Modification of synaptic strength in the mammalian central nervous sys
tem (CNS) occurs at both pre- and postsynaptic sites(1,2). However, be
cause postsynaptic receptors are likely to be saturated by released tr
ansmitter, an increase in the number of active postsynaptic receptors
may be a more efficient way of strengthening synaptic efficacy(3-7). B
ut there has been no evidence for a rapid recruitment of neurotransmit
ter receptors to the postsynaptic membrane in the CNS, Here we report
that insulin causes the type A gamma-aminobutyric acid (GABA(A)) recep
tor, the principal receptor that mediates synaptic inhibition in the C
NS8, to translocate rapidly from the intracellular compartment to the
plasma membrane in transfected HEK 293 cells, and that this relocation
requires the beta 2 subunit of the GABA(A) receptor. In CNS neurons,
insulin increases the expression of GABA(A) receptors on the postsynap
tic and dendritic membranes. We found that insulin increases the numbe
r of functional postsynaptic GABA(A) receptors, thereby increasing the
amplitude of the GABA(A)-receptor-mediated miniature inhibitory posts
ynaptic currents (mIPSCs) without altering their time course. These re
sults provide evidence for a rapid recruitment of functional receptors
to the postsynaptic plasmamembrane, suggesting a fundamental mechanis
m for the generation of synaptic plasticity.