Ethanol inhibits N-methyl-D-aspartate (NMDA) receptor-mediated respons
es at pharmacologically relevant concentrations, suggesting that inhib
ition of NMDA receptors may underlie some of the actions of ethanol in
the central nervous system. We examined the ability of glycine to mod
ulate ethanol inhibition of four recombinant heteromeric NMDA receptor
s (NR1a/NR2A through NR2D) expressed in Xenopus oocytes. Ethanol dose-
response analysis revealed enhanced inhibitory efficacy of ethanol in
the presence of subsaturating glycine concentrations at the NR1/NR2A,
NR1/NR2C, and NR1/NR2D receptors. When assayed over a range of glycine
concentrations, ethanol exhibited both glycine-reversible and glycine
-independent inhibition of NMDA receptors. In contrast, ethanol inhibi
tion of recombinant NMDA receptors was independent of NMDA concentrati
on. Glycine reversal of ethanol inhibition suggested that ethanol migh
t lower the affinity of glycine for the NMDA receptor and thereby decr
ease response magnitude. Consistent with this hypothesis, ethanol sign
ificantly reduced glycine affinity at NR1/NR2A and NR1/NR2C receptors.
Evaluation of the glycine-independent component of ethanol inhibition
demonstrated that in the presence of saturating concentrations of gly
cine, the NR1/NR2A and NR1/NR2B receptors were more sensitive to ethan
ol than the NR1/NR2C and NR1/NR2D receptors. Activation of the NR1/NR2
D heteromers by NMDA and low concentrations of glycine elicited respon
ses characterized by an initial peak followed by a lower-amplitude pla
teau response, which is consistent with glycine-sensitive desensitizat
ion as previously described for native NMDA receptors. In addition, no
ndesensitizing NR1/NR2B responses elicited in the presence of subsatur
ating concentrations of glycine were frequently converted into desensi
tizing responses by the addition of ethanol, an effect that was revers
ed with increasing glycine concentrations. The ability of ethanol to p
romote glycine-sensitive desensitization further suggests an interacti
on between glycine and ethanol inhibition of the NMDA receptor. Taken
together, the results of the present report demonstrate that ethanol i
nhibition of NMDA receptors has both glycine-reversible and glycine-in
dependent components, suggesting two distinct molecular mechanisms for
ethanol inhibition of NMDA receptors.