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Gamma-aminobutyric acid transporter (GAT) and Gamma-aminobutyric acid transaminase (GABA-T) (GAT and GABA-T)

Target
GAT and GABA-T
Molecular classification
Transporter, Enzyme
01

Overview

The gamma-aminobutyric acid transporter (GAT) and gamma-aminobutyric acid transaminase (GABA-T) are two distinct proteins that play central roles in the regulation of GABA, the primary inhibitory neurotransmitter in the central nervous system. GATs are a family of solute carrier proteins (primarily GAT-1, GAT-2, and GAT-3) located on the plasma membranes of neurons and astrocytes, where they facilitate the reuptake of GABA from the synaptic cleft to terminate its inhibitory action. GABA-T, also known as 4-aminobutyrate aminotransferase (ABAT), is a mitochondrial enzyme responsible for the catabolic breakdown of GABA into succinic semialdehyde. Both proteins are major therapeutic targets for increasing GABAergic tone in conditions of neuronal hyperexcitability, such as epilepsy and infantile spasms. Pharmacological inhibition of GAT-1 by drugs like tiagabine increases synaptic GABA availability, while irreversible inhibition of GABA-T by vigabatrin prevents intracellular GABA degradation, leading to elevated neurotransmitter levels. However, therapeutic modulation of these targets is associated with significant safety concerns, including sedation and, in the case of vigabatrin, permanent visual field defects. Ongoing research also explores the role of these targets in other neurological conditions, including anxiety, Huntington's disease, and Alzheimer's disease.

Other names
GABA transporterGABA transaminaseGATGABA-TABAT4-aminobutyrate aminotransferaseSLC6A1SLC6A11SLC6A13SLC6A12GAT-1GAT-2GAT-3BGT-1
02

Mechanism of action

Inhibition of GABA reuptake and inhibition of GABA catabolism

03

Biological functions

NeurotransmissionMetabolismRegulation of neuronal excitability
04

Disease associations

EpilepsyInfantile spasmsAnxietyHuntington's diseaseAlzheimer's disease
05

Safety considerations

Permanent visual field lossSedationDizzinessPro-convulsant effects in non-epileptic patients
06

Interacting drugs

Tiagabine

5 more in the full profile.

07

Biomarkers

Brain GABA levels (1H-MRS)Seizure frequencyVisual field perimetry

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