GABAergic signalling in health and disease Flashcards

1
Q

what is GABA

A

gamma amino butyric acid
primary inhibitory neurotransmitter
widely distributed

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2
Q

what are the subtypes of gaba

A

2 ionotropic 1 metabotropic
GABAA and GABAC ionotropic - Cl- channel linked, GABAB changes permeability for K+

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3
Q

outline GABAA receptor

A

pentameric complex - 5 subunits
mediates most inhibitory neurotransmission in adult brain - target for many drugs and therapeutic compounds

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4
Q

what forces act on the movement of ions across membranes

A
  1. chemical gradients
  2. electrical gradients
  3. equilibrium
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5
Q

how is equilibrium for Cl- flux calculated

A

Nernst equation - calculates equilibirum potential 11x more chloride outside than inside
-62mV = in is more negative than outside (11x higher than inside), no net movement across membrane

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6
Q

what is equilibrium

A

reached when concentration and voltage gradients have the same energy, they oppose eachother and there is no net movement of Cl- across membrane

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7
Q

how does passive flux of Cl- out of the cell happen

A

membrane potential changes, cl- is negatively charged so repels chloride from cytoplasm and there is passive efflux of chloride, it moves out

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8
Q

how does passive flux oc Cl - into the cell happen

A

voltage gradient has less energy than concentration gradient, which dominates
cl- passively leaks into cell and is actively transported out of cell by specialised transporter molecules

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9
Q

what is synaptic inhibition

A

small hyperpolarisation is sufficient to prevent membrane from reaching threshold to generate action potentials
- membrane is slightly more negative = harder to reach threshold potential

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10
Q

in certain conditons GABAA can be DEPOLARISING and even sometimes EXCITATORY - when?

A

early development, in some phases of circadian rhythm
trauma and epilepsy

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11
Q

what does GABAA plasticity depend on?

A

chloride homeostasis
- concentration ratio maintained across cell membrane

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12
Q

what is EGABA

A

gaba reversal potential
at EGABA, gaba responses change polarity, it depends on chloride concentration

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13
Q

what is gaba reversal potential

A

membrane potential at which gaba responses change polarity from hyperpolarising to DEPOLARISING

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14
Q

when does EGABA shift to more depolarising levels

A

when there is an increase in intracellular chloride - big depolarising response maybe even action potential depending on how much chloride is in cell

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15
Q

what are changes in Cl in and EGABA mediated by

A

secondary active transporters that either take up or extrude CL-

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16
Q

what is the difference between primary and secondary active transporters?

A

primary - pump that depends on metabolic energy ATP, constantly pumps sodium out of cell and potassium in against gradient
secondary = derive energy from ionic concentration differences in sodium or potassium

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17
Q

what is Cl- uptake mediated by

A

Na+, K+, 2Cl- co-transporters (NKCCs)
Na+ independant anion exchangers (AEs)

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18
Q

what is Cl- extrusion mediated by

A

K+, Cl- co-transporters (KCCs)
Na+ dependant anion exchangers (NDAEs)

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19
Q

what does activity in KCC mean for GABAA

A

decrease in intracellular chloride activates GABAA which opens channel, chloride moves along electrochemical gradient, which is now bigger because less cl- inside cell due to extrusion, chloride moves in and hyperpolarises - normal synaptic inhibition

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20
Q

what does high activity in NKCC mean for gabaa

A

inwardly directed sodium gradient - influx driving cl- into cytoplasm, higher intracellular cl concentration activates gabaa channel, now have efflux of cl-, negative charge moving out so inside becomes more positively charged - depolarising gabaa response

21
Q

what are cation chloride co-transporters

A

large transmembrane glycoproteins
NKCC1 is prominently expressed in CNS
KCC2 is exclusively expressed in mature neurons

22
Q

what is KCC2 largely responsible for

A

low CL- in mature cells

23
Q

when are GABAA responses depolarizing

A

when they elicit a cl- efflux
happens when:
chloride extruded from cell is weaker (less KCC2 activity)
or when chloride uptake by cell is stronger (more NKCC1 activity)

24
Q

outline early GABAA responses

A

depolarising because little KCC2 and NKCC1 is prominent
as development progresses, downregulation of NKCC1 and upregulation of KCC2 = signficant reudction of intracellular chloride
activate GABAA receptor = influx of negative charges - hyperpolarisation

25
Q

what does GABA influence

A

neuronal survival, neurite outgrowth, synapse formation

26
Q

GABAA membrane depolarisation is sufficiently strong to open what

A

voltage gated Ca2+ channels - signficant increase in calcium - shows gabba infleucnes many important functions
calcium into cell has fundamental effects on cell function

27
Q

outline excitatory GABA responses in embryonic and neonatal cortical slices

A

Egaba more positive than Vrest in early development -> gaba depolarises developing neocortical cells
Egaba is most positive in youngest precursor cells (VZ)
progressively shifts to more negative values with development - determined by Cl gradient, which decreases intracellularly with development

28
Q

what did a 1980s study on neonatal rats show

A

electrode in pyramidal cell saw spontaneous GABAergic responses (GDP = giant depolarising potentials)
P4 pyramidal cells in rats
Bicuculline (GABAAR antagonist) - membrane hyperpolarisation, reduced synaptic noise and blocked GDPs

29
Q

what role do glutaminergic pyramidal cells have

A

pacemakers

30
Q

what does depolarising GABA provide

A

provides tonic excitation to the network (depolarises pyramidal cells all the time, leads to influx of calcium that triggers important things in development)

31
Q

what is the difference between GABAA connections and glutaminergic connections

A

gabaa - permissive
glutaminergic - instructive (determine the 0.3Hz rhythm)

32
Q

why do the depolarising responses disappear in development

A

KCC2 co-transporter that pumps Cl- out of cells will be gradually upregulated

33
Q

what happens when knock out KCC2 for early activity in respiratory neurons

A

rhythmic discharges in wild type
mice die at birth from suffocation
no rhythmic activity in KO mice
neuronal CL- intrusion is ineffective
GABAA responses remain excitatory
prevent synchronous patterned motor activity

34
Q

is GABAA signalling sex-specific

A

yes occurs earlier in females
correlates with developmental expression profile of chloride transporters
ESTRADIOL - predominant sex hormone in females - upreguklates KCC2 mRNA
TESTOSTERONE - male, downregulates KCC2 mRNA, effect is via GABAA receptors and Ca2+ channels - CREB - important for sexual differentiation
example of developmental plasticity

35
Q

what is the role of oxytocin

A

at birth oxytocin (hormone essential in labour) triggers transient disappearance of depolarising GABAA receptors in CA3 pyramidal cells
demonstrates important interaction between oxytocin production in mother and changes innCL- homeostaiss in foetus - protects foetal neurons during delivery

36
Q

outline role of GABA in suprachiasmatic nucleus

A

SCN received info on light brightness and duration (day vs night) from retina
dispatches info to parts of brain and body controlling circadian rhythmicity
SCN neurons are pacemakers - most GABAERGIC
changes in GABAA activity throughout clock influence SCN output during day and night (different gating mechanism)

37
Q

outline effects of GABA on SCN

A

opposite effects during day and night
inhibitory during day
excitatory during night

38
Q

how are EGABA distributed in the SCN during night

A

not normally distributed, indicates functional effects of GABA are heterogenous

39
Q

what is the role of day-night antagonism in GABAergic neurotransmission

A

provides SCN with time-dependant gating mechanism
1. dampens propagation of excitatory signals throughout biological clock during day
2. promotes it at night

40
Q

outline GABAergic plasticity in patophysiological conditions

A

GABAA receptor -mediated responses after trauma are DEPOLARIZING (because of increase in intracellular calcium)
there is excessive release of glutamate, leading to elevated ca2+ intracellularly, excitotoxic cellular damage and cell death

41
Q

what are examples of neuronal trauma

A

neurite transection
osmotic imbalance
excess heat

42
Q

outline KCC2-mediated GABAergic plasticity during epilepsy

A

increasing intracellular K+ concentration can stimulate epilepsy and generate functionally excitatory GABAA response because KCC2 has high transport affinity for external potassium = leads to epileptic state

43
Q

what does KCC2 having a high transport affinity for external K+ mean - for stimulating epilepsy

A

increase K+ out is followed by influx of CL- via KCC2 , results in positive shift in EGABA, increased gross excitability

44
Q

outline activity-dependant downregulation in KCC2 expression and function in the hippocampus

A

epileptiform activity induced by Mg2+
decrease of KCC2 immunofluorescent staining
KCC2 downregulation mediated by BDNF acting on TrkB receptors
KCC2 downregulation has fast onset and lasts long

45
Q

why are males more susceptible to seizures than females

A

may be linked to fact at early developmental stages GABAA signalling remains depolarising for longer in male brain areas involved in seizure network

46
Q

what is the link between GABAA and autism spectrum disorder?

A

developmental shift from excitation to inhibition in GABAA responses is delayed in autism
this is interesting because ASD is more prevalent in males than females

47
Q

what may contribute to the prevalence of autism in males

A

perinatal exposure to high levels of testosterone
also may be polymorphisms in GABAA receptor subunits: may also be linked to susceptibility traits for autism
-> factors controlling GABAA signalling important in pathogenesis of disease

48
Q

what can we conclude about GABAA mediated responses

A

rapidly switch from inhibition to excitation through simple mechanism of modifying intracellular concentration of chloride via up or downregulation of cation chloride cotransporters