Reversible Modification of GABAA Receptor Subunit mRNA Expression During Tolerance to Diazepam-induced Cognition Dysfunction

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Abstract

Benzodiazepines (BZs) that are endowed with full positive allosteric modulatory (FAM) activity on GABAA receptors cause anterograde amnesia in both animals and humans. In rats subjected to a delayed object recognition test, diazepam, endowed with FAM activity, exerted an amnesic action, whereas BZs endowed with partial allosteric modulatory (PAM) activity on GABAA receptors, such as imidazenil, failed to induce amnesia, even if administered at doses five times higher than those equipotent to a standard anticonvulsant dose of diazepam (17.6 μmol/kg/os). After discontinuation of 14 days' treatment with vehicle, diazepam, or imidazenil (three times daily with increasing doses starting from 17.6 μmol/kg/os for diazepam and 2.5 μmol/kg/os for imidazenil), we compared the persistence of tolerance to the amnesic effect of diazepam with the persistence of the changes in the content of four (α1, α5, γ2L, γ2S) GABAA receptor subunit mRNAs in the fronto-parietal motor (FrPaM) cortex and the hippocampus. Rats receiving the long-term treatment with diazepam developed a tolerance to the amnesic effect of this drug and showed a decrease (30–50%) in the expression of mRNAs encoding for α1, γ2L, γ2S GABAA receptor subunits, an increase, by approximately 30%, of the expression of mRNA of the α5 subunit in the FrPaM cortex and a decrease, by approximately 25%, in the expression of mRNA, of the α1 subunit in the hippocampus. These changes of subunit mRNA expression and the tolerance to the amnesic effect of diazepam returned to control values 72 hr after termination of the long-term treatment with diazepam. No tolerance to the amnesic effect of diazepam and no changes in GABAA receptor subunit mRNA expression were found in rats undergoing long-term treatment with imidazenil. Copyright © 1996 Elsevier Science Ltd

Section snippets

Animals

Male Sprague-Dawley rats weighing 250–275 g were housed three per cage and maintained on a 12-hr light/dark cycle (light from 7.00 a.m. to 7.00 p.m., dark from 7.00 p.m. to 7.00 a.m.). All the experimental animal procedures were carried out in strict accordance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals and were approved by the Care and Use of Laboratory Animals Committee.

Materials

Diazepam and imidazenil were obtained from Hoffman-La Roche, Nutley, NJ.

Duration of tolerance to the diazepam-induced cognitive impairment

A standard dose of diazepam (17.6 μmol/kg/os) administered to naïve or vehicle-treated rats produced a cognitive impairment (see Methods for a description of the object recognition preference index; Table 1). This change was not associated with reduced locomotor activity or sedation, as demonstrated by motor activity measurements (motility scores for 3 min: vehicle 348 ± 60; diazepam 459 ± 22; each value is the mean ± SEM of six animals), or with changes in the duration of object exploration

DISCUSSION

Using the preference index of the object recognition test, we found that non-sedative anticonvulsant doses of diazepam administered orally to rats alter their short-term memory. In contrast, imidazenil, in anticonvulsant doses of up to five times higher than those equipotent to diazepam in both rats (see Results) and monkeys (Auta et al., 1995; Thompson et al., 1995), fails to change the results of a test for cognition. In order to evaluate the tolerance liability of the cognition impairment

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