GabaA combinations

GABAa receptors that contain the al, a2, a3, and a5 subunits in combination with (3 and y subunits can bind classical benzodiazepines, e.g., diazepam, whereas GABAa receptors that contain the a4 and a6 subunits do not bind classical benzodiazepines. Essentially, all benzodiazepines that are currently in clinical use bind indiscriminately to GABAa receptors that contain the... 

The benzodiazepine, lorazepam, acts allosterically on GABAa receptors to facilitate the actions of GABA. Lorazepam has some antiemetic activity in cancer chemotherapy. When used in combination therapy, it does not appear to add to antiemetic control but may contribute to a reduction in anxiety. 

Figure 11.7 Presumed arrangement of GABAa receptor subunits to form a receptor-channel complex, (a) Diagrammatic representation of an individual subunit with four transmembrane regions, extracellular sites for glycosylation and a site for phosphorylation on the intracellular loop between M3 and M4. (b) Association of five subunits to form a central ionophore bounded by the M2 region of each subunit. The suggested stoichiometry of the most widely expressed form of receptor is 2a, 2 and ly. Shown below are the possible subunit combinations of one such benzodiazepine-sensitive receptor together with a benzodiazepine-insensitive receptor in which the 7 subunit is replaced by a c5, and a ti-containing receptor with four different subunit types...

The diversity of the GABAa subunits (Figure 3.2d) is reflected in a very complex pharmacology. Expression of the subunits in heterologous systems shows that the combinations a, (3, and y can yield functional receptors, indicating that the limitation in subunit combination is defined by expression levels and most likely cell-dependent assembly mechanisms also. The pj to p3 subunits mainly co-assemble with each other to form the GABAC receptors. 

The Xenopus oocyte can reliably express LGIC receptors. In our laboratory, we have seen robust expression of the Torpedo nAChR, 5-HT3 receptors and various GABAa receptor subtypes in oocytes. Injection of cRNA transcripts is a convenient and reproducible way to achieve the expression levels needed for functional analysis of receptor subtypes. We have found that functional characterization with this system complements biochemical experiments conducted on native receptors or those that have been expressed in mammahan cells. A combination of these approaches is essential for furthering our understanding of structure-function relationships in these receptors. 

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