Abstract

Neuronal intracellular chloride ([Cl−]i) is a key determinant in γ-aminobutyric acid type A (GABA)ergic signaling. γ-Aminobutyric acid type A receptors (GABAARs) mediate both inhibitory and excitatory neurotransmission, as the passive fluxes of Cl− and HCO3− via pores can be reversed by changes in the transmembrane concentration gradient of Cl−. The cation–chloride co-transporters (CCCs) are the primary systems for maintaining [Cl−]i homeostasis. However, despite extensive electrophysiological data obtained in vitro that are supported by a wide range of molecular biological studies on the expression patterns and properties of CCCs, the presence of ontogenetic changes in [Cl−]i—along with the consequent shift in GABA reversal potential—remain a subject of debate. Recent studies showed that the β3 subunit possesses properties of the P-type ATPase that participates in the ATP-consuming movement of Cl− via the receptor. Moreover, row studies have demonstrated that the β3 subunit is a key player in GABAAR performance and in the appearance of serious neurological disorders. In this review, we discuss the properties and driving forces of CCCs and Cl−, HCO3−ATPase in the maintenance of [Cl−]i homeostasis after changes in upcoming GABAAR function. Moreover, we discuss the contribution of the β3 subunit in the manifestation of epilepsy, autism, and other syndromes.

Highlights

  • Intracellular chloride ([Cl− ]i ) and bicarbonate ([HCO3 − ]i ) concentrations are pivotal parameters that control neuronal inhibition and excitation; their effect depends on neuronal specialization and the level of development [1,2,3,4]. γ-Aminobutyric acid type A receptors (GABAA Rs) are ionotropic receptors that mediate inhibitory or excitatory neurotransmission, as the net flux of Cl− and HCO3 − via pores can be reversed by modest changes in the transmembrane concentration gradient of Cl− [5,6,7]

  • Mice lacking the β3 subunits exhibit thalamic disinhibition, a major reduction in GABAA R expression, and seizures that are associated with learning and memory deficits, poor motor skills on a repetitive task, hyperactivity, and a disturbed rest–activity cycle [120]—all features characteristic of children affected by this neurological disorder [110,111,112,113,114,116]

  • Research data on the properties of GABAA Rs highlight that the β3 subunit is an independent structure that can singly form an ion pore; importantly, it is a key polypeptide that facilitates inhibitory neurotransmission

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Summary

Introduction

Intracellular chloride ([Cl− ]i ) and bicarbonate ([HCO3 − ]i ) concentrations are pivotal parameters that control neuronal inhibition and excitation; their effect depends on neuronal specialization and the level of development [1,2,3,4]. γ-Aminobutyric acid type A receptors (GABAA Rs) are ionotropic receptors that mediate inhibitory or excitatory neurotransmission, as the net flux of Cl− and HCO3 − via pores can be reversed by modest changes in the transmembrane concentration gradient of Cl− [5,6,7]. Under certain circumstances (for example, massive activation), GABAA ergic signaling can be switched from fast hyperpolarization to long-term depolarization of the EM [12,13,14] Such paroxysmal depolarizing shifts in the EM during seizures induce Cl− accumulation or the efflux of HCO3 − through GABAA R channels [15,16]. Functional GABAA Rs are heteropentameric, consisting of five individual subunits encoded by 19 genes that have been characterized and grouped according to their amino acid similarity and named α1-6, β1-3, γ1-3, δ, ε, θ, π, and p1-3 [26,27] These GABAA R subunits are assembled to have a high level of heterogeneity with the general stoichiometry of the 2α, 2β, and 1γ subunits [28]. We consider the exceptional role of the β3 subunit in the manifestation of some neurological disorders

Role of KCC2
Role of NKCC1
CCCs and Neurological Disorders
Role of the β3 Subunit in GABAA R Function
Epilepsy
Autism
Concluding Remarks
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