Tonic inhibition plays a crucial role in regulating neuronal excitability because it sets the threshold for action potential generation and integrates excitatory signals. Tonic currents are known to be largely mediated by extrasynaptic ␥-aminobutyric acid type A (GABA A ) receptors that are persistently activated by submicromolar concentrations of ambient GABA. We recently reported that, in cultured hippocampal neurons, the clustering of synaptic GABA A receptors significantly affects synaptic transmission (Petrini, E. M., Zacchi, P., Barberis, A., Mozrzymas, J. W., and Cherubini, E. (2003) J. Biol. Chem. 278, 16271-16279). In this work, we demonstrated that the clustering of extrasynaptic GABA A receptors modulated tonic inhibition. Depolymerization of the cytoskeleton with nocodazole promoted the disassembly of extrasynaptic clusters of ␦ and ␥ 2 subunitcontaining GABA A receptors. This effect was associated with a reduction in the amplitude of tonic currents and diminished shunting inhibition. Moreover, diffuse GABA A receptors were less sensitive to the GAT-1 inhibitor NO-711 and to flurazepam. Quantitative analysis of GABA-evoked currents after prolonged exposure to submicromolar concentrations of GABA and model simulations suggest that clustering affects the gating properties of extrasynaptic GABA A receptors. In particular, a larger occupancy of the singly and doubly bound desensitized states can account for the modulation of tonic inhibition recorded after nocodazole treatment. Moreover, comparison of tonic currents recorded during spontaneous activity and those elicited by exogenously applied low agonist concentrations allows estimation of the concentration of ambient GABA. In conclusion, receptor clustering appears to be an additional regulating factor for tonic inhibition.Similar to many other neurotransmitter receptors, ␥-aminobutyric acid type A (GABA A ) 1 receptors are localized at synaptic and extrasynaptic levels. Whereas synaptic GABA A receptors are involved in phasic inhibition (1), extrasynaptic ones are responsible for tonic inhibition (2-9). Tonic inhibition is due to persistent inhibitory conductance that contributes to "signal integration" in the brain since it sets the threshold for action potential generation (10, 11) and shunts excitatory synaptic inputs (2,(12)(13)(14)(15). This conductance is maintained by "ambient" GABA, which represents the amount of neurotransmitter present in the extracellular space. Ambient GABA originates from spillover of the neurotransmitter released at neighboring synapses (3, 5, 11), from astrocytes (16, 17), or from non-vesicular release (18,19). Tonic inhibition has been well characterized in the cerebellum, where ␣ 6 subunit-containing receptors act as high affinity sensors for GABA (4,11,20,21). Persistent GABA conductance has also been identified in other brain regions, including the hippocampus (6,8,9,22,23). However, in this structure, the subunit composition of the receptors involved has not been fully elucidated. In the past years, immunocytochemi...