Supersensitivity of GABA-A receptors in hepatic encephalopathy.

Abstract:

:During the past decade a new approach to pathogenetic studies of hepatic encephalopathy has been undertaken to identify the neurochemical alterations which characterize the syndrome. Using animal models of hepatic encephalopathy electrophysiological, behavioral, pharmacological and biochemical evidence were provided of an increased functional activity of the GABA-A receptors, including the Benzodiazepine site. These demonstrations seem to explain the increased sensitivity of patients with acute or chronic liver disease to sedative administration. The described increased tone of the GABAergic receptor complex seems to play a key role in the generalized depression of the central nervous system which characterizes hepatic encephalopathy, but other factors seem to contribute to the neuronal derangement present in this syndrome leading to an imbalance between inhibitory and excitatory receptor systems in the brain. Based on these findings a new symptomatic treatment with anti-benzodiazepine compounds which seem temporarily to counteract the symptoms of hepatic encephalopathy, was introduced.

journal_name

Neurochem Res

journal_title

Neurochemical research

authors

Baraldi M

doi

10.1007/BF00972205

subject

Has Abstract

pub_date

1990-02-01 00:00:00

pages

153-60

issue

2

eissn

0364-3190

issn

1573-6903

journal_volume

15

pub_type

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