BACKGROUND AND PURPOSEThe histaminergic tuberomamillary nucleus (TMN) of the posterior hypothalamus controls the cognitive aspects of vigilance which is reduced by common sedatives and anxiolytics. The receptors targeted by these drugs in histaminergic neurons are unknown. TMN neurons express nine different subunits of the GABAA receptor (GABAAR) with three α-(α1, α2 and α5) and two γ-(γ1, γ 2) subunits, which confer different pharmacologies of the benzodiazepine-binding site.
EXPERIMENTAL APPROACHWe investigated the actions of zolpidem, midazolam, diazepam, chlordiazepoxide, flumazenil (Ro15-1788) and methyl-6,7-dimethoxy-4-ethyl-β-carboline-3-carboxylate (DMCM) in TMN neurons using mouse genetics, electrophysiological and molecular biological methods.
KEY RESULTSWe find the sensitivity of GABAAR to zolpidem, midazolam and DMCM significantly reduced in TMN neurons from γ2F77I mice, but modulatory activities of diazepam, chlordiazepoxide and flumazenil not affected. Potencies and efficacies of these compounds are in line with the dominance of α2-and α1-subunit containing receptors associated with γ2-or γ1-subunits. Functional expression of the γ1-subunit is supported by siRNA-based knock-down experiments in γ2F77I mice.
CONCLUSIONS AND IMPLICATIONSGABAAR of TMN neurons respond to a variety of common sedatives with a high affinity binding site (γ2F77I) involved. The γ1-subunit likely contributes to the action of common sedatives in TMN neurons. This study is relevant for understanding the role of neuronal histamine and benzodiazepines in disorders of sleep and metabolism.
LINKED ARTICLESThis article is part of a themed issue on Histamine Pharmacology Update. To view the other articles in this issue visit http://dx.doi.org/10.1111/bph.2013.170.issue-1
AbbreviationsChlordiazepoxide, 7-chloro-2-methylamino-5-phenyl-3H-1,4-benzodiazepine-4-oxide; Diazepam, 7-chloro-1,3-dihydro-1-methyl-5-phenyl-1,4-benzodiazepin-2(3H)-one; Div, days in vitro; DMCM, Flumazenil,imidazo [1,5-a][1,4]diazepine-3-carboxylate; GABAAR, GABA receptor type A; HE, hepatic encephalopathy; KI, knock-in; MEA, microelectrode array; Midazolam, 8-chloro-6-(2-fluorophenyl)-1-methyl-4H-imidazo [1,5-a] [1,4]benzodiazepine; RAMH, R-α-methylhistamine; TMN, tuberomamillary nucleus; WT, wild type; Zolpidem, N,pyridin-3-yl)acetamide
IntroductionMost frequently used drugs for the treatment of insomnia and anxiety are acting at the benzodiazepine-site of GABAA receptors (GABAAR). These receptors are pentameric assemblies of subunits that form a central ion channel (in mammals: α1-6, β1-3, γ1-3, δ, π, ρ1-3, ε, θ). The GABAbinding pocket is formed at the α/β subunit interface, whereas the modulatory benzodiazepine binding site is located at the α/γ interface (Sigel, 2002) in the subunits -β-α-β-α (Baumann et al., 2002;Farrant and Nusser, 2005). Nineteen known GABAAR subunits co-assemble with a restricted number of preferred combinations. For example, the prevailing GABAAR type in the hypothalamus, striatum and amygdala is composed of α2, β3 and γ2-subunits . T...