Valium without dependence? Individual GABA(A) receptor subtype contribution toward benzodiazepine addiction, tolerance, and therapeutic effects

服用安定后不会产生依赖性?GABA(A)受体亚型个体对苯二氮卓类药物成瘾、耐受性和治疗效果的影响

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Abstract

Benzodiazepines are one of the most prescribed medications as first-line treatment of anxiety, insomnia, and epilepsy around the world. Over the past two decades, advances in the neuropharmacological understanding of gamma aminobutyric acid (GABA)(A) receptors revealed distinct contributions from each subtype and produced effects. Recent findings have highlighted the importance of α(1) containing GABA(A) receptors in the mechanisms of addiction and tolerance in benzodiazepine treatments. This has shown promise in the development of tranquilizers with minimal side effects such as cognitive impairment, dependence, and tolerance. A valium-like drug without its side effects, as repeatedly demonstrated in animals, is achievable.

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