GABA 浓度或 mIPSCs 诱发的电流。
basmisanil 的效力明显低于其他 α5-NAMs,这是基于重组 α5 GABA 受体研究的意外结果。研究 α5 GABA 受体选择性药物对神经元中紧张性抑制性电流的作用可以为未来的临床试验选择化合物提供信息。