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Getting a Handle on Neuropharmacology by Targeting Receptor-Associated Proteins

Targeted therapy for neuropsychiatric disorders requires selective modulation of dysfunctional neuronal pathways. Receptors relevant to CNS disorders typically have associated proteins discretely expressed in specific neuronal pathways; these accessory proteins provide a new dimension for drug disco...

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Bibliographic Details
Published in:Neuron (Cambridge, Mass.) Mass.), 2017-12, Vol.96 (5), p.989-1001
Main Authors: Maher, Michael P., Matta, Jose A., Gu, Shenyan, Seierstad, Mark, Bredt, David S.
Format: Article
Language:English
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Summary:Targeted therapy for neuropsychiatric disorders requires selective modulation of dysfunctional neuronal pathways. Receptors relevant to CNS disorders typically have associated proteins discretely expressed in specific neuronal pathways; these accessory proteins provide a new dimension for drug discovery. Recent studies show that targeting a TARP auxiliary subunit of AMPA receptors selectively modulates neuronal excitability in specific forebrain pathways relevant to epilepsy. Other medicinally important ion channels, gated by glutamate, γ-aminobutyric acid (GABA), and acetylcholine, also have associated proteins, which may be druggable. This emerging pharmacology of receptor-associated proteins provides a new approach for improving drug efficacy while mitigating side effects. Effective treatments for neuropsychiatric disorders require selective modulation of dysfunctional circuits. This review by Maher et al. outlines a strategy for targeting neurotransmitter receptor-associated proteins. This innovative pharmacological approach promises to enhance drug efficacy and minimize side effects.
ISSN:0896-6273
1097-4199
DOI:10.1016/j.neuron.2017.10.001