Are all benzodiazepines GABA agonists?

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Discussion Overview

The discussion revolves around the pharmacological classification of benzodiazepines, specifically whether they all act as GABA agonists and the implications of their varying effects. Participants explore the mechanisms of action of benzodiazepines at GABAa receptors, including their binding characteristics and the nature of their modulation.

Discussion Character

  • Technical explanation
  • Debate/contested

Main Points Raised

  • Some participants assert that benzodiazepines bind to GABAa receptors, acting as GABA agonists by increasing receptor activity and altering chloride ion concentration, which may lead to hyperpolarization of the membrane.
  • Others argue that benzodiazepines are not solely agonists but can also act as allosteric modulators at the BDZ binding site of GABAa receptors, distinguishing between positive allosteric modulators, negative allosteric modulators, and antagonists.
  • One participant mentions the existence of multiple variants of GABAa receptors, suggesting that different benzodiazepines may have varying effects due to differences in binding affinities and pharmacokinetics.
  • A reference to a specific paper is provided, which discusses the modulation of GABAa receptors and its relevance to drug development, indicating ongoing research interest in the topic.

Areas of Agreement / Disagreement

Participants express differing views on whether all benzodiazepines can be classified as GABA agonists, with some supporting this notion while others highlight the complexity of their actions as allosteric modulators. The discussion remains unresolved regarding the classification and effects of benzodiazepines.

Contextual Notes

There is a lack of consensus on the definitions and classifications of the types of modulation by benzodiazepines, as well as the implications of receptor subtype interactions. The discussion also reflects uncertainty regarding the specific mechanisms that lead to the observed differences in effects among various 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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