AI Article Synopsis

  • Benzodiazepines (BZs) can lead to sedation and cognitive impairment, but specific GABA(A) receptor subtypes play a role in these effects.
  • In experiments using two selective antagonists, it was found that the sedative effects of diazepam were reduced by one antagonist (beta-CCt) while another (XLi093) may enhance these effects at higher doses.
  • Both antagonists were able to mitigate diazepam's negative impact on cognitive tasks in water maze tests, suggesting the potential for combining BZs with these antagonists to improve cognitive performance without sedation, warranting further investigation in human studies.

Article Abstract

The clinical use of benzodiazepines (BZs) is hampered by sedation and cognitive deterioration. Although genetic and pharmacological studies suggest that alpha1- and alpha5-containing GABA(A) receptors mediate and/or modulate these effects, their molecular substrate is not fully elucidated. By the use of two selective ligands: the alpha1-subunit affinity-selective antagonist beta-CCt, and the alpha5-subunit affinity- and efficacy-selective antagonist XLi093, we examined the mechanisms of behavioural effects of diazepam in the tests of spontaneous locomotor activity and water-maze acquisition and recall, the two paradigms indicative of sedative- and cognition-impairing effects of BZs, respectively. The locomotor-activity decreasing propensity of diazepam (significant at 1.5 and 5 mg/kg) was antagonized by beta-CCt (5 and 15 mg/kg), while it tended to be potentiated by XLi093 in doses of 10 mg/kg, and especially 20 mg/kg. Diazepam decreased acquisition and recall in the water maze, with a minimum effective dose of 1.5 mg/kg. Both antagonists reversed the thigmotaxis induced by 2 mg/kg diazepam throughout the test, suggesting that both GABA(A) receptor subtypes participate in BZ effects on the procedural component of the task. Diazepam-induced impairment in the declarative component of the task, as assessed by path efficiency, the latency and distance before finding the platform across acquisition trials, and also by the spatial parameters in the probe trial, was partially prevented by both, 15 mg/kg beta-CCt and 10 mg/kg XLi093. Combining a BZ with beta-CCt results in the near to control level of performance of a cognitive task, without sedation, and may be worth testing on human subjects.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2778330PMC
http://dx.doi.org/10.1017/S1461145709000108DOI Listing

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