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PLoS ONE
Article . 2014 . Peer-reviewed
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PLoS ONE
Article
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PubMed Central
Other literature type . 2014
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Clobazam and Its Active Metabolite N-desmethylclobazam Display Significantly Greater Affinities for α2- versus α1-GABAA–Receptor Complexes

Authors: Jensen, Henrik Sindal; Nichol, Kathryn; Lee, Deborah; Ebert, Bjarke;

Clobazam and Its Active Metabolite N-desmethylclobazam Display Significantly Greater Affinities for α2- versus α1-GABAA–Receptor Complexes

Abstract

Clobazam (CLB), a 1,5-benzodiazepine (BZD), was FDA-approved in October 2011 for the adjunctive treatment of seizures associated with Lennox-Gastaut syndrome (LGS) in patients 2 years and older. BZDs exert various CNS effects through allosteric modulation of GABA(A) receptors. The structurally distinct, 1,4-BZD clonazepam (CLN) is also approved to treat LGS. The precise mechanisms of action and clinical efficacy of both are unknown. Data show that the GABA(A) α(1)-subunit–selective compound zolpidem [ZOL] exhibits hypnotic/sedative effects. Conversely, data from knock-in mice carrying BZD binding site mutations suggest that the α(2) subunit mediates anticonvulsant effects, without sedative actions. Hence, the specific pattern of interactions across the GABA(A) receptor complexes of BZDs might be reflected in their clinical efficacies and adverse effect profiles. In this study, GABA(A)-receptor binding affinities of CLB, N-desmethylclobazam (N-CLB, the major metabolite of CLB), CLN, and ZOL were characterized with native receptors from rat-brain homogenates and on cloned receptors from HEK293 cells transfected with combinations of α (α(1), α(2), α(3), or α(5)), β(2), and γ(2) subtypes. Our results demonstrate that CLB and N-CLB have significantly greater binding affinities for α(2)- vs. α(1)-receptor complexes, a difference not observed for CLN, for which no distinction between α(2) and α(1) receptors was observed. Our experiments with ZOL confirmed the high preference for α(1) receptors. These results provide potential clues to a new understanding of the pharmacologic modes of action of CLB and N-CLB.

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
57
Top 10%
Top 10%
Top 10%
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