GABAB receptor ligands for the treatment of alcohol use disorder: preclinical and clinical evidence

The present paper summarizes the preclinical and clinical studies conducted to define the anti-alcohol pharmacological profile of the prototypic GABAB receptor agonist, baclofen, and its therapeutic potential for treatment of alcohol use disorder (AUD). Numerous studies have reported baclofen-induce...

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Main Authors: Roberta eAgabio, Giancarlo eColombo
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-06-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnins.2014.00140/full
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author Roberta eAgabio
Giancarlo eColombo
author_facet Roberta eAgabio
Giancarlo eColombo
author_sort Roberta eAgabio
collection DOAJ
description The present paper summarizes the preclinical and clinical studies conducted to define the anti-alcohol pharmacological profile of the prototypic GABAB receptor agonist, baclofen, and its therapeutic potential for treatment of alcohol use disorder (AUD). Numerous studies have reported baclofen-induced suppression of alcohol drinking (including relapse- and binge-like drinking) and alcohol reinforcing, motivational, stimulating, and rewarding properties in rodents and monkeys. The majority of clinical surveys conducted to date – including case reports, retrospective chart reviews, and randomized placebo-controlled studies – suggest the ability of baclofen to suppress alcohol consumption, craving for alcohol, and alcohol withdrawal symptomatology in alcohol-dependent patients. The recent identification of a positive allosteric modulatory binding site, together with the synthesis of in vivo effective ligands, represents a novel, and likely more favorable, option for pharmacological manipulations of the GABAB receptor. Accordingly, data collected to date suggest that positive allosteric modulators of the GABAB receptor reproduce several anti-alcohol effects of baclofen and display a higher therapeutic index (with larger separation – in terms of doses – between anti-alcohol effects and sedation).
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spelling doaj.art-5a3d867ca1bb4164af8553d75b5553842022-12-22T01:50:09ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2014-06-01810.3389/fnins.2014.0014091835GABAB receptor ligands for the treatment of alcohol use disorder: preclinical and clinical evidenceRoberta eAgabio0Giancarlo eColombo1University of CagliariNational Research Council of ItalyThe present paper summarizes the preclinical and clinical studies conducted to define the anti-alcohol pharmacological profile of the prototypic GABAB receptor agonist, baclofen, and its therapeutic potential for treatment of alcohol use disorder (AUD). Numerous studies have reported baclofen-induced suppression of alcohol drinking (including relapse- and binge-like drinking) and alcohol reinforcing, motivational, stimulating, and rewarding properties in rodents and monkeys. The majority of clinical surveys conducted to date – including case reports, retrospective chart reviews, and randomized placebo-controlled studies – suggest the ability of baclofen to suppress alcohol consumption, craving for alcohol, and alcohol withdrawal symptomatology in alcohol-dependent patients. The recent identification of a positive allosteric modulatory binding site, together with the synthesis of in vivo effective ligands, represents a novel, and likely more favorable, option for pharmacological manipulations of the GABAB receptor. Accordingly, data collected to date suggest that positive allosteric modulators of the GABAB receptor reproduce several anti-alcohol effects of baclofen and display a higher therapeutic index (with larger separation – in terms of doses – between anti-alcohol effects and sedation).http://journal.frontiersin.org/Journal/10.3389/fnins.2014.00140/fullBaclofenGABAB receptoralcohol use disorderPositive allosteric modulatorsAnimal models of alcohol use disorder
spellingShingle Roberta eAgabio
Giancarlo eColombo
GABAB receptor ligands for the treatment of alcohol use disorder: preclinical and clinical evidence
Frontiers in Neuroscience
Baclofen
GABAB receptor
alcohol use disorder
Positive allosteric modulators
Animal models of alcohol use disorder
title GABAB receptor ligands for the treatment of alcohol use disorder: preclinical and clinical evidence
title_full GABAB receptor ligands for the treatment of alcohol use disorder: preclinical and clinical evidence
title_fullStr GABAB receptor ligands for the treatment of alcohol use disorder: preclinical and clinical evidence
title_full_unstemmed GABAB receptor ligands for the treatment of alcohol use disorder: preclinical and clinical evidence
title_short GABAB receptor ligands for the treatment of alcohol use disorder: preclinical and clinical evidence
title_sort gabab receptor ligands for the treatment of alcohol use disorder preclinical and clinical evidence
topic Baclofen
GABAB receptor
alcohol use disorder
Positive allosteric modulators
Animal models of alcohol use disorder
url http://journal.frontiersin.org/Journal/10.3389/fnins.2014.00140/full
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