Are all benzodiazepines GABA agonists?

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SUMMARY

All benzodiazepines act as GABA agonists by binding to GABAA receptors, specifically at the benzodiazepine (Bz) binding site, which consists of alpha and gamma subunits. This binding increases the frequency of receptor activity, leading to hyperpolarization of the membrane due to altered chloride ion concentration gradients. Variations in effects among benzodiazepines arise from differences in binding affinities, half-lives, and the presence of multiple GABAA receptor subtypes. Additionally, benzodiazepines can function as positive allosteric modulators, negative allosteric modulators, or antagonists, influencing their therapeutic and side effect profiles.

PREREQUISITES
  • Understanding of GABAA receptor structure and function
  • Knowledge of pharmacodynamics and pharmacokinetics
  • Familiarity with allosteric modulation concepts
  • Awareness of benzodiazepine classifications and their effects
NEXT STEPS
  • Research the specific roles of GABAA receptor subtypes in pharmacology
  • Explore the mechanisms of allosteric modulation in drug design
  • Study the differences in binding affinities among various benzodiazepines
  • Read the paper "Hooked on benzodiazepines: GABAA receptor subtypes and addiction" for insights on addiction mechanisms
USEFUL FOR

This discussion is beneficial for pharmacologists, neuroscientists, and healthcare professionals involved in the study and treatment of anxiety disorders and addiction related to benzodiazepines.

treehouse
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And what causes the differences in their effects?
 
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treehouse said:
And what causes the differences in their effects?
Please make an effort to present the information you wish to ask questions about.

Please post the information here so it can be discussed.
 
Yes benzodiazepines bind to GABAa receptors, these are also referred to as benzodiazepine receptors (BzRs). This acts as a GABA agonist through the binding of benzodiazepines of the alpha and gamma subunits of the GABAa heterodimer. The binding affinity is greater than that of GABA and causes increased frequency of receptor activity, IIRC this changes the chloride ion concentration gradient and hyperpolarises the membrane.

As for if they have different effects I presume they would as there are multiple variants of GABAa with different roles. Different drugs would have different binding affinities, half-lives etc and so cause different effects.
 
No, they are not only agonists; they are any kind of allosteric modulation on the BDZ binding site of the GABAa receptors. There's actually an interesting paper that answers both of your questions that's open access (<3 Elsevier) "are they all agonists?"
Tan KR said:
Three groups of drugs which bind at the BDZ-binding site can be distinguished based on the type of modulation: positive allosteric modulators (also termed agonists), negative allosteric modulators (or inverse agonists) and antagonists

"what are their differences?"
[PLAIN]http://www.sciencedirect.com/cache/MiamiImageURL/B6T0V-5287X09-1-4/0?wchp=dGLbVlz-zSkWA

This is actually really interesting to drug companies that want to target particular receptor subtypes without having the side-effects of other subtypes.

Hooked on benzodiazepines: GABAA receptor subtypes and addiction
Kelly R. Tan, Uwe Rudolph and Christian Lüscher
Trends in Neurosciences, Volume 34, Issue 4, April 2011, Pages 188-197

http://www.sciencedirect.com/science/article/pii/S0166223611000051
 
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