Mechanisms regulating GABAergic inhibitory transmission in the basolateral amygdala: implications for epilepsy and anxiety disorders

Amino Acids. 2007;32(3):305-15. doi: 10.1007/s00726-006-0415-x. Epub 2006 Oct 18.

Abstract

The amygdala, a temporal lobe structure that is part of the limbic system, has long been recognized for its central role in emotions and emotional behavior. Pathophysiological alterations in neuronal excitability in the amygdala are characteristic features of certain psychiatric illnesses, such as anxiety disorders and depressive disorders. Furthermore, neuronal excitability in the amygdala, and, in particular, excitability of the basolateral nucleus of the amygdala (BLA) plays a pivotal role in the pathogenesis and symptomatology of temporal lobe epilepsy. Here, we describe two recently discovered mechanisms regulating neuronal excitability in the BLA, by modulating GABAergic inhibitory transmission. One of these mechanisms involves the regulation of GABA release via kainate receptors containing the GluR5 subunit (GluR5KRs). In the rat BLA, GluR5KRs are present on both somatodendritic regions and presynaptic terminals of GABAergic interneurons, and regulate GABA release in an agonist concentration-dependent, bidirectional manner. The relevance of the GluR5KR function to epilepsy is suggested by the findings that GluR5KR agonists can induce epileptic activity, whereas GluR5KR antagonists can prevent it. Further support for an important role of GluR5KRs in epilepsy comes from the findings that antagonism of GluR5KRs is a primary mechanism underlying the antiepileptic properties of the anticonvulsant topiramate. Another mechanism regulating neuronal excitability in the BLA by modulating GABAergic synaptic transmission is the facilitation of GABA release via presynaptic alpha1A adrenergic receptors. This mechanism may significantly underlie the antiepileptic properties of norepinephrine. Notably, the alpha1A adrenoceptor-mediated facilitation of GABA release is severely impaired by stress. This stress-induced impairment in the noradrenergic facilitation of GABA release in the BLA may underlie the hyperexcitability of the amygdala in certain stress-related affective disorders, and may explain the stress-induced exacerbation of seizure activity in epileptic patients.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adrenergic alpha-Agonists / pharmacology
  • Adrenergic alpha-Agonists / therapeutic use
  • Amygdala
  • Animals
  • Anticonvulsants / pharmacology
  • Anticonvulsants / therapeutic use
  • Anxiety Disorders / drug therapy
  • Anxiety Disorders / metabolism*
  • Depression / drug therapy
  • Depression / metabolism
  • Dose-Response Relationship, Drug
  • Epilepsy, Temporal Lobe / drug therapy
  • Epilepsy, Temporal Lobe / metabolism*
  • Fructose / analogs & derivatives
  • Fructose / pharmacology
  • Fructose / therapeutic use
  • GABA Agonists / pharmacology
  • GABA Agonists / therapeutic use
  • Humans
  • Neurons / metabolism
  • Norepinephrine
  • Rats
  • Receptors, Adrenergic, alpha-1
  • Receptors, Kainic Acid / agonists
  • Receptors, Kainic Acid / antagonists & inhibitors
  • Receptors, Kainic Acid / metabolism*
  • Synaptic Transmission* / drug effects
  • Topiramate
  • gamma-Aminobutyric Acid / metabolism*

Substances

  • Adrenergic alpha-Agonists
  • Anticonvulsants
  • GABA Agonists
  • Gluk1 kainate receptor
  • Receptors, Adrenergic, alpha-1
  • Receptors, Kainic Acid
  • Topiramate
  • Fructose
  • gamma-Aminobutyric Acid
  • Norepinephrine