Neurosteroids Mediate Neuroprotection in an In Vitro Model of Hypoxic/Hypoglycaemic Excitotoxicity via δ-GABAA Receptors without Affecting Synaptic Plasticity

Int J Mol Sci. 2023 May 21;24(10):9056. doi: 10.3390/ijms24109056.

Abstract

Neurosteroids and benzodiazepines are modulators of the GABAA receptors, thereby causing anxiolysis. Furthermore, benzodiazepines such as midazolam are known to cause adverse side-effects on cognition upon administration. We previously found that midazolam at nanomolar concentrations (10 nM) blocked long-term potentiation (LTP). Here, we aim to study the effect of neurosteroids and their synthesis using XBD173, which is a synthetic compound that promotes neurosteroidogenesis by binding to the translocator protein 18 kDa (TSPO), since they might provide anxiolytic activity with a favourable side-effect profile. By means of electrophysiological measurements and the use of mice with targeted genetic mutations, we revealed that XBD173, a selective ligand of the translocator protein 18 kDa (TSPO), induced neurosteroidogenesis. In addition, the exogenous application of potentially synthesised neurosteroids (THDOC and allopregnanolone) did not depress hippocampal CA1-LTP, the cellular correlate of learning and memory. This phenomenon was observed at the same concentrations that neurosteroids conferred neuroprotection in a model of ischaemia-induced hippocampal excitotoxicity. In conclusion, our results indicate that TSPO ligands are promising candidates for post-ischaemic recovery exerting neuroprotection, in contrast to midazolam, without detrimental effects on synaptic plasticity.

Keywords: GABAA receptors; LTP; TSPO; XBD173; excitotoxicity; hippocampus; neuroprotection; neurosteroids.

MeSH terms

  • Animals
  • Benzodiazepines / pharmacology
  • Carrier Proteins
  • Hypoglycemic Agents / pharmacology
  • Ligands
  • Long-Term Potentiation
  • Mice
  • Midazolam* / pharmacology
  • Neuroprotection
  • Neurosteroids* / pharmacology
  • Receptors, GABA-A / metabolism
  • gamma-Aminobutyric Acid / pharmacology

Substances

  • Midazolam
  • Neurosteroids
  • Hypoglycemic Agents
  • Receptors, GABA-A
  • Benzodiazepines
  • Carrier Proteins
  • Ligands
  • gamma-Aminobutyric Acid