Target intelligence / Profile preview

Gamma-aminobutyric acid type A receptor (GABA-A receptor) (GABA-A receptor)

Target
GABA-A receptor
Molecular classification
Ion channel, Ligand-gated ion channel, Cys-loop receptor family, Receptor
01

Overview

The Gamma-aminobutyric acid type A (GABA-A) receptor is a pentameric ligand-gated ion channel that serves as the primary mediator of inhibitory neurotransmission in the mammalian central nervous system (StatPearls). Upon the binding of the neurotransmitter GABA, the receptor undergoes a conformational change that allows the influx of chloride ions into the neuron, leading to membrane hyperpolarization and a subsequent reduction in neuronal firing (UniProt). This receptor is the primary therapeutic target for various sedative-hypnotic drugs, including the tertiary acetylenic alcohol ethchlorvynol, which acts as a positive allosteric modulator to enhance the inhibitory effects of GABA (NIH). Beyond sedation, the receptor plays a critical role in managing anxiety, muscle spasms, and seizure disorders. However, pharmacological modulation of this target is associated with significant safety concerns, including the development of physical dependence, tolerance, and potentially fatal respiratory depression in cases of overdose or drug-drug interactions (PubChem).

Other names
GABAA receptorGABA(A) receptorGamma-aminobutyric acid receptor subunit alpha-1Ligand-gated chloride channel
02

Mechanism of action

Positive allosteric modulation of the receptor channel to increase the frequency or duration of chloride channel opening in response to GABA binding

03

Biological functions

Fast inhibitory neurotransmissionChloride ion transportNeuronal hyperpolarizationRegulation of neuronal excitability
04

Disease associations

InsomniaAnxiety disorderEpilepsyStatus epilepticusAlcohol withdrawal syndrome
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Safety considerations

Risk of physical dependence and addictionSevere withdrawal symptoms (e.g., seizures) upon abrupt cessationRespiratory depressionCentral nervous system depressionCognitive and psychomotor impairment
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Interacting drugs

Ethchlorvynol

6 more in the full profile.

07

Biomarkers

Electroencephalography (EEG) beta wave activityBrain GABA levels via Magnetic Resonance Spectroscopy (MRS)Positron Emission Tomography (PET) using [11C]flumazenil

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