The GABA(A) receptor belongs, along with the nicotinic acetylcholine r
eceptor, the glycine receptor arid the 5-HT3 receptor, to a family of
homologous transmitter gated ion chann els mediating fast synaptic tra
nsmission. Many classes of drug interact with the GABA(A) receptor, wh
ich is the major inhibitory ion channel in the mammalian brain. Among
these drugs are the allosteric modulators acting at the benzodiazepine
binding site. In this article, Erwin Sigel and Andreas Buhr discuss r
ecent studies that have identified amino acid residues that are though
t to form the binding pocket for these compounds. These residues are p
robably located at subunit interfaces of the protein pentamer and at l
east some of them are homologous to residues implicated in channel ago
nist binding. This implies pseudosymmetry of channel agonist and chann
el modulatory sites, which may be, as recent data indicate, a general
principle realized in other pseudosymmetric protein complexes.