Review Article

The Roles of GABA in Ischemia-Reperfusion Injury in the Central Nervous System and Peripheral Organs

Table 1

Protective effects of GABA and its agonists on several cerebral I/R injuries and the mechanisms.

Drugs and doseTreatmentsEffects and mechanismsReferences

GABA, γ-vinyl GABA (30-300 mol/L) in vitroAt 90 min after oxygen-glucose deprivation and reperfusion in rabbit brain slicesReducing the release of glutamate and LDH and tissue water gain (GAT inhibitors)[106]
Diazepam (10 mg/kg)Injection (i.p.) at 30 and 90 min after transient gerbil brain ischemiaReducing excitotoxic and oxidative stress by the peripheral benzodiazepine receptor in the outer mitochondrial membrane (GABAA receptor agonist)[108]
Zolpidem (0.5, 1.0 mg/kg)Injection (i.p.) following ischemic stroke in ratsIncreasing numbers of cells containing BDNF (GABAA receptor agonist)[113]
Propofol (20 mg/kg/h, 2 h)Injection (i.p.) at the onset of reperfusion in the rat model of middle cerebral artery occlusionIncreasing the number of survival neurons and the expression of KCC2, extruding Cl- by upregulating the activity of the PKMζ/KCC2 pathway (GABAA receptor agonist)[114, 115]
JM-1232 (500 μM) in vitroDuring rat oxygen-glucose deprivation and reoxygenationReducing cell mortality in pyramidal neurons by GABAA receptor/decreased intracellular Ca2+ and other mechanisms[116]
Tramadol (10, 20 mg/kg)Injection (i.p.) before forebrain I/R in ratsAttenuating postischemic motor impairment by reducing the lipid peroxidation (GABAA receptor agonist)[117]
Topiramate (80 mg/kg/day, twice daily)Injection (i.p.) after occlusion of the bilateral carotid arteries in gerbilsDecreasing neurological deficit, attenuating neuronal loss by decreasing the expressions of procaspase-3, caspase-3, Bax/Bcl-2 ratio, GABAA receptor α1 and γ2 subunits, and KCC2[118]
Muscimol (1 mg/kg) and baclofen (20 mg/kg) aloneInjection (i.p.) at 6 hours and 1 day after rat I/RProtecting neurons against death induced by I/R by enhancing NO synthase (GABAA,B receptor agonists)[119]
Muscimol (1 mg/kg) and baclofen (20 mg/kg) togetherInjection (i.p.) at 30 min before I/R in ratsInhibiting NMDA receptor/Src-mediated signal amplification (GABAA,B receptor agonists)[120]
Muscimol (1 mg/kg) and baclofen (15 mg/kg) togetherInjection (i.p.) to rats at 30 min before ischemiaNeuroprotective effect by PI3K/Akt pathway (GABAA,B receptor agonists)[121]
Muscimol (1 mg/kg) and baclofen (20 mg/kg) alone or togetherInjection (i.p.) before I/R of ratsAttenuating the excitatory JNK3 apoptosis by increased assembly of the GluR6-PSD-95-MLK3 signaling (better combining effect of GABAA,B receptor agonists)[122]
Baclofen (20 mg/kg) and muscimol (1 mg/kg) togetherInjection (i.p.) at 30 min before rat ischemiaIncreasing interaction of NO synthase with PSD95 and inhibiting protein phosphatase activity (combining effect of GABAA,B receptor agonists)[119]
R-Phenibut (10, 50 mg/kg)Injection (i.p.) at 2 h and 7 days following reperfusion in transient middle cerebral artery occlusion in ratsImproved histological outcome and reduced brain volume; increase of BDNF and VEGF gene expressions (by activating GABAB receptor and α2-δ subunit of the voltage-dependent Ca2+ channel)[123]
Baclofen (50 mg/kg)Injection following (i.p.) ischemic insult in the ischemic gerbilsPreventing the loss of hippocampal CA1 pyramidal cells and calmodulin-dependent protein kinase II but not memory deficits (GABAB receptor agonist)[124]
Baclofen (1.25, 2.5 mg/mL)Two weeks after chronic cerebral hypoperfusion rats (i.p.)Increasing Bcl-2/Bax ratio and activating Akt, GSK-3β, and ERK which suppressed autophagy (GABAB receptor agonist)[125]
Baclofen (25 mg/kg)Injection (i.p.) at 17 d after permanent occlusion of the bilateral common carotid arteries in ratsImproving GABAB2 receptor expressions in neural surface, restoring the levels of BDNF, TrkB, and NCAM, and reversing the increased surface expressions of Kir3 (GABAB receptor agonist)[126]
Baclofen (0.5, 2, and 5 μmol/L) in vitroAt 1 hour from the beginning of I/R in rat hippocampal slice culturesNeuroprotection (GABAB receptor agonist)[127]
Baclofen (500 mg/L)Pretreatments (i.p.) before rat I/RStimulating neutrophil-directed migration by PI3K (GABAB receptor agonist)[128]