Gaboxadol or 4,5,6,7-tetrahydroisoxazolo-[5,4-c]pyridine-3-ol (THIP) is a selective agonist for the δ-subunit containing extrasynaptic GABA A receptors that will soon enter the U.S. market as a sleep aid (Winsky-Sommerer et al., 2007). Numerous studies have shown that systemic administration of THIP reduces wakefulness and increases sleep both in humans and rats (Lancel and Langebartels, 2000;Walsh et al., 2007). However, it is yet unclear where in the brain THIP acts to promote sleep. Since the perifornical lateral hypothalamus (PFH) contains orexin neurons and orexin neurons are critical for maintenance of arousal (McCarley, 2007), we hypothesized that THIP may act on PFH neurons to promote sleep. To test our hypothesis, we used reverse microdialysis to perfuse THIP unilaterally into the PFH and studied its effects on sleep-wakefulness during the light period in freely behaving rats. Microdialysis perfusion of THIP (100 µM) into the PFH produced a significant reduction in wakefulness with a concomitant increase in nonREM sleep as compared to ACSF perfusion. REM sleep was unaffected. This is the first study implicating the δ-subunit containing extrasynaptic GABA A receptors in PFH in control of sleep-wakefulness in freely behaving rats.
KeywordsOrexin/hypocretin; perifornical hypothalamus; THIP; reverse microdialysisThe γ-aminobutyric acid (GABA) system is closely linked with the regulation of sleepwakefulness. Thus, it is not surprising that pharmacological landscape for treatment of various sleep disorders including insomnia have been dominated by agents that activate GABA A receptors . Classical synaptic GABA transmission results in phasic inhibition that is mainly mediated by γ2 subunits containing postsynaptic GABA A receptors (Rudolph and Mohler, 2006;Ebert et al., 2006;Olsen et al., 2007), In contrast, tonic inhibition is mainly mediated by δ subunit containing "extrasynaptic" GABA A receptors (Olsen et al.,Correspondence: Mahesh Thakkar, Harry Truman Memorial Veteran's Hospital, Columbia, MO., Department of Neurology, University of Missouri, 800 Hospital Drive, Columbia, MO, 65201, Ph. (573) 814 6000 ext 53697, Email: thakkarmm@health.missouri.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. 2007). These "extrasynaptic" GABA A receptors have a higher affinity for GABA and slower rates of desensitization and deactivation than do the classical synaptic receptors.
NIH Public AccessThe GABA A agonist THIP selectively activates extrasynaptic GABA A receptors (WinskySommerer et al., 2007). Systemic administration of THIP induces sleep in rats and humans (...