Target intelligence / Profile preview

4-aminobutyrate aminotransferase (GABA transaminase) (ABAT)

Target
ABAT
Molecular classification
Enzyme [1], Transporter [5], Aminotransferase [1], Pyridoxal phosphate-dependent enzyme [1]
01

Overview

The GABA transaminase and the associated catabolism and uptake system constitute the primary mechanisms for terminating the action of gamma-aminobutyric acid (GABA), the major inhibitory neurotransmitter in the central nervous system [1][2]. 4-aminobutyrate aminotransferase (GABA-T) is a mitochondrial enzyme that catalyzes the degradation of GABA into succinate semialdehyde, while GABA transporters (GATs) mediate the reuptake of GABA from the synaptic cleft into neurons and astrocytes [1][5]. Together, these components are vital for maintaining GABAergic tone and preventing neuronal hyperexcitability [6]. Pharmacological modulation of this system is a cornerstone of epilepsy treatment; for instance, vigabatrin irreversibly inhibits GABA-T, and tiagabine blocks GAT-1, both resulting in increased synaptic GABA concentrations [3][7]. While effective for seizure control and infantile spasms, targeting this system can lead to significant side effects, including sedation and, specifically for vigabatrin, permanent peripheral visual field defects [3].

Other names
GABA-TGABAT4-aminobutyrate:2-oxoglutarate aminotransferaseGABA catabolic systemGABA uptake systemGAT-1SLC6A1
02

Mechanism of action

Elevation of synaptic GABA levels through the irreversible inhibition of its metabolic degradation by GABA transaminase or the blockade of its reuptake by GABA transporters [3][7].

03

Biological functions

GABA catabolism [1]GABA reuptake [5]Neurotransmitter homeostasis [1]Regulation of synaptic inhibitory tone [6]Amino acid metabolism [1]
04

Disease associations

Epilepsy [3]GABA transaminase deficiency [4]Infantile spasms [3]Huntington's disease [6]Alzheimer's disease [6]Anxiety disorders [7]
05

Safety considerations

Permanent visual field loss (vigabatrin-induced retinal toxicity) [3]Sedation and somnolence [3]Weight gain [3]Cognitive impairment [7]Dizziness and ataxia [7]
06

Interacting drugs

Vigabatrin [3]

4 more in the full profile.

07

Biomarkers

Cerebrospinal fluid GABA levels [1]Brain GABA levels (via Magnetic Resonance Spectroscopy) [2]Visual field testing (for vigabatrin-induced retinal toxicity) [3]GABA transaminase activity in lymphocytes or platelets [4]

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