Frontiers in Neural Circuits (Oct 2023)

GABAergic signaling in alcohol use disorder and withdrawal: pathological involvement and therapeutic potential

  • Ravinder Naik Dharavath,
  • Celeste Pina-Leblanc,
  • Celeste Pina-Leblanc,
  • Victor M. Tang,
  • Victor M. Tang,
  • Victor M. Tang,
  • Victor M. Tang,
  • Victor M. Tang,
  • Victor M. Tang,
  • Matthew E. Sloan,
  • Matthew E. Sloan,
  • Matthew E. Sloan,
  • Matthew E. Sloan,
  • Matthew E. Sloan,
  • Matthew E. Sloan,
  • Matthew E. Sloan,
  • Yuliya S. Nikolova,
  • Yuliya S. Nikolova,
  • Peter Pangarov,
  • Anthony C. Ruocco,
  • Anthony C. Ruocco,
  • Anthony C. Ruocco,
  • Anthony C. Ruocco,
  • Kevin Shield,
  • Daphne Voineskos,
  • Daphne Voineskos,
  • Daphne Voineskos,
  • Daniel M. Blumberger,
  • Daniel M. Blumberger,
  • Daniel M. Blumberger,
  • Isabelle Boileau,
  • Isabelle Boileau,
  • Isabelle Boileau,
  • Isabelle Boileau,
  • Nikki Bozinoff,
  • Nikki Bozinoff,
  • Philip Gerretsen,
  • Philip Gerretsen,
  • Philip Gerretsen,
  • Philip Gerretsen,
  • Erica Vieira,
  • Erica Vieira,
  • Osnat C. Melamed,
  • Osnat C. Melamed,
  • Etienne Sibille,
  • Etienne Sibille,
  • Etienne Sibille,
  • Lena C. Quilty,
  • Lena C. Quilty,
  • Thomas D. Prevot,
  • Thomas D. Prevot

DOI
https://doi.org/10.3389/fncir.2023.1218737
Journal volume & issue
Vol. 17

Abstract

Read online

Alcohol is one of the most widely used substances. Alcohol use accounts for 5.1% of the global disease burden, contributes substantially to societal and economic costs, and leads to approximately 3 million global deaths yearly. Alcohol use disorder (AUD) includes various drinking behavior patterns that lead to short-term or long-lasting effects on health. Ethanol, the main psychoactive molecule acting in alcoholic beverages, directly impacts the GABAergic system, contributing to GABAergic dysregulations that vary depending on the intensity and duration of alcohol consumption. A small number of interventions have been developed that target the GABAergic system, but there are promising future therapeutic avenues to explore. This review provides an overview of the impact of alcohol on the GABAergic system, the current interventions available for AUD that target the GABAergic system, and the novel interventions being explored that in the future could be included among first-line therapies for the treatment of AUD.

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