RT Journal Article SR Electronic T1 Sustained Inhibition of GABA-AT by OV329 Enhances Neuronal Inhibition and Prevents Development of Benzodiazepine Refractory Seizures JF eneuro JO eNeuro FD Society for Neuroscience SP ENEURO.0137-24.2024 DO 10.1523/ENEURO.0137-24.2024 VO 11 IS 7 A1 Colmers, Phillip L. W. A1 Arshad, Muhammad Nauman A1 Mukherjee, Jayanta A1 Lin, Shinghong A1 Ng, Shu Fun Josephine A1 Sarmiere, Patrick A1 Davies, Paul A. A1 Moss, Stephen J. YR 2024 UL http://www.eneuro.org/content/11/7/ENEURO.0137-24.2024.abstract AB γ-Aminobutyric acid (GABA) is the principal inhibitory neurotransmitter in the adult brain which mediates its rapid effects on neuronal excitability via ionotropic GABAA receptors. GABA levels in the brain are critically dependent upon GABA-aminotransferase (GABA-AT) which promotes its degradation. Vigabatrin, a low-affinity GABA-AT inhibitor, exhibits anticonvulsant efficacy, but its use is limited due to cumulative ocular toxicity. OV329 is a rationally designed, next-generation GABA-AT inhibitor with enhanced potency. We demonstrate that sustained exposure to OV329 in mice reduces GABA-AT activity and subsequently elevates GABA levels in the brain. Parallel increases in the efficacy of GABAergic inhibition were evident, together with elevations in electroencephalographic delta power. Consistent with this, OV329 exposure reduced the severity of status epilepticus and the development of benzodiazepine refractory seizures. Thus, OV329 may be of utility in treating seizure disorders and associated pathologies that result from neuronal hyperexcitability.