Selective inhibition of extra-synaptic α5-GABAA receptors by S44819, a new therapeutic agent

  • Lori-An Etherington
  • , Balázs Mihalik
  • , Adrienn Pálvölgyi
  • , István Ling
  • , Katalin Pallagi
  • , Szabolcs Kertész
  • , Peter Varga
  • , Ben G. Gunn
  • , Adam R. Brown
  • , Matthew R. Livesey
  • , Olivia Monteiro
  • , Delia Belelli
  • , József Barkóczy
  • , Michael Spedding
  • , István Gacsályi
  • , Ferenc A. Antoni
  • , Jeremy J. Lambert (Lead / Corresponding author)

    Research output: Contribution to journalArticlepeer-review

    41 Citations (Scopus)
    474 Downloads (Pure)

    Abstract

    In the mammalian central nervous system (CNS) GABAA receptors (GABAARs) mediate neuronal inhibition and are important therapeutic targets. GABAARs are composed of 5 subunits, drawn from 19 proteins, underpinning expression of 20-30 GABAAR subtypes. In the CNS these isoforms are heterogeneously expressed and exhibit distinct physiological and pharmacological properties. We report the discovery of S44819, a novel tricyclic oxazolo-2,3-benzodiazepine-derivative, that selectively inhibits α5-subunit-containing GABAARs (α5-GABAARs). Current α5-GABAAR inhibitors bind to the “benzodiazepine site”. However, in HEK293 cells expressing recombinant α5-GABAARs, S44819 had no effect on 3H-flumazenil binding, but displaced the GABAAR agonist 3H-muscimol and competitively inhibited the GABA-induced responses. Importantly, we reveal that the α5-subunit selectivity is uniquely governed by amino acid residues within the α-subunit F-loop, a region associated with GABA binding. In mouse hippocampal CA1 neurons, S44819 enhanced long-term potentiation (LTP), blocked a tonic current mediated by extrasynaptic α5-GABAARs, but had no effect on synaptic GABAARs. In mouse thalamic neurons, S44819 had no effect on the tonic current mediated by δ-GABAARs, or on synaptic (α1β2γ2) GABAARs. In rats, S44819 enhanced object recognition memory and reversed scopolamine-induced impairment of working memory in the eight-arm radial maze. In conclusion, S44819 is a first in class compound that uniquely acts as a potent, competitive, selective antagonist of recombinant and native α5-GABAARs. Consequently, S44819 enhances hippocampal synaptic plasticity and exhibits pro-cognitive efficacy. Given this profile, S44819 may improve cognitive function in neurodegenerative disorders and facilitate post-stroke recovery.
    Original languageEnglish
    Pages (from-to)353-364
    Number of pages12
    JournalNeuropharmacology
    Volume125
    Early online date12 Aug 2017
    DOIs
    Publication statusPublished - Oct 2017

    Keywords

    • Tonic inhibition
    • Phasic inhibition
    • α5-GABAA receptors
    • Extrasynaptic GABAA receptors
    • Long term potentiation
    • Cognition

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