Drugs acting on the benzodiazepine site of GABA(A) receptors are much
safer than barbiturates, but are still liable to abuse. Recently, we h
ave reported that a benzodiazepine site agonist, U-97775 (a dihydroimi
dazoquinoxaline analog), may have minimal abuse liability because of i
ts interaction with a second, low-affinity site on GABA(A) receptors,
the occupancy of which, at high drug concentrations, leads to a revers
al of its agonistic activity on the benzodiazepine site and inhibition
of GABA-induced Cl- currents [Br. J. Pharmacol. 115 (1995) 19-24]. He
re we report that U-101017 ine)carbonyl]imidazo[1,5a]quinoline-3-carbo
xylate) is another similar benzodiazepine site agonist possessing the
ability to reverse its agonistic activity at higher concentrations, bu
t its ability to inhibit GABA currents is considerably milder than tha
t of U-97775. In the alpha 6 beta 2 gamma 2 subtype where these drugs
have no agonistic activity, for instance, U-101017 at concentrations u
p to 80 mu M, showed no appreciable effect on GABA currents, whereas U
-97775 inhibited the currents with an IC50 value of 10 mu M as measure
d with the whole cell patch clamp techniques in human embryonic kidney
cells expressing recombinant receptors. Similar, milder inhibition of
GABA currents by U-101017 was observed in the alpha 1 beta 2 gamma 2
and alpha 3 beta 2 gamma 2 subtypes. Furthermore, U-101017 was of high
er efficacy in the alpha 1 beta 2 gamma 2 than alpha 3 beta 2 gamma 2
subtypes as compared to diazepam, although its binding affinity was no
t appreciably different in the two subtypes. We conclude that U-101017
is a partial benzodiazepine agonist, somewhat selective to the alpha
1 beta 2 gamma 2 subtype, and with the ability to limit its own agonis
tic activity over a wide range of doses through its interaction with t
he low affinity site, but without potential convulsant activity, inher
ent to agents which block GABA currents.