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GABAA subtype involvement in addictive behaviour

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Citation: Stephens, D N, King, S L, Lambert, J J, Belelli, D and Duka, T (2016) GABAA receptor subtype involvement in addictive behaviour. Genes, Brain and Behavior. ISSN 1601-1848

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http://sro.sussex.ac.uk Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This

article as doi: 10.1 differences version between lead to this may been through the copyediting, typesetting, pagination andproofreading process, which This article hasbeen accepted for publication andundergone full peer review but has not [email protected] UK BN1 9QG Brighton, Falmer University of Sussex School of Psychology Stephens D N forAddress Correspondence: 678638 1273 +44 Tel GABA DN StephensDN A Receptor Subtype Invo Receptor Subtype 2 Division of Neuroscience, Univ 111 1 School of Psychology, University of Sussex, Brighton, of University Sussex, Psychology, ofSchool / gbb.12321 1 , SL, King

1 , JJ, Lambert Behaviour Behaviour

and and the Versionof Record. Please cite this

ersityDundee, of Dundee, UK 2 , D., Belelli lvement in Addictive Addictive lvement in 2 , and, T Duka UK UK 1 , , Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This encoding GABA sets summ review out brain. to This mammalian GABA Abstract Key Words: Words: Key relevanta across number of differen published literature is on alcoholdependen involvement of GABA to bring togetherevidencefirst attempt from the functioning of brain circuits, control over insubtypes addiction, the partwesummarise GABAA receptor.Inaddition to outlining theevidence for humans, while animal models of addictive be animal impulsivity; model; reward; benzod A receptors form the major class of inhi ; psychostimulant; nucleus accumb A receptor isoforms are associated wi isoforms associated are receptor A Receptor Subtypes in addictive behaviour. While the weig t aspects of addictive behaviour. iazepine; conduct disorder; electrophysiology especially the mesolimbic system, and make a cy, cy, the underlying principles outlined are haviour also implicate certain subtypes of several fields to understanding potential arise the arise evidence that variations in genes icular contributions of these isoforms in of isoforms these in contributions icular bitory neurotransmitter receptors in the ens; gene association; geneens; knockout; gene th aspects of addictive behaviour of th aspects in the involvement of specific ht of the Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This GABA 1.1 GABA 1.1 outlined relevant are across a number of publishedof the literatureonis alcohol depend review concerns itself broadly with GABAergi our understanding of addiction processes, an receptors. GABA additionally includes acetylch central nervous central system (CNS), GABA chloride and bicarbonate ions Si and (Olsen arranged around a central axis to form an circumstances, the electrochemical gradient (combining th complex in an open transiently stabilizes the bindingcells. to spec The GABA, neurotransmitter,the of GABA humananimal providing literature and and behavioural genetic excitability of its target neurons. inhibitorycircumstances, acts neurotransmias an most GABA decreasing the cell input resistance, a “shun acts as GABA susceptible to depolarization byother neurotransmitters such of the in memb a hyperpolarisation resulting This paper outsets to review the evidence for GABA Both human and animal studies have implicated GABA Introduction 1 structure and function of GABA alcoholism and addiction to other drugs of a E Cl , and the cell’s resting membrane potential, V potential, membrane and, the cell’s resting A A receptors are members receptors are of the receptors in receptors addictivebehaviour. weFinally, A receptors receptors A receptors are heteromeric protein comp A oline nicotinic, 5HT3, and -sensitive receptors and their before diversity, subtype reviewi A receptors expressed are in both neurons and glial cys different aspects of addictive behaviour. -loop familyof ligand thatgated ion channels eghart, 2008, Macpherson et al., 2016). In the 2016). In the Macpherson al., et 2008, eghart, c systems and addictive behaviour, the weight systemsc weight andaddictivebehaviour, the d their underlying neurobiology. the While ency. the underlying Nevertheless, principles anion-selective ion channel, to permeable buse. It will begin with a summary of the of the buse. withIt will a summary begin rane that, inthat, rane turn, makes neuronthe less conformation, allowing ionic flux. In most will attempt to integrate these data into data these into integrate will to attempt m ) allows for an influx of chloride ions for an influx of chloride ) allows A receptor involvement in relation to A receptors in receptors addiction processes. ific bindingoncomplex, sites the lexes, composed of five subunits five composedlexes, of t” for incoming signals.t” for incoming in Thus, e reversal potential reversal e forCl as glutamate.by Moreover, tter, dampening down the evidence for evidence therole of ng the - ions, ions,

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This of structurally diverse of diverse structurally including 1), the , certain receptors also possess avariety of allosteric si subunit interface. In mammals, differe nineteen interface and that for benzodiazepines in The GABA Moss, 2003). (Kittler and binding site is locate incorporate kinase consensus sequences that ion por to the which contribute loop may betweenTM3 and TM4 of which TM2 (TM1-4), is thought to line the benzodiazepines interact with complex) the domain (at which extracellular that pore forms the ion channel (Fig 1). Each subunit cons GABA bindingIn addition to expressing sites multiple members: members: multiple onand se classified into eight based families, inhibitors, acts as a GABA as inhibitors, picrotoxin acts

for Zn and(NAM) as the latter a true competitive anta with the form forGABA, the bindingto, site close of the forming the lining chloride ion channe 1.2 Subtypes of GABA Subtypes 1.2 alcohol. GABA-enhancing action, the and of concentrati the agonist.presence Additionally, at greater enhance the stabilising function of GABA by the open conf compounds as act and Lambert,2005). These that benzodiazepines do not this share receptor-channel complex in of the absence GABA A 2+ receptors typically are composed of 5 , which may act as an endogenous modulatorGABA an endogenous of as act may which , α (1–6), (1–6), A i.v. receptor receptor general anaesthetics general β (1–3), both the the naturaland pharmaceuticals ligand,GABA, both such as A receptor antagonist, receptor by bindingamino acid residues to (1–3), (1–3), property.“agonist” GABA regards As for GABA, for GABA, the natural naturally occurring neurosteroids and a number an equivalent location between the quence homology. Several of the families have , four hydrophobic transmembrane domains domains transmembrane four hydrophobic , tes at whichnumber a of agentsother act (Fig pore ofpore the channel, andintracellular a large e.g. l pore. and bind or to, and gabazine pore. Bicuculline l protein subunits arranged around a central influence functionreceptor and trafficking , , gonist. Additionally,gonist. binding are there sites er acting as a negative allosteric modulator a negative as acting er nt subunit proteins have been identified, positive allosteric modulators (PAMs) to ε , a so, called “GABA-mimetic” Note effect. , , (Belellietomidate, barbiturates propofol, , , i.v. (1–3), anaesthetics can directly the gate anaesthetics d between d between the ons than those required for this ons ormation of the channel in the of the channel in the ormation θ and A R function,R for and possibly ists of N-terminal a large neurotransmitter, GABAneurotransmitter, e pathwayalso may ande , , and within a family, α and A β receptor receptor α subunit and γ A

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This conductance, ion channel kineti Different combinations of subunitsdiffering have physio Fig here near 1 distributedwithin and within neuronal cellular brain, the Most mammalian appearreceptors to consist of 2 of members chromosomal localisation, for co-ord als (see 2014); Panzanelli, and Fritschy 2009, Sieghart, of40) GABA pentameric re in (over a a but structure million), give possibilitthe fosters subunits diversityof This the protein (Bat product GABA subunits have a high sequence similarity (Ols recently significant is interest made up of (Walker(PAMs) and Semyanov, distinct 2008). A group of bind to bind modulatorsallosteric (NAMS) (i.e., they reduce t fashion andchannel are an allosteric the in and members of the isoform, hybrid receptors wi receptors isoform, hybrid an complex, it must contain particular members of the members particular must complex,contain it complexes. for Thus, classical benzodiazepines ( GABA, someallosteric modulators interact wi for Furthermore, co all although the natural ligand 1998). subunit(Fig 1). Alternatively, in less abundantsubtypes, β subunit. While for any individual both receptor, A -carbolines act at these -sen these at act -carbolines subunit isoforms (e.g. subunit isoforms α 4 and4 A receptor subtypes estimatebeen have receptor α 6/ β family, and a and a family, β/γ 2 complexes where they function as positive alloste eson et al., 1991, Pe al., 1991, eson et th two different forms of 2, 2, cs) and pharmacological properties and heterogeneousl are α 4 &4 γ 2 2 However, subunit. certain atypical benzodiazepines inated expression of subunits).inated expressionof α 6), alternative splicing allows a further complexity in in complexity further a splicing allows alternative 6), α 4 or 4 trie et al., 2001). 2001). al., et trie y y number large for a very of to permutations th only a subset of possible these th only a subset receptor hus termed agonists”“inverse or hus negative α en and Sieghart, 2008). Further, for some 2008). Further, en and for some Sieghart, the effects ofGABA). the substancesThese also e.g. 6 subunits6 with together sitive sitive complexes to negatively modulate ) receptor to withinteract the d to be naturallyto be expressed (Olsend and ality, only a limited number (about only30- a ality, α o Section 1.3, GABA 1.3, o Section α subunits likely are same to be of the α family ( the subunit also occur (Nusser et al., mbinations known to exist is knownis to exist mbinations receptors that receptors has received subunit is replaced by a logical ( the α domains. receptors Thus, 1, 1,

α α 2, 2, family, 2 family, e.g. α A 3, 3, β receptor subunit single channel single and α ric modulators 5) along with with along 5) β δ , and one and, subunits. or y y γ

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This respectively, while an action at the the well-characterised amnesticbenzod of effects mediated by mediated the properties the sedative and anxi of administration the with associated normally repertoire Behavioural analysis of these mouse lines has incorporating the mutated subunits (Rudol α number ofmouse lines toengineered a mutated harbour of this observation, the groupsadvantage led by and Möhler histidine (H) in the homologous position of the benzodi from the other family members by virtue of a Alternatively, up made of receptors members of the containing extrasynaptic cellular domainscellular ( extrasynaptic However, al., 2012). et Fritschy 2005, Nusser, cluste to gephyrin), as (such proteins scaffold region-selective distribution of subunits the various sug Walker 2013, al., et Herd et 2009, synapse (Belelli al., exclusivelyan extrasynaptic localizationrespond to and may which individual ofmembers the This proposal found substantial support from a 2003). Whiting, 1996, Whiting, classical benzodiazepines ( heterogeneity likely subserves differential func wide variety of GABA of wide variety actions ( subtle behavioural than effects those typically displayed by combination of targeting a particular subunit pharmacological 2(H101R), 2(H101R), e.g. α α classical benzodiazepines andbarbiturat 1, 2, 3 or 3 2, 1, subunits, 5 together with 3(H126R) or 3(H126R) α 1-containing α subunit family, the benzodiazepine-insensitive A receptors receptors located within different neuronal networks (Mc α e.g. 5(H105R) to impart benzodiazepine

diazepam). sequence Despite their high homologywith othe and e.g α olytic properties of benzodiazepines have beenhave shown olytic properties of to benzodiazepines 5-containing receptors makesa significant contribution to . α α α α4 5 2- (and perhaps (and 2- family were mutated to render them insensitive them to render mutated towere family β or 2 receptor subtype (Fritschy and Panzanelli, 2014)). 2014)). Panzanelli, and subtype (Fritschy receptor 2 α6, r r at the postsynaptic membrane(Farrant and allowed the dissection of the pharmacological ph et al., 1999, McKernan et al., 2000). ph et 2000). al.,et al., McKernan 1999, inwith combination crucial arginine (R) re β1/ tional and so that the physiological roles, the same isoforms can also localise to localise the isoforms can also same iazepines (Mohler et al., 2002, Collinson et et Collinson (Mohler al., et 2002, iazepines series of elegant experiments in mice in in experiments ofseries elegant mice 2/3 and and 2/3 es), es), at which a transmission facilitate gested on early that GABA α and Semyanov, 2008). The brain and 2008). Semyanov, 3-) subunit containing receptors subunit containing receptors 3-) classical benzodiazepines. Thus, Thus, benzodiazepines. classical azepine binding domain. Taking drugs with a broad spectrum of γ α 2 subunits2 interact withlargely subunit gene gene subunit insensitivity to the receptors overflow of GABA from the may associate with more with more associate may α McKernan developed a 4 and and 4 β and sidue, which replaces α δ 6 subunits differ subunits 6 subunits exhibitsubunits i.e.

Kernan and and Kernan α A 1(H101R), 1(H101R), receptor be r r Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This data point to quite for subtypes separate roles of GABA for benzodiazepine-like targets potential selective an ligands Althou al., et 2013). Kretschmannova 2003b, al., In humans, genes encoding 14 of the 19 GABA 19 the of 14 encoding genes humans, In of distinct of distinct a similaretomidate, approach has been also associated anaesthetic with ( usage general al., 2006, Rudolph and Knoflach, 2011). Taking advantage o advantage Taking 2011). Knoflach, Rudolph and 2006, al., 1.3 GABA 1.3 and hencefunction. behavioural these genes. Thus, cluster 4 ofthe chr GABA human clusters occur in the mouse2) su (Fig clusters located on chromosomes 4, 5, 15 and X (F X and 15 5, 4, on chromosomes clusters located α cluster (chr 5) contains genes for chromosomal cluster may be co-regulated ( raisesin genes asclusters to question the 1997). al., et (Garrett (chr11) 11 chromosome chromosomes ( correlation expression of gene between GABAergic genes (Laurie et al., 1992, Pirker Schwarzer et 2000, al (Laurieet et 1992, al., al., cluster (chrencoding genes 4) contains Wilco al., et 1990, Sommer Russek1992, Farb, 1994, and et Greger 1989, al., et Bell al., 1995, et McLean the where VTA, they continue (especially the hippocampus, amygdala, the majority of dopamine (DA) neu mammals, structures in except particular 1992, al., et (Wisden rat adult the inregulated 4 (and mouse 8)chr predominate in rodent embryo, but the chromosomewww.ensembl.org), (chr 8 8; and the human c 5, 5, β 3, 3, γ 3 subunits andX chromosome 3 the A Receptor Subunit Chromosomal Localisation Localisation Chromosomal Receptor Subunit β subunit-containing isoforms ( trans effects). Interestingly, expression of those genes l α 1, 1, α 6, 6, γ β β 1, 1, e.g. 1-3) to the constellation of behavioural1-3) effects 2 and2 cis α whether the expression of genes within each successfully applied to α 3, 3, theincluding thalamus, cortical areas, sedation, immobility, hypnosis) (Reynolds et ggestinga highly conserved organisationof 2, 2, and,effects) additionally,whether there is A Laurie et al., 1992), and presumably other other and presumably Laurie al.,et 1992), al., 1995, Hicks et al., 1994, Johnson et al., al., et Johnson 1994, al., Hicks et 1995, al., A receptor subunits receptor are found four major in α ε genesreceptor also is found on mouse The highly conserved gh acquired in the context of discovering gh acquired in the discovering context of 4 and and 4 , and, ig 2 (Buckle et al., 1989, Dean et al., 1991, 1991, al., et Dean al., 1989, et (Buckle 2 ig α γ 4 and4 2 subunits,2 the ., 2001). ., A θ receptor in receptor different brain circuits, α x et al., 1992). The chromosome 4 4 The chromosome 1992). al., x et subunits. Syntenic regions for the 2 to genes) be expressed highly β 1 subunits,1 the chromosome 5 rons in therons substantia nigra and that are located that in different d general anaesthetics, these f the se se are genes generally down hr 5 cluster 5 onhr mouse

chromosome cluster 15 dissect the contribution β -subunit of selectivity ocated on human chr organisation of the organisation Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This 2.1.1.1 GABRA 2 GABRA 2.1.1.1 It is noteworthy that three of clus 5 the chr noteworthy that three It is 1 In the remainder of this reviewdi Inof the remainder this shall we 2.1.1 Chromosome 4 cluster: ( cluster: 4 Chromosome 2.1.1 studies gene association Human 2.1 modestly (0.7–0.6). second A grou factor, whilefactor, the chr 4 gene GABRA4 ( genes, GABRB3 (encoding subunit were highly, correlated notonly genes 5 with other gen Enoch andcolleagues (Enoch al.,et 2013) suggested that the coordinated transcription (Enochwithin clusters encompassing ventral tegmental area (VTA) and studies implicatingstudies an for GABA important role both both e.g be the main narrative of this with additifocus because of its widespread abuse and availabilit GABA α2β1γ1 particular receptor assemblies. assemblies. receptor particular mechanism underlies coordinated expression (Enoch et al., 2013). Such correlations of ex GABRA4 expressionnote that authors correlate gene expression: GABRG1 (1.0);GABRA2 (0.8); GABRB1 cluster,chrloaded 4 onto that account a factor

. and amphetamine-likepsychostimulants where appro Evidence for GABA cis A

α that is found inalmost th exclusively and 1 β 2 γ trans 2 receptor, while receptor,2 the 4 chr genes encodethe GABA correlations of gene expression. In pa correlations expression. of gene A receptor involvement in in addiction involvement receptor γ1, α p of genes, namely the four GABA β 2, α4 3) and( GABRG3 α and 4) and the chr X ( GABRA3 gene ter genes encode ter genes the most frequently expressed scuss from bothhumanevidence scuss and animal pression levels might suggest that a common β1 onal references to other substances of abuse substancesother of to references onal ed for 0.14 of the total variance in GABAergic the totalof variance ed for 0.14 y of considerable documented ofy considerable willresearch, d better with expression of the chr 5 genes with better expression genes 5 d of the chr ) ) of some favouringsubunits, formation of e addiction-related mesolimbic pathways addiction-relatede mesolimbic pathways et al., 2013). A recent factor analysis byfactor recent A al.,et 2013). A ventral striatal regions, consistent with receptors in drug addiction. Alcohol Alcohol addiction. drug in receptors γ 3) also had high3) also loadings(0.8) on this es within that cluster,but two withines that 15 chr (0.8) and GABRA4 (0.5), though the rticular, expression levels ofrticular, expression the chr GABA priately documented. A receptor subunit group A A subunit genes in the gene clusters show clusters gene α 3) loaded more

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This While several studies havelink between confirmed a GAB alcoor drug, to rise disorder gives might su Such evidence 2014). al., et (Melroy withboth (rs9291283) SNP particular only a dependence in alcohol this population 200 al., (Dick et associatedwith symptoms conduc of childhood drugs (Agrawal al.,et 2006), while a further study association held only for those alcoholics whoa analys subsequent However, 2008). al., et (Soyka dependence(Edenberg al., et 2004). This GABRA2, morewith the commonhaplotype be cohort) have identified two haplotype blocks recentMore (using studies the Collaborative Study on the Ge al et et Reich al., Porjesz 2002, al.,et 1998, Long 2003, dependence and chromosomethelocation 4p at of the GABA numberA of studies over the past twenty has years sugge to with alcoholics comorbid illic to In contrast (FehrGermans al., et 2006). and origin (Covaultet of Caucasian in Americans et al., 2004), was shown was 2004), trai to al., possesset a high which an suggested association of the more fr with keeping (Enoch al., et th that interpretation, 2006). In however, possession of trait anxiety by itself haplotype (Enoch, (See 2008) also discussion below o whileanxiety, low-anxiety be may likelymore alcoholics more frequent haplotype being associated wi These apparent paradoxes may reflect differen relationship to be most prominent in individua studies have found that frequent the less hapl it drug dependence, others (Covault dependence,al., found 2004) drug th others it et hol misuse as partthe of disorder. findingwas confirmed in population a German alcohol abuse and alcohol wasconduct disorder found al., 2004), Russians (Lappalainen et al., 2005), 2005), al., et (Lappalainen Russians 2004), al., t anxiety compared to the non-alcoholic group to the group non-alcoholic compared t anxiety was not associated with GABRA2 variations variations GABRA2 with not associated was equent haplotype with alcoholism (Edenberg extending downstream from intron 3 within from intron within 3 downstream extending otype otype is associated with alcohol dependence the Agrawal report that limits the association the limits that report the Agrawal ls without comorbid illicit drug dependence. comorbid drug without illicit ls dditionally had dependence on other, illicit, t populations of alcoholics, those with the populations of alcoholics,t those withthe th alcoholism characterised by high trait ggest that geneticall ggest discovered that the GABRA2 that were variants discovered is of the COGA dataset revealed of thatthe COGArevealed this is dataset t disorder in children, though not with ing a significantforalcoholrisk factor 6b). More recently, an association of ., Zinn-Justin1998, ., 1999). Abel, and n Type I and II alcoholism);Type RA2 variants and alcoholism, other RA2 sted a linkage between alcohol topossesslow-frequency the e COGA alcoholic population alcoholic COGA e population netics of Alcoholism (COGA) A gene cluster (Ghosh gene al., et

y-associated conduct e e Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This A recent meta-analysis found meta-analysis recent A associat strong Although a number failed studies have of that finds GWAS only weakassociatio disorders of behavioural control associated withva GABRA2 evidenceDisorder”phenotype, and the as a thatalcohol abu alcoholism be minor. may However, genetics that the contindicating perhaps 2010), direct Disorder, wi with Alcoholassociation Use (p<0.05) controls, GABRAfive 2,000 alcoholics and 2,000 nearly GWAS failed have studies to thesupport wide al., (Li et Disorder Use Alcohol and rs3219151 associ significant A and heroin rs211014. for and GABRG2 between and and rs279858), rs567926 for SNP onset alcohol abuse and aggression). onset alcohol and abuse aggression). infrequently seen more Cloninger alcoII Type dependen alcohol and rs279858 not alcoholand dependence, rs9291283) only showe and whichal., 2015), examined associations is strongly he exclusivelyalmost in seen males, herita is not I Whereas strongly Type 1988). al., alcoholism and pr onset, with early a relatively characterised by late onset and neurotic predisposition, and pointclassification of view,of alcohol use the while do females not in show males, strongest heterogeneity of oftypes alcoholism, this may not be sur Ma al., et 2006, Drgon al., 2008, (Covault et alcoholism resulted fromterm long alcohol thanrather abuse being a it be dete in this case cannot though, 1995), subunit in the mRNA central amygdala nucleus (Ducci al., et Importantly, mort 2007). a post ce, but the A–C (rs567926 and rs279858) haplotype was was haplotype but the andce, rs279858) (rs567926 A–C ns of GABRA2nswith alcohol abuse. between three GABRA2 three rs279858 between (rs567926, SNPs em studyofof em brains alcoholics found lower ions between GABRA2 andalcoholdependence tofind an association between and GABRA2 rmined whether the lowe 2014). Nevertheless, and perhaps surprisingly, and perhaps surprisingly, 2014). Nevertheless, holics (presenting with a combination of early such an association (Enoch, 2008). From this such an From this association (Enoch, 2008). esence of delinquent behaviour (Cloninger et ble and found more often in females, Type II, II, Type in females, found often more ble and ation was also observed between GABRA6 between observed also ation was ly replicated GABRA2 finding. In of a GWAS disorders is of interest. Type I alcoholism is I alcoholism is is of interest.disorders Type given the given heterogeneityof “Alcohol Use ritable. In keeping,recent study a (Strac et ribution of GABRA2 genotypic variants to variants genotypic GABRA2 of ribution of alcoholic patients (Cammarota al., et th odds ratios of 1.1 – 1.7 (Bierut et al., al., et (Bierut – 1.7 1.1 of odds ratios th predisposing influence. tthews et al., 2007), given the the given tthews al., et 2007), prising. The associationprising. may be riants, perhapsit is unsurprising 2 SNPs had only a nominal only a nominal had SNPs 2 dependence both on alcohol on dependence alcohol both se is only one of a number of number a is only one of se distinguished from Type II d an association between dbetween an association red expression level level expression red α 2 2 Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This There is only from limited evidence association gene st Some studies have reported have robustSome studies a association between 2.1.1.2 Other chromosome 4 cluster GABA 4 chromosome Other 2.1.1.2 population (Odds RatioCo 4.2 [95% rs2044081 in rs2044081 has been recently, Very association an 2005). Fo and Dick Zhang, 1999, and is (Parsian less clear the associationof although the al.,et 2011), strength Kertes comorbidwith substanceother dependence and psychiatric African descent (Covault et al., 2008). Note th 2008). Note (Covault al., et African descent identifiedof Am in two groups intron was 3 block from the intergenic that extends bloc for two G trend for association study a reported al., 2004) subunit locatedgenes on 4pchr may be involved in addi abuse provide independent contributions to alco provideto independent contributions Nevertheless, other researchers reported that the GABRA2 markers in the GABRA2 contribute to risk of alcohol dependence in inare linkage disequilibriumwith on markers the GABRA2 the BOLD response found in the right hemisphere supramarright foundin the response theBOLD performance was higher in the minor (T) allele group. hemisphere caudate/insula, and left hemisp However, increased BOLD response in the righthemisph of impulsivity, or a monetary incentive dela a performancealtered with inassociate either in dr implicated are that reward sensitivity and associated with perfor SNP is of this variant et we 2010), al., explored anin adolescent (M.Y.Morgan alet (personal communication). GABRB1 and alcohol dependence in British/Iria well characterized

gene providinggene the dominant effect (Covault al., et 2008). nfidence Intervals 1.5-11.5] P Intervals 1.5-11.5] nfidence hol vulnerability (Enoch et al., 2009). hol 2009). vulnerability(Enoch al., et mance of tasks measuringaspects of impulsivity, k between GABRA2 GABRA2 GABRG1 between k andto up GABRG1 population whether possession of the minor (T) (T) population minor possessionwhether of the A ericans of Caucasian origin, of but not those at the polygenic marker y (MID) task y(MID) assessing anticipation. reward receptor subunit association with alcohol receptor with subunit association ug and alcoholabuse. Allelic variation did not Exploiting the database IMAGEN (Schumann an additive manner, with the polymorphic stop-signal taskstop-signal one (SST), measuring aspect here inferiorhere temporal gyrus during MID the intergenic identified between SNP roud, 2003, Song et al., 2003, Reck et al., al., et Reck 2003, al., et Song 2003, roud, In during contrast, SST performance, ction risk. The original (Edenberg et udiesother that GABA GABRB1 ABRG1 SNPs, while a haplotype while a haplotype SNPs, ABRG1 gene, and foundbeen have to with alcohol dependence alone dependence alone with alcohol ere inferiorere frontal gyrus, left ginalright hemisphere gyrus, illnesses (Yang al., et 2012,

and GABRG1 and alcohol dependence s in the GABRG1 gene gene GABRG1 in the s corrected

genes likely likely genes A receptor 3.31x10 sh 2 ) Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This

anxiety, hostility and depression scores, but not with alc and but depression hostility anxiety, scores, the same allele was associated with lower leve alcohol, and each had developed alcoholism du (Pro385/ withmen heterozygous and who individuals were only 18 heterozygous a uncommon, is allele Ser385 The 2005). al., the alcohol and dependence, non-significant a for anasso trend alcohol is thou following of sedation lowA level dependence in a German population. of no association found 1999) al., et study (Sander antisocial alcoholism with (Loh (Loh while al.,et Scottish al.,et 20 study 2000b), (Radel et al., and 2005), with both alcohol dependence and associated with alcohol dependence in both 2006c). alcohol (Dick al., et includedhistory of blackouts, at these age a found an associationof (Dick and Song al.,et 2005, alcoholism 5 genes addictions. Initial analysis of data the COGA There is considerablyless thatevidence withingenes th cluster 5 Chromosome 2.1.2 GABA 1999), (Iwata al., et children of alcoholics substituti same the Curiously,

genotype. We suggest suggest thatWe genotype. lingual and left hemisphere infe susceptibility to addictivebehaviour (Dukaet al., in pr important brain regions inreward-re controlling GABRA6 A receptors incorporating the Ser385 allele and a low sedativeand a lowresponallele Ser385 GABRA1 GABRG2 Other membersOther of the cluster, ( β α 1-containing GABA 1, 1, on is associated with reduced tosensitivity in diazepam rior parietal gyrus indicated reduced responses in the in responses reduced indicated gyrus parietal rior with individual indications of risk for alcohol depe alcohol for risk of indications individual with α Ser385) genotypes had the lowe genotypes Ser385) 6, 6, in a Japanese population. Ontheother hand, another α β 6 subunit. Perhaps Perhaps subunit. 6 a the substitutionsub- induces 2 and2 base revealed no linkage between chromosome though classic benzodiazepinesdonot bind to γ nd the study contained no homozygous cases, cases, homozygous the study contained no nd 2) a Finnish, and a Native Americana Finnish,Native anda population first and level to drunkenness, response of lsand of neuroticismconspicuously,reduced ring follow-up. ring previous in a However, study, ght to represent a risk factor for developing factor a forrisk developing ght to represent for the Ser385 allele. Nevertheless, the six Nevertheless, for Ser385 allele. the et al., 2003), though a al.,subsequent et 2003), analysis A lated behaviour, which may contribute to to which may contribute behaviour, lated receptors may play a role inexcitability of play a role receptors may se tose alcohol has been reported (Hu et ess). GABRB2 e e chr cluster 5 areassociated with

00a) of reported 00a) association an G ABRA6 andABRA6 ciation possession of between ohol use (Sen et al., 2004). ohol use (Sen et 2004). al.,

, or, Korsakoff's psychosis in a st sedative response to response to st sedative GABRG2 GABRB2 with alcohol with ,

have been ndence; ndence; minor minor Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This chromosome X ( 2.1.4 actions. fortarget Ro 15-4513 of the relevance question et 2011) al., (Linden is binding Ro 15-4513 that moreover, toinsensitive this atypical BZ ligand by a point mutation in bindi 90%Ro 15-4513 approximately affinity of high et Rewal reward 2009, alcohol (Rewal al., et high target affinity that Note al., et 2012). (Lingford-Hughes alcoholicpatients, particularlyin limbic regi α exploit [ 2010) al., et and Luddens, Wieland Momosaki 1994, incorporating for the higher affinity benzodiazepine Ro15-4 derivative, The atypical imprintinggenetic (Meguro al.,et 1997). with consistent 2003), al.,et (Song alcoholism maternal, transmissionnot of between alcohol dependence and Studies using the COGA dataset have found evidence of ha cluster ( 15 Chromosome 2.1.3 sedation. phenotype a arousal, threshold in increase disorders in human populations. unaware are of any studiesWe indicating asso 5-GABA 11 A C]Ro15-4513 binding in PET studies of human brain as a me a of human brain as studies in PET binding C]Ro15-4513 Rs. Using this method, Using Rs. of the expression α1, α2, α3 α4βδ α 3, 3, α subunits, both for both subunits, for receptors (Hanchar al., et receptors 2006) 5 subunit-containing5 GABA ε , and, α

5, 5, θ GABRA5 ). β GABRG3 3, 3, prominent in regions devoid of prominent in regions γ 3) 3) and in vitro Ro 15-4513 had been suggested previously to to previously been suggested had Ro 15-4513 (Dick et al., 2004). Interestingly, paternal, but paternal, but Interestingly, 2004). al., (Dick et ons, including the nucleusaccumbens (NAcc) that could independent reduce that influences on the However, al.,demonstration 2012). that this chromosomal location being subjected to being location chromosomal this GABRB3 ciations of these genes with alcohol-related 513, has been reported to have a relatively a relatively have to reported been has 513, and -GABA α ng is lost in the brains of mice rendered , and this observation has been used to to been observation has used and, this A 5-GABA receptors ( alleles showed associationalleles showed with in vivo in A receptors as a pharmacological receptors as , which have been implicated in implicated been which, have A Rs is reduced inRs the brains of studies (Luddens al.,et 1994, plotype and SNP association the the α 5-GABA asure of the density of of density the ofasure 2 2 subunit (F77I), and, subunit expression A Rs) over those over Rs) Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This

While by on gene-a the majority far of studies Subsequent suggestedhave studies associations of GABA 2.1.5 alcohol dependence, a limited investigatednumber have the subunit genes and addiction abused to other exposure to severe childhood trauma. A fu A trauma. childhood exposure to severe more common in control subjects and seemed al.,et 2010). heroin One haplotype predicted heroin and cocaine, alcohol, of diagnoses comorbid gene. 2014). Finally, a gender selective association of the no the association of selective Finally, a gender 2014). increases expression of association did not survive stri withopiate or cocaine dependencewas repo Chinese people. Veryrecently, further evidence for an al., et and 2014), (Chen 2016). Cadet, 2008, al., et Messina(Enoch, 2011, a factor know stress, to early-life vulnerability drugs, particularly to cocaine. vulnerability, addiction i Thus, with addiction; inte heroin childhood trauma in implicated block and potentially haplotype receptors containing the the containing receptors regulates mRNAregulates transcription and thusstability and may ex alter thehaplotype. same This and other intronic reportedwidely with disequilibrium rs279858 frequently for the alcohol studies, one riskSN a differen characterised our study While 2010). with cocaineBrazilian addiction in povariants a 2008b) and abuse (Agrawal et et al., cannabisand abuse 2008b) (Agrawal

In a parallel study, African American male GABRA2 A receptor other with associations addictions variants may contribute to the deve variants contribute may GABRB3 α2 GABRG2 subunit playmay a role in nicotine dependence (Agrawal e ngent analysis. Reporter gene assays find the risk al risk the find assays gene Reporter analysis. ngent and this and may contribute to its pathogenesis (Chen et al., (Loh et al., 2007) SNPs with opiate dependence in Han in withal., SNPs et 2007) Han opiate dependence (Loh 2008a). We found an association found We an association of 2008a). drugs. Human genetic studies suggest GABAdrugs. studies genetic Human suggest racted with rs11503014 variation to influence variation withracted rs11503014 P from our study, rs279871, is in 100% linkage linkage 100% is in our study, rs279871, from P rther SNP, rs11503014, not located in any not located in any SNP,rther rs11503014, n to predisposeadultn addictive to behaviour addiction, whereas by other groups, suggesting we are studying are we suggesting by groups, other exon splicing, was independently associated SNPs in a the SNPs regionvicinity may tag that ddiction associations have concentrated on pulation of Caucasian ancestrypulation of (Dixon et al., t set of SNPs from those reported most reported those of from SNPs t set rted though al., et (Levran 2016), this patients with lifetime DSM-IV single and to confer resilience to addiction after dependence were characterised (Enoch (Enoch characterised were dependence GABRB2 vel SNPs rs2279020 and rs4480617 in in and rs4480617 rs2279020 SNPs vel lopment of addictions by increasing association of n some and for populations, some association of GABA (Kim et al., 2015), GABRB3 GABRB3 2015), al., et (Kim pression of the a was a second haplotype GABRB2 and A receptor receptor GABRA2 GABRA2 GABRB3 t al., lele lele A

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This 2.2.1 Altered2.2.1 expression of GABAergic genes Several rat linesSeveral been have rat bred forhigh alcohol consum In the accompanying sectionsboth st of types 2.2 Animal studies implicating GABA implicating studies Animal 2.2 The human linking GABA association studies gene exposure.However, surprisingly fewstudies soug have receptorexpression in discretebrain bo areas, parallels to human high consumption, and allowdirect measu taking taking alcohol but extended to drugsother with abus consumption. tosuch alcohol, studies as can obtain di for alcohol-related behaviour. More sophistic experimentsthey provide much of the data into the underlying mechanisms. However, becaus modelhumanconsumptmeasure that to appears selectively bred for high alcohol intake and ge receptors in drug abuse. Drug ( Drug abuse. drug in receptors abuse and dependence, paralleled are by functional studies 2003). 2003). the consumption, and their non-preferring counterp independe lines of rat pairs 5 among differences gene 2013b al., et McBride 2012, al., et (McBride receptor expression gene invarious alcohol pref GABRA1 and GABRG2 with methamphetaminewith been have abuse reported (Lin al. et e.g. A alcohol) consumption investigated bothin animals receptor in subtypes drug abuse scriminate motivational and between effects ) are notable common) are a paucity of in showing on the consequences of genetic manipulation manipulation of genetic consequences onthe e e and dependence liabilityas appropriate. ated measures include operant performance udies will be reviewed withan emphasis on thin drug-naïve animals, drug and following erring lines. Studies from the Indiana group group Indiana the from Studies lines. erring neticallydirect altered provides a rodents, arts, in brain areas commonly implicated in commonly in brain implicated areas arts, in animals selectively bred for high drug high bred for selectively animals in e ofe the relative ease of performing such A ion, but provides relatively insight provideslittle relatively but ion, receptor subtypes to subtypes receptor drug and alcohol ht to identifyin changes GABA ption. These lines provideption. lines These certain in animals these investigating ntly bred for high alcohol alcohol high for bred ntly rements to be ofmade A

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2.2.2 Gene association studies: Gene2.2.2 association (Stankiewicz al.,et 2015). hippocampus non-preferring rats, without exposure of Gabrg3 also a significant in exp up-regulation show addicts). rats P contrast (in to the their inregulated rats P protein, required gephryin, for postsynaptic clusteri Gabrg2, Nevertheless, some studies using microarrays to investig

genes (at inleast the brain areas studied). does not depend importantly upon varying expression lev consumption, and, fromview of the point of different combinations of which selected are during sele thathigh alcohol consumption suggest findings area. None None area. of these differences involved genes encodin GABA function,GABA so that may the iP rat a compensatory produce iP primary; hasrat a lowerthe GAD expre ventral pallidum (Halyburton al., et 2007). also exhibited significantly higher levels of the subunit in thewashippocampus higher of the iP preferring) than (non-preferring) iNP level and the rats encoding the gene expression reportedhave altered GABA addictive behaviour, Gabrb3 A receptor. with expression, gene together encoding the independent In an 2012). al., (Enoch et β 1 1 of the GABA subunit e.g., γ 2 subunit, together with subunit, 2 together the accumbens shell, central amygdala and ventral tegmental

Drug self-administration to alcohol, a down-regulation of down-regulation to alcohol, a A high was 1.6-fold receptor down in regulation human and cocaine alcoholics ssion in the hippocampus, suggesting reduced

These differences in expression may not be the current review, such selective breedingsuch selective the current review, A α gene expression. Thus, the of level mRNA is under the control of many diverse genes, diverse under many thecontrolis of a trend trend towardsa a down-regulation 1 subunit1 relative protein in rats to the NP than iNP rats (Homer et al., 2007). P rats rats P (Homer al.,et 2007). than rats iNP Gphn line of Warsaw alcohol-preferring and alcohol-preferring of Warsaw line ng of GABA encoding the associated scaffolding of expression theforof mRNA

g g GABA ate ate differencesgenome-wide in ctive breeding for ctive high alcohol els of GABA of els A A receptors, are are receptors, both up- receptor subunits. Such subunits. receptor er iner iP (Indianaalcohol ression of Gabra4 upregulation of the A receptor receptor subunit was found in Gabrg2 and α 1 1

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This The availability of extensive number of mo an suchstudiesnot have suggested an involvement of chrom partlyalready compromised by altered level of allowing alcohol (or any other agent) to exert genes in the level of performance of the respec of these subunits in the effects of alcohol, or whether associatio these whether not it clear is Nevertheless, γ found only for forebrain expressionfound levels only for forebrain of the 2002, Phillips et al., 1996). Using the Using WebQTL al., et 1996). Phillips 2002, 1998, and Cunningham, Risinger 1994, al., et alcohol-inducedaversion, hypothermia, and al or overlapping loci are associatedalso with encode GABA alcohol dependence have identifiedbeen in consequencesof alcohol administration, or usuallyare based on simple measures of alcohol consumpti mouse and human studies (Ehlersal., 2010). et The availabilityofal., approach2002). related gene expression of the respective GABA the respective of expression gene al.related (2004) et Boehm al., et 2003), Chesler and of alcohol- aspects several (QTLs) of associatedgenes with complex beha mice BXD strains)(so-called has been exploitefrequently from F novel the inbreeding inbred strains genes encoding alcohol-related phenotypes were found for mouse chromo an extent depending on the behaviour, and brai forebrain; significant correlationsfound were encoding withdrawal regionalcoholmous spans a on 3) with significant correl α 1, 1, A A α 6, 6, receptor subunitsreceptor (Boehm(see al., et α 2, 2, β 2 and and 2 α 6, 6, β ation with expressionation with of 2 and and 2 γ 2 subunits (Buck et al., 1997, Bergeson et al., 2003), 2003), al., et Bergeson 1997, al., (Buck et subunits 2 other drug-related behaviours (Crabbe et al., 1999, Phil 1999, al., et behaviours (Crabbe drug-related other γ 1 subunits,1 and in cases these significant correlations we 2 A C57BL/6Jcross between receptor subunits in either cerebellum or chromosomalregions that contain that genes alcohol tolerance, alcohol-conditioned taste its effects readily more when performance is (www.webqtl.org) facility (Wang et al., 2003, al.,et 2003, (www.webqtl.org) facility (Wang for individual butsubunits, these differed to cohol-induced motor incoordination (Crabbe e chromosomee that 11 contain the genes es ines humans offers the hope of integrating Browman and Crabbe, 2000, Kirstein et et and al., Browman 2000, Crabbe, Kirstein withdrawal, several associated QTLs with use recombinant inbred strainsderivedby gene expression. gene Onexpression. hand, the other that While, for practical reasons, such analyses such analyses reasons, practical for While, n area studied.Similarly, associations with α these behavioural observ behavioural these tive tasks used to assess alcohol’s effects, used tasks tive to assess vioural traits includingto responsiveness β 2 subunit:2 for chromosome ( 7 3, and chromosome 4 ( 4 chromosome and 3, ns inform on a functional involvement involvement on a functional inform ns 2004) for a review). Thus, a QTL for Thus,for a review). a QTL for 2004) they reflectthey the involvement of these d to identify quantitative trait loci osomal regions including genes some 5 QTLs containing the on, or easily-scoredon, (B6) and DBA2/J (D2) (B6) and DBA2/J ations to levels of of to levels ations δ and but nearby, nearby, but ρ α 1 and1 5, 5, β lips et et lips 3 and and 3 ρ 2). 2). re re Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This A potentialA the of using weakness BXD mouse lin be be confounded by compensatory plasticity of GABAergic si onfocus alcohol.literature Most of has the employed cons As far As as weare aware, no studieshave su GABA addictive behaviours. In the following paragra expression have also been used extensively studies, to gene-association Complementary stud Gene2.2.3 experiments: deletion mutation and Drug behavioural traits. This issue has recognisbeen so that BXD analyseswill not provide inform that are andidentical DBA2 between the C57BL/6J suggest that regulation of GABA involved internalisation in receptor is that relating to expression of GABA relating to expression controlalcohol consumption, of ther despite distinct role in humanaddiction.distinct H u g h e s e t a l . , 2 0 1 6 ) i s i n t r i g u i n g a n d s u g g e s t s t h a signal for the In 2004). in rodents (Boehm al., et least behaviours, at GABA mouse strains derived different from eight found beenhave lines developed ( for 2009) that interfered with the ability of ability the with that2009) interfered identify possible to al.,et 2011). However,it was effects that implicates GABA that effects implicates cannabinoid α A A 5 or 5 R genetic manipulationsR genetic in on mice behavi receptor receptor being associatsubunit expression α 6 may indicate 6 a lackthese of involvement genes of inal α 5 subunit5 in human e.g. A receptor subunits. (Williams et al., 2004)). Using Using 2004)). al., et (Williams A receptor trafficking receptor role in the an important play may vs . rodent NAcc (Lingford-Hughes et al., 2012, Lingfor 2012, et al., (Lingford-Hughes NAcc . rodent A β receptor subunits. subunits. receptor 2 subunits2 to interact with adaptinAP-2 protein (Herring These observations thus al., et 2003). ggested a QTLggested for psychostimulant,opiate or to explore the role of GABAergic genes in e beinge little evidence for alcohol drinking ed, and strategies involving multiple founder involvingfounder multiple anded, strategies ation on the involvement of such in genes phs, willwe phs, impact of examine the specific ies employingies direct manipulation of gene (Tabakoffparticular variations SNP et al., ours relevant to drug ours dependence witha es is that for those chromosomal regions ises that for those chromosomal regions ed ed with alcohol drinking was found (Saba /J lines, there can be no genetic variation, er lines, er no for evidence direct altered t s o m e r e c e p t o ri s o f o r m sm a y p l a y a self-administration self-administration this respect, a strikingly more robust a respect, this titutive gene deletion, which may gnalling and of other genes. For a set of recombinant inbred recombinant inbred ofa set cohol-related d- Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This inhibition (as do Experiments attempting to localise these effects of effects these to localise attempting Experiments reported been have conditioning (Werneral., 2006). et induced behavioural effects, but not in al alcohol, without affecting normal GABAergic tr and toLeu277 mutations in the of consequence effects of the deletion may changes reflect in and al.,et 2001), it 50%) (Sur (approximately GABA reportedbeen to result in a substantial (a mechanism mechanisms. del Notably, a torelated DA-dependent Deleting the (sucrose). alcohol-motivated behaviour, but also in oper activity.affect that the data suggest These 23390, SCH antagonist, D1 the and eticlopride, antagonist, alcohol (1.75–3.0 doses that g/kg), an effect (2003) Blednov behavioural’s et (confirming In the June al study, the null et mutants al sucrose-maintained operant andresponding, home In keeping, lackingmice the injection of after Bledno 2003b, al., et alcohol (Blednov consumption, increased aversion to alcohol, α the instance, 2.2.3.1 alpha1. 2.2.3.1 employed tosiRNA suppress 1-subunit null mutant have mice report been A receptor α

α α 6 knockout6 of expression increases a K α 2 and and 2 1-subunit deletion. Neverthe 6-GABA α α 1 subunit1 also appeared tounmask 3 subunit expression (Vicini 3 et A Rs in cerebellar granule cells) (Brickley et al., 2001) al., et (Brickley cells) granule cerebellar in Rs α α 1 gene expression in ventral pa ventral in expression 1 gene 1 subunit1 showedmarked reductions in both alcohol and α 1 subunit1 (which their response alter may to could be attenuated by the dopamine (DA) D2R pproximately 38%) compensatory increase in so showed in locomotor significant increases is therefore unclear whether the behavioural and a and a stimulationmarked motor of activity α less, in knock-in mice with Ser270 to histidine Ser270 in histidine knock-inmice to with less, antrespondingfor a conventional reinforcer ed ed to show decreased alcohol and saccharin cohol consumption, or place preference these receptors,these than rather being a direct findings) after injections of low–moderate injections of low–moderate after findings) 1-GABA ansmission), alterations in specific alcohol- -cage alcohol drinking alcohol drinking -cage α v et al., 2003a, Boehm et al., 2004). al., et Boehm 2003a, al., et v A 1 deletion to brainspecific deletion 1 areas, al., 2001) and immunoprecipitation immunoprecipitation and al., 2001) R may play an important role in role important playmay an R at doses that themselves did not not did themselves that at doses + alcohol's stimulatory effects, by channel thatincreases channel tonic llidum of high-alcohol llidum of high-alcohol drinking etion of the (June et al., 2007). 2007). al., et (June α . . 1-subunit has Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Butkovich et al., (2015) then asked whether asked then the al., et (2015) Butkovich A recentA study examined cocaine self-adminis GABA respect. respect. al., et reinforcer (Stephens for a conditioned induced reinstatement of responding, a measure which rese extinction (in which the knockdown resemble though following training achieved they similar infusion learn a discriminated nose-pokeresponse to obtain intraven delete delete infused during adolescence into early the 2011). al., et unaffectedintake were (Yang water rats, andin found binge drin decrease a marked developing instead developinghabit-like instead behavi GABA performance of goal-directedresponse strate GABA PFC orbitofrontal that suggests 2015) al., strategies, but not in performing them. parallel A f report administration following administration following responses to the reinforced response. Thus, adulthood, the Gabra1 mice knockdown did not in action-outcome when learning. However, similar manipul in persisted mice knockdownGabra1 performing re biased their responding to the contingent random, and thus independent of the instru dissoc was responses of the one reinforcers, perfor to trained mice initially were which association thebetween instrumental response and the cocaine A A A receptor tone may be necessary in tone receptor bemay de necessary α α 1-expressing genes in this in genes (Butkovicharea this 1-expressing 1 knockdown unablewere knockdown 1 to actions select based on their c Gabra1 knockdown might reflect impa reflect might knockdown oural inflexibility. Thus cortical Thus inflexibility. oural medial prefrontal ofcortex floxed a healthy medial prefrontal cortex (PFC) m twom different responses to obtain food 2010), but the groups did not differ in this in this did not differ groups the but 2010), sponse that continued to deliver food, the mental response). While control nowmice iated from food delivery (which was made gies. Mice with orbitofrontal PFC-targeted d controls) the mice were tested for cue- king; importantly,king; binge sucrose drinking, or both responses, suggesting an impairment tration, using Cre-expressing lentiviruses lentiviruses Cre-expressing using tration, slower rate of acquisition of cocaine self- slower rate differ from controls in distributing their veloping goal-directed decision-making veloping goal-directeddecision-making al., et 2015). Suchwere mice slower to A A α 1 silencing similarly the impairs silencing 1 rom the (Swansongroup same et mbles instrumental responding mbles instrumental responding rates to controls. rates Following ations carried were out in reinforcer. Using in a task ous infusionsous of cocaine, ired ability to learn the the to learn ired ability α 1 GABA 1 Gabra1 onsequences, A receptors mice mice to α 1- Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This

Self-administration of cocaine was also unaltered in unaltered was also Self-administration of cocaine On the other hand, Blednov and colleagues (B BlednovOn the hand,other and colleagues Given the Giventhe implicating evidence the GABRA2 gene, encodi alpha2 2.2.3.2 of extinction. These observations suggest strongly that dose of cocaine, or cocaine-associated stimuli toacquire operant intravenous self-administration of cocaine, dose-responseextensive and KO study, WT, hetero administrationin of abused drugs animals wi addictions, a number of have studies investigated either apparent discrepancy are not understood, but it but not understood, are discrepancy apparent indicates that Curiousl ataxia. to induce in the ability of alcohol part tha indicating mice, knockout the in enhanced markedly containing GABA observation2012).This al., suggests that alcoholreinfor alcohol at similarrates, with nodifferences in p r e s s e s r ereceive increasing concentrationsofon alcohol q u i r e d t o oevidence that b t a i n o n e r e w a r d ) ; b o t h W T a n d whetheraspects these be may to allgeneral rein fl learning and test in instrumental to be important appear mutating mutating background. x Sv129/ev mixed C57BL/6J onmaintained a study had been backcrossed to C57BL/6J, while those in of hadmice derivedbeen from the identical founder mu necessary for the reinforcing properti the reinforcing for necessary α 2 subunits ( to 270 histidine (serine subunits 2 leucineand to 277 α α 2-deletion against protect may alcohol- 2 knockout2 differedmice from wild ty A receptors. However, the ataxic and sedative effects of al of effects sedative and ataxic the However, receptors. es of either cocaine or alcohol. the reinforcersnumbers earned of (Dixonet to reinstate self-administration after a period a after self-administration reinstate to an FR4reinforcement schedule of (four lever th deletions of this forcers, and not only to drugs of abuse. may be important that bothalthough sets lednov et al., 2011) did find effects of effects did find 2011) al., et lednov zygous mice did not differ in theirabilitydidzygous micenot α y, another report (Boehm et al., 2004) 2004) anothery, al., et (Boehm report pe (WT) mice when pe (WT) mice lever-pressing to 2 KO mice (Dixonet al., 2014);in an induced ataxia. The reasonsinducedthisataxia. for The our study (Dixon al., et 2012) were k n o c k o u t m i c e s e l f - a d m i n i s t e r e d t t tants, those in the Boehm et al α cementdoes not require α consumption,operant self- or ng theng 2-GABA 2- 2- GABA exibility, though it is unclear unclear it is though exibility, or in the ability of a priming priming of the a or in ability alanine mutations) that that mutations) alanine receptor. We foundno We receptor. A α receptors may play a play may receptors 2 subunit,2 inhuman A receptors are not are receptors cohol were cohol were α 2- Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This

Two other studies have investigated the role of GABA the investigated have Two studies other alpha5 2.2.3.3 responding for alcohol be mediated by may 15-4513 by Ro GABA pressing (Stephe for sucrose was unaffected pressingfor alcohol/sucrose in but WT mice, had less containing the agonist, inverse site benzodiazepine 10% alcohol/10% butsucrose, responded less administration. of relevant alcohol effects to alcohputatively behavioural alcohol at GABAergic synapses containing the Th test. nature of the exact depended upon the also demonstrated complexchanges inalcohol the motor sti showedof mutantThese mice loss a complete made insensitive them to potentiation by al reduced reduced alcohol self-administration, from the evidence th sucrose. Although for 4% inverse agon pressing lever effectivemg/kg, corresponding 1 dose of to ov 3 dose-dependentlymg/kg) decreased lever containing GABA that possesses greate alpha5IA-II, of the ability novel a study, same unaffected, suggesting that this effect is not mediated by the However, the ability ataxic effects. of Ro to reduce 15-4513 knockout by alcohol, since no differences were these differences were probably not attributable low alcohol concentrations (2-8%), but consum measures of alcohol consumption, A receptors are are receptors not essential for alcohol reward, but the r

α α A 5 subunit (see Section 2.1.3). This drug dose-depende drug This 2.1.3). Section (see subunit 5 receptors, to influence operant was studied.responding to influence receptors, 5

knockout mice did not differ from WTs in operantmiceWTs respon from did not differ knockout r inverse agonist activity agonist inverse r at α α 5-efficacy-selective benzod Ro 15-4513, has high affinity for high affinity has 15-4513, Ro GABA 5 knockout5 did mice from differ WT at not ns et al., 2005). These data suggest ns et 2005). dataThese suggest that al., cohol yet retained normal GABA sensitivity. cohol normal retained yet sensitivity. GABA er 90% receptor occupancy, but did not affect affect 90% not occupancy,receptor butdid er for 10% sucrose (Stephens et al., 2005). The 2005). al., et sucrose (Stephensfor 10% intake and preference the directionofwhich ese ese studies demonstrate that the effects of α to increased behavioural disruption of the pressing for 10% alcohol, the minimally seen in sensitivity to sensitivity in seen or alcohol's sedative ed less ed less alcohol at higher concentrations; 2 subunit2 may be important for specific A ists acting at receptor subunits receptor in alcohol self- effect ineffect olism. is studyis that it unlikely is indicates mulant effects of alcohol, ofmulant effects and

α α 5- than at alcohol consumption was 5-GABA α iazepine receptor ligand, α 5--GABA 5

eduction of operant knockout mice; lever lever mice; knockout α 5-GABA A ntly reduced lever lever reduced ntly receptors. In the Alpha5IA-II (0.03- Alpha5IA-II α A receptors.In 1-, 1-, A A α receptors receptors 2- 2- or ding for ding for α α 3- 5- Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This conclusion effi the potential similar regarding A

A numberA haveof studies used the atypical 2.2.3.4 More persuasively,More alcohol lowered intake was

consumption is by provided (Ruedi-Bettschen is consumption as an ethanol antagonist, and wasas an ethanol antagonist, and thought tothis achieve effect of function XLi-093. antagonist The changesdrinking.in alcoholredrinking could be the maintained self-administration. The behaviour typical of alcoholConcen intoxication. 90 from ranging levels alcohol blood relevant group trained animals to self-administer 6% al al., 2005). that alcohol reinforcement in mice requires activation of the the transmission adenosinergic of involvement the not reflect may 2011) of devoid regions point mutation in the is lost in the brains of4513 binding rende mice the effect was seen only in mice.male Howeve in absent ethanol-induced ataxia is this is pr interpretation detailed for 2007) al., et but (Korpi see 2006); GABA δ α -subunit, and these animals a also showed animals and these -subunit, A 5-GABA Rs, putatively involved in the actions of ethanol (Hanchar et putativelyRs, involved in the actions α 4 and and 4 α 4-GABA A receptor inverse agonist L-655,708 i receptor agonist L-655,708 inverse δ subunit containing receptors. (Linden expression subunit al.,et A Rs inalcohol behaviours. related Thiswas drug initiall ovided bydata indicating that the 2 subunit (F77I), and, moreover, Ro 15-4513 binding i binding moreover, Ro 15-4513 and, (F77I), 2 subunit (Meng and Dar, 1994). and(Meng 1994). Dar, α α 4 knockout mice (Iyer et al, 2011), though, curiously, 2011), al, et knockout (Iyer mice 4 5-GABA α4βδ benzodiazepine, Ro 15-4513, to investigate the the to investigate 15-4513, Ro benzodiazepine, to 160 160 to in which produced changes mg/dl, and A red insensitive to this atypical BZ ligand by a BZ ligand a insensitive red to this atypical by receptor agonist QH agonist receptor et al., 2013). Using rhesus monkeys, this this monkeys, rhesus Using 2013). al., et receptors, but instead may possibly involve receptors, but instead involve possibly may r, approximately 90% of high affinity Ro 15- affinity approximately r, 90% high of discussion). Some evidence in with keeping evidence discussion). Some cohol sufficient to reach pharmacologically pharmacologically reach sufficient to cohol cacy ofcacy inverse agonists in reducing alcohol in mice a constitutive carrying knockout of ttenuated withdrawal from chronicalcohol ttenuated trations ofsucrosetrations 3% also 0.3 to reliably nhibited, alcohol-, but not sucrose- nhibited, versed with the versed 2011). Thus, the data of Iver et al al et Iver of data the Thus, 2011). ability of Ro 15-4513 to antagonise α 5-GABA via an action at A al., 2006, Wallner et et al., Wallner al., 2006, receptors receptors (Stephens et -ii-066 enhanced, and α 5-GABA y characterisedy s prominent in s prominent in A receptor receptor α 4/6 βδ - Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This

In keepingIn with association of alcoholthis with drinking mentionedAs already, constitutive knockoutmice provide a of neurons ( GABA of themedial shell did not affectintakea 2% of shell, or in the core, the lateral the of knockdown inreceptorsfor or necessary the NAcc are of the NAcc in regions localized RNA (RNAi) tointerference expression reduce of the GAB or to specific neuronal and Nie classes. colle gene manipulationas limiti inadulthood,well as More of the brain.effective rece in all parts (potentially allowing compensatory changes in the contribution to of behaviour, genes toler acute and chronic both developed mice knockout the a normal anxiolytic response to alcohol and a exposure (Mihalek al., et 2001). It is of intere not altered during the initial 5 minutes of thebu session, wasagain notfor sucrose altere the NAcc shell, but not in core.NAcc This reduc α RNAi that virally-mediated showed further (2012) al., 2014). amediate to GABA tonic inhibitory th current extrasynapticpresence of (MSNs), using both immunohistochemistry and electrophys Ind 2008). al., et Peden al.,et 2013, (Herd subunit associates with the 4 GABA4 A A receptor receptor subunit, also significantlyalco reduced for responding e.g. thalamocorticalneurons, hippocampal gyrusdentate granule ce -subunit in the medial shell of region but the NAcc, not -subunit reduction are spec reduction are -subunit α 4 β α 4 subunit4 and a reduced alcohol intake. In contrast, receptors, that activated receptors, are by ambient concentrationsof d. Interestingly,responding during reinforcedsessio to test the hypothesis that ntly,techniques developedbeen have that allow as the gene is absent is gene as the during development st thatthesest effects be dissociated could from agues used the technique of virally-mediated eed, in medium spiny eed, mouse NAcc neurons normal hypothermic response to alcohol, and sucrose solution, suggesting that the effects at neuronal reduces excitability (Maguire et al alcohol consumption. foundThey that expression well of genes), other expression being as as ific to alcohol (Nie to alcoholific (Nie et In a variety al., 2011). ng the manipulation to discrete brain areas, β tion specific to alcohol, was responding as that transiently reduced expression of the of the that transiently expression reduced subunit to form extrasynaptic receptors A ance. ance. α A A 4-GABA receptor receptor blunt instrument for analysing iology, demonstratedwe the t decreased after 5 minutes, -subunit-containing GABA hol after A receptors, Rewal alet -subunit in knockdown -subunit in adult rats α in the or ventral 4 reductions in reductions 4 lls)the ns was was ns A

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facilitate or it. recently reduce We facilitate investig receptors playin a role regulation of alcoho thisofWhile series studies suggests stro 2014). Boehm, intogaboxadol cortex infralimbic was reported could throw light onhypotheses. these In contrast to the N may whichoccur, would not be the case for th of that in the case account is possiblefurther shifts to either the leftright ofoptimal or the may res response functions for alcohol consumption e frequently estimate local concentrations in experiments us firstly, gaboxadol at high doses is not specific for of explanations potential two suggest colleagues et Ramaker 2012, al., et (Ramaker alcohol intake decreases the while facilitating 2012), al., et Rewal al., 2011, et (Nie using receptors tonically-active extrasynaptic decreased consumptionalcoholin of 10% that gaboxad found et 2015) (Ramaker al., study, the group same administration as well as shifting patterns the drinking in bo paradigms, altering both the consumatory dependently alcohol decreased intake in bo al., et 2012) (Ramaker studies interference apparent disagreement with the observations on made the GABA of extrasynaptic agonist The drug gaboxadol,when used at appropriately low concentr induced point mutation of the the inducedpoint mutation of GABAergic receptors in mediating alcohol intake, using mi manipulation did not initial alter motivation for alcohol. (R reinforced responses multiple following A receptors containing the the containing receptors β 1 subunit. a 1 leucine-to-arginine This mutation, exchange ngly that extrasynaptic tonically active ngly found found in C57BL/6J thatmice gaboxadol dose- viral knockdown alcoholreduces consumption gaboxadol infusions, receptor desensitisation l consumption, it is not clear whether they they not it is whether clear l consumption, e knockdown.e are We not aware of data that ated the potential role of tonically active active ated the role of tonically potential and appetitive of processes operant self- ewal et al., 2012), suggesting that the that ewal al.,et 2012), suggesting th two-bottle choice, and limited access access th two-bottle choice, and limited to increase alcohol consumption (Fritz and and (Fritz consumption to alcohol increase a limited access test.inactivating Thus, ing intra-striatal infusions; secondly, dose- these apparently incompatible data sets; apparently incompatible data sets; these α4βδ xhibit an inverted-U shape, so that ult in consumption. decreased A ce with an N-ethyl-N-nitrosourea- δ receptors, and it is difficult it receptors, is and to subunit (Belelli al.,et 2005). In Acc injections,Acc administration of ir function with gaboxadol also also with gaboxadol ir function th procedures. In a subsequent ations, as a selective acts ol infused into NAcc shell, ol infused al., 2015). Ramaker and 2015). Ramaker al., α 4 and4 subunit gene α4βδ GABA A

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Thus, insummary,while manipulations of particular subun activity. GABAergic are we However, unaware of evidence suggesting a selectiv antagonised by co-administration of the GABA reinforcement by terminating responding after a perioshort administrationGABA of the underlying satiety to alcohol. facilitated satiety). Thus more rapid decrease in responding following multiple r α correspond might finding to the (Rewal which et operant responding suggested to pr the session as consumption, and pressing, obtain alcohol,even to intoxication; in contrast, WT mice to p rise gave mutant the L285R Furthermore, experiment. consumption of (butalcohol not sucrose,of inseen was a spontaneous mutant, the NAcc (i.e., resembling tonically receactive increased GABA sensitivity of recombinant GABA spontaneous GABA linker, an important receptor for GABA ac area (L285R) in the highly-conservedthird transmembranedomai receptors. receptors. con tonic of by modifications exerted behavioural alterations, most consistent effects 4-containing GABA A A receptor receptor ionchannel opening ( receptors showed no changes in in , tonically, GABA active A agonist, , operant reduced respondingfor ethano I n t h i s c o n t e x t , i t i s o f us that the mutation led to a failure to satiate to alcohol, Gabrb1 ductance,including of by manipulation saccharine,in a two-bottle choice or quinine) ogressed (Anstee et al., 2013). The pattern of of pattern The 2013). al., et (Anstee ogressed +/ A ptors). A similar electrophysiological pattern pattern electrophysiological similar A ptors). A antagonist bicuculline (Hodge et al., 1995). 1995). al.,et (Hodge antagonist bicuculline tivation and ion channel gating, resulted in resulted gating, and ion channel tivation P228H on motivation to obtain alcoholbe to seem al., 2012) that virally-mediated reduction of reduction of virally-mediated that 2012) al., receptors may play a role in mechanisms mechanisms in role a play may receptors A Rs, coupled to increased tonic currents in . Both mutants showed an showed Both mutants i.e itialalcohol, for responding but a . in ofthe absence and GABA) ersistent operant responding to responding operant ersistent interest that intra-accumbens that interest einforcers ( e actione of muscimol on tonic d of that an effect time, was n (TM3), nearn the (TM3), TM2-TM3 its ofits GABA reduced their rate of lever i.e., A R s g i v e r i s e t o suggestive of increased α4βδ l

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Many studies incorporated have of measures Chronic2.3.1 exposure: drug alcoho In principle, genetically influenced predispositi 2.3. ofInfluence abused drugs on GABA

chronic alcohol treatment (see re (see treatment chronic alcohol toprotein levels. be extrapolated necessarily limite was this as study However, effects. chr X and most of the chr 5 subunit loaded genes were imp sensitive to the effects of alcohol/cocaine. In with alcohol a associated previously cluster, notably involved insynthesis andGABA those synaptic trans al., (Enoch analysis et dependence. factor A increasesdrugs the likelihoodincreasingvoof intake. Thus, to to drug in the ability adapt highlighted by the authors, these adaptationsthese basolateralauthors, highlighted in by the amy approached statistical significance, with noin changes were significantly decreased, whereas decreases in the Th month-long al., exposure et 2004). (Floyd to alcohol fascicularis expression were found. Similarly, an impr change in accumbens,wasin although a decrease there 28% of expression of both these (Papadeas chan 2001). However, al., et by ofweeks after immunoblotting chroni two ra in decreases For instance, al., 2000). et ((Grobin changesand directionof course time in s α ), quantified GABA 1 1 subunit expression; in the VTA, no in changes either α 1 and1 α A

4 subunits4 decreased was while in the by about 20%, α view et by (Kumar 2009)). al., subunit mRNAs in basolateral amygdala following 18- amygdala insubunit basolateral mRNAs ,ccieadmtapeaie methamphetamine and cocaine l, A receptor subunit expression essive essive withstudy cynomolgus macaques ( nd drug dependence inhumans, themselves are d to expression, mRNA the findings notmay ubunit expression across varies brain regions contrast, the two factors on which the chr 15, 15, chr the which on factors the two contrast, for instance, the development of to tolerance for instance, the development 2013) revealed that distinct groups of genes, of groups genes, distinct that revealed 2013) on to drug taking may result from differences luntary drug intake, which may then result in mRNA or subunit peptide levels following c exposure c to alcoholhave been reported ges were region specific; in amygdala, region wereges in amygdala, specific; t α 1 and and 1 α 4 subunit expression, there wasexpression, no there subunit 4 e e α 2 and2 port and members of the chr 4 α α

4 subunit4 As levels. mRNA 4 subunit 4 expression assayed α In general, In general, the occurrence, 1 1 only expression subunit ervious to alcohol/cocaine gdala GABA gdala α 3 subunit3 mRNA levels α 1 or or 1 A receptors are α 4 subunit4 Macaca Macaca Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Considerableevidence indicates that ne

A numberA of additional studies also document ho However, the alterations in excitatory transmis (Conra calciumaltered permeability transm synaptic receptor-mediated AMPA of strength the in becomingstable, and then declining. be These cocaineintensification to obtain motivation of cocaine changes over time, in keeping with experimenter-administered patternscocaine. The GABAergic transmission in the NAccshellis diff (Wy report and a recent 2010), animals and(Wolf Ferrario, administered cocaine differ from such responses when th section 3.2.3). section 3.2.3). excessiveDAassociated tone to with exposure prolonged compwhich represent may a al., 2008) (Heiman et (Suzuki et al., 2000). Of Of 2000). al., et (Suzuki mRNA expression pattern have been documented following albe 2006)). Moreover, similar, al., (Hemby et GABA lowered was expression present priorto onsetalcoho of with subjects, control though in the human cohort, no it is encoding the receptor subunits investigated in the cent inmortem alcoholic(Ji foundbeen patients also post has wi In agreement al.,(Papadeas et 2001). but similar, not identical, described in to those decreased expression of receptorsin behaviour, addictive chronic tr cocaine treatment in mice resulted in an up-regulation of A A receptor subunits are very much dependent on the brain re the much dependent on very are subunits receptor α 2 subunit2 significantlydown-regulat was α specific relevance specific relevance and in keeping with for role a 2 subunits2 In (Chen in al., et 2007). the NAcc contrast, c d et al., 2008, Mameli et al., 2009, Loweth et al., 2014). 2014). Loweth al., et al., et 2009, Mameli 2008, d al., et th the macaque data, macaque down-regulationdata, ofth the ral of nucleus only the amygdala, the mRNA eatment of rodents in with cocaine of eatment results urobiological responses to experimenter- responses urobiological rodents after a brief forced forced after a brief rodents alcohol exposure (incubation) lasting for lasting (incubation) before weeks, several haviouralchanges areparalleled by changes sion do not seem to be paralleled by altered by altered paralleled to be not seem do sion it not identical, it not identical, scenariosof altered varied erentiallyby affected self-administered and w changes changes w in the expression of a variety of behavioural changes indicating changes initial behavioural of change of inreceptor function following ensatory brake that limits the effect of the an effect that limits brake ensatory l abuse. ed ed in alcoholic patientscompared α t possible to deduce whether the e cocainee is self-administered by 4 mRNA specifically in D1-MSNs in D1-MSNs mRNA4 specifically dra et al., 2013) indicates that al., indicates dra et 2013) the the psychostimulant also (see n et al., 2014); of 19 GABA 19 of n et 2014); al., chronic exposure to cocaine ission in NAcc mediated by by mediated NAcc in ission gion investigated ( α 2-containing α 2 mRNA mRNA 2 hronic e.g. A

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2.3.3 The of ageinfluence 2.3.3 (develop Cl mediated response switch from to inwardly outw alteration, upon subsequent reverse may wi expression (Shen however, alet 2013). Note, appeared to be affected by chronic ex subun Interestingly, a similar Liang al., et 2014). 2014, Spige al.,amygdala of et Olsen and CIE (Cagetti rats 2003, inincreases coordinated decrease in electrophysiological and immunoblotting a pattern of drinking. Us of this features of the of rodents to chronic inter Exposure 2003). Duka al., et brain structure and behavioural competence (Stephens and Du pattern whichhas been shown particularly to be combine such high oflevels alcoholbi during Alcohol-dependent individuals oftenconsumeal exposure: drug Intermittent 2.3.2 alcohol that this that this sensitivity is especially whensevere It is widely held thatadolescent mammals are GABA intake over the first of few self-administration, days intake over (2014) al’s is in with keeping Dixonproposal et co excessive be a protective against mechanism withdrawal day 25 or withdrawalor 48. chanNo day 25 suggestive of increased inhibitory this tone, change was tr receptorsubunits was initiallyincreased(on second the observed at anyobserved time. The author - ions transporter expression also(see se A receptor receptor function (Purgianto al., et 2016); although surfac γ 2 and and 2 α 4 subunits4 (both synaptic) in hippocampus, accumbens and α 1 (synaptic) (synaptic) 1 and s suggest that upregulation ofsuggest s ment) on ment) the effects of alcohol ges in ges expressionsurface of posure to methamphetamine in rodents, ction 2.3.4 on Functional alterations). ction on Functional 2.3.4 alterations). pproaches have revealed a consistent and havepproaches consistent revealed and a nge episodes episodes nge andexperience of withdrawal, a ing this model, a series of reports combining combining reports of series ing this model, a particularlysensitive and to alcohol exposure, exposure is intermittent,such as occurs in observation that while WT mice reduce drug reduce mice while WT that observation δ thdrawal because the polarityof the Cl subunit (extrasynaptic) expression and deleterious, resulting in marked changes in in marked changes deleterious, resulting cohol in bouts of excessive drinking, which drinking, excessive of bouts cohol in that the functional consequences of this caine taking (Purgianto et al., 2016). This 2016). al., taking et (Purgianto caine ardly asdirected a result of alterations in α2 it set, it set, namely

mittent alcohol (CIE) replicates some (CIE) mittent alcohol knockout mice do not. mice knockout ansient and no longer detected on lman, 2012, Lindemeyer et Lindemeyer al., et lman, 2012, day of cocaine withdrawal), day of cocaine ka, 2008, O'Daly et al., 2012, al., 2012, et O'Daly 2008, ka, α e e expression of 2-subunit expression may α

1 or or 1 α 4 β α GABA 4 subunits were subunits4 were i.e basolateral A . increased receptors receptors α 2-GABA A -

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This α i for example, an Thus, al.,et 2014a). Grabenstatter 2014, oftypically tempor models in recorded animal affected, albeit not necessarily in dire the same for two reason observations intriguing These are uponexposure. drug α intermittently to drugs of A abuse.common of GABA illu limited of studies exemplar selection This the GABA exposu intermittent alcohol (CIE) normalized 26 days AIE. after In to the contrast effects of changed by and although AIE, (but not 48 hours) the after last AIE exposure. The subunit protein significantlywere levels reduced at both 48 and 26 hours the after last days alcohol exposure significant reduction in the betwee exposure intermittent alcohol (AIE) one subunit( in any GABA changes data is the diversity of responses in different tissues. T McBr McBride al.,al., et 2015, 2014, et (McClintick blood overmg/dL, reaching of 100 levels alcohol-preferring following rats P three week Indiana group have reported a series of observ (Stephens and Du drinking binge with humans molecular changes are are changes molecular associated with a reduction in ph frequency high seizur of exhibiting a animals ap of temporal lobe epilepsy, models animal 1-containing GABA 4, and, to an increasingly documented degree, A A receptor isoforms receptor the brain within receptor subunits examined. subunits receptor β 1) in amygdaloidIn co nucleus.1) central A Rs has been consistentlybeen reportedRs has inthehippocampus dentat A receptor insubunits accumbens shell, and an up-regulati subunit in protein the absence levels of any changes in α5 re re during adulthood had no effect on expression of any subunit levels reduced were mRNA at 48 hours they we n postnatal day (PD) 30 and showed PD46 a a period a spanning postnatal days – 49 28 strates the complexity of strates feature acrossfeature studies is the sensitivity of s consumption of alcohol in a “binge” pattern, al lobeal epilepsy (Scharfman and Brooks-Kayal, es (Gonzalez et al., 2015). Intriguingly, such Intriguingly, 2015). al., et (Gonzalez es pearing specificallyprominent in cohorts of pearing ations gene on altered ations expression (mRNA) in ka, 2008, Smith et al., 2015). Recently, the 2015). Recently, Smithal., 2008, et ka, ction, by the experience of epilepticeventsexperience of ction, by the s. Firstly, subunit the same appear clusters , but mRNAlevels but, increased, were 26 days of animals exposed chronically and/or ide et al., 2013a). Striking from this set of set from this Striking ide al., et 2013a). α 2 and2 α ntrast, ratsntrast, subjectedto adolescent 5 5 subunit protein notlevels were asic (i.e. synaptic) inhibition, asic (i.e. which synaptic) hus, three these foundstudies no ncrease and decrease in in and decrease ncrease (Centanni The et 2014). al., 2 2 subunits to dynamic changes the altered landscape landscape altered the chronicAIE, on of only e gyrus ofgyrus e α mRNA, 4- and 4- and α α re re of 1, 1, 4 4 Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This GABA in Alterations 2.3.4 solubilitylimited issues raises experime for in vivo rega In this exploited to therapeutic advantage. ma selective Thus, Section 2.2.3.4). et Maguire et (Anstee 2013, receptor al., channel activity increased alcohol consumption in two mouse models of i tonicknown inhibition, as toni andincreased Secondly, pilocarpine temp in the respectively, seizures long-termreduces seizure frequency or the delivery dentate via a viral-mediated gyrus hippocampus of inhibition early selective of STAT3, which me GABA could to be targeted therapeutic (seeadvantage alsosee paragrap andin Brooks-Kayal, (Scharfmanreviewed 2014) repressorelement and earlygrowth(ICER) factor response of BDNF regulation (e.g epilepsy neuronal GABA However,raises the prospect it that molecular mechanisms Bec Stephensal., 2001, (Finn al., 1995, et seizures et withdrawn from animals between relationship thisWhether putative commonality of plasticity independeis reminiscent ofdescribed aboveanimal those for and Broo (Scharfman receptors has putativelybeen assigned to an increased contribution by Cl GABA In addition to changes in the expression of spec -GABA - flux has describedbeen for GABA α 1 expression (Grabe expression 1 A A R function below R function and Conclusion Section reg 5). In this R function associated with drug exposure anda ch associated withinvolving drug function R A A receptors may may et receptors be of (Wafford interest α 4 β A GABA R-mediated adaptations described for A receptors are known to mediate mediate to known are receptors A nstatter et al., 2014b), or increased or increased et 2014b), nstatter al., R function. ks-Kayal, 2014, Gonzalez et al., et 2015). Such changes Gonzalez 2014, are ks-Kayal, α 1 and1 nipulation of this specific GABA specific of this nipulation A receptors in the interneurons, but not DA neurons, of of neurons, DA but not interneurons, the in receptors α 4 subunit4 expression diates upon BDNF ICEReffect down-regulation number of animals experiencing spontaneous ific receptor subtypes,a distinct inalteration rd the drug whichrd the drug DS2, is a of PAM selective maydrug also be addiction to relevant and c inhibitionc in the associatesNAcc with s exposed s to chronic intermittent ethanol. nts. alcohol and their sensitivity to epileptic oral lobe epilepsyoral lobe model intriguing. is al., 2009, Jensen et al., 2013), though its et Jensen al., 2009, its though al., 2013), ker and Hale, 1993) is not known. known. not is 1993) and Hale, ker animal models of temporal lobe lobe of temporal models animal al., 2014, Rewal et al., 2012) - see see - al., et 2012) Rewal 2014, al., a sustained inhibition form of approach (Raol et al., 2006) approach 2006) (Raol al., et akinimplicatedto those in the

(Egr3) pathways(Egr3) respectively, ncreased spontaneous GABA α 4 via β ard, the observation that α inducible response cAMP ange in the polarity the of ange 2- over over 2- nt of the documented 1-subunit expression in A receptor tone receptor be may h 2.3.4 Alteration in α 1 β 2-containing A

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Addictive drugsAddictive theabilityshare to influence the function A detailedA discussionof the neuronal substrates 3. 3. GABA therapeutic targeting (Friedel et thus and 2014), 2010, al., et transporter al.,et Kaila (Lee abnormal to trigger operate GABA thereforeconcei It is 2016). al.,et Kahle neuropathic pain models (Pathak et Zh al., 2007, the polarity of the GABA of alterationin GABA directed Cl in not affected is signal GABAergic Importantly, the 2016). GABA Cl KCC2,transporter thus causing induced glial release of BDNF, that results in a decreas imp a potentially revealed recently colleagues Taylor and the VTAin of opioidinhibitory to excitatory Following the VTA. an initial report document the NAcc with the NAcc signalsother mediated by from DA n released cortical and amygdala hippocampus, the including conveyed in the form of, prim and val availability temporal and spatial information about the this neuronal circuitry (Fig a ro central 3), implicatedin mediating control motivati over pharmacological manipulation.pharmacological described to highlight areasrelevance of specific to However, an overview of the ne 2 Everitt Robbins, and (Silberberg and Bolam, 2015, topic beyond scope of this review the and readers are referred A A receptor activation,receptor thereby giving to rise A receptors in the neurocircuitry of addiction addiction of neurocircuitry the in receptors - gradient appears to be maintained independent of KCC2. Intri A A receptor functionreceptor is not unique to dr A A receptor-mediated signalshas beendescribed for epilep arily, glutamatergicarily, inputs originating in specific structu al., 2015, Kahle et al., 2016). Kahle et al., 2015, urocircuitry implicated in addi urocircuitry implicated - A ion to become net movement outwardly upon directed receptor function, mostnotably, phosphorylation receptor of the vable that similar molecular mechanisms may may mechanisms molecular similar that vable -dependent rats (Vargas-Perez et al., 2009), 2009), al., et (Vargas-Perez rats -dependent onal aspects of complex behaviours. Within behaviours. of complex aspects onal le is played by the NAcc, which receives whichplayedreceives le is by the NAcc, ing the switch of the GABAergic signal from implicated in drug abuse and dependence is ou et al., 2012, Barmashenko et al., 2011, 2011, al., et Barmashenko 2012, ou al., et areas. This areas. information is in integrated neuronaldepolarisation (Taylor al.,et offer an opportunity for a selective anoffer opportunity for a selective to comprehensive reviews on this of mesocorticolimbic the system ug addiction as a similar switch in switch in a similar as addiction ug DA neurons, where an inwardly where neurons, DA ed expression of the K GABA 013, Koob and Volkow, 2010). 2010). Volkow, and Koob 013, ortant role played by - role played by ortant ctive behaviours will be briefly briefly be will behaviours ctive eurons projecting from the eurons projecting from the A receptor function receptor and ue ue of specific rewards, guingly, guingly, this type + sy andsy Cl - co- res, res, Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This

shown in Fig 3. in Fig shown distinct GABA distinct motivational little atte received had pathways specific behaviouraloutputs. Nevertheless, until pathwaysthese (Fig offering 3), a point of re Partanen, 2015). Accordingly, GABA Accordingly, 2015). Partanen, and substa dorsal striatum the VTA, notably and a variety of in interneurons the in located approximately neuronsNAcc 97%of (both the pr role as plays fundamentalGABA a assembly, striato-nigral and the indirect striato-pallidal routes. Withi output to adjusted the inputs received, than themselves rather the positive or negative events (Schul toadapting provide the corresponding activity response to unexpected events with negati towith unexpected events positiveresponse va midbrain VTA. ventral DA These neurons have implicbeen cellular domains, suggesting the possibility of a the possibility spatially cellular domains, suggesting MSNs and 2) the expression1) of relevance within the context addiction of drug functionreceptor in the motivational neuroc α but populationsin in specific of also MSNs, studies, the role. receptorAmongst additional isoformsrole. by inferred noted that al et Lingford-Hughes 2000, al., et Pirker 2012, representationGABA of the A schematic, striatum. into areas from these projections populationsof cortical, hippocampal and amygda 1 β 2 isoforms isoforms 2 in and dorsal NAcc striatum and in VTA pl MSNs, α α 5 A 2 β receptor isoforms are expressed expressed are with isoforms receptor β α 2 and2 2 2 and and 2 α β 4 β 2 isoforms2 within synaptic and extrasynaptic cellular domains α subtype localizationwithexclusively extrasynaptic no its 2 β α A 1 1 prominentsubtypes1 are and in amygdala the NAcc (Kalk al. et receptorimportancecircuits isoformsof within in addi β 2 isoforms2 additionally are expressed within neuronal A receptors are expressed at locationswithin at significant expressed are receptors via terneurons in the NAcc (Maguire et al., 2014). et 2014). terneurons in the NAcc al., (Maguire ntia nigra and Han, and(Walsh Morello 2014, two the so-calledpathways, classical direct terconnected input and output regions, most gulation for neuronal function and, thereby, to environmental predictingcues such events ircuitry. Amongst the isoforms of particular ircuitry. the isoformsparticular Amongst of ve (aversive valence events), and rapidly ntion. In commonwith other brain circuits, (see Section the functionally 2) are detected recently, this fundamental fundamental recently, role of GABA this in ., 2012, Wisden Wisden al.,et ., 2012, 1992). It should be the the principal neurotransmitter utilisedby incipal neurons, MSNs,incipal neurons, and interneurons), la areas theywhere are likely to influence lence (rewards),lence or decreasing activity in in specific neuronal populations and

in situ controlled regulation of GABA controlled regulation tz, 2016). The NAcc encodes an The NAcc 2016). tz, and/or immunohistochemical ated as increasing activity in n this complex neuronal ay ay a separate important albeit not exhaustive, not exhaustive, albeit t only in only in t of NAcc ction is ction is A , ,

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Many of GABA studies self-administration Benzodiazepine 3.1.1 (functional forselectivity administered significantly above vehicle in monke levels self-administer an drugs.groups of In a second experiment,two compounds included ,which showspreferential 201 al., et (Shinday intravenous self-administration maintain receptors (' α va that compounds novel of The availability The mechanisms underlying the abuse-relate GABA 3.1 Figure 3 (a compound with functional(a some forselectivity baseline, but not under a cocaine baseline over α benzodiazepines. In a complex of series find humans. In particular, drugs acting at the benzodiazepin the at acting drugs particular, In humans. evaluate abuse potential of novel compounds in development a particular contribution to this area. receptors to have a critical role. role. critical to a have receptors studies several However, opiates,suggest or alcohol. understood, and may a quite represent different substances at particular of GABA subtypes have a reputation for abuse, which potentially 5 subunit-containing5 GABA 1-GABA A A Rs is sufficient, but not necessary, for but not necessary, sufficient, is Rs ReceptorsReward and Drug α 1-sparing compounds') has allowed investigations of investigations has allowed the compounds') 1-sparing A receptor subtypes receptor by the ne motivatedbeen have andreward α A receptors but lack at efficacy 2, 2, d the cocaine.other The α 3 and3 A ry withry to respect intrinsic efficacy at α receptor. The receptor. group ofRowlett James has made 5--GABA ings, the group concluded that stimulation of monkeys used, one were previously trained to d effects of benzodia the the tested.dose ranges Importantly, TP003 type of drug abuse from psychostimulants,type of drug mediation of the abuse potentialthese of may be attributablean to action of such α 3-containing receptors) had significant A Rs), and nonselective conventional α binding to binding e binding site of GABA site binding e 1-sparing compounds self- were ys trainedys under a midazolam α 3, Rowlett et al., 2005). These 2005). These al., et Rowlett 3, α 1 subunit-containing GABA subunit-containing 1 1 subunit-containing1 GABA for therapeutic use in α ir ir differential ability to zepines are notzepines are well 1-GABARs; L-838,417 L-838,417 1-GABARs; α A receptors receptors 2, 2, α 3, and and 3, edto A A A

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Although animal self-administration studies studies Although animal self-administration model general very A mechanisms of drug abuse 3.2 GABA 3.2 2008). possess significant maythat also TP003 activity worth noting involvedpsychostimulant be may and in ben neural systems) administration. While these studies that suggest different G ofhistory a in animals compoundstype with GABA monkeys with a history of stimulant self-administration, wher role in the reinforcingreceptors a have may benzodiazepine receptor agonists. The authors suggest that at lower levels albeit reinforcing effects, and current motivational state ( from the intrinsic “rewarding” nature of the dr classesof psychological function,which one of conce only of some whichmay contribute to be to consider genetic contributions to diff many different to ways the developmentaddiction. mor A of alcohol may come about in different ways. Clea alread it has as while, processes, brain different and to drug dependence. Furthermore, addict underlying andpsychologicalconstructs, their mec brain have treated addiction more oras less a unitary concept, it contribute to drug abuse and addictive behaviour in humans drug abuse, failthey to consider many aspe subject to control by higher order functions order impul to control (low higher subject by might contribute in a very large number large very in a contribute might (Volkow al., et Clearly2004)). even within su A receptors may be important mediators of the reinforcing e reinforcing the of mediators important may be receptors A Receptors and processes reward-seekiwith associated e.g. deprived any single individual’s addiction. of output. to ways the behavioural possess considerable “face validity” for human human for possess “face validity” considerable erent aspects of addiction-related behaviour, behaviour, addiction-related of aspects erent vs. cts cts of behaviour and brain function that may effects of benzodiazepine-typeeffects compounds in of self-administration than non-selective ug, memoryof ug, past experience with the drug, ch an oversimplified system, gene variations y been hinted,been y addiction drug like to a single rly, then, genetic makeup may contribute may makeup genetic then, inrly, ions to different drugs may involve rather satiated))while the output this system of is holds that we toneed consider two broad sedative-anxiolytic/benzodiazepineself- rns motivation to obtain drug (resultingrns motivation to obtain drug sivity, restraint, restraint, sivity, hanisms contribute to drug abuse, to drug contribute hanisms zodiazepine it is reinforcement, e profitable e approach thus may . Indeed, although thus far we α at ABA is clear that many different 1 subunit-containing1 GABA eas eas α ng ng ffects of benzodiazepine- ffects 1-GABA A A -receptors (and hence hence (and -receptors α 3 subunit-containing etc A Rs (Peden al.,et . (see .Fig (see and 4 A

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This thresholds dose at the highest animals, of diazepam in these w ( to benzodiazepines insensitive ofdiazepam-facilitation ICSS withbyinteracting accumbal GABA Rudolph colleagues postulated and that benzodia of methamphetami effects facilitatory agonistinverse at benzodiazepine receptors, howeve be different.drugs may Note, of the two Invernizzi etthat the indicating al., 1991), me and Impera (Di Chiara concentrations DA decreasing diazepam havecocaine opposite on effects extracellular in DA the effe with 1985) comparable Liebman, al., 1986, benzodiazepine receptor simila ligands) possess understood observations are drugs facilitating that transmiss and (Phillips intracranial self-stimulation transmission in pathways DA (amphetamines, cocaine, are pathways, especially ICSS to likely support “reward”. It has been known that for decades areas within, conclusion that such stimulation area activates preceding the is stimulation strengthened), leading to the self-stimulation; ICSS). By definition, such electrical instrumental in tasks order to deliver electrical It has been the work known since of (Olds In we the next different willsection consider modulation of the authors interpreted to that mean diazepam aversive even may w be 3.2.1 Brain stimulation reward stimulation Brain 3.2.1 to which current knowledgeto which current allows us to impute functional particular functions that might contribute to addictive beha to addictive contribute that might functions particular α 2-GABA A was indeed absent when indeed absent was receptors. However, preventing benzodiazepine sensitiv α 2(H101R) mice) (Reynolds et al., 2012). Indeed, reward Indeed, mice) (Reynolds et 2012). al., 2(H101R) A receptors expressing ne on ICSS (Tracy et al., 2016). al., et ne on ICSS (Tracy Fibiger, 1973, Herberg et al., 1976). Less well well Less 1976). al., et Herberg 1973, Fibiger, and Milner, 1954) that mammals will perform perform mammals will that and Milner, 1954) chanism of action for the “rewarding chanism of effects” for the action aspects of the overall aspects of overall the (Crow, 1972), and that drugs that facilitate that facilitate that (Crow, drugs and 1972), impulses to braincertain impulses (intracranial areas s of the brain integral to the perception of ct sizes (Straub et al., 2010). Diazepam and Diazepam ct (Straub al., et 2010). sizes R o 1 5 - 4 5 1 3 , i s a b l e t o a n t a g o n i s e t h e r propertiesr in enhancing ICSS (Herberg et zepines might achieve their effects on ICSS r, thatr, a recent report indicates that an stimulation is reinforcing (behaviour α etc NAcc, with cocaine increasing and 2-containing receptors were made made were 2-containing receptors viour. viour. ) also facilitate) performancefor α 2 subunits, andsubunits, that 2 showed easy (but possibly mistaken) or interacting with brain DA ion at GABA ion at to, 1988, Finlay et al., 1992, 1992, al., et Finlay 1988, to, roles for GABA as increased, which the system, and the extent extent the system, and ithout the positive ithout the positive A receptors ( A genes in genes ity at i.e.

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This The VTA projections to and the NAcc, associated neural ci “reward” Dissecting 3.2.2 benzodiazepines. GABA specifically in accumbens, using virally-medi further also foundthisstep,in mice in was effect latter w ability to facilitate properties of the rewarding consistentchoiceexperiment, with lo bottle also consumed less midazolam than WT mice when it was pres benzodiazepine, midazolam,also In a subsequent report et al., (Engin the Rudolph2014), effectivenessthe of (Tanarea et tegmental inreceptors ventral participation in transmission GABAergic in Rudolph al., 2010), andcolleagues attribute the involvem GABA effects in manipulationcorresponding of α aspects, so that is DA frequently(and uncritica review). Themesolimbic pathways DA have been ascribed as “incentive” such constructs psychological usedothers the looselywhilea ran to cover is for term occurrences a particular s whenbehaviour, follow that, they dimensionsof such as feelings euphoria, or of relaxati sometimes used as synonymous with pleasure subjective ascribed tothem.In the context of explanat pathways,“reward” whatis frequently unclear though it parti 2-GABA A A receptors inthe are NAcc involvedat leastsome in rewa a significant makes receptors contribution to A α receptors was not unique in altering ICSS reward thresh 1(H101R) mice were reduced. On reduced. 1(H101R) the basis were mice of previou α 1(H101R) manipulation. manipulation. 1(H101R) α 3 also3 abolished the effects of diazepam, while diazepam’s failed to facilitatefailed to ICSS in whileNAcc, the action of diazepam at ated knockdown. These findingsimply that (see (Salamone and Correa, 2012) for a critical a for 2012) Correa, and (Salamone (see sucrose) in the mutant mice. In an important ss of midazolam’s (or effects rewarding ss its lly) referred to as the “reward transmitter”. ions of drug abuse, the term “reward” is the term drug abuse, of ions al., 2010) is speculated to explain the the to explain speculated is 2010) al., GABAergic inhibition in NAcc (Dixon et on), sometimesa synonym on), as for a centralrole insignalling these α (whichseveral itself have may rcuits are often referred to as group confirmedgroup another that ge of more carefully ofdefined more ge ent of the the ent of 2(H101R) mice. These animals animals These mice. 2(H101R) trengthen it ( ented withented sucrose in a two- hich s workthat showing s rd-relatedproperties of cular functionbeing is α 2 had been 2 deleted α 2 subunit to its to its subunit 2 i.e. olds, and the reinforcers), α 1-GABA α α 2- 2- A

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Current knowledge suggests that information regarding ince with each other for control over behaviour, behaviour, over for control other each with underlying this integrative process is fundame Un behaviour. motivated express that systems output ganglia the information provided by glutamatergicinput theUnder influence of dopaminergic inputs fr constitute and the only output from the nucl GABAer the of dendrites synapse on the that from prefrontal projections glutamatergic

Two rigorous more considerations of functi DA 3.2.3 The role of GABA of role The 3.2.3 glutamatergic and dopaminergic dopaminergic and glutamatergic signals? biologically valuable events ( events valuable biologically thatholdsoccurs first release DA a pulse of in addiction frequentlyare co Studiesof function GABA easily slipped have in and biologically valuable events ( events valuable biologically and learning associations between otherwise neutral environme al., 1997). In that context, has DA been referred to as a “ soon shifts to environmental stimuli that precede (and thus worth considering how be involveworth may systems GABAergic considering approach to understandingventral striatalfuncti Cag Cagniard 2014, al., et 2006b, al., et Hart al., 2016, function,while tonic mayrelease act to energise rough distinction, phasic DA release has been suggested (S (see of motivation aspects proposed to energise goal-directed behaviours, is anrelease important consequence. Secondly, relea DA association must occur somewhere other thanwithin the sy DA A receptors within mesolimbic pathways: a hub for in hub a pathways: mesolimbic within receptors alamone and Correa, 2012) for a review). In keeping wi keeping In review). a for 2012) Correa, and alamone nsidered in termsnsidered in of to modulate their ability “reward”. e.g. unexpectedlyobtaining a piec e.g . dinner), though, in reality the learning. dinner), though, in of that yet yet knowwe of little its detailed mechanism. cortex, thalamus,cortex, hippocampus and amygdala eus (Tepper et al., 2008, Tepper et al., 2007). 2007). al., et Tepper eus (Tepper 2008, al., et gic MSNs that make up 95% of NAcc neuronsNAcc thatof gic MSNs make up 95% in the context of unexpected occurrence of on worth are considering in this context. The ntal to how describing motivations compete to this thinking, so that to this thinking, so GABAergic influences om the VTA, these MSNs sort and prioritise s and project thes output integrated to basal selected goal-directed behaviour(Hamid et i.e., on, and its roleon, and its in addictions, then it is to form the biological basiscertain of niard et al., 2006a). If this is a useful is a useful this If niard al., et 2006a). se within the NAcc has long within has se been the NAcc to perform the “teaching signal” d. ntive cues reaches the NAcc ntal events ( predict) such (Schultz events et teaching signal”, involvedin derstanding the mechanisms mechanisms the derstanding stem, butstem, one whichfor DA e of food), but this pulse pulse this but food), ofe e.g . a dinner gong) tegration of tegration th that that th via

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This In principle, GABA Irrespective, the modulatory effects of onDA the glutamater To a considerable stri extent, Firstly, within the striatum, MSNs receive twoFirstly,within of types GAB receive thestriatum, MSNs dorsal striatum exhibit do this not challenged by the demonstrationoutputs inthat, mice, from v toprojecting theVTA (indirect pathway). this [Note, str pallidum humans), in to they inhibitwhere a further serve projec MSNs D2R NAcc, to the projecting bodies onto pathway), synapsing interneuronsGABAergic that themselv their output pathways: whereas D1R-MSNs project largely direc dopamine D1 or D2 receptors (D1R or D2R), fashion to thefunction expressedreceptors within this circuit Section (See 3 an output contributing to Thus behaviour. thedetermine probability of anindividual MSN firing an (Nicola et al., 2004). The integrated sum of such interac signal-to-noise the ratio for glutamatergic 2007).ac DA al., et usually inhibitory (Surmeier activated,receptor D1R and/or with D2R, acti D1- and D2-MSNs projectD1- and from NAcc D2-MSNs thus, induces DA depolarisation further been tosuggested depend upon the state of modulate ability the awake DA’s to (Mahon alet rodents 2006), al., et complexity (Kupchik of level higher directlyD2-MSNs output innervate neurons of and Grace, 1995, West and Grace, 2002, O'Donnell et al., et O'Donnell 2002, Grace, and 1995, West Grace, and hyperpolarisation when the membrane is in the hyperpolari depolarised by glutamatergic i A receptors receptors may influence the function of the basal ganglia. ganglia. basal the of nputs (up-state), but has no or mayeffect, contribute fur atal can MSNs be differentiatedas expressing either the strict anatomical segregation of D1R strict anatomical segregation via via the indirect pathway and similarly, both D1- and whenD1 receptors the local membrane is partly 2015). Although challenged by some reports challenged 2015). Although in , variants within, and manipulation of variants GABA, vation of D1R being usua D1R being of vation polarisationdendritic the MSN membrane; of cortical, amygdala and hippocampal inputs and D1R- and MSNs differ in D2R-expressing ting through D1Rs may to increasethus serve t in rodents to the ventral pallidum (external (external pallidum to the ventral in rodents t the basal ganglia, the basal thus adding a significant and Fig 5) may contribute in a complex action potential, and thus providing 1999). ing of the systemin several ways. tions across its dendritic tree will ict dichotomy has been recently Aergic inhibitory1) 5): Aergic inputs (Fig gic inputs are a function of the sed “down-state” (O'Donnell GABAergic output pathway

entral ( es inhibites neuronDA cell glutamatergic inputhas tly to the VTA (direct lly excitatory and D2R vs D2R MSNs as both as D2R MSNs i.e. NAcc) NAcc) but not ther ther A

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Importantly for the consequencesImportantlyfor the of GABA al., 2008). 2008). al., de local affect willinhibition strongly lateral be bestmay suited to influence action potential generation Thus 2002). interneurons al., fast-spiking et (Tunstall suggesting that the synaptic GABA suggesting studies support a role as inputfor integratorsMSNs over inhibitory acti net shunting yield a invariably activation of an sustained whereas role, GABAergicsynaptic inputs are clearly best suited Alternatively, the shunting rise give actions will of GABA (Plenz ms; (~50-60 frame time an appropriate within signal facilitateaction if temp potential generation under particular circumstances, Thus, 2014). somatic from the fast-spiking interneurons is consider Wils 2002, al., et (Tunstall MSNs neighbouring 450 about collaterals from neighbouring with MSNs, indi and 2) a lateral inhibitory input largely loca MSN each targeting the somata of connections 100 approximately fast-spiking the (parvalbumin-expressing) interneurons a feed-forward inhibitory pathway a rangefrom of GABAergic to increaseto or decrease, outwards and therefore depolarising (Czubayko and Plenz, 2 and Plenz, (Czubayko and therefore depolarising outwards negative membrane potential (Vm) (approximat potential for Cl associate with micromolar concentrations of DA concentrations of andDA primarilytarget ex of neurons, DA pattern phasic as tonic firing would give al.,et 2007). Furthermore, the overall GABAer and hippocamp cortical glutamatergic of window vs. dendritic location, and because of the - , meaning the net meaning , the Cl via respecti D1R or D2R activation A - R activation may fine tune the modulatory action of DA movement through GABA A R activation, at rest MSNs exhibitMSNs a R activation, at rest significantly ndritic includingprocesses plasticity (Tepper et orally coupled with an incomingglutamatergic on (Song et al., 2011). Interestingly, modelling modelling Interestingly, al.,et 2011). on (Song ted on the dendritic tree, through recurrent trasynaptic sites, whereas burst trasynaptic firing would burst whereas sites, ably both stronger, because of the proximal vidual MSNs thought to receive MSNs thought to receive vidual inputs from extrasynaptic GABAergicconductance will a GABAergic signal can be excitatory, and be excitatory, can and signal a GABAergic gic effect maybe dependent on the firing and would be restricted largely to synapticbe restricted and would ely -85-90 -85-90 ely mV), which is to serve a potentially facilitating excitatory al (Braccial inputs Moyer and 2006, Panzeri, high degree of synchronization amongstsynchronization of high degree the feed-forward inhibitory pathway pathway inhibitory the feed-forward to a net inhibitory effect. Transient, provide the strongest inputprovide the with strongest on, 2007). Of the two inputs, that inputs, two the Of 2007). on, , 2003, Bracci and Panzeri, 2006). and 2006). Panzeri, Bracci 2003, , at the soma. On the hand,other 002, Plenz, 2003, Maguire et al., al., et Maguire 2003, Plenz, 002, vely, thetemporal integration a time a windowtime of ms, 40-60 interneurons, amongst which A R-associatedchannels will be rise to low nanomolar (Koos and Tepper, 1999); and 1999); Tepper, (Koos below the reversal reversal the below Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This A secondA means whereby may GABA influence the mesolim Although it is established that a variety variety of GABA Although it is establisheda that much known is regarding the receptor stoichiometry of G regulate GABAergic transmission within striatal typeswith both receptor DA et al., engenders 1999) (Wong ( F i g 3 ) .GABAergic regulation of the VTA cell bodies of I n t h i s c a s e , pathologically relevant will require additional experimental conditions and modalities under whichsuch in inputsof supports ones. the weaker at the expense stronger reciprocal fashion me to provide the filtering detected (Maguire et al., 2014). Thus, and DAGABA inmay to their dendritic regions where high levels of re for somatic here described to those mechanisms similar locations. as yet Although lack level of acts to DA), an brake mayreceptors under some circumstances ( MSNs (Maguire al., et suggesting po 2014), a by amphetamine) greatly enhanced GABAergic tonic inhibition,acute the activation of D1 rece butWT, not from selective positive allosteric modulator, greatly increased both the selective as MSNs NAcc of 2007) al., et Floresco Wightman, 2004, and (Phillips locations synaptic inhibitionsynaptic of MSNs is bymediated from each other.However,our electrophysiological studi feed-forwardand lateral inhibitory inhibitory Extrasynaptic inhibitionmediated by . . Lastly, of the presence both D1Ron and the presynaptic D2R knockout or knockout α 1-GABA e x c e s s i v e e x c i t a t o r y t o n e a t ing ing experimental itevidence, is tempting to thatspeculate A α Rs may play a predominant role (Tan et al., 2010) in in role (Tan 2010) et al., a predominant play may Rs 4 knockout mice (Maguire et et (Maguire mice knockout 4 α 4 β -GABA GABA e.g. projections, and whether/how may they differ chanism, canonically attributed to DA, which attributed to DA, canonically chanism, tential mechanism mechanism DA whereby tential acting at D1 α (both dorsal and ventral) circuits5). Fig (see ptors (by a selective D1 agonist or indirectly indirectly or agonist D1 selective a (by ptors A neuronsDA projecting to ventral striatum during burst firing mode resulting in high tonic inhibition in D1R-MSNs but not D2R- receptor agonist receptor gaboxadol, and DS2, a 2- 2- GABA A α A receptorsis also prominent thesoma in 2 but2 also R is subunits in expressed striatum, not teraction will be physiologically and the tonic current of all MSNs from A 2003, Arbuthnott and Wickens, Arbuthnott 2003, ABA gulation of MSNs, may also apply also may apply of MSNs, gulation receptors (Dixon et al., 2010). 2010). al., et (Dixon receptors evidence. es suggestes thatperhaps of 30% A detailedA understandingof the somatic or,somatic possibly, dendritic A α receptors responsive to the the ability to strategically abilityto strategically the 4 and and 4 al., 2014). Coupling DA and al., 2014). CouplingDA teract in teract a dynamic and bic is pathway, DA the varicosities of MSNs subunits, alsoare

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This A A major is task now to integrate this emergent in the st synapses VTA from release GABA Lastly,

striatum intounderstandingstriatum our the of role ofGABA (Trigo et al., 2008). In keeping with this possibility, possibility, with keeping this In al.,et 2008). (Trigo important role in determining final outputs (Brown et al., 2 al., et outputs (Brown final important role determining in influenceMSN over that control so activity, of extensive connect Although the infew number, (TANs), that employ acetylcholine transmitter their major ( as NAcc, and for behaviour, will thus be difficult to pred difficult be thus will behaviour, for and NAcc, The outcome of such isoforms.different receptor GABAergic inputs may to VTA be function of the combined al. reducing input DA (Xiao to the NAcc et isoforms presynaptically increased input the GABAergic to circumstances, GABA Stein, 1998). However, this interpretation is su GABAergic transmission at interneurons that i GABAergic hyperpolarising GABA voltametry studies have shown that activationof GABA studies that have shown voltametry Invernizz 1992, al., et Finlay 1988, and Imperato, Chiara benzodiazepines that facilitate GABAergic inhibi (Lees it disinhibition et al., 2012). Although

motivational learning raises the possibility th possibility the raises learning motivational GABA of subtypes several of location The section. next the in possibilities these consider We allowing specificmanipulation different as of 3.2.4 Striatal GABA Striatal 3.2.4 A R agonist muscimol into the VTA significantly muscimol into the VTA increased DA R agonist A receptors conditioned and reward A receptors receptors contributemay to depola α 1-GABA A Rs may to facilitateserve transmission DA by indirect A receptors receptors in pathways known to play a role in pects ofpects motivated (and addictive) behaviour. their activity by GABAergic inputs may play an may inputs activity by GABAergic their at they may play separate roles, potentially potentially roles, separate play may at they bject to complexity further as under specific understanding of GABAergic function understandingof GABAergic in the tion decrease DA turnover in accumbens (Di 2007). Thus, the net effect of net effect facilitating the Thus, 2007). is generally observed that drugs such as drugs such that observed generally is ions of TANS may allow them considerable TANSthem allowconsiderable ions of may riatum tonically will in nhibit the DA cells. Thus, facilitation of complex interactions for projections DA to A ict. ict. receptors inaddictive processes. muscimol acting at muscimol acting A Rs by direct administration of the 012). 012). risation at presynaptic locations risation at locations presynaptic i et al., 1991), fast-scan cyclic fast-scancyclic 1991), al., i et but also co-release glutamate).but also co-release the VTA, thus potentially the VTA, or selective activation of release (Xi in and the NAcc activate interneuronsactivate α 4 β receptor Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This

In a less-well definedrewardle of measure ac in deficits above, outlined As Only a limited number of studies appear toinvestigate have alpha1 3.2.4.1 reward-related behaviour. motivation thoughsimilar models, in subunit in the dorsal striatum (but amygdala or hippnot PFC, colleaguesselective have a revealed transient down regu hyperlocomotion in the psychostimulants cocain despite 2003a) conditioned (CPP) place preference was unaltered in the unawarestudies of investigating the role of other GABA 201 al., (Butkovichareas et in these lesions ofeffects various discrete depletions of the which required to particularobtain are responses et al., 2013)). 2013)). al., et with subsequent pharmacological manipulations of selective historyto differenttype of exposure of addictive drugs formation of reward-environment associations study role an important highlights for to prevent methamphetamine-induced CPP format of the striatum administration selective GABA conditioned to the place did not show such changes. These conditioned to methamphetamine; in control which drugrats A receptors in receptors the formation of drug reward α 1knockout mice. Intriguingly, using a CPPrat model, Jiao tion-outcomeassociation learning ( α 1 subunit1 in consistent prefrontal cortex, with known these wouldextremely be valuable. α α 1- GABA 1- 1-GABA e and d-amphetamine failing to induce failing ande d-amphetamine arning, the abilityarning, of cocaine to support . Yet, it remains to be addressedit remains how . Yet, a A A memory intra-(dorsal) in agreement, and, specific rewards) are found in mice with r e c e p t o r s i n t h e d o r s a l s t r i a t u m i n t h e R PAM, zolpidemR PAM, beforepairing was able ional.,(Jiao et 2016). Collectively,the e.g. 5, Swanson et al., 2015). We are are We 2015). Swanson al., et 5, A A α receptor subtypes on reward and 1 knockout mice (Reynolds et al., al., et (Reynolds mice knockout 1 opiates rolefindings a for suggest lation of the GABA d therole of d A ocampus) of rats place- vs. administration was notadministration was R isoforms (see (Shinday (Shinday (see isoforms R i.e., cocaine, may interact the ability to learn to learn the ability α 1 (but1 not α 1 subunits in subunits 1 and and α α 2) 1- Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This

effect on conditioned reinforc on conditioned effect contrast to the effects manipu of DA and it (Kelley De facilitate neurotransmission disrupt the behaviour striatum conditioned reinforcement, and again,manipula consequence having pairedbeen availability. Thwith food thearbitrarydelivery). Thus cue has acquired reinfor learn anarbitrary instrumental response that Once animals have learned the association between the cue Since DA projections to ventral striatum their influe exert alpha2 3.2.4.2 MSN MSN excitability, appearnotinto the “teaching play a role si receptors incorporating the That animals readily learn that arbitrary envi of GABA of In cont 2002). (Parkinson al., et training discriminated approach of regardless whether th leadingNAcc, to approximately 80% reductions in tissue DA with In keeping tracking). the teaching signal 2010), strongly suggesting that th that suggesting strongly 2010), functions ascribedby be affected to may DA functions with major GABAergic projection neurons, the it light onset,waiting for without food (so-called delivery rod hungry a receptacle, into delivered is food before function mentioned above. Thus, if an arbitrary stim light conditioning, the ofand forms basis Pavlovian forthcoming availability of food, their and adapt behaviour A receptors show no impairment in acquiring discrimin α 2 subunit,2 their important despite contribution to decreasing ement (Dixonement Duka et GAB al.,et 2010, al., 2015). Thus, (Beninger and Phillips, 1980) while drugs that facilitate that facilitate drugs while and(Beninger 1980) Phillips, ese receptors are not involved in motivational learning. ese learning. not are involvedreceptors in motivational lations, constitutive deletion of deletion lations, constitutive rast, mice with constitutive knockout of with mice constitutive knockout rast, modulating striatal GABAergicmodulating receptors. striatal hypothesis, 6-hydroxydopamine lesions of the ronmental stimuli can be used to predict the lfs, 1991a, Kelley and Delfs, 1991b). Again in Again 1991b). and Delfs, Kelley 1991a, lfs, theactivates cue (without activating food is worth considering what aspects of those of what aspects those is worth considering of the“teaching signal” hypothesis of DA tions that interrupt function DA in ventral e e lesion is priormade or subsequentto, to ents soon approach the receptacle at at receptacle the approach soon ents cing properties of its own as a own properties of its cing as discriminated approach,discriminated or goal nce onnce behaviour by interacting ulus (cue) is illuminated shortly accordingly, is classicaccordingly,a example is is phenomenonis is known as gnal” aspects of receptorDA and food delivery, they will ated ated approach (Dixon et al., , profoundly impair α 2 receptors has receptors2 no has α 2 subunits2 DA DA A A

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This (Duka et al., 2015) fail to fail increase to 2015) (Duka al., et obtain conditioned reinforcers, but e both cocaine (Dixon psychostimulant mentioned, already as of DA; receptors are important, the effectiveness of constitutive knockout mice do not inform not do mice constitutive knockout were attributablewere to when was the infused intodrug the ventral striatum, sugg the stimulant ef Importantly, to co showing cross-sensitisation right, such sensitisation facilitated the stimulant effects of cocaine, an GABA role for In with keeping a In contrast, or (Dixon al., et 2014), or cocaine inmice learning an operant response to obtain the deletionon reward-associated learning, et 2010) al., (Stephens be complex CPP can experiments in shows no impairment r “conditioned of measure another Furthermore, function. suggests that not only are that not only are suggests 2006). and Merrer Stephens, (Parkinson et incentive learning facilitating andbehaviours, both phenomena hypothesized are to contrib behavioural sensitisation may an interactionreflect of psych psychostimulant-facili Both 2008). al., et th of administration to repeated sensitisation behavioural ability to increase locomotor activity in in locomotor activity increase to ability conditionedreinforcers. related Perhaps to A receptors, achieved using Ro α 2-GABA A receptors seemsan important to play role in the energisi α 2-GABA α α 2 knockout2 2 subunits in behavioural sensitisation, selective activationselective in behavioural sensitisation, subunits 2 α 2-GABA fects of Ro 15-4513 inthe (Dixon et alcohol al., 2012). A receptors in receptors in this region.experiments While the lever pressing, or nose-poking by by nose-poking or pressing, lever A receptors appropriately receptors located in ventral striatum to

mice (Dixon et al., 2010). Although interpretation of of interpretation Although al.,et 2010). (Dixon mice 15-4513's agonist agonist 15-4513's us regarding us precise the area in which α al., 1999, Robinson and Berridge, 1993, Le Le 1993, Berridge, and Robinson 1999, al., 2 knockout mice, they do not give rise to rise dothey not give mice, knockout 2 tation of conditioned reinforcement and reinforcement and conditioned of tation d induced behavioural sensitisation in its own α this, while psychostimulants show a normal whilethis, food (Dixon et al., 2014, Dixon et al., 2012), Dixon al., et 2014, al., et food 2012), (Dixon 2 knockout2 drugs facilitatedrugs instrumental responding to drug injection into striatum the ventral , in keeping with a lack of effects of with keeping a lack of in effects , e drug (Dixon et al., 2010, Morris Morris 2010, al., (Dixon et drug e t al., 2010) and methylphenidate methylphenidate t al., and 2010) α esting strongly that effects these

properties in in properties animals do not differ from do animals WT 2(H101R) were mice also seen eward”, CPP to cocaine, also also to cocaine, CPP eward”, caine caine (Morris et 2008). al., ostimulants ostimulants with conditioned ute to drug abuseby α 2 knockout2 α 2(H101R) mice, ng aspects α

mice for for mice 2-GABA of α 2- A

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This α conditioned by ps drug-seeking That these observationsThat from resulted Similar to the constitutive alpha4 3.2.4.3 may functions inwhether D1 distinct they serve consequences of cocaine. Thus, influence addiction-related behaviours,their reinforcers reinforcers in WT (but not though this treatment reduced cocaine potentiation of respond gaboxadol, into the NAcc, no effect on respo α4βδ toserve inhibit motivationobtain co to that toni (Macpherson suggesting al., et 2016), littermates in learning to approach the food level of responding in the responding oflevel both Similarly, 2016). (Macpherson al., et elicit presentation of the cues the cues presentation of elicit contrast to conditioned reinforcement. However, in comp by infusion of an Ad-sh control and directly into ventral striatum (Macpherson alet food-predictive properties of the CS+. Similarly, the showed increased instrumental responding for the conditio responding for the conditioned reinforcer equa of cocaine dose Administration reinforcer. responding, were they suggesting more hi 4-GABA receptors ofreceptors were WT mice activated by local infusion o A receptors (see (see receptors below). section 3.2.4.3 α α 2 knockout 2 4-subunit viral knockdown demonsviral 4-subunit mice α 4 adenovirus,4 scrambled se but not an adenovirus a carrying

mice), mice), α α 4 α 2

knockout- mice). mice). knockout- 4 knockout mice, mice, knockout

knockout ychostimulant although it at present is not known drugs α α 4-knockout displayed mice higher levels of instrument 2-GABA via nose-poke demonstratingthus responding, robust α 4 deletion specifically in ventral striatum was shown striatum was ventral specifically in deletion 4

mice being maintained across the cocaine doses A α receptors may be involved in the facilitation of of involved in may the facilitation be receptors chamber following the onset of a predictive cue predictive cue of a onset followingchamber the 4 knockout 4 nding for the conditioned seen, was reinforcer α ghly to obtain motivated the conditioned c GABAergic inhibition of MSNs may normally may inhibition GABAergic c of MSNs nditioned reinforcement. However, when 4 knockout 4 ., 2016); as with constitutive knockout mice, knockout as mice, with ., 2016); constitutive manipulation influenc manipulation

vs lly the heightenedboth across genotypes, arison to their WT counterparts (and in arison to (and in their WT counterparts -dependently potentiated instrumental-dependently potentiated D2 MSNs as appears to be the case for

trated an equaltrated the ability to learn and WT mice accurately learned to α 4-subunit viral knockdown mice

mice do not differ from their WT WT from their differ do not mice f the ned reinforcers relative to α4βδ ing for conditioned es the motivationales -preferring agonist, quence, quence, al Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This These dataThese suggest some similarities, an

administered systemically, or directly into the NAcc of W administered of NAcc systemically, or directly into the cocaine-CPP (Maguire facilitated Howev 2014). al., et expression (Maguire of cocaine-CPP Like ofFinally, the deletion specific enhance CPP. In contrast, enhance CPP.In contrast, knockout

GABA subunit deletion, suppression of deletion was limited was to D2R-expre deletion responding for the conditioned reinforcer. Since simi of cocaine to increase responding; th instead, involved in the prediction error/teaching sign predictionerror/teaching involved in the α gaboxadolof cocaine-potentiated attenuation the constitutive CR knockout, potentiating impairing transmission at responding for a conditioned reinforcer and mediated knockdown (Rewal et al., 2012). al., (Rewal et knockdown 2012). mediated conventional while reinforcers, responding 2012) al., et (Rewal rats in knockdown viral by or 2016) mice),butnot from D1R-expressing cells ( controls, providing that evidence further for the conditioned reinforcer. mediatedD1-MSNs notinhibition was involv of are involved in mediatingre involvedare instrumental learn the associationbetween reward, sugge the CS and food 4-GABA α A A 2 receptors.neither subtype Deletion had of

knockout mice, constitutive knockout constitutive mice,

A receptor-mediated inhibition receptor-mediated of D2R-ex mice, blockedmice, the ability of cocaine, ad α 4-GABAARs in4-GABAARs constitutive α 4 D2 α α et al., 2014). Furthermore, the Furthermore, 2014). et al., knockout 4-subunit D2R-expressing from DA cells ( 4 subunit expression had no expression consequences subunit 4 for the abili ssingappears neurons,that it α 4 d somedifferences functionsthe in of sponding for reward-conditioned cues.

knockout mice did not differ from WT in theirnot miceknockout differ from WT in did α α - 4 4-GABA D1 mice exhibited normal cocaine but CPP, no al function of the striatum. However, unlike However, striatum. the al function of for alcohol was decreased following virally- f responding and blocking intra-accumbal CRf responding. These data demonstrate that knockoutmice), mimicked the phenotype of e deletion was itself sufficient to was itselffacilitate sufficient deletion e ed in determining ed of the strength response its potentiation by cocaine. Importantly, its potentiationImportantly, cocaine. by consequences the animal’s for ability to A pressing neurons reduces instrumental neurons instrumental pressing reduces receptors specifically within the within the NAcc specifically receptors ministered during phase, the test to α 4 knockout4 (Macphersonmice al., et lar wereeffects found when the T, but not T, er er did not affect responding for for responding affect did not α sting that 4 D1 α4βδ knockout mice showed showed mice knockout α α agonist, gaboxadol, 4 4-GABA

α knockout or or knockout 4, like like 4, α 4 D2 α A A 4 and4 α receptor- knockout knockout 2, is not is not 2, α α 4 α 2- ty ty D1 2 2 Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Determining the role of GABA GABAergic Integrating 3.2.5 psychostimulants and thereby influence their ability to po MSNs provides intrinsican mechanism to differenti In conclusion, interactions between DA and GABAergic ton behaviour, while similar inhibition tonic inhibition of to weakenD1R-MSNs serves Nevertheless, collectively, observations these suggest that indirect output pathwaysvalidtonobelonger for the m report the recent the demonstrating segregation of D1R D2 and (Maguire enhancement et 2014) al., function is competitive in but nature, also function window inhibition. for This proposal is consistent with desynch because possibly desynchronised, themselves, feed-forward would be most inhibition when effective fas targeting inhibition of the non-synchronised significant increase in inputs. Feed-forward in way, lateral inhibition th could also constrain coordinated inputs, by silencingthe activity of to confer timing inof precision the the response neur the perspective, modelling From the al.,et 2014). i lateral roles ofputative of the understanding very recent such a investigation, utilising of attempts beenhave tomade model how thes connections, and the individual conductances at knowledge because of inputs.the However, s gainedfrom the ensemblesaccess of the complex striatal challenging because the currently available ex molecularand dysfunctio behavioural reward-related A A receptor-mediated signalling in the striatum has proved of D2R-MSNs has little effect. . These findings complex, are modelling approach has resulted in a better a better modellingresulted in approach has reveals the importancereveals of the latency of the , , the synchronisedover MSNs. Intriguingly, those MSNs notthat are synchronised. In this e e of the networkgain when even is a there nhibition and feed-forwardnhibition inhibition(Moyer the ability of cocaine to facilitate motivated the ability of cocaine to facilitate motivated network and their response to the cortical their response and network hibition would bytask aid specificallythis perimental approaches cannot adequately e factors interact may at a network level. A the single the single ancell level, increasing number specific task of lateral inhibition of task specific would be ally affect their excita ronised firing would afford a larger a larger afford would firing ronised tentiate conditioned reward. the long-held view that striatal ouse NAcc (Kupchikouse 2015).NAcc al.,et ic inhibition of D1R- and D2R- tudies oftudies both the anatomical onal ensembles onal ensembles to incoming α 4-GABA t-spiking interneurons are, t-spiking are, interneurons R to the direct and MSNs particularly in the light of A receptor-mediated bility in response tobility in response ns ns Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Addictive behaviours might then result from 4.1. Altered subjective effects of drugs Altered4.1. subjective genetic and human the animal studies 4. Integrating inputs (asinputs expectedwith a loss of defi a framework, In this prioritised. being ensembles (Maguire et al., 2014). Our comparative findings with mice (Maguire Our findings et comparative al., 2014). in D1R- or D2R-MSNs or both neuronalor sugges populations, both D2R-MSNs in D1R- or being active simultaneously. efficient shift between different actions, while also pre forwardwould inhibition facilitate both se associating the actionoutcome with itsrepresentation choice behavioural perspective. Thus,lateral inhibition with spiking would interneurons endow network the striatal ensemble “winner”of the competition.The c ensembles responsesof (ratherthan the ensemble the size predict as as predict impact feed-forward inhibitory inputs; however, th ensembles. On the other hand, a deficit in ensembles.hand,a deficit other Onthe would conceivably the gain alter of the stri D1R+ve MSN-mediated tonic inhibition ac inhibition tonic MSN-mediated D1R+ve mediatedeffect of feed-forward depende inhibition be may associated with a psychostimulant (M with a psychostimulant associated consequences may similarly apply to late and behavioural outcomes. similar A dichotomy albeit with D1R- or D2R-MSNs maybe activated byspecific cortical inp tempting to speculate that distinct fast-spi inhibition would appear to control motivation by chronic drug intake are warranted in the near future. future. near the in warranted are intake drug by chronic exploring su Studies to be elucidated. remains α 4-GABA A Rs are expressed on both fast-spiking interneurons and th α 2-GABA aguire et al., 2014). Yet, D2R-MSN D2R-MSN Yet, 2014). al., et aguire ral inhibitionwherethe role of D1R α 4-GABA ts to oppose an excessive tone, DA king interneuron populations targeting either ooperation between between ooperation lateral inhibitory and fast- A A lectionmost of the appropriate action and ch possibilities and how may they affected be receptor signalsin the of dendrites MSNs), would improve learning would improve actiona new and of atal outputtheatal MSN and bias output of increased probability of “addictive action” to obtain to obtain the reinforcing stimuli. It is e net effecte of such deletion is difficult to A A receptor-mediated tonic inhibitionmay

cit in inhibition from lateral inhibitory inhibitory lateral from inhibition in cit

venting venting competing actions from selectively lacking the ntonneuronalMSN type, the as a number of advantages froma a numberadvantages of t that the uts to elicit defined functional possibly possibly different behavioural s) inestablishing s) MSN the . On the other hand, feed- α 4-GABA e target target e MSNs vs vs α 4-mediated 4-mediated A D2R-MSNs D2R-MSNs receptor- α 4 signal signal 4 e.g. as Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This the GABRA2 gene. the GABRA2 Somegene. support for this interpretation c / expressiregion that changes the stability a tag but does not the proteinchange sequence. This and other creates SNP 2008). The rs299858 a inchange the associating risk variants with changed processing consistent with reduced inhibition of accumbe al., 2014), et GABRA2 of(Heitzeg rs279858 allele G risk in is enhanced anticipation reward during activation NAcc inreceptors brain, the andthrough this Integrating data fromanimalhuman and is hiexperiments often animal findings with geneti subunits, might such risk variants behaviouralhave effect carr (risk allele) allele rs279858*C that 2015) al., et (Lieberman showing high density of humans translateinto for addictions risk are notundersto by which mechanisms The variat neurobiological human gene-variants conferring increased humanconferring gene-variants by psychostimulants.Neveofto facilitation reward-seeking s reward control over to contribute to thought but al., 2010), by (Dixon et about 30% (MSNs) inhibitory phasic GABAergic reduces only As discussed above, deletion of discussed As deletion above, and BerridgRobinsonaddiction (Robbins and2007, Everitt, and with reward associated area a brain 2000), conditioned reinforcer inmicewith ability of the psychostimulant, methylphenidate, a human version conditioned of the mouse reinforcement te different inexperimental measures the two sp α 2-GABA c deletion of the subunit? deletionc of the subunit? α α 2 mRNA is lower in neural cell lower cell cultures derived in is neural from mRNA 2 2-GABA A iers. If risk variants of GA variants iers. If risk receptors in the NAcc (Dixon in the NAcc et receptors α 2 subunit2 deletion, and humans α mechanism affect incentive learning. 2 subunit expression is inconclusive subunit2 is expression (Haughey et al., A receptors in the mouse receptors ( risk for addictionof expression alter currents incurrents accumbal medium spiny neurons ecies (Stephens et al., 2010). However, using (Stephensecies 2010).However, al., et motivation and implicated in drug abuse and in drug abuse implicated and motivation eeking (Dixon et al., 2010), and in particular eeking and 2010), in et al., particular (Dixon on of the mRNA and thus alter alter expression of on and of thus the mRNA also leads to altered function of systems systems leads tofunction altered of also to instrumental facilitate responding for a ions in non-coding regions of GABRA2 in triplet codon for amino acid residue 132, 132, residue acid for amino codon triplet suggesting an effect on incentive on an incentive effect suggesting e, 1993) provide a potential clue. a potential provide 1993) e, human adolescents carrying the carrying human adolescents intronic in SNPs the vicinity may rtheless, it unknownwhether is od. Clearly, the rodentClearly, od. studies ns MSNs, but direct evidence s ins humans that parallel the BRA2 reduce expression of of BRA2 expression reduce st, we we st, foundin similarities the omes fromomes a recent report al., 2010, Pirker et al., al., et Pirker 2010, al., carrying risk for alleles carrying α ndered by the use of 2

knockout mice) not α 2-GABA α 2 2 A

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Interestingly, in addition to loss of the abi of the inInterestingly, addition to loss Furthermore, comparedFurthermore, to subjects, heterozygous subjects proving) a lowered levelof a lowered proving) neuronal cell cultures derived from the corres Although this SNP differs from those thisused inAlthough most differs SNP from those studie one of th as in homozygosity rs279871 SNP of cocaine addiction (Duka al., et 2015). In our ex may be linked to not only alcohol rewardand alcohol-rel anticipation, the insula with activationreward in suggesting that enriched for alcoholism, (Kareken area tegmental ventral in the response areasin anfMRI study;contrast, the heterozygous in subje an increased response displayed at rs279871 allele common alle for the homozygous individuals lower had rs279836 and rs279828 rs279826, rs279845, of carriers keeping, In rs279858. of allele importance that SNP rs279858 is is rs279858 SNP importance that may area alone be driv in this genomic variations during anti reward impulsivity and 2006b) al., as (Enoch al., et 2010), and cocaine abuse 2005) al et (Covault populations of addicted studies linkage disequilibriumwith the rs279858, comm (Johnson Project from the 1000 Genomes in measures of positivemeasuresin such affect of as stimulat found subjective previous2014) studies decreased al., et 2005, and “arousal”. (Pierucci-Lagha Other responses to the specificallydrug, in rating reinforcement in the “risk”genotype,we alsofound mark GABRA α2 -GABA 2

polymorphisms found were linked to to be increased A associated with a reduced reduced with a associated receptors in rs279858 risk-allele carriers. carriers. risk-allele rs279858 in receptors the minor alleles for SNPs rs279858, rs279844, for SNPs rs279844, minor rs279858, alleles the lity of methylphenidate to lity of facilitate methylphenidate conditioned le at each SNP (Uha SNP each at le s of drug-induceds “stimulated” “restlessness”, et al., 2008) shows rs279871 to be in to 100% be in rs279871 shows 2008) et al., ion, vigour andin happiness, ofcarriers the C- ., 2004, Fehr et al., 2006, Lappalainen et al., al., et Lappalainen 2006, Fehr ., al., et 2004, periment, we used we possessionperiment, of allele G the ponding risk allele, consistent with (but not not (but with consistent allele, risk ponding e identifiers of a genetic “risk” population. of“risk” a genetic population. identifiers e well as childhood conduct disorder (Dick et disorder (Dick et conduct childhood well as ing our genotype differences. It is of thus cipation (Villafuerte et al., 2012). Thus 2012). Thus al., (Villafuerte et cipation et al., 2010). Finally, in a family sample in al., et 2010).Finally, family sample a Roh et al., 2011), but not all (Arias et al., on recognised SNP risk across multiple to alcohol-associated effects ofofeffects another abuse, alcohol, drug 'N s of s egative' alcohol effect scores than scores effect alcoholegative' ed changes in their ed changes subjective GABRA homozygousfor the high-risk atedcues, but to a general rt et al., 2013). 2013). al., et rt cts an displayed increased α GABRA 2 2 mRNA expression in 2, SNAP analysis of data analysis SNAP of data 2, cues in medial PFC PFC in medial cues 2

polymorphisms Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This

Such changes in reward-related behaviours precedemay the effects Personality 4.2 Taken together, these studies may sugg be be mediated by personality charac decreased likelihood and of an marrying, increa development of alcohol dependence, the high-risk status; while both betw relationship the of provided by a study is interaction factors leading to alcohol at a la dependence may impulsivity like characteristics or personality reward between associations Thus 2006b). al., et (Dick consistently apparent until but the mid-20s, dependence. An elevation in fo the risk 2012). al., et Villafuerte dysfunction of the reward system in alcohol-de theft,and vandalism) influenced that are neverthelessdevelopmentassociated with the primarilythandelinquent alcoholfor behaviour rather abus to “externalizing behaviours” as and include aggression and whichdisorders alcohol abus includes and drug r may control such in Impairments to reward. sensitivity in personality characteristicwith deficits is the the relationships between monitoring, and adaptive (Trucco both adverse et (GG, minor allele with GABRA2 adolescents in rs279858) and rs279826 (rs279827, variants influenced by parental monitoring.Recently, the Michigan negative consequences in adulthood, but also adolescent of association the shown have studies Several GABRA2 GABRA2 and marital status contributed marital status and independently to the teristics (Dick et al., 2006a). 2006a). al., et (Dick teristics variants and parental monitoring influences to seem be r alcoholr dependence associated with est thatest the primary association of s associated with behavioural control and with by both and genetic environmental factors. then remains constant throughout adulthood how externalising behaviourhow is adolescents in externalising rs279827) are most susceptible to parental to most susceptible are parental rs279827) ter One stage. example of such a potential e. Such impairments are sometimes referred sed likelihood of divorce, whichsed likelihood appearsof to pendent(Villafuerteal., subjects 2013, et GABRA al., 2016a, Trucco et al., 2016b). Although Although 2016b). Trucco al., et 2016a, al., of problematic alcohol of problematic and drug use, if adolescents were able to show that to show that were able adolescents GABRA2 2 risk haplotypes and haplotypes risk 2 sensitivity to een een eveal themselves in a variety of of a variety in themselves eveal e, e, interact with environmental environmental with interact externalizing behaviour with with behaviour externalizing (rule breaking variant is associated variant a with per se per GABRA2 group development of alcohol , the same variants are are variants the same , , examining genotype and family GABRA GABRA2 e.g., defiance, 2 variants variants 2 GABRA2 is not

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Regarding rewardsensitivity as a factor infl Such developmental may trajectories be the reason for apparen present the externalising behaviour was found to be less externalising behaviour was influenced bypare The association al., 2004). of et dependence (Edenberg associat previously that was found (rs279858), behavi persistently high externalising (Dick of age Import years al., et 2009). 22 but alsowhen declining measured in a cohort of children found to show of behaviour patterns persisting symptomatic Conduct Disorder, as well as less GABRA2 regarding and polymorphisms the presence of alc problematic alcoholis use develops) associatedvari with persistence of delinquent behaviour from early adolesce delinquent behaviour is in present mid-adol integrate these kinds ofa systematic observation into account.kindsthese integrate co of such receptors behavioural in involvement dependent on to that the of benzodiazepines evidence ability is conduct disorder deficits in individuals risk psychostimulant effects on control over rewa and individuals o of Our findings. allowintegration to an studies, animal thoughdirectly comparable measures have the animal literature, impaired control reward-seeki over (Dick et al., 2009). 2009). (Dick al., et α 2-containing receptors (Newman et al., 2015) is perhaps su is 2015) (Newman al., receptors et 2-containing α 2 knockout mice (Duka et al., 2015) point to commonalitie point to 2015) al., et (Duka mice knockout 2 our were more likely to carry thecarry likely to more were our uencing addictive behaviour, and returning to been seldom been outcarried in both human and escence (Trucco et al., 2014). Furthermore, Furthermore, 2014). al., (Trucco et escence severe behaviourssevere of delinquency, been have rd seeking, butrd seeking, how relatethese to human at present at present Similarly, for surmise. a matter antly, the individuals showing patterns of from adolescence adulthood, to young early ntal monitoring;ntal if parental monitoring was promote aggressive behaviour in mice is in is mice behaviour promoteaggressive ed with increased risk for adult alcohol alcohol ed with for increased risk adult ntrol. However, thereHowever, is much ntrol.to do to persistent. ants in the ants followed from 11 of age years to nce to young adulthood (when ng be may a common feature, wn studies in GABRA2 “risk” in GABRA2 “risk” studies wn

ohol dependence. Clinically GABRA2 tly contradictory findings GABRA2 with persistent persistent with GABRA2 GABRA2 SNP (rs279858) (rs279858) SNP ggestive of ggestive variant variant s in s Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Moreover, Amongst higher order dysfunctions higher contributingAmongst to 4.2.1 GABA 4.2.1 reversed by pharmacological manipulation of consumption exposed by adults exhibited rats has also been suggested bothin animals; significantrole. Variations inGABA behavioural factors. A relationship between between relationship A factors. behavioural impulsivity, with the remaining being75% accounted by o SNPsassociat suggestsof the that about 25% analysis bootstrap A 2013). (Villafuerte al., et with and of four impulsivity these, with also associate Life behaviour (Dick et al., 2013). As many as 11 SNPs with SNPs 11 as many As 2013). (Dick al., behaviour et clinical disorders characterised by a lack conof impulse oftraits, behaviourala significant lin workhas body of Although impulsivity 2013). al., et Villafuerte misuse alcohol) (and especially to drug related influence GABA investigations should exploreidentifother impact of the 201 al., et (Caprioli rats impulsive for highly reported and contentin GABA the anterior cingulate cortex andNAcc drugmisuse mediatedby variation in the evidence for overlapping neuronal mechanisms and substr activation in both (Villafuerte andinsula NAcc (Gondre-Lewis et al., al., et (Gondre-Lewis with reduced a recent study highlighted earlier, though, as (Silveri et al., 2013) is of interest. Simi of interest. is (Silveri al., et 2013) selectivereduction in the GABA signal in the observation that in humans high oflevels A GABRA2 receptor and impulsivity: an addiction-relevant re addiction-relevant an receptor impulsivity: and α 2mRNA in an iPSC culture model (Lieberman et al, 2015). al, 2015). et (Lieberman model culture iPSC an in 2mRNA A receptor function at selective neuronal loci remains an SNPs associated with impulsivity associated with impulsivity SNPs 2016)- see section 4.3). 4.3). section see 2016)- A receptors play a significant role in impulsivity traits intraits role impulsivity receptors play a significant larly, in animals, animals, in larly, is a complex construct encompassing a number encompassing a construct complex a is indicates indicates a specific SNP, to associate rs279858 the increased impulsivity and high alcohol α impulsivity in adolescents associate with a with a associate impulsivity in adolescents α et al.,et 2012), thus providing some anatomical probing for a causal for 4 these relationship a causal probing for α 2 and2 impulsivity and alcohol consumption 2 gene. How these genetic variants may may How gene. 2 variants genetic these anterior cingulate cortexsubjects of adult (Dick et al., 2010, Villafuerte et al., 2012, (Dick al.,et et 2012, Villafuerte al., 2010, ion is mediatedtheirion is by associationwith 2 GABA 2 to a paradigm of stressearly-life can be drug abuse, impulsivitytoplay appears a a decrease in GABAa decrease ked the ked in the in the associate with increased neuronal A ied function onSNPs the receptor Rs in selective neuronal locations 4, Hayes et al., 2014). Future Future 2014). al., et Hayes 4, ates betweenates impulsivity and trol, or general trol, externalising or general α core respectively, have been time Alcohol Problem Score time Alcohol Score Problem 2 2 havegene associatedbeen GABRA2 lationship? lationship? ther, yet to be identified, yet ther, gene to a variety of In this respect, the respect, In this A receptor binding open question Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This hypothesis, (Nelson et al., 2009) 2009) al., et (Nelson hypothesis, byincreasing the liferesponse to traumatic eveemotional 4.3 GABA 4.3 As already noted, for certain addictions,GABA noted, already variationsin As GABAergic at hippocampal responses GABA upon genetic polymorphisms. Exposure of receptorsensitivity,altered and sensitivity of early life exposure to traumatic events may alter GABAergic childhood trauma in increasing forrisk post-tra in is that variations possibility in response toand fearful insular activation preliminary suggests report a correlationstrong between conditione to mice of the sensitivity increases is also thismarkedly influenced2016), relationship by of predicts the development 2010). A considerable animal literature implicates implicates literature animal considerable A 2010). phenotype (Enoch et al., 2010). For example, example, For 2010). al., et phenotype (Enoch interact with childhood trauma in predisposing to the devel responses tothat cocaine resemble those in leading to impaired GABAergic inhibition of accumbal med specific reduction in adulthood of found thatexposure of to mice early life stre diminished transmission through al., 2008, Dias et al., 2005, Smith et al., 2012), whi 2012), al., et Smith al., 2005, et Dias 2008, al., 2000 al., (Low et barbiturates and benzodiazepines of actions modelling the impactof GABA in providingstudies will ofsome the star be instrumental protein (Tang al.et 2005) produce truncated a SN with impulsivity-associated the strongest A receptor gene-environmentinteractions drug dependence Messina(Enoch, et Cad 2011, 2008, drug al., A GABRA2 receptor dysfunction receptor at re reported reported that polymorphisms in α α 1GABA 2 but not but 2 may risk increase the development for addictions of A A R s ( H s u e t a l . , 2 0 0 3 ) . V e r y r e c e n t l y , w e h a v e receptors, an effect that has been attributedbeen that has to an effect receptors, α gene expression gene tosuchevents may depend 2 Ps, rs279827 close to a close to a splicing rs279827 site able to Ps, ss during postnatal to days p2a to leads p9 faces (Stein et al., 2006). 2006). al., (Stein et faces distinct one Thus, rat permanently pups to stress diminishes while experience of childhood trauma alone trauma of childhood experience while

d anxiety (Dixon et al., 2008). In humans, a a In humans, 2008). al., et (Dixon d anxiety knockout umatic stress disorder (PTSD). Alternatively, , emerging as a potential candidate. These a potential candidate. These as emerging , α 1 subunit1 instriatum,expression ventral α le genetic deletion of the le genetic 2-GABA GABRA2

mice (Lambert, 2013) . 2013) (Lambert, mice levant neuronal networks. GABRA2 GABRA2 ium spiny neurons, and altered tingpoints necessary tobegin A A , Morris et al., 2006, Dixon et et Dixon 2006, al., et Morris , receptor subunit genes may may genes subunit receptor gene expression, resulting in Rs subunits intheanxiolytic gene variantsgene (Enoch al.,et nts. In keeping with that GABRA2 opment of an addictive genotype and amygdalar interact interact with early α 2 subunit2 et, et, Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This pathways (Fig 5), also may contributeto addictive behaviour. the amygdala (Marowsky and2012) othe al., et expression of Intriguingly, a persistent down regulation of regulation down persistent a Intriguingly, been peri-pubertalreported for a paradigm stress in rats subunit expression in the amygdala and an associ abnormalities indicative of a orphysical hasstress emotional been also these findings suggestcoordinated these that a a ofCRF antialarmin, antagonist the amygdala in increase an measures, effect both behavioural Additional GABA mediatemay the effects of early-life stress on atreceptors selectivebut overlapping neuronal In the In the context of interactions between stress early-life 4.3.1 rolea Neurosteroids: involv neurocircuits in associated with a selective increase in the protein levels alcohol and bing bothimpulsive of indices in increase shownto eng has been in rats separationmaternal In keeping, Thus, consistent with a specific pattern of altered expr altered of pattern specific a with consistent Thus, subtype following subtype toearly-lifeexposure a sel stressor, inhibits inhibits of 3PBC micro-infusion amygdala.Remarkably, mPFC and the immunohistochemical analysis in the NAcc has that revealed b GABA Therefore, al., 2015). variations in the neur neur brain-derived of group by a allosterically worth that the function noting of such receptors can be end A A α receptor functionreceptor across the CNS. Our electrophysi recent 2-GABA α 3-containing and/or A A receptor isoforms also may be sensitive to environmental receptors in either locus, reversed the maternal separati depressive-like depressive-like behaviour al., et (Warren dec 2013). A receptor receptor which mediateisoforms, tonic inhibition in regulation of expression levels of regulation of reported and is accompanied andreported is by behavioural the increased risk for excessive drinking. drinking. for excessive risk increased the Gabrd osteroids (Belelli and Lambert, 2005, Gunn et Gunn 2005, et and Lambert, (Belelli osteroids onal ofon levels can impact neurosteroids r neuronal populations neuronalr motivational within (Gondre-Lewis et al., 2016). Collectively, Collectively, 2016). al., et (Gondre-Lewis also mimicked by local administration into into administration local by mimicked also loci of and the stress motivational circuits ated in increase anxious-like behaviourhas ed in addiction? in the VTA of rats exposed to chronic and GABA ectivedecrease in ession of distinct GABA distinct of ession e-like drinking behaviours, which behaviours, drinking e-like of the GABA

(Tzanoulinou al., et 2014). , a ligand that selectively selectively that a ligand , ender in adult animals an adult animalsinan ender A receptor receptor it is function, ogenously facilitated A R oth synaptic and α 2 subunit2 in the α 3 but3 not ological and influences. on-evoked A A α 2-GABA receptor reased reased α 2 2 A

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Of specificrelevance in substa the contest of

signalling neurosteroid signalling complex, obseis the relationship the While (Ford mice female et 2015). al., gene, essential in the synthesis of allopreg et knocking al., 2015). (Ramaker Importantly, in consumption mice, when given either system the administration of the synthetic analogue Janak 1998, al., et (Janak rats by self-administration operant keeping, ofa publications foundnumber ofhave effects 20 al., et Kumar 2004, al., (Sanna et neurosteroidsactive may some mediate of its actions bymodulating the synthesi modulation of NAcc GABA via function consistent with reports previous a suggesting role for e Belelli and Lambert, glia cells (Mitchell, MSNs (DARPP-32 positive), but also DARPP-32 cel negative neurosteroids while immunoreactivity for one ne extrasynaptic GABA (Porcu and Morrow, 2014) . In that co and . In that (Porcu 2014) Morrow, necessary to clarify a GABA function.exploring studiesFuture targeted supporting a dynamicrelationship between alcohol, neuroste withdrawal seizure-prone and re synthetic enzyme expression levels ( limited. are However alcohol still consumption production andregulation its in relevant neuron Deta al. 2006). in et Morrow animals (reviewed thisadaptation suggests to contribute may in increase neurosteroid developedlevels in GABA influence the (5 alpha-r ability of finasteride A receptor active neurosteroids) active receptor decr to A inreceptors MSNs are sensitive to physiological concen A receptor-mediated role of neurosteroids in alcohol action sistant mouse lines (Tanchuck indirec thus al.,et 2009), e.g. A receptors (Frau et al., 2013). 2013). (Frau al., et receptors 5 ntext it is of interest that that that that interest of is ntext it α -reductase) are differentially altered in alcohol- unpublished). Collectively are findings these alcohol-dependent animals (Khisti al., et 2005) nanolone,ethanol increased consumption in rvation that tolerance to the alcohol-induced to the tolerance rvation that nce abuse,nce it been suggestedhas thatalcohol out the gene encoding the encoding I 5a-reductaseout the type gene , , ganaxalone, limited reduced ethanol access the the excessive alcohol eductase inhibitoreductase that decreases levels of the the role ofof a range neurosteroids are ically (Ramaker et al., 2012), or into NAcc or into 2012), NAcc al., et (Ramaker ically urosteroid, , is is allopregnanolone, evident inurosteroid, al loci in rodent lines loci in rodent lines al bred for selectively ease the subjective effects of alcohol, , neurosteroid content, sensitivity and and sensitivity content, neurosteroid , iled investigations into neurosteroid into neurosteroid investigations iled ndogenous neurosteroid in the ls, presumably interneurons or allopregnanolone on ethanol 09, Morrow et al., 2006). In In 2006). al., et Morrow 09, and Michael Gill, 2003), while while 2003), Gill, Michael and between alcohol intake and and intake between alcohol s of these GABA roids and GABA consumption in such GABRA2 A trations of A receptor- receptor alleles alleles tly tly s Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This plays a crucial role in drivinga crucial plays role the increased sugges have modelling computer with combined and in studies Recent in human 2006). al., et be instructiv may associated with Parkinsonism EEG? comparisonA with understandingour current of the i

association between the the association between parents, and in individuals with a family Increased and increased EEG rs279841) rs279863, rs279871, a significant association four between months 24 of minimum In a cohortof alcohol 44 dependent patients How could an GABAergic altered signal mediated by 2014). and parent of 4,026 adolescents, twin sample Electrical activity of the brain me forbiomarker potentiala related G changes; EEG 4.4 associated with Parkinson’s disease, primarily Lagha et al., 2005). Lagha et al., 2005). abuse and dependence. dependence. and abuse such inincrease neurhas proposedbeen that because variationsFurthermore in the of the restingEEG in awake beenhave foundstrongly associated with the to be Ba 2004, al., et (Rangaswamy alcoholism suggesting that certain effectsofneurosteroids aremed power power in alcoholics (Rangaswamy et al., but 2002) dependence (Costa and 199 Bauer, Hz) has proposedbeen to 15 30 as a β power has been reported in the EEGs of the offspring the of offspring EEGs in the reported been has power GABRA2 the majority of healthy adults (Edenberg et al., 2004). al.,et (Edenberg healthy adults majority of the asured by EEG and, in particular, gene and beta gene power was confirmed in a community 7). Further studies have confirmed the increase of b increase the have confirmed studies Further 7). GABRA2 uer uer and in Variations Hesselbrock, 1993). β key endophenotype for alcohol and cocaine power. In studies, these history of alcohol dependence. Recently an s genotyped for 527,829 SNPs (Malone et al., al., et (MaloneSNPs s genotyped for 527,829 who had been abstinenta from alcohol for onal excitability would predispose to alcohol e in this respect (Goldberg et al., 2002, Costa Costa in2002, e this al.,et respect (Goldberg gene affect the level of neural excitability, it it affect excitability, of the level neural gene cause a reduction a cause inlateral inhibition that animal models of Parkinson’s disease, animal models of Parkinson’s disease, ted in that lateral a inhibitiondecrease also in individuals with family history of β α power was found (Lydall et al., 2011) 2011) al., et (Lydall found was power β ABRA2 variants? variants? ABRA2 2-GABA frequency which represents 15–20% iatedby ncreased powerncreased of A R lead to R lead an increase

GABRA2 GABRA2 β power (brain of waves α deficits in DA, typically typically in DA, deficits of alcohol dependent dependent alcohol of 2-GABA SNPs (rs548583, (rs548583, SNPs A β Rs (Pierucci- oscillations oscillations β GABRA2 power power eta eta

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Furthermore,a reduction in the (Damodar firing interneurons synchronized changes following manipulation changes of specific subtypes of unexplained. And animal while studies have id the biological link the between genetic variat provocative thatevidence certainvariants are genetic associated signals within reward pathway. human Although the genetic as interconnected areas interconnected areas intrinsic properties intrinsic properties possible that changes these may accompanied be by addition hippocampal and cortical (Buzsaki assemblies firi interneurons fast-spiking of influence strong the Investigations of the past decade Investigationsinto decade of the the of GABA role past 5. Conclusions β findings intoa broader account of addictive behaviour r these alterationsthese be sufficient may to entrain more MSNs into estimatedcharge) 30% the synaptic and combof through the reduced reduced the through couldthis in turn simi 2015), (Lieberman al., et reports appears to providedrivepowercrucialfor a increased appears the decreased by the loss of the glutamatergic signals to increase MSN firing synaptic at locations along wh MSN dendrites GABA GABA dependence have begun to the uncover complexity of the the the is Thus, it 2015). al., et Damodaran 2014, al., et oscillation. oscillation. α 2 SNPs does indeed translate SNPs 2 to GABA a reduced A A receptor function (Czubayko and Plenz, 2002, Plenz, 200 Plenz, 2002, Plenz, and function receptor (Czubayko receptor isoforms orchestrate the integr isoforms receptor orchestrate e.g α e.g. 2-GABA . K cortex may additionally contribut + conductances, which knownto conductances, are α A 2-GABA receptor signal. Such an effect may be particularlyreceptor Such be may an effect signal. evid A R signal on the soma of MSNs (which make up an α 2-GABA an et al., 2014, Damodaran et al., 2015). 2015). al., et Damodaran 2014, al., et an ions and addictive behaviour remains largely ere GABA would ere normallyfacilitate incoming (see (see section 3.2.3). alsoInhibition be may entified a number of potential behavioural behavioural of potential number a entified and Chrobak, 1995, Gray, 1994). It is also It 1994). Gray, 1995, and Chrobak, tempting to speculate that if the effect of the effect speculate that if tempting to ationandglutamatergic of dopaminergic ined with a reductionined with a inhibition,in lateral A receptor-mediated conductance in ng, as previously demonstrated for both both for demonstrated previously as ng, emains a task to be undertaken. A R function, as suggested by R function, recent as suggested GABA A receptors in drug addictionreceptors and of the e to the the increased to e power of the larly weaken lateral inhibition inhibition lateral weaken larly modalities wherebymodalities different A the the receptor, integrating those be sensitive to changes in be sensitiveto changes al alterationsal in theMSN sociation provide studies β β with various addictions,with oscillation (Damodaran oscillation frequency frequency range under 3) and/or fast-spiking fast-spiking and/or 3) ent ent Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This variants have consequencesvariants for regulation of The advances in the understanding particular rolesof GABA to the neuronal addressed, system and the be pharmaceuticalmanipulation been systems has of GABAergic influencing actionsselective of drugs Hitherto, the ubiquitous role of GABAergic inhi intake. while animal data that suggest deletion of GABRA1 alcohol, but also suggest play they a role in conseque important has manipulation their that For the moment, we can point Forwe moment, to the Nevertheless, available the presently data are consistent with of respective interrogation physiological their different receptor isoforms wi tools for understanding are as needed, urgently appear appear toin be associated reward-conditionedbehaviour, while variants in the genes unknown) role in striatal inhibition, and to interactions b to addictive behaviour. answ clear A α GABRA4 It is a curiosity that while no humangene in protecting againstfactorspredisposing to addictive be worthwhileto investigate whether selective facilitation of weWhile are still some fromway a providing subtype receptor specific targeting worthwhile be might aspects of addictive behaviour outlined in review, this 4-GABA polymorphisms and addictions, withinan A polymorphisms associating not have identifiedbeen with as receptors have suggested they play an im a complexwithbehavioural fashion traits predisposing ( thin neuronal specific populations and cellular domains, an α2 er toer the question of whether human -GABA aspects of psychostimulant Similarly,reward. this subunit decreases alcohol (and sucrose) GABAergic transmission has that meant GABAergic tic associationtic data providebetween a link A rational therapeutic approach, it would seem α2− roles within the relevant neuronal networks. networks. neuronal relevant the within roles receptors as playing an important (albeit (albeit important an playing as receptors bition across thebition entirebrain, across and the non- havioural consequences of drug treatment. the the spatial and temporal organisation of the nces fornces motivation to obtain and consume GABA imal studies, discreteimal manipulations of portantrole in striatalphysiology, and haviour. now tohold begin promise that it etween psychostimulant drugs and A A s to influence addictive behaviour. behaviour. addictive to s influence receptor expressionreceptor in people is encoding those receptors same

A α non-specific,bothwith regard receptor receptor subtype in different 2-GABA a role of A receptors mightreceptors be α2 human addictions, -GABA GABRA2 A receptors inter alia gene d ) Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This This reviewThis is a considerably extended version of the l Acknowledgements been have prototypes useful for controlling addictive behaviours. While Walker. The authors declare they have no conflicts of in Macpherson, ScottEd Maguire, Mitchell, Hannah Jer Morris, tohavesay In here. particular,Dixon, thank Claire we Be review,outlined this though, needless to within tostudents both data collection, and more acknowledge the important contributions of European Commission by the and G1000008), G0802715, Addic Council Medical by the UK Research from Research 2015. Sweden in May, Uppsala, from IB Distinguished Award Scientist the himreceiving developed (Atack, 2011). 2011). (Atack, developed importantly to the development of ideas the authors’ own laboratories was supported the authors’ own laboratories say, they may not agree with everything we everything with we they not may agree say, our colleagues, postdocs and graduate tion Cluster “GABA” (Grants G0600874, G0600874, “GABA” (Grants tion Cluster not drugs are such yet available clinically, ecture given byecture of DNS at the time eet terest. ANGS at its annual its in meeting ANGSat n Gunn, Herd, Murray Tom FP6 project IMAGEN. We IMAGEN. We FP6 project ome Swinny and Sophie Sophie omeSwinny and Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This BELELLI , D. & LAMBERT, J. J. 2005. Neurostero 2005. J. J. LAMBERT, & D. , BELELLI BELELLI , D., HARRI SON, N. L., MAGUI RE, J., MACDONAL J., RE, MAGUI L., N. SON, HARRI D., , BELELLI BECKER, H. C. & HALE, R. L. 1993. Repeated ep Repeated 1993. L. R. HALE, & C. H. BECKER, BAUER, L. 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Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This YANG, B. Z., HAN, S., KRANZLER, H. R., FARRER, R., H. KRANZLER, S., HAN, Z., B. YANG, ZHOU, H. Y., CHEN, S. R., BYUN, H. S., CHEN, H., LI H., CHEN, S., H. BYUN, R., S. CHEN, Y., H. ZHOU, ZI NN-JUSTI N, A. & ABEL, L. 1999. Genom e search e Genom 1999. L. ABEL, & A. N, NN-JUSTI ZI YANG, A. R., LI U, J., YI , H. S., WARNOCK, K. T., WA T., K. WARNOCK, S., H. , YI J., U, LI R., A. YANG, XI AO, C., ZHOU, C., LI , K. & YE, J. H. 2007. Presyn 2007. H. J. YE, & K. , LI C., ZHOU, C., AO, XI

rtoyi laaeo +-C-ctasotr2i pa im cotransporter-2 pain. Cl- - K+ of neuropathic cleavage ethyl-D-aspartate N-m 2012. proteolytic L. H. PAN, & K. A. SOOD, pairwise correlation linkage m ethod: interesting fi interesting ethod: m iol, linkage Epidem correlation pairwise transm ission to dopam inergic neurons in in neurons inergic Physiol, dopam to ission transm Search of its Molecular Target via the GABA(A) Rece GABA(A) the via Target H. Molecular JUNE, & its L. of AN, AURELI Search W., EGHART, SI A., , ELNABAWI Autosom al linkage scan for loci predisposing to com to predisposing loci for substances. scan linkage al Autosom 580 17 Suppl 1 Suppl 17 , Am J Med Genet B Neuropsychiatr Genet, Neuropsychiatr B Genet Med J Am 731-43. 731-43. ilCe , Chem Biol J , S421- 6. 6. S421- 287 , 33853-64. 33853-64. L. A., ELSTON, R. C. & GELERNTER, J. 2012. 2012. J. GELERNTER, & C. R. ELSTON, A., L. the ventral tegm ental area of young rats. rats. young of area ental tegm ventral the for alcohol dependence using the weighted weighted the using dependence alcohol for aptic GABAA receptors facilitate GABAergic GABAergic facilitate receptors GABAA aptic , L., HAN, H. D., LOPEZ-BERESTEI N, G., G., N, LOPEZ-BERESTEI D., H. HAN, L., , NG, M., JUNE, H. L., JR., PUCHE, A. C., C., A. PUCHE, JR., L., H. JUNE, M., NG, ptor. ptor. 159B ndings on chrom osom e 4. 4. e osom chrom on ndings irs spinal chloride hom eostasis in in eostasis hom chloride spinal irs L., SR. 2011. Binge Drinking: I n n I Drinking: Binge 2011. SR. L., Front Neurosci, Front receptor- and calpain-m ediated ediated calpain-m and receptor- orbid dependence on m ultiple ultiple m on dependence orbid , 361-9. 361-9. 5 , 123. 123. Genet Genet J Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Figure 2. Chromosomal locations of major GABA locations Figure 2. Chromosomal Figure 1. The relative expression of GABA expression relative Figure 1. The Figure Legends A sagittalA section of a rodent brain illustrating Figure 3. Synapticand extra-synaptic GABA GABRB1; GABRB1; members of the (Bz) site is similarly formed by the N-terminal is formed by similarly extracell (Bz) site the N-terminal transmembrane region oftransmembrane the region subunit interface. putative A binding site fo may be substituted by a large domainsextracellular betweenlarge the families, named named families, anions. that are arranged to formcentral a ion ch simplified model of the receptor. of the model simplified this circuit theare principal excitatory (green following genes: arrangement of the withingenes en them designates prientationthe along chromosome. clusteThese chromosomesmouse in on(shown humanchromosomes and the four figure shows clusters gene main an inindividual clusters present are subunitsconserved acr extra-synaptic GABA θ, θ, subunit genes are shown in red, GABA GABRQ. arrowsBlack indicate the direction A receptor subunit families are subunit families yellow. The su shownreceptor in

The The majority of proteins making up the complex fr come β 2, GABRB2; α α α (1-6), (1-6), family, two 1, GABRA1; 1, A receptor isoforms throughout the the isoforms receptor throughout β 3, GABRB3; GABRB3; 3, β subunit. (G) bindingThe GABA sites formed are by the (1-3) and (1-3) α subunit. subunit. β α β , and, one 2, GABRA2; GABRA2; 2, subunit genes blue,are subunit genes GABA γ (1-3). Most commonly (1-3). made are receptors of two 1, GABRG1; GABRG1; 1, A A α and receptors are made are receptors up of five protein subunits, γ A d their relative locationsd their relative on humanand mouse sfrsi h eadcruty R isoforms reward the in circuitry. annel permeabletochloride and bicarbonate subunit although in somecases the A α r the neurosteroids (N) is shown within the ther within the neurosteroids (N) is shown coding theindividual subunitsdisplayed. of transcriptionfor the individual genes. receptor isoforms in rodent brain and a rodenta brainisoforms in and receptor the expressionprofile of both synaptic and 3, GABRA3; GABRA3; 3, ), inhibitory (red) and dopaminergic (blue) (blue) dopaminergic and (red) inhibitory ), β subunit interface and the benzodiazepine A receptorgene clusters. γ 2, GABRG2, ular domains between the ular domains between reward circuitry. Depicted within γ subunit genes are green. Other green.are Other genes subunit oss mammalian The genomes. oss α 4 GABRA4; GABRA4; 4 bunits are encoded by the rs are expanded and the expandedare and the rs γ 3, GABRAG3; GABRAG3; 3, om 3 related subunit red). The red arrow red). arrow The red α 5, GABRA5; GABRA5; 5, The genes for for The genes N-terminal ε, subunit α GABRE; and β 1, 1, α

Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Note that GABA Note

Figure 4. Postulated influence of Figure influence Postulated 4. Herman et al., 2013). Similarly, note that the VTAin Similarly, et 2013). Herman al., but a discussionamygdala not are displayed example, in the NAcc, expressed in a mannerneuron-specific thro α this pool, a prop extrasynaptically Of on MSNs. immunohistochemical andelectrophysiologicalimmunohistochemical(se studies expressed in the NAcc. For simplicity, GABA projections. The reported expression of GABA related,behavioural broad constructs (Janssen et al., 2009, Santhakumar et al., 2010). See als See 2010). al., et Santhakumar 2009, (Janssen al.,et their however, developmentalwhere, al., 2008), express of of (Tan et al., 2010, Okada et al., al., Okada et (Tan al., 2010, et selectively expressed in GABAergic interneurons and do 2007). 2007). been described for VTA GABAergic interneurons 5 subunit (Lingford-Hughes et al., et Mende subunit5 2012, (Lingford-Hughes α A) B) 5-containing GABA

Shows normal conditions of Shows the susceptible brain because of GABRA2 because brain susceptible the Shows motivation to take the drug motivation behavi to take drugs. These inby weakness parentalis facilitated moni hypothesised reduction of function.GABA A tendency tow brain brain drug.the The negative sign(-) denotes the inh general control delinquent over behaviour, and pote A R isoforms responsible for mediating andphasic tonic in A Rs has alsoRs reportedbeen fortheMSNsdorsal of striatum in addition to the in addition 2004). A population of extrasynaptic of extrasynaptic population A 2004). non-susceptible brain. α 2-GABA A A control on receptor activation of addiction- R isoforms in expressed oural aspectsoural weaken the control over ortion suggestedbeen has to incorporate the ughout the mesolimbicFor neurocircuitry. can be found in (Marowsky et al., 2012, 2012, (Marowsky found inbe al., et can z et al.,z et 2013). localization An extrasynaptic toring, leading toreduction of over control toring, α ntiates controlmotivation over to take (Vashchinkina al., et Xiao et 2012, al., 4 A R subtypes is derived from both β o Fig 5 for detail for5 detail on GABAo Fig risk variants risk which present leadto a subtype, e text). e α ion beenhas in debatedrodents paminergic neurons respectively α 2-GABA 1 ibitory effectsof GABA in the β 2 and2 ards delinquentards behaviour A α R activation allows α 4 various regions of the x β α β 3 receptors has also 2 are expressed are 2 β 2 subtypes2 are hibition are A R isoforms R isoforms (Ade et (Ade Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Figure 5. Synaptic and extra-synaptic GABA (Note: We speculatively ascribe to GABA a role speculatively We (Note: ascribe likely to target synaptic receptors whereas to whereas synaptic to receptors target likely inputs from on largely the VTA, their dendritic (se tree glutamatergicinputs fromnumber a of limb MSN dendrites. MSNs can inhibit each other via spiking interneurons, whichare coupled via gap juncti parvalbumin-containing FSIs, giving to rise feed a powerful MSNs receive (FSIs). i Interneurons Spiking 2015). Changes in lateral inhibition, due to decreased inhibition, in lateral Changes 2015). respectively although this has view been rece receptors. mediated actions DA are by D1Ra yale l,21) Lydall et al., 2011). Rang 1997, Bauer, EEGs and (Costa inmeasured might be 2015)) al., et (Lieberman rs279858 SNP or humans (dep 2013)) life (Lambert, stress, early NAcc core neurocircuitry andthe GABA expression and EEG the withsubjective effects of drugs includingpsychostim motivationbetween and drug-taking, on the ba interneurons of the andNAcc effect the of β power. A receptor isoforms expressed inthe MSNs andFast- early-life stress and identified SNPs upon their ic and forebrainregions and dopaminergic nd D2R on anddirect indirect pathway MSNs nic DA firingnicmayaffect DA ntly challengesfor the NAcc (Kupchik et al., -forwardinhibition (FFI). Additionally, fast- aswamy et al., 2004, Edenberg 2002, et al., et aswamy lateralinhibition (LI) powerful and receive the basis for the increased beta power beta power the increased for basis the A endent on specific GABRA2 variants e.g. variants endent on GABRA2 specific sis of the association of GABRA2 variants R isoforms expressed in the and MSNs A ulants and alcohol). receptors in modulating the output ons, send a much inputweaker to nhibitoryinputontheir soma from α e Fige for 3 details). Burstfiring DA is 2 GABA 2 A R in rodents (as a result of largelyextrasynaptic Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Figure 1 α 2 2/3 2 α α 3 1 n 2 2 2 3 α 2 α n 5 1 others 3 α α α 6 6 2 4 n 3 n n δ δ 2

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Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Figure 2 Human chromosome X chromosome Human Mouse chromosome 11 chromosome Mouse 5 chromosome Human Mouse chromosome 5 chromosome Mouse 4 chromosome Human Mouse chromosome 7 chromosome Mouse 15 chromosome Human Mouse chromosome X chromosome Mouse GABRE G GABRE GABRG1 GABRA2 COX7B2 GA COX7B2 GABRA2 GABRG1 GABRB2 GABRA6 GABRA6 GABRB2 GABRB3 GABRA5 GABRA5 GABRB3 ABRA3 GABRQ GABRQ ABRA3 GABRA1 GABRG2 GABRG2 GABRA1 BRA4 GABRB1 GABRB1 BRA4 GABRG3 GABRG3

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Accepted Article This article is protected by copyright. All rights reserved. rights All by copyright. protected is article This Figure 5 5