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from
Part V
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Specific psychotropic drugs and disorders
By
Smita A. Pandit, Psychopharmacology Unit, School of Medical Sciences, Bristol, UK,
Spilios V. Argyropoulos, Psychopharmacology Unit, School of Medical Sciences, Bristol, UK,
Patrick G. Kehoe, Psychopharmacology Unit, School of Medical Sciences, Bristol, UK,
David J. Nutt, Psychopharmacology Unit, School of Medical Sciences, Bristol, UK
Edited by
Bernard Lerer, Hadassah-Hebrew Medical Center, Jerusalem
The benzodiazepines (BDZ) have proven to be both effective and controversial in the treatment of anxiety. New insights into the genetics of the BD2 receptor system may lead to the development of new drugs that act on the γ-aminobutyric acid (GABA) receptor complex and are devoid of the problems associated with the classical BDZs. This pharmacotherapeutic approach has gathered impetus following the discovery of the various subunits of the GABA receptor, which play an important role in the regulation of anxiety and the actions of anxiolytics, and which demonstrate differential brain expression. This chapter discusses the above with reference to recent evidence from animal and human studies, as well as the implications for future anxiolytic treatment strategies. It focuses on the development of the GABA-BDZ receptor field of research. Unlike the BDZ site, the modulation of the GABA receptor by neurosteroids requires the presence of a β-subunit.
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