PMID- 32150806 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2076-3425 (Print) IS - 2076-3425 (Electronic) IS - 2076-3425 (Linking) VI - 10 IP - 3 DP - 2020 Mar 5 TI - Flumazenil-Insensitive Benzodiazepine Effects in Recombinant alphabeta and Neuronal GABA(A) Receptors. LID - 10.3390/brainsci10030150 [doi] LID - 150 AB - Gamma-aminobutyric acid, type A (GABA(A)) receptors are complex heterogeneous pentamers with various drug binding sites. Several lines of evidence suggest that benzodiazepines modulate certain GABA(A) receptors in a flumazenil-insensitive manner, possibly via binding sites other than the classical ones. However, GABA(A) receptor subtypes that contain non-classical benzodiazepine binding sites are not systemically studied. The present study investigated the high-concentration effects of three benzodiazepines and their sensitivity to flumazenil on different recombinant (alpha1beta2, alpha2beta2, alpha3beta2, alpha4beta2, alpha5beta2 and alpha1beta3) and native neuronal GABA(A) receptors using the whole-cell patch-clamp electrophysiology technique. The classical benzodiazepine diazepam (200 mumol/L) and midazolam (200 mumol/L) produced flumazenil-insensitive effects on alpha1beta2 receptor, whereas the imidazopyridine zolpidem failed to modulate the receptor. Flumazenil-insensitive effects of diazepam were also observed on the alpha2beta2, alpha3beta2 and alpha5beta2, but not alpha4beta2 receptors. Unlike beta2-containing receptors, the alpha1beta3 receptor was insensitive to diazepam. Moreover, the diazepam (200 mumol/L) effects on some cortical neurons could not be fully antagonized by flumazenil (200 mumol/L). These findings suggested that the non-classical (flumazenil-insensitive) benzodiazepine effects depended on certain receptor subtypes and benzodiazepine structures and may be important for designing of subtype- or binding site- specific drugs. FAU - Lian, Jing-Jing AU - Lian JJ AD - State Key Laboratory of Toxicology and Medical Countermeasures, Beijing Key Laboratory of Neuropsychopharmacology, Beijing Institute of Pharmacology and Toxicology, 27th Taiping Road, Beijing 100850, China. FAU - Cao, Yan-Qing AU - Cao YQ AD - State Key Laboratory of Toxicology and Medical Countermeasures, Beijing Key Laboratory of Neuropsychopharmacology, Beijing Institute of Pharmacology and Toxicology, 27th Taiping Road, Beijing 100850, China. FAU - Li, Yu-Lei AU - Li YL AD - State Key Laboratory of Toxicology and Medical Countermeasures, Beijing Key Laboratory of Neuropsychopharmacology, Beijing Institute of Pharmacology and Toxicology, 27th Taiping Road, Beijing 100850, China. FAU - Yu, Gang AU - Yu G AD - State Key Laboratory of Toxicology and Medical Countermeasures, Beijing Key Laboratory of Neuropsychopharmacology, Beijing Institute of Pharmacology and Toxicology, 27th Taiping Road, Beijing 100850, China. FAU - Su, Rui-Bin AU - Su RB AD - State Key Laboratory of Toxicology and Medical Countermeasures, Beijing Key Laboratory of Neuropsychopharmacology, Beijing Institute of Pharmacology and Toxicology, 27th Taiping Road, Beijing 100850, China. LA - eng PT - Journal Article DEP - 20200305 PL - Switzerland TA - Brain Sci JT - Brain sciences JID - 101598646 PMC - PMC7139822 OTO - NOTNLM OT - GABAA receptors OT - benzodiazepine OT - benzodiazepine binding sites OT - diazepam OT - alphabeta receptors COIS- The authors declare that they have no conflict of interest. EDAT- 2020/03/11 06:00 MHDA- 2020/03/11 06:01 PMCR- 2020/03/01 CRDT- 2020/03/11 06:00 PHST- 2020/02/10 00:00 [received] PHST- 2020/02/28 00:00 [revised] PHST- 2020/03/02 00:00 [accepted] PHST- 2020/03/11 06:00 [entrez] PHST- 2020/03/11 06:00 [pubmed] PHST- 2020/03/11 06:01 [medline] PHST- 2020/03/01 00:00 [pmc-release] AID - brainsci10030150 [pii] AID - brainsci-10-00150 [pii] AID - 10.3390/brainsci10030150 [doi] PST - epublish SO - Brain Sci. 2020 Mar 5;10(3):150. doi: 10.3390/brainsci10030150.