Vien Thuy N, Ackley Michael A, Doherty James J, Moss Stephen J, Davies Paul A
Department of Neuroscience, Tufts University School of Medicine, Boston, MA, United States.
Research and Non-clinical Development, Sage Therapeutics, Inc., Cambridge, MA, United States.
Front Mol Neurosci. 2022 Mar 31;15:817996. doi: 10.3389/fnmol.2022.817996. eCollection 2022.
Neuroactive steroids (NASs) have potent anxiolytic, anticonvulsant, sedative, and hypnotic actions, that reflect in part their efficacy as GABA R positive allosteric modulators (PAM). In addition to this, NAS exert metabotropic effects on GABAergic inhibition the activation of membrane progesterone receptors (mPRs), which are G-protein coupled receptors. mPR activation enhances the phosphorylation of residues serine 408 and 409 (S408/9) in the β3 subunit of GABA Rs, increasing their accumulation in the plasma membrane leading to a sustained increase in tonic inhibition. To explore the significance of NAS-induced phosphorylation of GABA Rs, we used mice in which S408/9 in the β3 subunit have been mutated to alanines, mutations that prevent the metabotropic actions of NASs on GABA R function while preserving NAS allosteric potentiation of GABAergic current. While the sedative actions of NAS were comparable to WT, their anxiolytic actions were reduced in S408/9A mice. Although the induction of hypnosis by NAS were maintained in the mutant mice the duration of the loss of righting reflex was significantly shortened. Finally, ability of NAS to terminate diazepam pharmacoresistant seizures was abolished in S408/9A mice. In conclusion, our results suggest that S408/9 in the GABA R β3 subunit contribute to the anxiolytic and anticonvulsant efficacy of NAS, in addition to their ability to regulate the loss of righting reflex.
神经活性甾体(NASs)具有强大的抗焦虑、抗惊厥、镇静和催眠作用,这部分反映了它们作为GABAR正性变构调节剂(PAM)的功效。除此之外,NAS对GABA能抑制发挥代谢型作用——激活膜孕酮受体(mPRs),这是一种G蛋白偶联受体。mPR激活增强了GABARβ3亚基中丝氨酸408和409(S408/9)残基的磷酸化,增加了它们在质膜中的积累,导致紧张性抑制持续增加。为了探究NAS诱导的GABAR磷酸化的意义,我们使用了β3亚基中S408/9突变为丙氨酸的小鼠,这些突变可阻止NAS对GABAR功能的代谢型作用,同时保留NAS对GABA能电流的变构增强作用。虽然NAS的镇静作用与野生型相当,但它们在S408/9A小鼠中的抗焦虑作用减弱。尽管突变小鼠中NAS诱导的催眠作用得以维持,但翻正反射消失的持续时间显著缩短。最后,S408/9A小鼠中NAS终止地西泮耐药性癫痫发作的能力丧失。总之,我们的结果表明,GABARβ3亚基中的S408/9除了具有调节翻正反射消失的能力外,还对NAS的抗焦虑和抗惊厥功效有贡献。