A Newfound Role of GABA-mediated Tonic Inhibition in Regulating Functional Recovery after Stroke
by Huang, Ben Sheng-Min, Ph.D., UNIVERSITY OF CALIFORNIA, LOS ANGELES, 2011, 83 pages; 3486613

Abstract:

Stroke is the leading cause of adult disability; yet, no pharmacological therapy is currently available for promoting recovery. Most patients, however, show partial recovery over time and after physical rehabilitation, revealing the brain's capacity for self-repair. But what constrains this endogenous repair from occurring sooner and to a fuller extent? Using patch-clamp electrophysiology, in cortical slices from a photothrombotic mouse model of focal stroke, we discovered that GABAergic tonic inhibition is significantly increased after stroke. This is associated with a dysfunction of the GABA transporters (GAT-3/ GAT-4) on astrocytes, suggesting that a diminished GABA clearance leads to excessive extracellular transmitter accumulation, which in turn over-activates extrasynaptic GABA(A) receptors to elevate tonic inhibition. We tested the effect of dampening tonic inhibition on motor behaviors, by chronic treatment with an alpha5-GABA(A)R-selective benzodiazepine inverse agonist (L-655,708) and found significant improvements in motor recovery. These findings indicate that excessive tonic inhibition is a critical constraint on stroke recovery, and the modulation of tonic inhibition is a promising new therapeutic approach to promote functional recovery after stroke and possibly other brain injuries.

 
AdviserIstvan Mody
SchoolUNIVERSITY OF CALIFORNIA, LOS ANGELES
SourceDAI/B 73-03, p. , Dec 2011
Source TypeDissertation
SubjectsNeurosciences; Neurobiology Biology; Health sciences; Physiology
Publication Number3486613
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