Jay Lewis
Benzodiazepines and Their Effect on GABAA Receptors
There are a plethora of neurotransmitters in our brains associated with their specific receptors along post-synaptic terminals that allow for proper function of brain activity. GABA receptors are a category, amongst many categories, of such receptors that play a major role in the ability of our brains to regulate physiological functions and cognitive stability. Specifically, GABAA receptors play an important role in rapid inhibition of synaptic neurotransmission in the human brain.1 GABAA receptors are activated by the pre-synaptic neurotransmitter GABA whereby binding of GABA causes a conformational change in the channel allowing increased chloride into the cell resulting in hyperpolarization;
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The purpose of the pathway is to both produce and conserve GABA.4 GABA is the major inhibitory neurotransmitter in the central nervous system (CNS) and it has been estimated that at least one-third of all CNS neurons utilize GABA as their primary neurotransmitter.5 The precursor for GABA is usually glucose, however amino acids and pyruvate can also be used. The metabolic synthesis of GABA begins with the amino transfer of (alpha)-ketoglutarate, synthesized by glucose in the Krebs cycle by GABA (alpha)-oxoglutarate transaminase (GABA-T) into L-glutamic acid. Glutamic acid decarboxylase (GAD) catalyzes the decarboxylation of glutamic acid to form GABA.4 GABA release into the synaptic cleft is stimulated by depolarization of presynaptic neurons, which then diffuses across into the post-synaptic neurons and binds to their associated receptors. Reuptake of GABA is the responsibility of both presynaptic nerve terminals and surrounding glial cells.4 GABA taken back up by the nerve terminals is available for reuse however, GABA taken up by glial cells is metabolized to succinic semialdeyde by GABA-T and cannot be re-synthesized because glial cells lack GAD. For GABA to be recovered from glial cells it must be converted to glutamine, which is then transferred back to the neurons where glutamine is converted into glutamate by glutaminase. This allows for re-entry into the GABA shunt
At the molecular level of explanation these processes are dependent on the interplay between glutamate receptors, Ca2+ channels, the increase of intracellular Ca2+ levels, Ca2+-dependent proteins like Akt, ERK, mTOR and neurotrophins such as brain derived neurotrophic factor (BDNF) (24, 25).
Gabapentinoids are analogues of gamma-aminobutyric acid (GABA). They bind to the α2δ subunit of the calcium channels on neurons. Both of them have a relatively benign side effect profile, lack significant drug interactions, are not liver metabolized, and are renally excreted. Pregabalin has quicker absorption and higher absolute bioavailability compared to gabapentin.1
Gamma-Aminobutyric acid commonly referred to as GABA, and glutamate make up around 80 percent of the neurotransmitters found in brain. GABA dampens the activity in the brain while
In a normal and healthy nervous system, many electrical signals are received and sent through neurons. The arrival of those signals at the end of the neuron triggers the release of many chemicals, in specific, neurotransmitters (Brooker, 2011). These chemicals travel into a gap between the presynaptic (end of one neuron) and the beginning of he postsynaptic (next neuron). This gap is named a synapse (Brooker, 2011). Neurotransmitters are then released into the synapse and then bind to the ibid (post -synaptic neuron). When this
GABA is one of the oldest-known neurotransmitters, is an inhibitory brain chemical. Ambien allows more of the calming chemical to flood brain synapses — and the brain is littered with GABA receptors. It inhibits the reward pathway.
Glutamate-receptor-interacting protein (GRIP) is the interacting protein which is associated with AMPAR protein receptor in the postsynaptic cell. Amount of GRIP is associated with AMPAR receptors can lead to the prediction of activity in the presynaptic cell. AMPAR receptor change shape to be ready to receive neurotransmitter when GRIP bind. The presynaptic cell contains vesicle which neurotransmitters are accommodated. When calcium enters the presynaptic cell by calcium channel, vesicles dock to the presynaptic cell to become ready to release neurotransmitters to the synaptic gap. Neurotransmitters are released in a packet called quanta. AMPAR receptor has to change its shape by GRIP to receive the release of quanta in the synaptic
The second neurotransmitter family includes amino acids, compounds that contain both an amino group (NH2) and a carboxylic acid group (COOH) and which are also the building blocks of peptides and proteins. The amino acids known to serve as neurotransmitters are glycine, glutamic and aspartic acids, all present in all proteins, and gamma-amino butyric acid (GABA), produced only in brain neurons. Glutamic acid and GABA are the most abundant neurotransmitters within the central nervous system, particularly in the cerebral cortex; glutamic acid tends to be excitatory and GABA inhibitory. Aspartic acid and glycine subserve these functions in the spinal cord (Cooper, Bloom, and Roth 1996).
The most toxic substance tested was the combination of diazepam and secobarbital sodium with a 96 hour LD50 value of 6.31mg/kg/d when compared to the least toxic substance diazepam with its 96 hour LD50 value of 794.32mg/kg/d. This synergistic effect is due to both barbiturates such as secobarbital sodium and diazepam a benzodiazepine, both are an allosteric activator of γ-aminobutyric acid (GABA) and specifically the GABA A receptor. For diazepam binding is localised between the γ- and α- subunits. However, GABA A receptors also contain alternative allosteric modulatory sites for the binding of secobarbital sodium, however the precise location is yet to be determined. Although, the α-subunit is believed to play a role (Löscher & Rogawski, 2012; Makkar, Zhang, &
In the psychiatric world the use of sedatives, seclusion, and restraints may be helpful in the moment, but later can have some harmful outcomes that affect the psychological, emotional, and physical well being of the patient. Sedatives are drugs that slow down the physical and mental characteristics of one's body. Many times sedatives are referred to as tranquilizers. Sedatives are only available by prescription and many times are used for medical reasons. Sedatives have been known to be used to help treat pain, anxiety, panic attacks, and insomnia. The drugs work by intensifying the amount of neurotransmitter-gamma-aminobutyric acid (GABA). The neurotransmitters help to control the rate at which nerve impulses travel. Sedatives have also been
Similarly as with different neuroleptics, the mechanism of action of haloperidol has not been totally clarified, but has been attributed to the inhibition of the transport mechanism of cerebral monoamines, particularly
Every day, your brain maintains a delicate balance between chemicals that push its cells to fire and opposing chemicals that pull its cells back toward inactivity. Two of the most common neurochemicals that play this tug of war are glutamate and GABA, both of which are classified as neurotransmitters, chemical messengers that communicate between neighboring brain cells. The purpose of glutamate is to elicit action, while the function of the GABA neurotransmitter is to restore calm.
Lorazepam binds to an allosteric site on GABA-A receptors, which are pentameric ionotropic receptors in the CNS. Binding potentiates the effects of the inhibitory neurotransmitter GABA, which upon binding opens the chloride channel in the receptor, allowing chloride influx and causing hyperpolerization of the neuron.
Gabba: acts as a neurotransmitter with the sole purpose of blocking nerve impulses moving between cells. Gabba also boosts mood and is said to have a calming effect and plays a major role in calming and creating a relaxed feeling on the nervous system.
Although there are some differences in putative mechanisms, all of the CIs are believed to function in the same basic manner - to increase the bioavailability of acetylcholine at the synapse. The acetylcholine molecule is released into the synaptic space by the presynaptic neuron and binds to receptors in the postsynaptic neuron, promoting an action potential. The acetylcholine molecule is subject to enzymatic degradation in the synaptic space by one of several cholinesterases. CIs bind to and inactivate these cholinesterases, reducing the normal enzymatic degradation of the acetylcholine molecule into its component parts (acetyl CoA and choline).
GABA is an amino acid that makes brains cells less sensitive to stimulation. It is made from glutamate and must be made in the brain because it cannot pass through the blood-brain barrier (Piotrowski, 2010). Excess GABA often lowers anxiety while increased GABA can cause depression. Symptoms of low GABA are anxiety, muscle tension, restlessness, insomnia, impatience, disorganization, polyuria, diaphoresis, hypertension, and diarrhea (?)