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Expert Opin Ther Targets ; 28(7): 529-543, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-39068514

RESUMO

INTRODUCTION: The main inhibitory neurotransmitter in the central nervous system (CNS), γ-aminobutyric acid (GABA), is involved in a multitude of neurological and psychiatric disorders characterized by an imbalance in excitatory and inhibitory signaling. Regulation of extracellular levels of GABA is maintained by the four GABA transporters (GATs; GAT1, GAT2, GAT3, and BGT1), Na+/Cl--coupled transporters of the solute carrier 6 (SLC6) family. Despite mounting evidence for the involvement of the non-GAT1 GABA transporters in diseases, only GAT1 has successfully been translated into clinical practice via the drug tiagabine. AREAS COVERED: In this review, all four GATs will be described in terms of their involvement in disease, and the most recent data on structure, function, expression, and localization discussed in relation to their potential role as drug targets. This includes an overview of various ways to modulate the GATs in relation to treatment of diseases caused by imbalances in the GABAergic system. EXPERT OPINION: The recent publication of various GAT1 structures is an important milestone for future development of compounds targeting the GATs. Such information can provide much needed insight into mechanistic aspects of all GAT subtypes and be utilized to design improved ligands for this highly interesting drug target class.


Assuntos
Desenvolvimento de Medicamentos , Proteínas da Membrana Plasmática de Transporte de GABA , Terapia de Alvo Molecular , Doenças do Sistema Nervoso , Tiagabina , Ácido gama-Aminobutírico , Humanos , Proteínas da Membrana Plasmática de Transporte de GABA/metabolismo , Animais , Doenças do Sistema Nervoso/tratamento farmacológico , Doenças do Sistema Nervoso/metabolismo , Ácido gama-Aminobutírico/metabolismo , Tiagabina/farmacologia , Transtornos Mentais/tratamento farmacológico , Transtornos Mentais/fisiopatologia , Transtornos Mentais/metabolismo
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