Direct Structural Insights into GABAA Receptor Pharmacology

Trends Biochem Sci. 2021 Jun;46(6):502-517. doi: 10.1016/j.tibs.2021.01.011. Epub 2021 Mar 3.

Abstract

GABAA receptors are pentameric ligand-gated ion channels that mediate most fast neuronal inhibition in the brain. In addition to their important physiological roles, they are noteworthy in their rich pharmacology; prominent drugs used for anxiety, insomnia, and general anesthesia act through positive modulation of GABAA receptors. Direct structural information for how these drugs work was absent until recently. Efforts in structural biology over the past few years have revealed how important drug classes and natural products interact with the GABAA receptor, providing a foundation for studies in dynamics and structure-guided drug design. Here, we review recent developments in GABAA receptor structural pharmacology, focusing on subunit assemblies of the receptor found at synapses.

Keywords: Cys-loop receptor structure; benzodiazepine; bicuculline; cryo-EM structure; general anesthetic; picrotoxin.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Ligand-Gated Ion Channels*
  • Receptors, GABA-A*

Substances

  • Ligand-Gated Ion Channels
  • Receptors, GABA-A