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The Journal of Neuroscience, May 15, 2000, 20(10):3571-3579
Pregnenolone Sulfate Modulates Inhibitory Synaptic Transmission
by Enhancing GABAA Receptor Desensitization
Weixing
Shen1,
Steven
Mennerick1, 3,
Douglas F.
Covey2, and
Charles F.
Zorumski1, 3
Departments of 1 Psychiatry, 2 Molecular
Biology and Pharmacology, and 3 Neurobiology, Washington
University School of Medicine, St. Louis, Missouri
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ABSTRACT |
We examined the effects of the neurosteroid pregnenolone sulfate
(PS) on GABAA receptor-mediated synaptic currents and
currents elicited by rapid applications of GABA onto nucleated
outside-out patches in cultured postnatal rat hippocampal neurons. At
10 µM, PS significantly depressed peak responses and
accelerated the decay of evoked inhibitory synaptic currents.
In nucleated outside-out patches, PS depressed peak currents and
speeded deactivation after 5 msec applications of a saturating concentration of GABA. PS also increased the rate and degree of macroscopic GABA receptor desensitization during prolonged GABA applications. In a paired GABA application paradigm, PS slowed the rate
of recovery from desensitization.
In contrast to its prominent effects on currents produced by saturating
GABA concentrations, PS had only small effects on peak currents and
failed to alter deactivation after brief applications of the weakly
desensitizing GABAA receptor agonists taurine and -alanine. However, when -alanine was applied for a
sufficient duration to promote receptor desensitization, PS augmented
macroscopic desensitization and slowed deactivation.
These results suggest that PS inhibits GABA-gated chloride currents by
enhancing receptor desensitization and stabilizing desensitized states.
This contention is supported by kinetic modeling studies in which
increases in the rate of entry into doubly liganded desensitized states
mimic most effects of PS.
Key words:
GABA; neurosteroids; desensitization; synapses; outside-out patches; kinetics
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INTRODUCTION |
GABA mediates much of the
fast inhibitory neurotransmission in the mammalian CNS and is
believed to participate in the pathophysiology of major
neuropsychiatric disorders, including epilepsy, substance abuse
disorders, mood disorders, and anxiety (Lambert et al., 1995 ; Sieghart,
1995 ). Drugs that enhance GABAergic transmission can be useful
clinically as anticonvulsants, anesthetics, muscle relaxants, and
anxiolytics (Sieghart, 1995 ). Agents that inhibit GABAergic function
have convulsant, anxiogenic, and perhaps cognitive-enhancing effects.
Given the importance of GABA in CNS synaptic function, there is
considerable interest in understanding the mechanisms of endogenous agents that modulate GABA-mediated neurotransmission. The neurosteroids represent a class of molecules that are synthesized in the CNS (Mensah-Nyagan et al., 1999 ) and have potent effects on
GABAA receptors (Lambert et al., 1995 , 1996 ).
Some of these steroids, exemplified by
(3 ,5 )-3-hydroxypregnan-20-one (3 5 P) and 3 , 21-dihydroxy-5 -pregnan-20-one (THDOC), greatly enhance the function of GABAA receptors and increase inhibitory
transmission in various brain regions (Lambert et al., 1995 ).
Pregnenolone sulfate (PS) is a neurosteroid that inhibits responses
mediated by GABAA receptors (Majewska and
Schwartz, 1987 ; Majewska et al., 1988 ). Previous studies have
shown that PS is a noncompetitive GABAA receptor antagonist that acts, at least in part, by decreasing channel opening
frequency (Mienville and Vicini, 1989 ). This raises the possibility
that PS may function as an endogenous modulator of fast inhibitory
synaptic transmission. However, the effects of PS on GABA-mediated
synaptic transmission are poorly understood at present.
Similar to glutamate acting at fast excitatory synapses, it appears
that GABA-mediated IPSCs result from very brief exposure of
postsynaptic GABAA receptors to high, possibly
saturating, concentrations of transmitter (Maconochie et al., 1994 ;
Jones and Westbrook, 1995 ). However, the time course of GABA-mediated IPSCs is prolonged relative to the excitatory actions of
glutamate at AMPA receptors. The slow time course of
GABAergic IPSCs is thought to result, in part, from fast entry of
GABAA receptors into desensitized states
coupled with fast recovery from desensitization and reopening of ion
channels before agonist unbinding (Jones and Westbrook, 1996 ). The
kinetics of GABA-mediated responses and the brief nature of the GABA
concentration transient at synapses make it important to use
nonstationary experimental approaches to mimic conditions at synapses
when studying the effects of neuromodulators. In the present
experiments, we examined the effects of PS on inhibitory autaptic
currents (IACs) in cultured hippocampal neurons and compared actions on
synaptic transmission to effects on GABA currents in membrane patches
exposed rapidly and briefly to high concentrations of agonists.
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MATERIALS AND METHODS |
Hippocampal cultures. Primary microisland cultures of
hippocampal cells were prepared from 1- to 3-d-old postnatal albino rats using established methods (Mennerick et al., 1995 ). Under halothane anesthesia, rats were decapitated, and the hippocampi were
dissected and cut into 500-µm-thick transverse slices. The slices
were dissociated with 1 mg/ml papain in oxygenated Leibovitz L-15
medium and mechanical trituration in modified Eagle's medium containing 5% horse serum, 5% fetal calf serum, 17 mM
D-glucose, 400 µM glutamine, 50 U/ml
penicillin, and 50 µg/ml streptomycin. Isolated cells were plated
onto plastic culture dishes at a density of 75 cells/mm2. Before plating, culture dishes
were coated with a layer of 0.15% agarose, dried overnight, and
sprayed with small droplets of rat tail collagen using a microatomizer
(Thomas Scientific, Swedesboro, NJ). To halt glial proliferation,
cultures were treated with 10 µM cytosine arabinoside
after 3 d in vitro. Experiments were performed in
cultures that were 7-14 d old.
Electrophysiology. For synaptic studies, the growth medium
was exchanged for a solution containing (in mM): 138 NaCl,
4 KCl, 10 HEPES, 10 D-glucose, 2 CaCl2, and 1 MgCl2, pH
7.25. Osmolarity was maintained at 310-320 mOsm/l by addition of
sucrose. Whole-cell voltage-clamp recordings of autaptic currents were
performed from neurons on single-neuron microislands using recording
pipettes with open tip resistances of 2-5 M . The pipette solution
contained (in mM): 140 KCl, 4 NaCl, 5 EGTA, 0.5 CaCl2, 10 HEPES, 2 MgATP, and 0.5 NaGTP, pH 7.25. Neurons were recorded using an EPC-7 patch-clamp amplifier (List
Electronics), and series resistance was compensated 70-90% during
experiments. Synaptic transmission was activated by stimulating neurons
with 0.5 msec voltage steps from 70 to +30 mV at intervals of 20 sec.
During experiments, microislands were continuously superfused using a
gravity-driven multibarrel system with a common exit port. The tip of
this local perfusion system was placed ~400 µm from the microisland
being recorded, and solution flowed at a rate of 0.8-1.5 ml/min. All
recordings were done at room temperature (~22°C) on the stage of a
Nikon inverted microscope equipped with phase-contrast optics.
Studies examining exogenous applications of agonists were performed
using nucleated outside-out patches (Sather et al., 1992 ; Zhu and
Vicini, 1997 ). For these experiments, the pipette recording solution
contained (in mM): 140 CsCl, 4 NaCl, 1 CaCl2, 3.45 Cs4BAPTA, 10 HEPES, and 5 MgATP, pH 7.25. GABAA receptor
agonists and drugs were applied to patches from theta tubes using a
piezoelectric delivery system (Burleigh Instruments, Fishers, NY). This
system rapidly switches between control and experimental solutions and allows complete solution exchange in <1 msec, based on measurements using open patch pipettes. The time course of solution exchange over a
nucleated patch is likely to be somewhat slower than this, reflecting
the more complex geometry of the patches. The opening of the theta tube
was positioned ~100 µm from the membrane patch. In patch
experiments, PS was administered for 10-20 sec before and during
GABAA receptor agonist application. We previously
found that the effects of PS are reversible (Nilsson et al., 1998 ). However, drug effects can take >5 min to wash out in isolated patch
experiments. Thus, in most experiments we did not attempt to
demonstrate reversibility of effect. For experiments using taurine and
-alanine, the sucrose and NaCl concentrations in the extracellular
solution were adjusted to maintain constant osmolarity, and 5 µM strychnine was included to block effects of these
agonists on glycine receptors. Reagents were purchased from Sigma (St.
Louis, MO).
Averages of four to eight traces were used for analysis and display.
Currents were filtered at 1-5 kHz using a four-pole Bessel filter and
were digitized using pClamp version 6.0 (Axon Instruments, Foster City,
CA). Data were analyzed off-line using the pClamp software and IgorPro
(Wavemetrics, Lake Oswego, OR). Exponential curve fitting was performed
using a simplex algorithm combined with a Chebyshev routine for initial
seed estimates. In fitting the time course of desensitization in
response to longer agonist applications, the current at the end of the
long pulse was taken as the steady-state (offset) level. Unless
otherwise noted, results represent mean ± SEM. Statistical
differences were determined using two-tailed t tests.
Kinetic modeling. To describe the effects of PS on GABA
currents, we used a seven-state kinetic model of GABA receptor function proposed originally by Jones and Westbrook (1995) . This model incorporates two independent GABA-binding steps, two open states (from
mono-liganded and diliganded receptor states), and two desensitized states. The version of the model used in the present simulations incorporates low probability interactions between the two desensitized states (Jones et al., 1998 ). During simulated changes in agonist binding and desensitization, rates between desensitized states were
adjusted to maintain microscopic reversibility. Simulations were
performed using the SCoP software (Simulation Resources, Berrien
Springs, MI). Initial parameters used in the model were based on
previous studies (Jones and Westbrook, 1995 ; Jones et al., 1998 ;
Mozrzymas et al., 1999 ) and were selected to mimic the time course of
deactivation to brief pulses of GABA observed experimentally.
Parameters used to model -alanine and taurine were derived from
Jones and Westbrook (1995) and Jones et al. (1998) , adjusting both
kon and
koff. The decay of simulated responses (deactivation and desensitization) was analyzed using exponential curve
fitting as described above.
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RESULTS |
PS inhibits GABA-mediated inhibitory autaptic currents
GABA-mediated IACs were recorded at 70 mV in solutions
containing nearly symmetrical extracellular and intracellular chloride concentrations (ECl, ~0 mV). Under
these conditions, both GABA and glutamate evoke inward synaptic
currents at a holding potential of 70 mV. IACs were readily
distinguished from glutamate-mediated excitatory autaptic currents
(EACs) by their slower time course (decays of hundreds vs tens of
milliseconds) and their sensitivity to inhibition by 25 µM bicuculline, a competitive antagonist at GABAA receptors (data not shown).
At 10 µM, PS depressed peak IACs by 34.0 ± 3.6%
and decreased the total synaptic charge transfer by 62.4 ± 5.2%
(n = 7; Fig. 1). The
decay of control IACs was described by the sum of two exponentials with
time constants of 13.4 ± 1.8 msec and 116.2 ± 16.3 msec
(n = 7). After application of 10 µM PS, these time constants were decreased to
7.0 ± 0.9 msec and 43.8 ± 3.3 msec. PS had no effect on the
relative contribution of the fast and slow components to the decay of
IACs. To highlight the speeding of IAC decay in the presence of PS,
Figure 1A shows traces in which peak responses were
normalized.

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Figure 1.
Effects of PS on IACs. A, The
traces show the effects of 10 µM PS on inhibitory
autaptic currents at a holding potential of 70 mV. The
rightmost panel shows traces normalized with respect to
peak response to highlight effects on the decay time course. Fast
transients preceding IACs represent capacitive and ionic currents
associated with presynaptic stimulation. B, The graph
shows a summary of the effects of 10 µM PS on IACs from
seven cells. Peak, Peak amplitude;
f, fast time constant of decay;
s, slow time constant of decay; % f, relative contribution of the fast phase of
decay. Error bars represent mean ± SEM.
*p < 0.05; **p < 0.01 by
paired t test.
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PS speeds deactivation of currents evoked by brief GABA pulses
Previous studies have shown that PS inhibits responses to GABA
applied exogenously to neurons, suggesting that postsynaptic actions
are the principal mediators of effects on IACs (Majewska et al., 1988 ;
Nilsson et al., 1998 ). To determine whether effects of PS on
GABAA receptor kinetics account for the effects
observed on IACs, we examined the effects of PS on responses to rapid
applications of GABA onto outside-out patches. In initial pilot
experiments, we observed significant rundown of GABA responses in
conventional outside-out patches, despite the use of an
ATP-regenerating system in pipette recording solutions. To overcome
this problem, we performed experiments using nucleated outside-out
patches from cultured hippocampal neurons (Sather et al., 1992 ; Zhu and
Vicini, 1997 ; Berger et al., 1998 ). As shown in Figure
2, nucleated patches exhibited good
response stability and allowed collection of control and experimental
data in the same patch.

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Figure 2.
GABA responses in nucleated outside-out patches.
A, The traces show superimposition of 60 responses of a
nucleated patch to 5 msec pulses of 1 mM GABA at a holding
potential of 70 mV. The trace at the top in this and
subsequent figures shows the response of the open patch pipette to
changes in extracellular chloride concentration. B,
C, The graphs show the 10-90% decay time
(B) and the peak response
(C) of the 60 traces displayed in
A.
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We studied deactivation of GABAA receptors by
measuring the decay time course of currents after brief applications of
1 mM GABA. In control patches, 5 msec pulses of 1 mM GABA elicited macroscopic currents that decayed with
time courses described by the sum of two exponentials
( fast = 6.0 ± 0.7 msec;
slow = 123.6 ± 16.2 msec, with 53.4 ± 2.1% contributed by the fast component; n = 8).
After application of 3 µM PS, peak
GABA-mediated currents were depressed to 71.4 ± 7.3% of control
(Fig. 3). The deactivation time course
was speeded by PS and was described by the sum of two exponentials with
time constants of 4.0 ± 0.3 and 99.1 ± 9.3 msec (72.9 ± 2.8% fast component). In contrast to effects on the decay of IACs,
PS increased the percentage of the deactivation time course contributed
by the fast component (Fig. 3). PS had no effect on the 10-90% rise
time of currents activated by 1 mM GABA
(0.94 ± 0.07 msec in control and 0.90 ± 0.06 msec in PS; p > 0.05).

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Figure 3.
Effects of PS on deactivation of currents evoked
by brief GABA pulses on nucleated outside-out patches.
A, The traces depict the effects of 3 µM
PS on responses activated by 5 msec applications of 1 mM
GABA at a holding potential of 70 mV. The rightmost
traces show responses normalized with respect to peak current
to demonstrate effects on deactivation time course. B,
The graph shows a summary of the effects of 3 µM PS on
GABA currents in eight patches. Abbreviations are the same as in Figure
1. *p < 0.05; **p < 0.01 by
paired t test.
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PS enhances macroscopic desensitization of GABA responses
Previous studies have found that the prolonged deactivation of
GABA currents after brief applications onto membrane patches reflects
not only channel closing but also rapid entry into and exit from
desensitized receptor states (Jones and Westbrook, 1995 , 1996 ).
Furthermore, certain steroids that enhance GABAA
receptor function may act by altering the kinetics of desensitization
(Zhu and Vicini, 1997 ). To determine whether PS affects macroscopic GABAA receptor desensitization, we used 100 msec
applications of 1 mM GABA on nucleated patches. In control
applications, the fade in GABA responses during the 100 msec
application was described by the sum of two exponentials with time
constants of 4.7 ± 0.4 and 80.5 ± 11.2 msec, with 49.7 ± 7.4% of the decay contributed by the fast component
(n = 4). After the 100 msec GABA application, the decay
of the currents to baseline was described by a single exponential
process ( off = 152.4 ± 12.3 msec) (Fig.
4).

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Figure 4.
Effects of PS on GABA-mediated macroscopic
desensitization. A, The traces show the effects of 3 µM PS on currents activated by 100 msec applications of 1 mM GABA on outside-out patches at a holding potential of
70 mV. The desensitization time course was evaluated by fitting a
biexponential decay to the response during the GABA application. The
rightmost traces again show responses normalized with
respect to peak current to highlight changes in the time course and
degree of receptor desensitization. B, The bar graph
shows a summary of the effect of 3 µM PS on the rate and
degree of desensitization to 100 msec pulses of 1 mM GABA
in four patches. Abbreviations are the same as those in Figure 1 with
the addition of S/P, ratio of steady-state current to
peak current; and off, time constant describing
the decay time constant after removal of drugs. *p < 0.05; **p < 0.01 by paired t
test.
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At 3 µM, PS speeded the time course of desensitization by
significantly decreasing both the fast and slow time constants and by
increasing the relative contribution of the fast component of decay
( fast = 3.3 ± 0.2 msec;
slow = 46.7 ± 4.3 msec; 61.9 ± 7.2% fast; Fig. 4). PS also diminished the peak response and increased
the overall degree of desensitization during the 100 msec GABA
application (control: peak steady-state current = 449.2 ± 145.8 pA 197.5 ± 67.4 pA; PS: peak steady-state current = 162.6 ± 22.0 pA 31.3 ± 7.6 pA). PS appeared to have no significant effect on the time course
of offset of the GABA current after the 100 msec application (Fig.
4B). However, the small amplitude of steady-state
currents in the presence of PS made evaluation of the offset time
course difficult.
PS slows recovery of GABA receptors from
paired-pulse desensitization
Because the decay of GABA-mediated synaptic currents is thought to
reflect, in part, entry into and exit from desensitized states (Jones
and Westbrook, 1995 ), it is possible that PS speeds the decay of GABA
responses by fostering receptor entry into desensitized states and
stabilizing desensitized states. To test this, we examined the effects
of PS on recovery from GABA receptor desensitization after brief
applications onto nucleated patches. In control trials, a 5 msec pulse
of 1 mM GABA promoted significant desensitization of
responses as measured by a second 5 msec GABA pulse administered at
intervals ranging from 50 to 4000 msec after the conditioning GABA
pulse (Fig. 5). GABA receptors recovered
from this brief pulse desensitization with a time course described by
the sum of two exponentials with time constants of 136.6 ± 19.6 and 2545 ± 236.7 msec (n = 5). In the presence of
10 µM PS, recovery of GABA currents from
paired-pulse depression was prolonged (Fig. 5B), with time
constants of 388.4 ± 43.2 and 4207.7 ± 274.5 msec (Fig.
5C).

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Figure 5.
Effects of PS on recovery from paired-pulse
desensitization of GABA responses. A, B,
The traces show responses produced by paired 5 msec applications of 1 mM GABA separated by 50, 80, 130, 200, 400, 800, 2000, and
4000 msec under control conditions (A) and in the
presence of 10 µM PS. C, The graph shows
the percentage of recovery from desensitization induced by the
conditioning (first) pulse at different intervals. The percentage of
recovery was calculated as [(peak 2 peak 1)/(peak 1 onset 2)] × 100. Peak 1 and peak 2 are the peak amplitudes of the
first and second responses, and onset 2 is the value of the current at
the start of the second response. Each data point represents the mean
of five patches. The solid lines are fit the equation:
% recovery = [100 A1exp( IPI/ 1) A2exp( IPI/ 2)] where 1 and
2 are the fast and slow time constants of recovery, and
A1 and A2 are the amplitudes of the two components. In the fits shown,
1 = 146.7 msec (41%) and 2 = 2639 (29%) for control,
and 1 = 422.7 (33%) and 2 = 4105.9 msec (43%) for
PS.
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PS does not alter deactivation after brief pulses of weakly
desensitizing GABAA receptor agonists
The data in Figures 4 and 5 suggest that a major effect of PS on
the decay of IACs may occur via changes in GABA receptor desensitization. To examine the relative contribution of effects on
binding, unbinding and desensitization, we studied effects of PS on
responses to GABAA receptor agonists that show
little or no desensitization during brief exposures. Previous studies have shown that taurine (Zhu and Vicini, 1997 ) and -alanine (Jones and Westbrook, 1995 ) are low-affinity agonists at
GABAA receptors that exhibit fast monoexponential
deactivation and little paired-pulse desensitization after brief
applications. The single exponential deactivation process most likely
represents channel closing and agonist unbinding in the absence of
significant receptor desensitization. After a 5 msec application of 20 mM taurine, deactivation was well described by a single
exponential time course with a time constant of 4.3 ± 0.4 msec
(n = 7) (Fig. 6). At 10 µM, PS had little effect on peak responses
produced by taurine and no effect on the time course of deactivation
( = 4.5 ± 0.4 msec). Similar effects were observed on
peak responses and deactivation kinetics of responses gated by 5 msec
applications of 100 mM -alanine (4.2 ± 0.4 msec in control and 4.3 ± 0.4 msec in PS; Fig.
7A).

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Figure 6.
Effects of PS on short pulses of taurine.
A, The traces show currents activated by 5 msec pulses
of 20 mM taurine administered to nucleated patches at a
holding potential of 70 mV in the presence of 5 µM
strychnine under control conditions and in the presence of 10 µM PS. The rightmost panel shows traces
normalized with respect to peak response. B, The graph
shows a summary of the effects of 10 µM PS on taurine
responses in seven patches.
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Figure 7.
Effects of PS on short and longer pulses of
-alanine. A, The traces show currents activated by
100 mM -alanine in the absence and presence of 10 µM PS. The rightmost panel shows responses
normalized with respect to peak current. B, In the same
nucleated patch, a 200 msec application of -alanine produces a small
amount of desensitization. In the presence of 10 µM PS,
desensitization is enhanced. The normalized traces highlight the change
in desensitization, and the inset shows that PS prolongs
the decay of -alanine currents after agonist and drug removal.
C, The graph shows the effects of 10 µM PS
on peak responses and deactivation to 5 msec applications of 100 mM -alanine. D, The graph shows the
effects of PS on peak responses, the time constant of desensitization
( ), the ration of steady-state to peak currents (S/P), and
deactivation off in response to 200 msec applications of
-alanine.
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The lack of effects of PS on responses to brief pulses of taurine and
-alanine suggest that PS has its most prominent effect on
GABAA receptors under conditions in which the
receptors desensitize. To test this, we examined the effects of 10 µM PS on 200 msec applications of -alanine. During
longer pulses of -alanine there is some degree of desensitization
(steady-state current/peak current = 0.58 ± 0.04; = 127.5 ± 16.3 msec; n = 6; Fig. 7B).
When patches are treated with PS, the longer pulses of -alanine show
enhanced desensitization (steady-state/peak current = 0.22 ± 0.02; = 71.6 ± 5.9 msec; n = 6).
Additionally, after termination of the -alanine pulse, the decay of
the currents is prolonged in the presence of PS
( off = 11.4 ± 1.7 msec in control and
25.5 ± 3.4 msec in PS), supporting the hypothesis that entry into
desensitized states prolongs deactivation of
GABAA receptor-mediated responses.
Kinetic modeling of PS effects on GABAA receptors
The effects of PS on deactivation and desensitization of
GABAA receptors are consistent with the
importance of rapid desensitization in determining the deactivation
time course of GABA responses. To summarize, the principal effects of
PS on GABAA receptors include: (1) a decrease in
peak GABA currents, (2) speeding of fast and slow phases of
deactivation after brief pulses of GABA coupled with an increase in the
percentage of the decay accounted for by the fast phase, (3) speeding
of the fast and slow phases of desensitization during longer
applications of GABA with increased contribution of the fast phase of
desensitization, (4) slowing of recovery from desensitization, and (5)
little effect on peak currents and deactivation in response to brief
applications of weakly desensitizing GABAA
receptor agonists. A seven-state model of GABA receptor function
proposed by Jones and Westbrook (1995) has been useful in describing
the role of receptor desensitization in the slow decay of GABA
responses after brief exposures to high agonist concentrations (Fig.
8A). We used this
seven-state model to determine the effects of changing binding, channel
gating, and desensitization steps on simulated responses to 5 or 200 msec applications of 1 and 10 mM GABA. Our goal
in these simulation studies was to determine whether we could replicate
the effects of PS by changing only one kinetic parameter.

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Figure 8.
Kinetic modeling of PS effects on GABA and
-alanine currents. A, The left panel
shows simulated responses to 5 msec applications of 1 mM
GABA (solid trace) and the effects of threefold changes
in either d2 (the fast desensitization rate, dashed traces) or d1 plus
d2 (dotted traces). The right panel shows
the effects of changes in d2 or d1 plus d2 on simulated responses to
200 msec applications of GABA. The inset in the
left panel shows the seven-state model used for
simulations. Rate constants used in the modeling were derived from
Mozrzymas et al. (1999) and Jones et al. (1998) , with
kon = 15 mM/msec 1,
koff = 0.3 msec 1,
1 = 1.1 msec 1,
1 = 0.2 msec 1,
2 = 0.3 msec 1,
2 = 10 msec 1,
d1 = 0.013 msec 1,
r1 = 0.00013 msec 1, d2 = 2.0 msec 1, r2 = 0.045 msec 1, p = 0.0222 mM/msec 1, q = 0.002 msec 1. Abbreviations used in the model are
R, unbound receptor; AR,
A2R, bound states of the
receptor with one or two agonist molecules; AR*,
A2R*, open states of the ion channel;
AD, A2D, desensitized receptor
states. B, The panels show the effects of threefold
changes in d2 and d1 plus d2 on simulated responses to 5 (left
panel) and 200 msec (right panel)
applications of 20 mM -alanine. The effects of
-alanine were simulated using the approach outlined by Jones and
Westbrook (1995) and Jones et al. (1998) with
kon = 0.075 mM/msec 1
and koff = 10 msec 1. In these simulations, the rate constant,
p, was adjusted to maintain microscopic
reversibility.
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Using rate constants derived from previous studies (Jones and
Westbrook, 1995 , Jones et al., 1998 ; Mozrzymas et al., 1999 ), control
simulations exhibited biexponential deactivations with time constants
of 10-16 and 100-200 msec after 5 msec applications of 1 or 10 mM GABA (Table 1). Longer
(100-200 msec) simulated applications exhibited biexponential
desensitization with time constants of 10-15 and ~50 msec. We found
that increasing the rate constant of entry into the fast desensitized
state (d2) by threefold provided the best mimic for the overall effects
of PS on GABA and -alanine/taurine currents. Increases in d2
depressed peak simulated GABA currents and speeded fast deactivation,
while speeding both the fast and slow components of desensitization and
increasing the overall degree of desensitization (Fig. 8, Table 1).
However, increases in d2 failed to mimic the speeding of the slow
component of deactivation seen with PS and, in fact, slowed slow
deactivation. Increases in d2 effectively mimicked the effects of PS on
-alanine/taurine currents, producing only small effects on peak
currents and deactivation in response to brief agonist applications.
Additionally, increases in d2 mimicked the effects of PS on
paired-pulse desensitization, increasing the overall degree of
desensitization at brief intervals and slowing recovery from
desensitization (Fig. 9).

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Figure 9.
Effects of changes in d2 and d1 plus d2 on
simulated paired applications of GABA. A, B, The traces
show the early time course of recovery from simulated 5 msec
applications of 1 mM GABA in control conditions
(A) and in the presence of a threefold increase
in d2 (B). C, The plot displays
the percentage of recovery of peak responses as a function of
interpulse interval. The solid lines represent the best
fit of a biexponential recovery process to the simulated responses. The
time course of recovery was slowed by increases in d2
(squares) or d1 plus d2 (triangles). In
the fits shown, 1 = 132 msec (control), 227 msec (d2) and
213 msec (d1 plus d2), and 2 = 9.3 sec (control), 13.0 sec (d2) and 13.5 sec (d1 plus d2), with % 1 = 59% (control),
40% (d2), and 31% (d1 plus d2).
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Because increases in d2 do not completely replicate the findings with
PS (notably failing to speed slow deactivation), we examined whether
changing other kinetic parameters either alone or in combination with
changes in d2 provided better mimics for PS. We found that changes in
recovery from fast desensitization (r2) or changes in slow
desensitization (d1, r1) did not improve the replication of PS effects
seen with changes in d2 alone. Similarly changes in binding rates or
channel opening and closing rates ( 2, 2) failed to provide better
mimics for PS than simple changes in d2 alone (Table 1). Although
changes in opening or closing rates mimicked responses to brief GABA
pulses in the presence of PS, crucial effects of PS on low-affinity
agonists were not replicated. Table 1 summarizes the effects of
altering various rate constants; values that qualitatively deviate from
actual effects of PS are highlighted for clarity.
A previous study found that the actions of another noncompetitive GABA
receptor antagonist, chlorpromazine, are best modeled by changes in
GABA binding and unbinding steps (Mozrzymas et al., 1999 ). We found
that changes in binding steps had little effect on peak currents and
did not mimic the effects of PS on deactivation or desensitization.
Therefore, unlike chlorpromazine, PS does not appear to act by altering
GABA binding.
Because PS not only enhances desensitization of GABA responses, but
also slows recovery from desensitization, we used the seven-state model
to examine the effects of changes in rate constants on paired responses
to 5 msec applications of GABA. Consistent with our experimental data,
we found increases in d2 (with or without changes in d1) promoted
greater degrees of desensitization and slowed recovery from
desensitization (Fig. 9). Changes in channel opening/closing promoted
faster recovery from desensitization.
 |
DISCUSSION |
GABAA receptor-mediated IPSCs typically
exhibit complex kinetics with at least two components of decay. These
include a fast phase with a time constant of 10-20 msec and a slower
phase with a time constant of 100 msec (Jones and Westbrook, 1995 ;
Galarreta and Hestrin, 1997 ). Some studies suggest more
complicated decays that are characterized by three components with time
constants of 5-10, 30-60, and 100-200 msec (Maconochie et al., 1994 ;
Zorumski et al., 1998 ). This complex time course can be mimicked by
brief (1-5 msec) applications of high concentrations of GABA onto
membrane patches, suggesting that the kinetics of postsynaptic
GABAA channels govern IPSC decay (Maconochie et
al., 1994 ; Jones and Westbrook 1995 ; Galarreta and Hestrin, 1997 ;
Zorumski et al., 1998 ). Present evidence also suggests that the time
course of GABA-mediated IPSCs is influenced strongly by the kinetics of
GABAA receptor desensitization (Celentano and
Wong, 1994 ; Jones and Westbrook, 1995 ). Desensitized states are thought
to buffer receptors in bound conformations that make it possible for
channels to reopen before GABA unbinds. The fast phase of
desensitization limits the open probability of the channels, influences
peak synaptic currents, and contributes to the fast component of IPSC
decay. The slow component of decay may result from reopening of GABA
channels after exit from desensitized states (Jones and Westbrook,
1995 ). An alternative hypothesis, based on the effects of a novel class
of GABA modulators, is that the slower phase of IPSC decay results
partly from subsaturating GABA concentrations and monoliganded openings
of GABAA receptors (Hill et al., 1998 ). It is
also possible that heterogeneity among GABAA
receptors expressed in the hippocampus contributes to the complex
kinetics of IPSCs (Banks and Pearce, 2000 ). On the other hand,
recombinant GABAA receptors composed of defined
subunit combinations also give rise to currents with complex decay
kinetics (Lavoie et al., 1997 ; Haas and Macdonald, 1999 ).
Using rapid applications of agonists onto membrane patches and a
seven-state kinetic model, Jones and Westbrook (1995) described the
role of rapid desensitization in the prolonged decay of GABA-mediated IPSCs. Although there are limitations in the seven-state model, this
approach has also been useful for interpreting the effects of
physiological and pharmacological manipulations of GABA receptor function. For example, inhibitors of protein phosphatase 2B
(calcineurin) speed the time course of GABA-mediated IPSCs (Jones and
Westbrook, 1997 ). This effect may result primarily from an increase in
the microscopic GABA-unbinding rate, although calcineurin inhibitors also increase macroscopic desensitization of GABA receptors. Other studies have found that the effects of the noncompetitive
GABAA receptor antagonist chlorpromazine are best
modeled by decreases in GABA binding and increases in unbinding,
resulting in decreased stability of bound states (Mozrzymas et al.,
1999 ).
Rapid applications of GABA to outside-out patches have also been used
to study the actions of neurosteroids that potentiate the actions of
GABA at GABAA receptors. Zhu and Vicini (1997) found that THDOC, a neurosteroid that prolongs IPSCs, preferentially slowed slow deactivation, but did not alter fast deactivation after
brief applications of GABA to outside-out patches. Similar effects on
deactivation of GABAA receptors were observed
with another steroid, 3 5 P, that enhances GABA-mediated responses and prolongs inhibitory synaptic currents (Zorumski et al., 1998 ). THDOC did not alter desensitization to longer applications of 1 mM GABA, but, like PS, slowed recovery from macroscopic
desensitization induced by GABA (Zhu and Vicini, 1997 ). Interestingly,
THDOC had no effect on deactivation of short, nondesensitizing pulses
of taurine, but augmented peak taurine currents. THDOC slowed
deactivation of taurine responses when taurine was administered long
enough to cause receptor desensitization and, somewhat surprisingly, accelerated fast desensitization during long pulses of taurine. These
results indicate that THDOC has complex actions on
GABAA receptor function that differ qualitatively
from the effects of PS. The differences in effects on deactivation and
desensitization likely result from structural differences between THDOC
and PS that include a 3 - versus 3 -conformation and the presence
of a hydroxyl group versus a sulfate group at the 3-position. Also, present evidence strongly suggests that GABA-enhancing steroids and
GABA-inhibiting steroids act at different sites on
GABAA receptors (Park-Chung et al., 1999 ).
The present studies indicate that PS accelerates the time course of
IACs and both the fast and slow components of deactivation of currents
evoked by brief pulses of GABA onto nucleated outside-out patches. PS
also increases the rate and degree of macroscopic desensitization of
GABA receptors and increases the relative contribution of the fast
phase of desensitization. PS prolongs the time that GABA channels spend
in desensitized states because PS slows recovery from desensitization
after brief GABA pulses. Consistent with the effects of PS on GABA
receptor desensitization, the steroid fails to alter the time course of
deactivation after brief applications of taurine/ -alanine, although
PS promotes desensitization during longer applications of -alanine.
At synapses, the net effect of PS is to depress peak currents and to
speed the time course of decay, limiting overall synaptic charge
transfer and GABAergic inhibition. In comparing the effects of PS on
synaptic currents to effects on membrane patches, it is important to
consider possible differences between synaptic and extrasynaptic
GABAA receptors. In particular, differences
between synaptic and extrasynaptic receptors could account for
differences in the effects of PS on the fast component of decay
(Brickley et al., 1999 ; Banks and Pearce, 2000 ) and the small
differences in decay of IACs versus nucleated patch responses.
Using the seven-state GABA receptor model, we found that increases in
the rate constant governing channel entry into a doubly liganded
desensitized state mimics most effects of PS. The major action
unaccounted for by the model is the effect of PS on the slow component
of deactivation after brief pulses of GABA. Changes in other rate
constants, particularly those governing diliganded channel opening and
closing, also mimic effects of PS on deactivation and macroscopic
desensitization. However, increases in the microscopic desensitization
rate, and not changes in channel opening and closing, provide the best
mimic for effects on -alanine/taurine responses and on recovery from
paired-pulse desensitization. Caution must be used in interpreting
these simulation studies because the seven-state model is likely to
oversimplify receptor behavior. The model effectively describes the
time course of deactivation after brief pulses of agonist but
underestimates the contribution of the slow phase of desensitization.
Furthermore, it is possible that additional states are required to
describe receptor kinetics fully, particularly if deactivation consists
of more than two components (Maconochie et al., 1994 ; Zorumski et al.,
1998 ). Nevertheless, the seven-state model has proven useful
heuristically and is helpful for comparison to previous studies.
Results obtained with the weakly desensitizing
GABAA receptor agonists taurine and -alanine
strongly suggest that the most prominent effects of PS occur under
conditions in which GABAA receptors desensitize.
At 3-10 µM, PS has prominent effects on peak responses,
deactivation, and desensitization to saturating GABA concentrations,
but little effect on responses to brief pulses of taurine or
-alanine. However, when -alanine was applied long enough to drive
receptor desensitization, PS increases both the rate and degree of fade
in response. After long -alanine pulses, PS also prolonged the time
course of deactivation, a finding that is consistent with the
hypothesis that desensitization prolongs the time course of
agonist-gated currents (Jones and Westbrook, 1995 ).
Previous studies have reported variable potencies for PS against GABA
responses with IC50 values ranging from 1-10
µM to ~80 µM (Majewska et al.,
1988 , 1990 ; Park-Chung et al., 1999 ; Shen et al., 1999 ). In
studies using a low (~EC10) concentration of GABA, we previously found an IC50 value of ~80
µM for both PS and its unnatural enantiomer (Nilsson et
al., 1998 ). Our present results using a saturating concentration of
GABA indicate a lower IC50 value in the range of
3-10 µM. Because GABAA receptor
desensitization is concentration-dependent (Celentano and Wong, 1994 ),
these observations, like the experiments with low potency agonists,
suggest that receptor desensitization is important in determining the
potency of PS. Given that brain concentrations of PS are in the mid- to
high nanomolar range with micromolar concentrations likely in localized cellular compartments (Baulieu and Robel, 1990 ; Corpechot et al., 1997 ), it appears that the ability of PS to modulate
GABAA receptors at low micromolar concentrations
could significantly influence GABAergic inhibition in the CNS, possibly
contributing to the proposed roles of PS in wakefulness, cognition, and
sexual function (Baulieu and Robel, 1990 ; Majewska, 1992 ).
 |
FOOTNOTES |
Received Dec. 16, 1999; revised Feb. 23, 2000; accepted March 8, 2000.
This work was supported by National Institutes of Health Grants GM47969
(C.F.Z. and D.F.C.), a National Alliance for Research on Schizophrenia
and Depression Young Investigator Award (S.M.), and the Bantly
Foundation (C.F.Z.). We thank Ann Benz and Jianxin Que for technical
assistance and Drs. Matthew Jones, Joe Henry Steinbach, Chris Lingle,
and Alex Evers for helpful discussions.
Correspondence should be addressed to Charles F. Zorumski, Department
of Psychiatry, Washington University School of Medicine, 4940 Children's Place, St. Louis, MO 63110. E-mail:
zorumskc{at}psychiatry.wustl.edu.
Dr. Shen's present address: Auditory Physiology Laboratory,
Northwestern University, Department of Neurobiology and Physiology, Evanston, IL 60208.
 |
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