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First published online on February 17, 2005.
Copyright © 2005 by The Physiological Society
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jphysiol.2004.061747v1
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Received December 23, 2004
Revised January 17, 2005
Accepted after revision February 16, 2005

Effects of lorazepam on short latency afferent inhibition and short latency intracortical inhibition in humans

Vincenzo Di Lazzaro1*, Antonio Oliviero2, Eleonora Saturno1, Michele Dileone1, Fabio Pilato3, Raffaele Nardone4, Federico Ranieri1, Gabriella Musumeci1, Teresa Fiorilla1, and Pietro A Tonali1

1 Università Cattolica
2 Università Cattolica; Unidad de Neurologia Funcional Hospital Nacional de Paraplejicos
3 UniversitàCattolica
4 Ospedale F. Tappeiner

* To whom correspondence should be addressed. E-mail: vdilazzaro{at}rm.unicatt.it.

Experimental studies have demonstrated that the GABAergic system modulates acetylcholine release and, through GABAA receptors, tonically inhibits cholinergic activity. Little is known about the effects of GABA on the cholinergic activity in the human central nervous system. In vivo evaluation of some cholinergic circuits of the human brain has recently been introduced using a transcranial magnetic stimulation (TMS) protocol based on coupling peripheral nerve stimulation with TMS of the motor cortex. Peripheral nerve inputs have an inhibitory effect on motor cortex excitability at short intervals (short latency afferent inhibition, SAI). We investigated whether GABAA activity enhancement by lorazepam modifies SAI. We also evaluated the effects produced by lorazepam on a different TMS protocol of cortical inhibition, the short interval intracortical inhibition (SICI), that is believed to be directly related to GABAA activity. In ten healthy volunteers, the effects of lorazepam were compared with those produced by quetiapine, a psychotropic drug with sedative effects with no appreciable affinity at cholinergic muscarinic and benzodiazepine receptors, and with those of a placebo using a randomized double-blind study design. Administration of lorazepam produced a significant increase in SICI [F(3,9)=3.19, p=0.039]. In contrast to SICI, SAI was significantly reduced by lorazepam [F(3,9)=9.39, p=0.0002]. Our findings demonstrate that GABAA activity enhancement determines a suppression of SAI and an increase of SICI.


Key words: Acetylcholine • GABA • Transcranial magnetic stimulation







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