Mental illnesses, such as panic disorder and depression, display comor
bidity as well as common therapeutic treatments. These features point
toward a common etiology and/or therapeutic pathway. There is evidence
to suggest that some antipanic agents may mediate their effects by al
tering gamma-aminobutyric acid (GABA) levels or by modulating the acti
vity of the GABA(A) receptor. Chronic stimulation of GABA(A) receptors
by agonists or modulators results in changes in the pharmacological p
roperties of the receptor concomitant with alterations in the expressi
on of specific GABA(A) receptor subunits. Therefore, we investigated t
he hypothesis that long-term exposure to three antidepressant/antipani
c drugs (imipramine, phenelzine and alprazolam) would produce changes
in the steady-state levels of those subunit mRNAs that are believed to
encode the major GABA(A) receptor subtype. Further, these changes in
gene expression would be different to those produced by the non-antipa
nic anxiolytic (buspirone). We report here that, following a 21 day tr
eatment, imipramine, phenelzine, alprazolam and buspirone differential
ly altered rat brainstem levels of GABA(A) receptor alpha 1-, beta 2-
and gamma 2-subunit RNAs. These results demonstrate novel actions of a
ntidepressant/antipanic drugs on GABAergic neurotransmission. Copyrigh
t (C) 1996 Elsevier Science Ltd.