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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Annals of Clinical and Experimental Neurology</journal-id><journal-title-group><journal-title xml:lang="en">Annals of Clinical and Experimental Neurology</journal-title><trans-title-group xml:lang="ru"><trans-title>Анналы клинической и экспериментальной неврологии</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2075-5473</issn><issn publication-format="electronic">2409-2533</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">798</article-id><article-id pub-id-type="doi">10.54101/ACEN.2021.4.5</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Original articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Оригинальные статьи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Structural pharmacology of GABAА receptors</article-title><trans-title-group xml:lang="ru"><trans-title>Структурная фармакология ГАМКА-рецепторов</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7024-7461</contrib-id><name-alternatives><name xml:lang="en"><surname>Rossokhin</surname><given-names>Alexey V.</given-names></name><name xml:lang="ru"><surname>Россохин</surname><given-names>Алексей Владимирович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Cand. Sci. (Phys.-Math.), leading researcher, Laboratory of functional synaptology</p></bio><bio xml:lang="ru"><p>к.ф-м.н., в.н.с. лаб. функциональной синаптологии</p></bio><email>alrossokhin@yahoo.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9955-1870</contrib-id><name-alternatives><name xml:lang="en"><surname>Sharonova</surname><given-names>Irina N.</given-names></name><name xml:lang="ru"><surname>Шаронова</surname><given-names>Ирина Николаевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>D. Sci. (Biol.), leading researcher, Laboratory of functional synaptology</p></bio><bio xml:lang="ru"><p>д.б.н., в.н.с. лаб. функциональной синаптологии</p></bio><email>alrossokhin@yahoo.com</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Research Center of Neurology</institution></aff><aff><institution xml:lang="ru">ФГБНУ «Научный центр неврологии»</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2021-12-23" publication-format="electronic"><day>23</day><month>12</month><year>2021</year></pub-date><volume>15</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>44</fpage><lpage>53</lpage><history><date date-type="received" iso-8601-date="2021-12-22"><day>22</day><month>12</month><year>2021</year></date><date date-type="accepted" iso-8601-date="2021-12-22"><day>22</day><month>12</month><year>2021</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2021, Rossokhin A.V., Sharonova I.N.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2021, Россохин А.В., Шаронова И.Н.</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="en">Rossokhin A.V., Sharonova I.N.</copyright-holder><copyright-holder xml:lang="ru">Россохин А.В., Шаронова И.Н.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://annaly-nevrologii.com/pathID/article/view/798">https://annaly-nevrologii.com/pathID/article/view/798</self-uri><abstract xml:lang="en"><p>Gamma-aminobutyric acid (GABA) is the main inhibitory neurotransmitter in the mammalian central nervous system (CNS), activating the inotropic type A receptors (GABA<sub>А</sub> receptors) to provide fast inhibition. GABA<sub>А</sub> receptors are the main target for various groups of drugs that are widely used in the treatment of CNS disorders.</p> <p>This review examines the relationship between the physiological effects of GABA<sub>А</sub> receptor activation and modulation by various substances (including medicinal compounds), the receptor's structure, and the interaction of these substances with specific modulatory sites. Recent advances in cryogenic electron microscopy have led to fundamental improvements in understanding the detailed organization and function of GABA<sub>А</sub> receptors. This review is based on both the latest structural data obtained from cryogenic electron microscopy and the results of biochemistry and electrophysiology studies, as well as molecular modelling.</p></abstract><trans-abstract xml:lang="ru"><p>Гамма-аминомасляная кислота (ГАМК), основной тормозный нейромедиатор в центральной нервной системе (ЦНС) млекопитающих, активирует ионотропные рецепторы А типа (ГАМК<sub>А</sub>Р), обеспечивающие процессы быстрого торможения. ГАМК<sub>А</sub>Р являются основной мишенью для различных групп препаратов, широко используемых при лечении заболеваний ЦНС.</p> <p>В обзоре представлены данные, позволяющие показать, как связаны физиологические эффекты, вызываемые активацией и модуляцией функций ГАМК<sub>А</sub>Р различными веществами (в том числе относящимися к лекарственным соединениям), со структурой рецептора и с взаимодействием этих веществ с конкретными модуляторными сайтами. Недавний прогресс в криоэлектронной микроскопии привёл к фундаментальным достижениям в понимании детальной организации и механизмов функционирования ГАМК<sub>А</sub>Р. Обзор основан как на современных структурных данных, полученных с помощью криоэлектронной микроскопии, так и на результатах исследований, выполненных при помощи биохимических и электрофизиологических методов, а также методов молекулярного моделирования.</p></trans-abstract><kwd-group xml:lang="en"><kwd>GABAА receptor</kwd><kwd>positive allosteric modulators</kwd><kwd>molecular modelling</kwd><kwd>cryogenic electron microscopy</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>ГАМКА-рецептор</kwd><kwd>положительные аллостерические модуляторы</kwd><kwd>молекулярное моделирование</kwd><kwd>криоэлектронная микроскопия</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Sieghart W. Allosteric modulation of GABAA receptors via multiple drug-binding sites. Adv Pharmacol 2015;72:53–96. DOI: 10.1016/bs.apha.2014.10.002. PMID: 25600367.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Olsen R.W. GABAA receptor: positive and negative allosteric modulators. Neuropharmacology 2018;136(Pt A):10–22. DOI: 10.1016/j.neuropharm.2018.01.036. PMID: 29407219.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Hille B. Ionic channels of excitable membrane. 3rd ed. Massachusetts, 2001.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Nemecz A., Prevost M.S., Menny A. et al. Emerging molecular mechanisms of signal transduction in pentameric ligand-gated ion channels. Neuron. 2016;90(3):452–470. DOI: 10.1016/j.neuron.2016.03.032. PMID: 27151638.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Sieghart W. Structure, pharmacology, and function of GABAA receptor subtypes. Adv Pharmacol. 2006;54:231–263. DOI: 10.1016/s1054-3589(06)54010-4. PMID: 17175817.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Hevers W., Luddens H. The diversity of GABAA receptors. Pharmacological and electrophysiological properties of GABAA channel subtypes. Mol Neurobiol. 1998;18(1):35–86. DOI: 10.1007/BF02741459. PMID: 9824848.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Mortensen M., Patel B., Smart T.G. GABA Potency at GABAA receptors found in synaptic and extrasynaptic zones. Front Cell Neurosci. 2011;6:1. DOI: 10.3389/fncel.2012.00001. PMID: 22319471.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Keramidas A., Moorhouse A.J., Schofield P.R. et al. Ligand-gated ion channels: mechanisms underlying ion selectivity. Prog Biophys Mol Biol. 2004;86(2):161–204. DOI: 10.1016/j.pbiomolbio.2003.09.002. PMID: 15288758.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Laverty D., Desai R., Uchanski T. et al. Cryo-EM structure of the human α1β3γ2 GABAA receptor in a lipid bilayer. Nature. 2019;565(7740):516–520. DOI: 10.1038/s41586-018-0833-4. PMID: 30602789.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Kim J.J., Gharpure A., Teng J. et al. Shared structural mechanisms of general anaesthetics and benzodiazepines. Nature. 2020. 585(7824):303–308. DOI: 10.1038/s41586-020-2654-5. PMID: 32879488.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Sternbach L.H. The benzodiazepine story. J Med Chem. 1979;22(1):1–7. DOI: 10.1021/jm00187a001. PMID: 34039.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Sigel E., Mamalaki C., Eric A.B. Isolation of a GABA receptor from bovine brain using a benzodiazepine affinity column. FEBS Lett. 1982;147(1):45–48. DOI: 10.1016/0014-5793(82)81008-9. PMID: 6291997.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Sigel E., Stephenson F.A., Mamalaki C. et al. A gamma-aminobutyric acid/benzodiazepine receptor complex of bovine cerebral cortex. J Biol Chem. 1983;258(11):6965–6971. PMID: 6304068.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Sieghart W., Savic M.M. International Union of Basic and Clinical Pharmacology. CVI: GABAA receptor subtype- and function-selective ligands: key issues in translation to humans. Pharmacol Rev. 2018;70(4):836–878. DOI: 10.1124/pr.117.014449. PMID: 30275042.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Sigel E., Ernst M. The benzodiazepine binding sites of GABAA receptors. Trends Pharmacol Sci. 2018;39(7):659–671. DOI: 10.1016/j.tips.2018.03.006. PMID: 29716746.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Castellano D., Shepard R.D., Lu W. Looking for novelty in an “old” receptor: recent advances toward our understanding of GABAARs and their implications in receptor pharmacology. Front Neurosci. 2020;14:616298. DOI: 10.3389/fnins.2020.616298. PMID: 33519367.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Tan K.R., Rudolph U., Luscher C. Hooked on benzodiazepines: GABAA receptor subtypes and addiction. Trends Neurosci. 2011;34(4):188–197. DOI: 10.1016/j.tins.2011.01.004. PMID: 21353710.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Jacob T.C. Neurobiology and therapeutic potential of alpha5-GABA Type A receptors. Front Mol Neurosci. 2019;12:179. DOI: 10.3389/fnmol.2019.00179. PMID: 31396049.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Masiulis S., Desai R., Uchanski T. et al. GABAA receptor signalling mechanisms revealed by structural pharmacology. Nature. 2019;565(7740):454–459. DOI: 10.1038/s41586-018-0832-5. PMID: 30602790.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Wieland H.A., Luddens H., Seeburg P. A single histidine in GABAA receptors is essential for benzodiazepine agonist binding. J Biol Chem. 1992;267(3):1426–1429. PMID: 1346133.</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Baur R., Sigel E. Benzodiazepines affect channel opening of GABAA receptors induced by either agonist binding site. Mol Pharmacol. 2005;67(4):1005–1008. DOI: 10.1124/mol.104.008151. PMID: 15657366.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Campo-Soria C., Chang Y., Weiss D.S. Mechanism of action of benzodiazepines on GABAA receptors. Br J Pharmacol. 2006;148(7):984–990. DOI: 10.1038/sj.bjp.0706796. PMID: 16783415.</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Kim J.J., Hibbs R.E. Direct structural insights into GABAA receptor pharmacology. Trends Biochem Sci. 2021;46(6):502–517. DOI: 10.1016/j.tibs.2021.01.011. PMID: 33674151.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Safavynia S.A., Keating G., Speigel I. et al. Effects of gamma-aminobutyric acid type A receptor modulation by flumazenil on emergence from general anesthesia. Anesthesiology. 2016;125(1):147–158. DOI: 10.1097/ALN.0000000000001134. PMID: 27111534.</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Sanger D.J. The pharmacology and mechanisms of action of new generation, non-benzodiazepine hypnotic agents. CNS Drugs. 2004;18(Suppl 1):9–15; discussion 41, 43–15. DOI: 10.2165/00023210-200418001-00004. PMID: 15291009.</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Hanson S.M., Morlock E.V., Satyshur K.A. et al. Structural requirements for eszopiclone and zolpidem binding to the gamma-aminobutyric acid type-A (GABAA) receptor are different. J Med Chem. 2008;51(22):7243–7252. DOI: 10.1021/jm800889m. PMID: 18973287.</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Li Z., Scheraga H.A. Monte Carlo-minimization approach to the multiple-minima problem in protein folding. Proc Natl Acad Sci USA. 1987;84(19):6611–6615. DOI: 10.1073/pnas.84.19.6611. PMID: 3477791.</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Zhorov B.S. Vector method for calculating derivatives of energy of atom-atom interactions of complex molecules according to generalized coordinates. J Struct Chem. 1981; 22:4–8.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Rossokhin A., Teodorescu G., Grissmer S. et al. Interaction of d-tubocurarine with potassium channels: molecular modeling and ligand binding. Mol Pharmacol. 2006;69(4):1356–1365. DOI: 10.1124/mol.105.017970. PMID: 16391240.</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Garden D.P., Zhorov B.S. Docking flexible ligands in proteins with a solvent exposure- and distance-dependent dielectric function. J Comput Aided Mol Des. 2010;24(2):91–105. DOI: 10.1007/s10822-009-9317-9. PMID: 20119653.</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>Rossokhin A., Dreker T., Grissmer S. et al. Why does the inner-helix mutation A413C double the stoichiometry of Kv1.3 channel block by emopamil but not by verapamil? Mol Pharmacol. 2011;79(4):681–691. DOI: 10.1124/mol.110.068031. PMID: 21220411.</mixed-citation></ref><ref id="B32"><label>32.</label><mixed-citation>Rossokhin A. V., Sharonova I. N., Dvorzhak A. et al. The mechanisms of potentiation and inhibition of GABAA receptors by non-steroidal anti-inflammatory drugs, mefenamic and niflumic acids. Neuropharmacology. 2019;160:107795. DOI: 10.1016/j.neuropharm.2019.107795. PMID: 31560908.</mixed-citation></ref><ref id="B33"><label>33.</label><mixed-citation>Rossokhin A. The general anesthetic etomidate and fenamate mefenamic acid oppositely affect GABAAR and GlyR: a structural explanation. Eur Biophys J. 2020:49(7):591-607. DOI: 10.1007/s00249-020-01464-7. PMID: 32940715.</mixed-citation></ref><ref id="B34"><label>34.</label><mixed-citation>Tikhonova T. A., Rassokhina I. V., Kondrakhin E. A. et al. Development of 1,3-thiazole analogues of imidazopyridines as potent positive allosteric modulators of GABAA receptors. Bioorg Chem. 2020;94:103334. DOI: 10.1016/j.bioorg.2019.103334. PMID: 31711764.</mixed-citation></ref><ref id="B35"><label>35.</label><mixed-citation>Buhr A., Sigel E. A point mutation in the gamma2 subunit of gamma-aminobutyric acid type A receptors results in altered benzodiazepine binding site specificity. Proc Natl Acad Sci USA. 1997;94(16):8824–8829. DOI: 10.1073/pnas.94.16.8824. PMID: 9238062.</mixed-citation></ref><ref id="B36"><label>36.</label><mixed-citation>Sancar F., Ericksen S.S., Kucken A.M. et al. Structural determinants for high-affinity zolpidem binding to GABA-A receptors. Mol Pharmacol. 2007;71(1):38–46. DOI: 10.1124/mol.106.029595. PMID: 17012619.</mixed-citation></ref><ref id="B37"><label>37.</label><mixed-citation>Franks N.P. Molecular targets underlying general anaesthesia. Br J Pharmacol. 2006; 147(Suppl 1):S72–S81. DOI: 10.1038/sj.bjp.0706441. PMID: 16402123.</mixed-citation></ref><ref id="B38"><label>38.</label><mixed-citation>Löscher W., Rogawski M.A. How theories evolved concerning the mechanism of action of barbiturates. Epilepsia. 2012;53(Suppl 8):12–25. DOI: 10.1111/epi.12025. PMID: 23205959.</mixed-citation></ref><ref id="B39"><label>39.</label><mixed-citation>Forman S. A. Clinical and molecular pharmacology of etomidate. Anesthesiology. 2011;114(3):695–707. DOI: 10.1097/ALN.0b013e3181ff72b5. PMID: 21263301.</mixed-citation></ref><ref id="B40"><label>40.</label><mixed-citation>Peters J.A., Kirkness E.F., Callachan H. et al. Modulation of the GABAA receptor by depressant barbiturates and pregnane steroids. Br J Pharmacol. 1988;94(4):1257–1269. DOI: 10.1111/j.1476-5381.1988.tb11646.x. PMID: 2850060.</mixed-citation></ref><ref id="B41"><label>41.</label><mixed-citation>Hales T.G., Lambert J.J. The actions of propofol on inhibitory amino acid receptors of bovine adrenomedullary chromaffin cells and rodent central neurones. Br J Pharmacol. 1991;104(3):619–628. DOI: 10.1111/j.1476-5381.1991.tb12479.x. PMID: 1665745.</mixed-citation></ref><ref id="B42"><label>42.</label><mixed-citation>Yang J., Uchida I. Mechanisms of etomidate potentiation of GABAA receptor-gated currents in cultured postnatal hippocampal neurons. Neuroscience. 1996;73(1):69–78. DOI: 10.1016/0306-4522(96)00018-8. PMID: 8783230.</mixed-citation></ref><ref id="B43"><label>43.</label><mixed-citation>Krasowski M.D. Contradicting a unitary theory of general anesthetic action: a history of three compounds from 1901 to 2001. Bull. Anesth. Hist. 2003;21(3):1–24. PMID: 17494361. DOI: 10.1016/s1522-8649(03)50031-2.</mixed-citation></ref><ref id="B44"><label>44.</label><mixed-citation>Zhang Z.X., Lü H., Dong X.P. et al. Kinetics of etomidate actions on GABAA receptors in the rat spinal dorsal horn neurons. Brain Res. 2002;953(1–2):93–100. DOI: 10.1016/s0006-8993(02)03274-2. PMID: 12384242.</mixed-citation></ref><ref id="B45"><label>45.</label><mixed-citation>Ruesch D., Neumann E., Wulf H. et al. An allosteric coagonist model for propofol effects on alpha1beta2gamma2L gamma-aminobutyric acid type A receptors. Anesthesiology. 2012;116(1):47–55. DOI: 10.1097/ALN.0b013e31823d0c36. PMID: 22104494.</mixed-citation></ref><ref id="B46"><label>46.</label><mixed-citation>Li G.D., Chiara D.C., Sawyer G.W. et al. Identification of a GABAA receptor anesthetic binding site at subunit interfaces by photolabeling with an etomidate analog. J Neurosci. 2006;26(45):11599–11605. DOI: 10.1523/JNEUROSCI.3467-06.2006. PMID: 17093081.</mixed-citation></ref><ref id="B47"><label>47.</label><mixed-citation>Chiara D.C., Dostalova Z., Jayakar S.S. et al. Mapping general anesthetic binding site(s) in human α1β3 γ-aminobutyric acid type A receptors with [3H]TDBzl-etomidate, a photoreactive etomidate analogue. Biochemistry. 2012;51(4):836–847. DOI: 10.1021/bi201772m. PMID: 22243422.</mixed-citation></ref><ref id="B48"><label>48.</label><mixed-citation>Forman S.A., Miller K.W. Mapping general anesthetic sites in heteromeric γ-aminobutyric acid type A receptors reveals a potential for targeting receptor subtypes. Anesth Analg. 2016;123(5):1263–1273. DOI: 10.1213/ANE.0000000000001368. PMID: 27167687.</mixed-citation></ref><ref id="B49"><label>49.</label><mixed-citation>Jayakar S.S., Zhou X., Chiara D.C. et al. Identifying drugs that bind selectively to intersubunit general anesthetic sites in the α1β3γ2 GABAAR transmembrane domain. Mol Pharmacol. 2019;95(6):615–628. DOI: 10.1124/mol.118.114975. PMID: 30952799.</mixed-citation></ref><ref id="B50"><label>50.</label><mixed-citation>Bali M., Akabas M.H. Defining the propofol binding site location on the GABAA receptor. Mol Pharmacol. 2004;65(1):68–76. DOI: 10.1124/mol.65.1.68. PMID: 1472223.</mixed-citation></ref><ref id="B51"><label>51.</label><mixed-citation>Stewart D.S., Hotta M., Li G.D. et al. Cysteine substitutions define etomidate binding and gating linkages in the alpha-M1 domain of gamma-aminobutyric acid type A (GABAA) receptors. J Biol Chem. 2013;288(42):30373–30386. DOI: 10.1074/jbc.M113.494583. PMID: 24009076.</mixed-citation></ref><ref id="B52"><label>52.</label><mixed-citation>Belelli D., Lambert J.J., Peters J.A. et al. The interaction of the general anesthetic etomidate with the gamma-aminobutyric acid type A receptor is influenced by a single amino acid. Proc Natl Acad Sci USA. 1997;94(20):11031–11036. DOI: 10.1073/pnas.94.20.11031. PMID: 9380754.</mixed-citation></ref><ref id="B53"><label>53.</label><mixed-citation>Krasowskia M.D., Nishikawac K., Nikolaevaa N. et al. Methionine 286 in transmembrane domain 3 of the GABAA receptor β subunit controls a binding cavity for propofol and other alkylphenol general anesthetics. Neuropharmacology. 2001;41(8):952–964. DOI: 10.1016/s0028-3908(01)00141-1. PMID: 11747900.</mixed-citation></ref><ref id="B54"><label>54.</label><mixed-citation>Siegwart R., Krahenbuhl K., Lambert S. et al. Mutational analysis of molecular requirements for the actions of general anaesthetics at the gamma-aminobutyric acidA receptor subtype, alpha1beta2gamma2. BMC Pharmacol. 2003;3:13. DOI: 10.1186/1471-2210-3-13. PMID: 14613517.</mixed-citation></ref><ref id="B55"><label>55.</label><mixed-citation>Stewart D., Desai R., Cheng Q. et al. Tryptophan mutations at azi-etomidate photo-incorporation sites on alpha1 or beta2 subunits enhance GABAA receptor gating and reduce etomidate modulation. Mol Pharmacol. 2008;74(6):1687–1695. DOI: 10.1124/mol.108.050500. PMID: 18805938.</mixed-citation></ref><ref id="B56"><label>56.</label><mixed-citation>Miller C. Genetic manipulation of ion channels: a new approach to structure and mechanism. Neuron. 1989;2(3):1195–1205. DOI: 10.1016/0896-6273(89)90304-8. PMID: 2483110.</mixed-citation></ref><ref id="B57"><label>57.</label><mixed-citation>Siegwart R., Jurd R., Rudolph U. Molecular determinants for the action of general anesthetics at recombinant alpha2beta3gamma2 gamma-aminobutyric acid A receptors. J Neurochem. 2002;80(1):140–148. DOI: 10.1046/j.0022-3042.2001.00682.x. PMID: 11796752.</mixed-citation></ref><ref id="B58"><label>58.</label><mixed-citation>Eaton M.M., Germann A.L., Arora R. et al. Multiple non-equivalent interfaces mediate direct activation of GABAA receptors by propofol. Curr Neuropharmacol. 2016;14(7):772–780. DOI: 10.2174/1570159x14666160202121319. PMID: 26830963.</mixed-citation></ref><ref id="B59"><label>59.</label><mixed-citation>Reynolds D.S., Rosahl T.W., Cirone J. et al. Sedation and anesthesia mediated by distinct GABAA receptor isoforms. J Neurosci. 2003;23(24):8608–8617. DOI: 10.1523/JNEUROSCI.23-24-08608.2003. PMID: 13679430.</mixed-citation></ref><ref id="B60"><label>60.</label><mixed-citation>Jurd R., Arras M., Lambert S. et al. General anesthetic actions in vivo strongly attenuated by a point mutation in the GABAA receptor beta3 subunit. FASEB J. 2003;17(2):250–252. DOI: 10.1096/fj.02-0611fje. PMID: 12475885.</mixed-citation></ref><ref id="B61"><label>61.</label><mixed-citation>Orser B.A., Wang L.Y., Pennefather P.S. et al. Propofol modulates activation and desensitization of GABAA receptors in cultured murine hippocampal neurons. J Neurosci. 1994;14(12):7747–7760. DOI: 10.1523/JNEUROSCI. 14-12-07747.1994. PMID: 7996209.</mixed-citation></ref><ref id="B62"><label>62.</label><mixed-citation>Mathers D.A., Wan X., Puil E. Barbiturate activation and modulation of GABAA receptors in neocortex. Neuropharmacology. 2007;52(4):1160–1168. DOI: 10.1016/j.neuropharm.2006.12.004. PMID: 17289092.</mixed-citation></ref><ref id="B63"><label>63.</label><mixed-citation>Parker I., Gundersen C.B., Miledi R. Actions of pentobarbital on rat brain receptors expressed in Xenopus oocytes. J Neurosci. 1986;6(8):2290–2297. DOI: 10.1523/JNEUROSCI.06-08-02290.1986. PMID: 2875136.</mixed-citation></ref><ref id="B64"><label>64.</label><mixed-citation>Kitamura A., Sato R., Marszalec W. et al. Halothane and propofol modulation of gamma-aminobutyric acidA receptor single-channel currents. Anesth Analg. 2004;99(2):409–415. DOI: 10.1213/01.ANE.0000131969.46439.71. PMID: 15271715.</mixed-citation></ref><ref id="B65"><label>65.</label><mixed-citation>Walters R.J., Hadley S.H., Morris K.D. et al. Benzodiazepines act on GABAA receptors via two distinct and separable mechanisms. Nat Neurosci. 2000;3(12):1274–1281. DOI: 10.1038/81800. PMID: 11100148.</mixed-citation></ref><ref id="B66"><label>66.</label><mixed-citation>Baulieu E.E. Neurosteroids: of the nervous system, by the nervous system, for the nervous system. Recent Prog Horm Res. 1997;52:1–32. PMID: 9238846.</mixed-citation></ref><ref id="B67"><label>67.</label><mixed-citation>Belelli D., Lambert J.J. Neurosteroids: endogenous regulators of the GABAA receptor. Nat Rev Neurosci. 2005;6(7):565–575. DOI: 10.1038/nrn1703. PMID: 15959466.</mixed-citation></ref><ref id="B68"><label>68.</label><mixed-citation>Belelli D., Hogenkamp D., Gee K.W. et al. Realising the therapeutic potential of neuroactive steroid modulators of the GABAA receptor. Neurobiol Stress. 2020;12:100207. DOI: 10.1016/j.ynstr.2019.100207. PMID: 32435660.</mixed-citation></ref><ref id="B69"><label>69.</label><mixed-citation>Reddy D.S., Estes W.A. Clinical potential of neurosteroids for CNS disorders. Trends Pharmacol Sci. 2016;37(7):543–561. DOI: 10.1016/j.tips.2016.04.003. PMID: 27156439.</mixed-citation></ref><ref id="B70"><label>70.</label><mixed-citation>Reddy D.S. Pharmacology of endogenous neuroactive steroids. Crit Rev Neurobiol. 2003;15(3–4):197–234. DOI: 10.1615/critrevneurobiol.v15.i34.20. PMID: 15248811.</mixed-citation></ref><ref id="B71"><label>71.</label><mixed-citation>Zorumski C.F., Paul S.M., Covey D.F. et al. Neurosteroids as novel antidepressants and anxiolytics: GABAA receptors and beyond. Neurobiol Stress. 2019;11:100196. DOI: 10.1016/j.ynstr.2019.100196. PMID: 31649968.</mixed-citation></ref><ref id="B72"><label>72.</label><mixed-citation>Majewska M.D., Harrison N.L., Schwartz R.D. et al. Steroid hormone metabolites are barbiturate-like modulators of the GABA receptor. Science. 1986;232(4753):1004–1007. DOI: 10.1126/science.2422758. PMID: 2422758.</mixed-citation></ref><ref id="B73"><label>73.</label><mixed-citation>Turner D.M., Ransom R.W., Yang J.S.J. et al. Steroid anesthetics and naturally-occurring analogs modulate the gamma-aminobutyric acid receptor complex at a site distinct from barbiturates. J Pharmacol Exp Ther. 1989;248(3):960–966. PMID: 2539464.</mixed-citation></ref><ref id="B74"><label>74.</label><mixed-citation>Li G.D., Chiara D.C., Cohen J.B. et al. Neurosteroids allosterically modulate binding of the anesthetic etomidate to gamma-aminobutyric acid type A receptors. J Biol Chem. 2009;284(18):11771–11775. DOI: 10.1074/jbc.C900016200. PMID: 19282280.</mixed-citation></ref><ref id="B75"><label>75.</label><mixed-citation>Chen Z.W., Manion B., Townsend R.R. et al. Neurosteroid analog photolabeling of a site in the third transmembrane domain of the beta3 subunit of the GABAA receptor. Mol Pharmacol. 2012;82(3):408–419. DOI: 10.1124/mol.112.078410. PMID: 22648971.</mixed-citation></ref><ref id="B76"><label>76.</label><mixed-citation>Laverty D., Thomas P., Field M. et al. Crystal structures of a GABAA-receptor chimera reveal new endogenous neurosteroid-binding sites. Nat Struct Mol Biol. 2017;24(11):977–985. DOI: 10.1038/nsmb.3477. PMID: 28967882.</mixed-citation></ref><ref id="B77"><label>77.</label><mixed-citation>Miller P.S., Scott S., Masiulis S. et al. Structural basis for GABAA receptor potentiation by neurosteroids. Nat Struct Mol Biol. 2017;24(11):986–992. DOI: 10.1038/nsmb.3484. PMID: 28991263.</mixed-citation></ref><ref id="B78"><label>78.</label><mixed-citation>Twyman R.E., Macdonald R.L. Neurosteroid regulation of GABAA receptor single-channel kinetic properties of mouse spinal cord neurons in culture. J Physiol. 1992;456:215–245. DOI: 10.1113/jphysiol.1992.sp019334. PMID: 1338096.</mixed-citation></ref><ref id="B79"><label>79.</label><mixed-citation>Lambert J.J., Belelli D., Peden D.R. et al. Neurosteroid modulation of GABAA receptors. Prog Neurobiol. 2003;71(1):67–80. DOI: 10.1016/j.pneurobio.2003.09.001. PMID: 14611869.</mixed-citation></ref><ref id="B80"><label>80.</label><mixed-citation>Gielen M., Thomas P., Smart T.G. The desensitization gate of inhibitory Cys-loop receptors. Nat Commun. 2015;6:6829. DOI: 10.1038/ncomms7829. PMID: 25891813.</mixed-citation></ref><ref id="B81"><label>81.</label><mixed-citation>Rossokhin A.V., Zhorov B.S. Side chain flexibility and the pore dimensions in the GABAA receptor. J Comput Aided Mol Des. 2016;30(7):559–567. DOI: 10.1007/s10822-016-9929-9. PMID: 27460059.</mixed-citation></ref><ref id="B82"><label>82.</label><mixed-citation>Rossokhin A.V. Homology modeling of the transmembrane domain of the GABAA receptor. Biophysics. 2017;62(5):708–716. DOI: 10.1134/s0006350917050190.</mixed-citation></ref></ref-list></back></article>
