GABA A receptors form the major class of inhibitory neurotransmitter receptors in the mammalian brain. This review sets out to summarize the evidence that variations in genes encoding GABA A receptor isoforms are associated with aspects of addictive behaviour in humans, while animal models of addictive behaviour also implicate certain subtypes of GABA A receptor. In addition to outlining the evidence for the involvement of specific subtypes in addiction, we summarize the particular contributions of these isoforms in control over the functioning of brain circuits, especially the mesolimbic system, and make a first attempt to bring together evidence from several fields to understanding potential involvement of GABA A receptor subtypes in addictive behaviour. While the weight of the published literature is on alcohol dependency, the underlying principles outlined are relevant across a number of different aspects of addictive behaviour.Keywords: Alcohol, animal model, benzodiazepine, conduct disorder, electrophysiology, gene association, gene knockout, impulsivity, nucleus accumbens, psychostimulant, reward
Received 31 May 2016, revised 19 July 2016, accepted for publication 15 August 2016Both human and animal studies have implicated GABA A receptors in addiction processes. This article sets out to review the evidence for GABA A receptor involvement in relation to alcoholism and addiction to other drugs of abuse. It will begin with a summary of the structure and function of GABA A receptors and their subtype diversity, before reviewing the human and animal literature providing genetic and behavioural evidence for the role of GABA A receptors in addictive behaviour. Finally, we will attempt to integrate these data into our understanding of addiction processes, and their underlying neurobiology. While the review concerns itself broadly with GABAergic systems and addictive behaviour, the weight of the published literature is on alcohol dependency. Nevertheless, the underlying principles outlined are relevant across a number of different aspects of addictive behaviour.