Gamma-hydroxybutyric acid was synthesized 35 years ago to obtain a GABAergi
c substance that penetrates the brain freely. Since then, gamma-hydroxpbuty
ric acid has been used in human beings for its sedative and anesthetic prop
erties when administered at high doses, and most of the studies on gamma-hy
droxybutyric acid have focused on its pharmacological effects. However, gam
ma-hydroxybutyric acid is also an endogenous substance, which is synthesize
d and released in thr brain by specific neuronal pathways, implicated in th
e control of the GABAergic, dopaminergic, and opioid systems. This control
is mediated by specific gamma-hydroxybutyric acid receptors with a unique d
istribution in brain and a specific ontogenesis and pharmacology. Stimulati
on of these recrptors induces specific cellular responses. Taken together,
these results suggest that gamma-hydroxybutyric acid possesses most of the
properties required of a neurotransmitter/neuromodulator in the brain. (C)
2000 Elsevier Science Inc. All rights reserved.