Abstract
Background: Synaptic and extrasynaptic GABA A receptors mediate phasic and tonic inhibition, respectively. Results: Overexpression of extrasynaptic GABA A receptors decreases synaptic GABAergic transmission. Conclusion: Synaptic and extrasynaptic GABA A receptors may have intrinsic competition in single individual neurons. Significance: Phasic and tonic inhibition interacts to maintain homeostasis of total inhibition.

The GABA A receptors are the major inhibitory receptors in the brain and are localized at both synaptic and extrasynaptic membranes. Synaptic GABA A receptors mediate phasic inhibition, whereas extrasynaptic GABA A receptors mediate tonic inhibition. Both phasic and tonic inhibitions regulate neuronal activity, but whether they regulate each other is not very clear. Here, we investigated the functional interaction between synaptic and extrasynaptic GABA A receptors through various molecular manipulations. Overexpression of extrasynaptic ␣6␤3␦-GABA A receptors in mouse hippocampal pyramidal neurons significantly increased tonic currents. Surprisingly, the increase of tonic inhibition was accompanied by a dramatic reduction of the phasic inhibition, suggesting a possible homeostatic regulation of the total inhibition. Overexpressing the ␣6 subunit alone induced an up-regulation of ␦ subunit expression and suppressed phasic inhibition similar to overexpressing the ␣6␤3␦ subunits. Interestingly, blocking all GABA A receptors after overexpressing ␣6␤3␦ receptors could not restore the synaptic GABAergic transmission, suggesting that receptor activation is not required for the homeostatic interplay. Furthermore, insertion of a gephyrin-binding-site (GBS) into the ␣6 and ␦ subunits recruited ␣6 GBS ␤3␦ GBS receptors to postsynaptic sites but failed to rescue synaptic GABAergic transmission. Thus, it is not the positional effect of extrasynaptic ␣6␤3␦ receptors that causes the down-regulation of phasic inhibition. Overexpressing ␣5␤3␥2 subunits similarly reduced synaptic GABAergic transmission. We propose a working model that both synaptic and extrasynaptic GABA A receptors may compete for limited receptor slots on the plasma membrane to maintain a homeostatic range of the total inhibition.
GABA A receptor-mediated inhibition is critical to maintain normal brain functions. GABA A receptors are localized at both synaptic and extrasynaptic membranes and mediate phasic and tonic inhibition, respectively (1) . Synaptic GABA A receptors typically contain the ␥2 subunit, whereas ␦ subunit-containing GABA A receptors often localize at extrasynaptic sites. Our recent work revealed that, in addition to ␥2 and ␦ subunits, ␣ subunits also play a direct role in targeting GABA A receptors to synaptic and extrasynaptic sites (2) . Dysfunction of both synaptic and extrasynaptic GABA A receptors has been associated with neurological disorders such as anxiety, depression, and epilepsy (1, (3) (4) (5) . Because synaptic and extrasynaptic GABA A receptors have distinct spatial localization and mediate distinct temporal inhibition, it is unclear how synaptic and extrasynaptic GABA A receptors may interact with each other to regulate the total inhibition.
Synaptic GABA A receptors are mainly composed of ␣ 1-3 ␤ 2-3 ␥ 2 subunits. The ␥2 and ␣1-3 subunits together target the GABA A receptors to postsynaptic sites, juxtaposing to presynaptic GABAergic terminals to respond rapidly to vesicular GABA release (2, 6, 7) . Gene deletion of either the ␥2 or ␣1/␣2/␣3 subunit will result in a significant decrease of GABA A receptor puncta in neuronal subcellular regions (8 -12) . Loss of postsynaptic GABA A receptor clusters often leads to a reduction of presynaptic GABAergic terminals, possibly because of a retrograde feedback (13) (14) (15) (16) . The extrasynaptic GABA A receptors are mainly composed of ␣4␤␦, ␣6␤␦, and ␣5␤␥2 subunits (17, 18) . The ␣5-GABA A receptors are mainly localized at extrasynaptic membranes but are also found in synaptic sites (19, 20) . The ␦-containing GABA A receptors are mostly found in the dentate and cerebellar granule cells, as well as in the thalamic neurons (21) (22) (23) (24) . In developing cerebellum, the level of tonic inhibition increases significantly in the first postnatal month, but synaptic GABAergic transmission decreases substantially in the same time (25, 26) . It has also been reported that in transgenic mice with ectopic expression of the ␣6 subunit, tonic conductance increases, but synaptic GABA responses decrease simultaneously (27) . These studies suggest a possible interplay between synaptic and extrasynaptic GABA A receptors, but the molecular mechanism underlying such interaction is currently unknown.
In this study, we employed a series of molecular manipulations of extrasynaptic GABA A receptors to investigate their functional effects on fast GABAergic synaptic transmission. Overexpression of ␣6␤3␦ receptors in cultured hippocampal pyrimidal neurons resulted in a dramatic decrease of synaptic GABAergic events as well as a significant reduction of presynaptic GABAergic terminals. Surprisingly, such a functional outcome did not require the activation of extrasynaptic GABA A receptors. We further demonstrated that the down-regulation of phasic inhibition is not due to the positional effect of ␣6␤3␦ receptors because inserting a gephyrin-binding site (GBS) 3 into the ␣6 and ␦ subunits targeted ␣6 GBS ␤3␦ GBS receptors to postsynaptic sites but could not rescue phasic inhibition. Interestingly, overexpressing ␣5␤3␥2-receptors also decreased synaptic GABAergic transmission. On the basis of these results, we propose that synaptic and extrasynaptic GABA A receptors will compete for limited receptor slots on the cell surface so that the total GABA inhibition can be regulated in a homeostatic manner.
EXPERIMENTAL PROCEDURES
Cell Culture and Transfection-Hippocampal and cortical neurons were prepared form newborn C57BL/6 mouse pups (of either sex) as described previously (2) . Briefly, the hippocampi or cerebral cortex tissue was cut into 1-mm 3 cubes and digested with 0.05% trypsin-EDTA containing 50 units/ml DNase I. Dissociated single neurons were then plated onto a monolayer of astrocytes on poly-D-lysine-coated coverglass at a density of 1 ϫ 10 4 cells/cm 2 . The neuronal culture medium contained 500 ml minimum Eagle's medium (Invitrogen), 5% fetal bovine serum (HyClone, Logan, UT), 10 ml B-27 supplement (Invitrogen), 100 mg NaHCO 3 , 0.5 mM L-glutamine, 25 unit/ml penicillin/streptomycin, and 4 M AraC to suppress the excessive proliferation of astrocytes. Cells were maintained in a 5% CO 2 incubator at 37°C for 2-3 weeks.
Neurons were transfected at 2-4 days in vitro using our modified high-efficiency calcium phosphate transfection protocol (28) . About 1 g of each plasmid was used for the ␣6, ␣6␤3␦, or ␣2␤3␥2 transfection. The ␣6 GBS, ␤3, and ␦ GBS subunits were cotransfected at a ratio of 2:1:0.5 g. About 0.4 g each of GFP or mCherry was coexpressed to identify the transfected neurons. Neurons at 10 -14 days in vitro were used for electrophysiological and immunocytochemical analyses.
HEK 293T cells were maintained in high-glucose DMEM (Invitrogen) and supplemented with 10% fetal bovine serum and 25 units/ml penicillin/streptomycin. HEK cells were transfected with PEI (molecular weight 25,000, Polysciences, Inc.). HEK cells were split 1 day ahead and allowed to reach 90% confluence by the time of transfection. For each well in a 24-well plate, 1 g of total DNA was diluted in 50 l of Opti-MEM (Invitrogen), mixed with 4 l of PEI (1 g/l), sat for 5 min, and added drop-by-drop to the culture well containing 500 l of media. After 5 h of incubation, the cells were rinsed with fresh medium to remove the excess reagents. The transfected HEK cells were used for electrophysiological study 1-3 days after transfection.
Constructs-The CMV-based expression vectors for the GABA A receptor ␣2, ␤3, and myc ␥2 subunits were described previously (6) . The ␣6 and ␦ constructs in the pCMVneo backbone were gifts from Dr. R. L. MacDonald (Vanderbilt University Medical Center). The ␣5 subunit was a gift from Dr. Matthias Kneussel (University of Hamburg Medical School). The ␣6 GBS and ␦ GBS were constructed in our laboratory as described recently (2) . The GBS originated from the glycine receptor ␤ subunit (29) was inserted into the intracellular loop of the ␦ and ␣6 subunits after amino acid 341 and amino acid 340, respectively.
Drugs and Treatment-GABA and tetrodotoxin (TTX) were purchased from Sigma. Bicuculline methobromide (BIC), 6,7-dinitroquinoxaline-2,3-dione (DNQX), and 4,5,6,7-tetrahydroisoxazolo [5,4-c] pyridin-3-ol hydrochloride (THIP) were purchased from Tocris (Ellisville, MO). DNQX and THIP were dissolved in dimethyl sulfoxide to make concentrated stock solutions. Other drugs were dissolved in deionized water. All drugs were freshly diluted to working concentrations in the bath solution on the day of the experiment. The final dimethyl sulfoxide concentration was lower than 0.1%. For chronic BIC treatment, BIC (20 M) was added to the neuronal culture medium 2-4 days before electrophysiological recordings.
Immunocytochemistry-Neurons were fixed with 4% paraformaldehyde diluted in PBS for 12 min and permeabilized with 0.01% Triton X-100 in the blocking solution (PBS with 3% normal goat serum and 2% normal donkey serum) for 30 min. All steps were conducted at room temperature unless specified otherwise. Antibodies were diluted in the same blocking solution. The ␦/␦ GBS subunit on the neuronal surface was labeled before permeabilization with rabbit-anti-␦-Nterm antibody (1:500, PhosphoSolutions, Aurora, CO). Other primary antibodies were applied after Triton X-100 and incubated overnight at 4°C. The following primary antibodies were used: mouse-anti-GAD65 (1:100, Developmental Studies Hybridoma Bank), mouse-anti-gephyrin mAb7a (1:500, Synaptic Systems, Göttingen, Germany), and chicken-anti-GFP (1:2000, Abcam, Cambridge, MA). The following secondary antibodies were used as appropriate to detect primary antibodies: Alexa Fluor 488 goat-anti-chicken (1:500), Alexa Fluor 488 donkey-antirabbit (1:300), and Alexa Fluor 647 goat-anti-mouse (1:300, Molecular Probes, Eugene, OR).
Images for GAD immunoreactivity were captured on an inverted epifluorescent microscope (Nikon Eclipse TE2000S) equipped with a digital charge-coupled device (CCD) camera (Hamamatsu C4742-95). To quantify GABAergic synaptic terminals, images of 60 neurons were taken from each group. For each transfected neuron, two 50-m segments of major dendrites were randomly chosen on the basis of the GFP image, and GAD-positive puncta were counted in each segment. The total number of GAD puncta along the 100-m dendrite was compared among neurons transfected with GFP, ␣6␤3␦, or ␣6 subunit alone.
To investigate the surface expression of ␦ or ␦ GBS , confocal images were acquired from an Olympus FV1000 microscope. Quantification of the ␦ immunosignal was conducted using ImageJ software. The neuronal soma together with two major dendrites of each transfected neuron was traced manually under the mCherry image. The mean fluorescence intensity of ␦ immunostaining in the region of interest was analyzed. The background signal in the nearby area without any neurons was subtracted during analysis.
Electrophysiology-Whole cell recordings were performed in voltage clamp mode using a Multiclamp 700A amplifier (Molecular Devices) as described before (30) . A coverglass with cultured cells was placed in the recording chamber with continuous perfusion of the bath Tyrode's solution (128 mM NaCl, 30 mM glucose, 25 mM HEPES, 5 mM KCl, 2 mM CaCl 2 , and 1 mM MgCl 2 (pH 7.3), osmolarity ϳ320 mM). Fire-polished borosilicate glass pipettes with a resistance of 3-6 M⍀ were used for recording. The internal pipette solution contained 135 mM KCl, 10 mM HEPES, 2 mM EGTA, 10 mM Tris-phosphocreatine, 4 mM MgATP, and 0.5 mM Na 2 GTP (pH 7.3), osmolarity ϳ300 mM). Recordings were conducted at room temperature. The membrane potential was held at Ϫ70 mV. Data were acquired using pClamp 9 software (Molecular Devices), sampled at 5 kHz, and filtered at 1 kHz.
Drugs were applied through a six-channel manifold connected to a valve control system (VC-6, Warner Instruments, Hamden, CT) to achieve a fast switch between different solutions. Whole cell GABA/THIP-induced currents were recorded in the presence of TTX (0.5 M) and DNQX (10 M) to block voltage-gated sodium channels and AMPA receptors. TTX and DNQX were also added to the bath solution to record miniature inhibitory postsynaptic currents (mIPSCs), whereas mEPSCs were recorded in the presence of TTX and bicuculline (GABA A receptor antagonist, 20 M). To examine tonic currents in neurons, GABA (2 M) was bath-applied, and, after the GABA-induced current reached a plateau (normally after 1 min), 40 M bicuculline was added to block all GABA A receptors. The shift in holding current after bicuculline application was quantified as the tonic current. DNQX (10 M) was applied throughout the entire recording period to block AMPA receptor activation.
To analyze the kinetics of mIPSCs, single events recorded from each cell were identified using MiniAnalysis software (Synaptosoft). The events were aligned at the 50% rise point, and the average traces were used for curve fitting. The decay was fitted using two-exponential equations, and the weighted time constant ( weighted ) was calculated using the following equation: weighted ϭ (1 ϫ A1 ϩ 2 ϫ A2)/(A1 ϩ A2). Pooled data were presented as mean Ϯ S.E., and unpaired Student's t test was used for two-group comparison, whereas one-way ANOVA was used for multiple group comparison.
RESULTS

Overexpression of Extrasynaptic GABA A Receptors Downregulates Synaptic GABAergic
Transmission-To investigate the interrelationship between synaptic and extrasynaptic GABA A receptors, we overexpressed the ␣6, ␤3, and ␦ subunits in cultured hippocampal neurons to increase tonic inhibition and examined the effect on synaptic GABAergic transmission. Pyramidal neurons with a large apical dendrite and multiple basal dendrites were selected for recordings. THIP (also called Gaboxadol) is a relatively selective agonist for ␦-containing GABA A receptors at low concentrations (31) (32) (33) . As expected, neurons transfected with ␣6␤3␦ subunits (together with GFP) showed significantly larger THIP (5 ⌴) currents, whereas ␣2␤3␥2 overexpression did not increase THIP currents compared with non-transfected neurons ( Fig. 1 , A-C and G; non-TF, 17 Ϯ 5 pA, n ϭ 22; ␣6␤3␦, 192 Ϯ 32 pA, n ϭ 11; ␣2␤3␥2, 6 Ϯ 3 pA, n ϭ 10; p Ͻ 0.001, one-way ANOVA). Interestingly, overexpression of either ␣6␤3␦ or ␣2␤3␥2 receptors did not change the whole-cell GABA (100 ⌴) currents (Fig. 1 , D-F and H; non-TF, 3861 Ϯ 461 pA, n ϭ 20; ␣6␤3␦, 4228 Ϯ 453 pA, n ϭ 12; ␣2␤3␥2, 4997 Ϯ 445 pA, n ϭ 8; p Ͼ 0.3, one-way ANOVA). The ␥2 subunit was myc-tagged, and immunostaining confirmed that it was expressed after transfection and clustered at postsynaptic sites (2) . Thus, overexpression of ␣6␤3␦ subunits in hippocampal neurons results in a large tonic current, but the total GABA current remains unchanged. On the other hand, overexpression of ␣2␤3␥2 subunits has no effect on the tonic current nor on the total GABA current, as if the total number of GABA A receptors on the cell surface had reached the plateau before overexpression.
We next examined whether the increased expression of extrasynaptic GABA A receptors might affect synaptic GABAergic transmission. mIPSCs were recorded in the presence of TTX (0.5 M) and DNQX (10 M) to block action potentials and glutamatergic responses, respectively. The average mIPSC frequency recorded in non-transfected control neu- . Surprisingly, in neurons overexpressing ␣6␤3␦-receptors, the mIPSC frequency was reduced significantly to 0.14 Ϯ 0.04 Hz (Fig. 2B , n ϭ 9, p Ͻ 0.001), a dramatic 9-fold decrease from the control level.
We wondered whether such a drastic reduction was caused by transfecting multiple plasmids in neurons. Therefore, we overexpressed ␣2␤3␥2 subunits as a control but found no significant change in the frequency of mIPSCs (Fig. 2 , C and D, 0.94 Ϯ 0.25 Hz, n ϭ 9, p Ͼ 0.5), suggesting that transfection of multiple plasmids did not cause mIPSC reduction. Furthermore, the average mIPSC amplitude was found to be not different among the three groups (Fig. 2E , non-TF, 20.9 Ϯ 0.9 pA, n ϭ 30; ␣6␤3␦, 18.2 Ϯ 1.3 pA, n ϭ 9; ␣2␤3␥2, 17.9 Ϯ 1.9 pA, n ϭ 9; p Ͼ 0.15, one-way ANOVA). These experiments revealed that increasing extrasynaptic ␣6␤3␦ receptor expression in hippocampal neurons significantly down-regulates synaptic GABAergic transmission.
Overexpression of the ␣6 Subunit Alone Decreases Synaptic GABAergic Transmission-Our recent studies demonstrated that, in addition to the ␥2 and ␦ subunits, the ␣ subunits also play a direct role in GABA A receptor targeting (2) . Therefore, we tested whether expressing the ␣6 subunit alone in cultured hippocampal neurons can affect synaptic GABAergic transmission. Similar to ␣6␤3␦ cotransfection, we found that transfection with the ␣6 subunit alone (together with mCherry for identification purposes) significantly decreased the mIPSC frequency (Fig. 3 , A-C; control, 1.2 Ϯ 0.2 Hz, n ϭ 19; ␣6, 0.27 Ϯ 0.06 Hz, n ϭ 21; p Ͻ 0.001, unpaired Student's t test). Despite the remarkable 77% reduction in mIPSC frequency, ␣6 expression did not change the amplitude of mIPSCs in a significant way ( Fig. 3D ; control, 25.2 Ϯ 2.2 pA, n ϭ 19; ␣6, 21.0 Ϯ 1.0 pA, n ϭ 19; p ϭ 0.09, unpaired Student's t test). We next investigated whether overexpressing the ␣6 subunit alone resulted in any changes of tonic current. In control neurons (non-transfected or mCherry-transfected), a small tonic GABA current was revealed by the application of the GABA A receptor antagonist BIC (40 M) in the continuous presence of GABA (2 M) and DNQX (10 M) (Fig. 4, A and B, 79 Ϯ 20 pA, n ϭ 13). In contrast, the ␣6-transfected neurons displayed much larger tonic GABA currents (Fig. 4, A and B, 486 Ϯ 86 pA, n ϭ 8, p Ͻ 0.001), a 6-fold increase over the control level. Furthermore, application of THIP (5 ⌴), a relatively selective agonist for ␦-containing GABA A receptors, also revealed a significantly larger tonic current in ␣6-transfected neurons than the control (Fig. 4, C and D; control, 104.8 Ϯ 30.3 pA, n ϭ 12; ␣6, 247.1 Ϯ 38.3 pA, n ϭ 8; p Ͻ 0.01; unpaired Student's t test). Therefore, overexpression of the ␣6 subunit alone increased tonic inhibition and down-regulated synaptic GABAergic transmission at the same time, consistent with previous findings in ␣6 transgenic mice (27) .
Because the ␣6 subunit can form multiple subtypes of functional receptors, such as ␣6␤, ␣6␤␥2, and ␣6␤␦ receptors (22, 
34)
, we wondered what kind of GABA A receptor subtype was responsible for such a large tonic current in ␣6-transfected neurons. To answer this question, we overexpressed the ␣6␤3, ␣6␤3␥2, or ␣6␤3␦ subunits in HEK293T cells and tested their responses to THIP (5 ⌴). As shown in Fig. 4E , THIP-induced currents in HEK cells transfected with ␣6␤3 or ␣6␤3␥2 subunits were very small, but HEK cells transfected with ␣6␤3␦ subunits showed a significantly larger tonic current. Quantitatively, the average sustained current induced by THIP (5 M) was 9.2 Ϯ 4.8 pA (n ϭ 6) for ␣6␤3 receptors and 30.7 Ϯ 5.4 pA (n ϭ 7) for ␣6␤3␥2 receptors, respectively (Fig. 4F) . In comparison, the THIP-induced current in ␣6␤3␦-expressing cells was 287 Ϯ 107 pA (Fig. 4F , n ϭ 5, p Ͻ 0.01, one-way ANOVA), a 9-fold increase over that mediated by ␣6␤3␥2 receptors. Because overexpression of ␣6␤3␥2 receptors in HEK cells can only generate a very small THIP current, the large tonic current observed in ␣6-overexpressing neurons is likely not mediated by ␣6␤␥2 receptors but possibly by THIP-sensitive ␣6␤␦ receptors (33) . However, most of our recordings were performed in hippocampal pyramidal neurons, which usually have a low level of ␦ receptor expression. We therefore hypothesized that the ␦ subunit expression level may be up-regulated in ␣6-transfected neurons to form ␣6␤3␦ receptors.
The ␣6 Subunit Induces the Expression of the ␦ Subunit in Pyrimidal Neurons-To test our hypothesis that the ␦ subunit expression can be induced by overexpressing the ␣6 subunit in hippocampal pyramidal neurons, we directly examined the expression level of the ␦ subunit on the cell surface of neurons with or without ␣6 transfection. Cultured neurons were transfected with mCherry alone or ␣6 plus mCherry, and the antibodies specific for the ␦ subunit (PhosphoSolutions) were used to label the neuronal surface expression in the non-permeabilized condition. As expected, the endogenous ␦ subunit expression level was very low in hippocampal and cortical pyrimidal neurons (Fig. 5, A and B) . Intriguingly, neurons transfected with the ␣6 subunit alone showed a significantly elevated expression level of the ␦ subunit on the cell surface of both soma and dendrites (Fig. 5, C and D) . It is noteworthy that the ␦ immunosignal showed a diffused distribution pattern in ␣6-transfected neurons, consistent with the pattern of ␣6␤3␦ receptors (Fig.  8B) . Quantitative analysis of the fluorescent intensity showed that the expression level of the ␦ subunit on the plasma membrane was significantly higher after ␣6 transfection (Fig. 5E , mCherry, 12.1 Ϯ 1.0 arbitrary units, n ϭ 24; ␣6, 40.3 Ϯ 3.7 arbitrary units, n ϭ 24; p Ͻ 0.001, unpaired Student's t test). Therefore, overexpression of the ␣6 subunit alone in pyramidal neurons can enhance tonic inhibition through the induction of the ␦ subunit expression, suggesting that tonic inhibition in pyramidal neurons is much more plastic than we thought before.
Overexpressing Extrasynaptic GABA A Receptors Reduces GABAergic Synapses-The substantial reduction of the mIPSC frequency after transfection of the ␣6 or ␣6␤3␦ subunits in pyramidal cells prompted us to further examine the changes in GABAergic synapses using an immunostaining method. As shown in Fig. 6A , control neurons transfected with GFP alone received a normal level of GABAergic innervation, as indicated by the GAD-positive presynaptic puncta (red) apposing the dendrites (green). However, significantly less GAD puncta were detected on the dendrites of neurons transfected with ␣6␤3␦ or ␣6 subunits (Fig. 6, B and C) . On average, the GABAergic synaptic density on control neurons was 8.8 Ϯ 0.5 puncta/100 m dendrites (randomly chosen), whereas on ␣6␤3␦-and ␣6-transfected neurons, the GABAergic density reduced substantially to 2.9 Ϯ 0.3 and 4.3 Ϯ 0.4 puncta/100 m dendrites, respectively (Fig. 6D , p Ͻ 0.001, one-way ANOVA followed by Bonferroni's correction). No significant difference was found in the GAD puncta density between ␣6␤3␦-and ␣6-transfected neurons (p Ͼ 0.05). Therefore, overexpression of extrasynaptic GABA A receptors resulted in a decrease of presynaptic GABAergic innervation, consistent with the substantial decrease of synaptic GABAergic transmission.
Interaction between Synaptic and Extrasynaptic GABA A Receptors Is Independent of Receptor Activation-So far we have demonstrated that enhancing tonic inhibition through the overexpression of extrasynaptic GABA A receptors resulted in a significant decrease of fast synaptic GABAergic transmission. This led to our working hypothesis that, in any given neuron, there is a constant interplay between synaptic and extrasynaptic GABA A receptors to maintain a normal range of total inhibition. If tonic inhibition is substantially up-regulated, the phasic inhibition will be down-regulated and vice versa. Maintaining the total inhibition in each individual neuron may be critical for homeostatic modulation of neural network activity (35, 36) . To test our hypothesis, we first investigated whether the activation of synaptic and extrasynaptic GABA A receptors is required for their interplay. For this purpose, after ␣6␤3␦ transfection, neurons were treated with bicuculline (20 ⌴) for 2-4 days to completely block all GABA A receptors, including both synaptic and extrasynaptic GABA A receptors. Global suppression of GABAergic inhibition in non-transfected neurons did result in a significant increase in mIPSC frequency (Fig. 7, A,  B , and E; control, 1.04 Ϯ 0.17 Hz, n ϭ 19; BIC, 3.24 Ϯ 0.61 Hz, n ϭ 20; p Ͻ 0.01). Similarly, in ␣6␤3␦-transfected neurons, BIC treatment also resulted in an increase in mIPSC frequency (Fig.  7 , C-E; ␣6␤3␦, 0.08 Ϯ 0.03 Hz, n ϭ 8; ␣6␤3␦ ϩ BIC, 0.33 Ϯ 0.11 Hz, n ϭ 16; p Ͻ 0.05). The average amplitude of mIPSCs was also increased significantly by BIC treatment in non-transfected neurons ( Fig. 7F ; control, 24.5 Ϯ 1.1 pA, n ϭ 19; BIC, 29.9 Ϯ 2.1 pA, n ϭ 20; p Ͻ 0.05). The mIPSC amplitude in ␣6␤3␦-transfected neurons was not changed by chronic BIC treatment ( Fig. 7F ; ␣6␤3␦, 28.1 Ϯ 4.1, n ϭ 8; ␣6␤3␦ ϩ BIC, 27.6 Ϯ 1.4, n ϭ 15; p Ͼ 0.9). Importantly, after BIC treatment, the mIPSC frequency in ␣6␤3␦-transfected neurons remained very low compared with non-transfected neurons (Fig. 7, B, D , and E; p Ͻ 0.001). If increased tonic inhibition is a prerequisite for the down-regulation of phasic inhibition, blocking all GABA A receptor activity with bicuculline should have abolished the decrease of mIPSC frequency in the ␣6␤3␦-transfected neurons. In contrast, our results indicate that overexpression of extrasynaptic GABA A receptors can down-regulate synaptic GABAergic transmission regardless of whether the overexpressed receptors are activated or not.
Down-regulation of Phasic Inhibition Is Not Caused by the Positional Effect of Extrasynaptic Localization of ␣6␤3␦
Receptors-Because ␣6␤3␦ receptors are mainly localized on the extrasynaptic membranes, we wondered whether their positional effect could be causing the down-regulation of synaptic GABAergic transmission. We reasoned that if it is due to the positional effect, the defect in synaptic GABAergic transmission may be rescued if the ␣6␤3␦ receptors could be targeted to GABAergic postsynaptic sites. Indeed, we have recently engineered chimeric subunits by inserting GBSs into the intracellular loop of the ␣6 (␣6 GBS ) and ␦ (␦ GBS ) subunits so that they can interact with the scaffold protein gephyrin and localize to synaptic sites (2) . Neurons were transfected with ␣6␤3␦ or ␣6 GBS ␤3␦ GBS subunits and double-immunostained for gephyrin and surface ␦ expression. We confirmed that ␣6 GBS ␤3␦ GBS receptors formed clusters in 90% of the transfected neurons (18 of 20 cells). Of the 18 cells, 14 cells showed a high level of colocalization between ␦ GBS and gephyrin clusters (Fig. 8A, arrows) . Some gephyrin-positive puncta did not colocalize with ␦ GBS clusters (Fig. 8A, arrowheads) , indicating that the ␣6 GBS ␤3␦ GBS receptors were not recruited to all GABAergic synapses. In contrast, in ␣6␤3␦-transfected neurons (n ϭ 9), ␦ immunoreactivity (red) was distributed diffusely throughout the soma and dendrites and not colocalized with the gephyrin clusters (Fig. 8B, green) . Thus, ␣6 GBS ␤3␦ GBS receptors are efficiently recruited to GABAergic postsynaptic sites, distinct from the extrasynaptic localization of ␣6␤3␦ receptors.
After changing their localization, we next examined the effect of ␣6 GBS ␤3␦ GBS receptors on the fast GABAergic synaptic transmission in pyramidal neurons. Surprisingly, the mIPSC frequency recorded in ␣6 GBS ␤3␦ GBS -transfected neurons still showed a significant reduction compared with the control neurons (Fig. 9, A and C; control, 3 .0 Ϯ 0.6 Hz, n ϭ 12; ␣6 GBS ␤3␦ GBS , 1.0 Ϯ 0.4 Hz, n ϭ 14; p Ͻ 0.05). Unlike the overexpression of ␣6␤3␦ receptors, which only decreased mIPSC frequency, the amplitude of mIPSCs in the ␣6 GBS ␤3␦ GBS -transfected neurons was also reduced significantly compared with the control cells (Fig. 9, A and D; control, 28.7 Ϯ 2.8 pA, n ϭ 12; ␣6 GBS ␤3␦ GBS , 16.8 Ϯ 1.5 pA, n ϭ 14; p Ͻ 0.001), likely because of lower conductance or opening probability of ␣6␤3␦-receptors (37, 38) . No changes were found in mEPSC frequency (Fig.  9 , B and C; control, 3.0 Ϯ 1.2 Hz, n ϭ 9; ␣6 GBS ␤3␦ GBS , 5.4 Ϯ 2.1 Hz, n ϭ 13; p Ͼ 0.3) or mEPSC amplitude (B and D; control, 11.9 Ϯ 1.8 pA, n ϭ 9; ␣6 GBS ␤3␦ GBS , 13.6 Ϯ 1.6 pA, n ϭ 13; p Ͼ 0.4). These results suggest that although ␣6 GBS ␤3␦ GBS receptors are now localized at synaptic sites, they still down-regulate GABAergic synaptic transmission.
We further analyzed the mIPSCs in ␣6 GBS ␤3␦ GBS -transfected neurons. The ␦-containing GABA A receptors are known to have slower desensitization compared with many other receptor subtypes, such as ␥2-containing receptors (39, 40) . When examining the kinetics of the mIPSC events in the ␣6 GBS ␤3␦ GBS -expressing neurons, we found that these events decayed much slower than those in control neurons ( Fig. 9E ; control, weighted ϭ 37.3 Ϯ 4.1 ms, n ϭ 12; ␣6 GBS ␤3␦ GBS , weighted ϭ 52.3 Ϯ 5.3 ms, n ϭ 14; p Ͻ 0.05; unpaired Student's t test). The 10 -90% rise time did not differ significantly between control and ␣6 GBS ␤3␦ GBS -expressing neurons (control, 2.2 Ϯ 0.2 ms, n ϭ 12; ␣6 GBS ␤3␦ GBS , 2.8 Ϯ 0.3 ms, n ϭ 14; p Ͼ 0.1, unpaired Student's t test). The slower decay in ␣6 GBS ␤3␦ GBSexpressing neurons indicated that the ␣6 GBS ␤3␦ GBS receptors were indeed incorporated into postsynaptic receptor clusters and contributed to the mIPSC events. Interestingly, we also observed a negative correlation between the mIPSC frequency and THIP-induced current in ␣6 GBS ␤3␦ GBS -transfected neurons (Fig. 9F, Pearson' s test, r ϭ Ϫ0.6, p Ͻ 0.01). 10 of 14 neurons transfected with ␣6 GBS ␤3␦ GBS receptors showed a THIPinduced current greater than 200 pA, and the mIPSC frequency in these 10 neurons were all lower than 1 Hz (Fig. 9F, green dots  circled by the solid line) . On the other hand, THIP currents in 7 of 11 control neurons were smaller than 100 pA, and the mIPSC frequency in these neurons was much higher, up to 6.2 Hz (Fig.  9F, white dots circled by the dashed line) . Lastly, we compared the relative reduction in mIPSC frequency caused by ␣6␤3␦ or ␣6 GBS ␤3␦ GBS receptors. As shown in Fig. 9G , normalized mIPSC frequency showed that overexpressing ␣6␤3␦ receptors reduced the mIPSC frequency to 11.4 Ϯ 3.2% of the control level (n ϭ 10), whereas the ␣6 GBS ␤3␦ GBS receptors down-regulated the mIPSC frequency to 33.4 Ϯ 13.0% of the control level (n ϭ 14). Nevertheless, there was no statistical difference between the relative mIPSC frequency in ␣6␤3␦-and ␣6 GBS ␤3␦ GBS -expressing neurons (Fig. 9G, ␣6␤3␦ versus ␣6 GBS ␤3␦ GBS , p Ͼ 0.2, one-way ANOVA followed by Bonferroni's correction). In conclusion, the clustering of ␣6 GBS ␤3␦ GBS receptors at postsynaptic sites cannot rescue the defect in fast GABAergic synaptic transmission. Therefore, the interplay between synaptic and extrasynaptic GABA A receptors cannot be attributed to the positional effect of ␣6␤3␦ receptors.
Overexpressing ␣5␤3␥2 Receptors Also Decreased Synaptic GABAergic Transmission-Besides ␦ subunit-containing extrasynaptic GABA A receptors, ␣5 subunit-containing receptors are also largely localized at extrasynaptic membranes, although some synaptic puncta were also reported (19, 20) . We therefore investigated whether overexpressing a distinctly different subtype of extrasynaptic GABA A receptors will affect synaptic GABA transmission. Immunocytochemistry experiments confirmed that the HA-␣5 subunit was significantly expressed in cultured hippocampal neurons (Fig. 10, A-F) . Our recent study also demonstrated that overexpressing HA-␣5␤3␥2 subunits FIGURE 9. Overexpression of ␣6 GBS ␤3␦ GBS receptors decreased both the frequency and amplitude of mIPSCs. A, representative mIPSC traces in control (black) and ␣6 GBS ␤3␦ GBS -transfected neurons (green). B, mEPSC traces in control (black) and ␣6 GBS ␤3␦ GBS -transfected neurons (green). C, neurons expressing ␣6 GBS ␤3␦ GBS receptors had a significantly lower frequency of mIPSCs but no change in mEPSCs. *, p Ͻ 0.05; n.s., not significant. D, expression of ␣6 GBS ␤3␦ GBS receptors significantly reduced mIPSC amplitude, but mEPSCs remained unaffected. Ctrl, control. ***, p Ͻ 0.001. E, scaled overlay showing a slower decay phase of mIPSCs in ␣6 GBS ␤3␦ GBS -expressing neurons. *, p Ͻ 0.05. F, inverse relationship between the mIPSC frequency and whole-cell THIP current. The ␣6 GBS ␤3␦ GBStransfected neurons showed a large THIP (5 M) current but low mIPSC frequency, whereas control neurons showed a small THIP current but a large mIPSC frequency. G, normalized mIPSC frequency showing a similar reduction of mIPSC frequency in neurons transfected with ␣6 GBS ␤3␦ GBS or ␣6␤3␦ receptors. ***, p Ͻ 0.001.
significantly increased the tonic current in cultured hippocampal neurons (41) . Interestingly, we found that after overexpressing ␣5␤3␥2 receptors, the frequency of mIPSCs was reduced significantly compared with non-transfected controls (Fig. 10,  G and H) . Quantified data showed that the frequency, but not the amplitude, of mIPSCs was decreased in ␣5␤3␥2-transfected neurons (Fig. 10, I and J) . Therefore, similar to the overexpression of ␣6␤3␦ receptors, increasing the expression level of ␣5␤3␥2 receptors also leads to a reduction of synaptic GABA transmission.
DISCUSSION
About half of the GABA A receptors are at synaptic sites, and the other half are on extrasynaptic membranes. How synaptic and extrasynaptic GABA A receptors interact with each other to maintain the homeostasis of GABAergic inhibition has not been well studied. In this work, we demonstrated that overexpression of extrasynaptic ␣6␤3␦ receptors in cultured pyramidal neurons resulted in a substantial decrease of the mIPSC frequency and presynaptic GABAergic terminals. Thus, there appears to be a homeostatic interplay between tonic and phasic inhibition. Interestingly, such an interaction between synaptic and extrasynaptic GABA A receptors does not require the receptor activation, suggesting a novel form of homeostatic plasticity. The extrasynaptic localization of the ␣6␤3␦-receptors is also not a precondition for the suppression of synaptic GABAergic transmission because molecularly engineered ␣6 GBS ␤3␦ GBS receptors can cluster at synaptic sites but fail to rescue the mIPSC defects. These results suggest that synaptic and extrasynaptic GABA A receptors may interact with each other in an unconventional way to maintain a delicate balance between tonic and phasic inhibition.
Homeostatic Regulation of GABAergic Inhibition-Homeostatic plasticity in the central nervous system refers to the capability of neural networks to maintain their activity level within a normal range in response to a variety of stimulations. One type of homeostatic plasticity, synaptic scaling, was first demonstrated in excitatory synapses, and alteration of network activity by TTX or BIC may uniformly change the synaptic strength in all synapses (35) . The mechanism of such homeostatic scaling has been studied extensively in excitatory synapses (42) (43) (44) . In contrast, homeostatic plasticity in inhibitory synapses is much less studied (45) . Global inhibition of network activity by TTX decreased the mIPSC amplitude as well as the number of GADpositive puncta (46) . Interestingly, homeostatic synaptic scaling at inhibitory synapses only occurred after inhibiting global activity with TTX, whereas hyperpolarizing individual neurons by overexpressing potassium channels did not change the GABAergic synaptic efficacy (47) . Conversely, increasing network activity resulted in an increase of mIPSC frequency and amplitude (36, 48) . Our bicuculline experiments confirmed that perturbing global activity can induce homeostatic plasticity at inhibitory synapses. However, in individual neurons overexpressing ␣6␤3␦-GABA A receptors, the mIPSC frequency was still decreased drastically in the presence of BIC (Fig. 7) . Our results have two significant implications. 1) The interplay between synaptic and extrasynaptic GABA A receptors does not require the activation of these receptors.
2) The homeostatic down-regulation of synaptic GABAergic transmission after overexpressing extrasynaptic GABA A receptors is cell-autonomous and not because of global activity changes. Therefore, the interaction between tonic and phasic inhibition may represent a novel form of homeostatic plasticity.
In fact, GABAergic inhibition may have several different types of homeostatic plasticity. One well studied area is the compensatory changes of GABA A receptors following targeted gene deletion of specific subunits. For example, targeted deletion of the GABA A receptor ␣1 subunit resulted in a significant increase in ␣2 and ␣3 subunit expression as well as an elevated number of morphological synapses. However, electrophysiological study showed that the amplitude and frequency of mIPSCs were reduced in ␣1 Ϫ/Ϫ mice, suggesting that the compensation by ␣2 and ␣3 subunits cannot completely rescue the loss of GABAergic transmission because of the deletion of the ␣1 subunit (49) . Another type of plasticity is the change of spe- cific GABA A receptor subunits induced by pathological conditions such as epileptic seizures (50 -56) . Moreover, GABA A receptor-mediated inhibition may be interacting with other channel-mediated inhibition to maintain homeostatic neuronal activity. For example, in ␣6 Ϫ/Ϫ neurons, ␣6␤␦-GABA A receptor-mediated tonic conductance was reduced greatly, but a continuously active form of potassium conductance emerged to maintain normal neuronal excitability (23) . On the other hand, in HCN1 (hyperpolarization-activated cyclic nucleotidegated channel 1) knockout neurons, the inhibitory function of HCN1 was partially compensated by increased tonic inhibition mediated by ␣5-containing extrasynaptic GABA A receptors (57) . These various forms of homeostatic plasticity suggest that it is pivotal to maintaining neural inhibition in a normal range for proper neural network function.
Interplay between Synaptic and Extrasynaptic GABA A Receptors-A potential interplay between tonic and phasic inhibition came from observations during normal brain development, particularly in cerebellar granule cells. At postnatal day 7 (P7), spontaneous IPSCs contribute to most of the total charge transfer mediated by GABA A receptors (25) . As the animals grow older (P21), both the frequency and amplitude of IPSCs decrease substantially, whereas a tonic form of inhibition takes over to control the granule cell firing rate as well as the information flow through the cerebellar cortex (25, 26, 58, 59) . Such a developmental shift from phasic to tonic inhibition correlates very well with the up-regulation of ␣6 and ␦ subunit expression in the cerebellum, with the tonic current contributing to the majority of the total charge transfer by P21 (25, 59 -61) . The more direct evidence suggesting a possible homeostatic interplay between synaptic and extrasynaptic GABA A receptors came from transgenic mice overexpressing the GABA A receptor ␣6 subunit (27) . Ectopic expression of the ␣6 subunit in hippocampal pyramidal neurons increased the tonic current but decreased the spontaneous IPSC frequency. An immunoelectron microscopic assay revealed an extrasynaptic localization of the ␣6-containing receptors (27) . However, the authors suggested that ␣6 was assembled into receptors composed of the ␣6␤␥2, ␣1␣6␤␥2, and ␣3␣6␤␥2 subunits. In this study, overexpressing the ␣6 subunit alone is mimicking the expression of ␣6␤3␦ subunits in increasing tonic inhibition and decreasing phasic inhibition, which is also reminiscent of the finding in ␣6 transgenic mice. However, we demonstrated that ␣6␤␥2 receptors cannot generate a large tonic current (Fig. 4) . More importantly, our immunostaining experiments directly demonstrated that ␣6 overexpression can induce an up-regulation of ␦ subunit expression (Fig. 5) . Therefore, the overexpressed ␣6 subunit is more likely assembled with the up-regulated ␦ subunit to form ␣6␤␦ receptors, which will mediate the enhanced tonic inhibition.
Such an intimate association between the ␣6 and ␦ subunits is not surprising. A previous study has demonstrated that the inactivation of ␣6 subunit expression suppresses ␦ subunit expression (62) . Similarly, in ␣6 Ϫ/Ϫ mice, ␦ subunit expression is almost abolished in cerebellar granule cells (23) . Our study suggests that the opposite may also be true. In hippocampal pyramidal neurons where the ␦ subunit expression level is typically very low, overexpression of the ␣6 subunit can strongly up-regulate ␦ subunit expression. Thus, tonic inhibition mediated by ␦-containing receptors may be quite plastic, particularly in brain regions with a low expression level of the ␦ subunit under normal physiological conditions. In support of this notion, it has been reported that the mRNA encoding the ␦ subunit was present (at a low level) in the CA1-CA3 region of the adult hippocampus (63) and that the ␦ subunit gene promoter may be active in a subpopulation of pyramidal cells (64) . It is unclear at this time whether the ␦ subunit in pyramidal neurons is constantly translated but fails to assemble into functional receptors because of the lack of endogenous ␣6/␣4 partners or whether the translation of the ␦ subunit itself requires the ␣6/␣4 partners. In any case, the low level of ␦ subunit expression at basal conditions may leave ample room for the up-regulation of tonic inhibition in pyramidal cells.
The ␣5 subunit is initially expressed widely in the developing brain but gradually restricted to the hippocampus and olfactory bulb (60) . The decrease of the ␣5 subunit is accompanied with an increase of the ␣1 subunit during brain development (60) . Thus, it is easier to understand a potential competition between the ␣5 and ␣1 subunits. The overexpression of the ␣5 subunit may displace some ␣1 subunit and, hence, decrease synaptic GABAergic inhibition. Our recent work demonstrated that overexpression of both the ␣6␤3␦ and ␣5␤3␥2 receptors significantly inhibited the formation of epileptiform activity in hippocampal neurons (41) . This work suggests that synaptic GABA inhibition is actually reduced after enhancing tonic inhibition. Therefore, it is pivotal to look at both synaptic and extrasynaptic GABA A receptors when assessing the net effect of GABA inhibition on neural network activity. In conclusion, tonic inhibition mediated by extrasynaptic GABA A receptors is highly dynamic, and the interaction between synaptic and extrasynaptic GABA A receptors plays an important role in controlling the homeostatic level of the total inhibition.
A Working Model. Synaptic and Extrasynaptic GABA A Receptors Compete for Limited Receptor Slots on the Plasma
Membrane-The easiest explanation for the decreased phasic inhibition after an increased tonic inhibition is that neurons have to maintain an optimal level of total inhibition to control overall neuronal excitability and global network activity. The difficult question is how neurons sense the increase of tonic inhibition and how they send the signal to decrease phasic inhibition. We thought initially that, after overexpressing extrasynaptic GABA A receptors, the enhanced tonic inhibition reduced neuronal firing in the transfected neurons and that the reduced neuronal activity down-regulates synaptic IPSCs through the homeostatic scaling mechanism. However, we discovered that chronic blockage of GABA A receptor activity by bicuculline did not restore the GABAergic synaptic transmission in ␣6␤3␦-overexpressed neurons. Under bicuculline treatment, neurons cannot sense the enhanced tonic inhibition, suggesting that the down-regulation of phasic inhibition cannot be attributed to the elevated tonic inhibition. Because both synaptic and extrasynaptic GABA A receptors are blocked by bicuculline, we suspected that there might be a "physical competition" between these receptors. Although there may be several possible models to explain all of the data observed here, we propose a working model that both synaptic and extrasynaptic GABA A receptors have to compete for the limited receptor slots on the plasma membrane. It is the total number of GABA A receptors on the cell surface that controls the total inhibition (Fig. 11) . Under normal conditions, about half of the GABA A receptors are at synaptic sites, and half are on extrasynaptic membranes. Some of the ␥2-containing receptors on the extrasynaptic membranes will diffuse laterally and be stabilized eventually at synaptic sites (65) . When additional extrasynaptic GABA A receptors are overexpressed, they competitively occupy more receptor slots on the cell surface so that the number of slots available for ␥2-receptors is reduced greatly. As a result, the fast synaptic GABAergic transmission is reduced. Such a competition model does not require the activation of the synaptic or extrasynaptic GABA A receptors. This model not only explains the results of overexpressing the ␣6 and ␣6␤3␦ subunits but also explains the results of overexpressing the ␣2␤3␥2, ␣5␤3␥2, and ␣6 GBS ␤3␦ GBS subunits. Overexpressing the ␣2␤3␥2 subunits did not increase the whole-cell GABA current nor change the mIPSC frequency or amplitude, suggesting that ␣2␤3␥2 receptors usually occupy the synaptic receptor slots in neurons and that ␣2␤3␥2 overexpression will not further increase their occupancy. In the case of overexpressing ␣6 GBS ␤3␦ GBS subunits, although ␣6 GBS ␤3␦ GBS receptors can be recruited to synaptic sites, the total number of ␥2-receptor clusters at synaptic sites is still reduced because of some receptor slots occupied by ␣6 GBS ␤3␦ GBS receptors. Because ␣6 GBS ␤3␦ GBS receptors cannot generate large GABA responses to compensate for the loss of ␥2-receptors (2), the phasic inhibition is reduced significantly. It is worth to point out that besides receptor slot competition, the ␣6 subunit may compete with the ␣1-3 subunits for the ␥2 subunit and that the resulting ␣6␤␥2 receptors may likely reside at perisynaptic sites, between synaptic and extrasynaptic sites, as demonstrated by our recent work (2). It is not clear how many ␣6 subunits will assemble into ␣6␤3␥2 and how many will assemble into ␣6␤3␦ receptors when overexpressing the ␣6 or ␣6␤3␦ subunits in pyramidal neurons. The overexpression of the ␣5 subunit may result in direct competition with the ␣1-3 subunits and increase extrasynaptic receptors but, simultaneously, reduce synaptically localized receptors.
Our working model predicts that the total number of receptor slots for GABA A receptors may be limited on the plasma membrane and that both synaptic and extrasynaptic GABA A receptors will compete to occupy the same pool of receptor slots on the cell surface. Alternatively, it is also possible that receptor assembly or receptor trafficking may be the rate-limiting step for different receptors to compete. For example, the exocytotic machinery for GABA A receptors may be limited, so that when more ␣6␤3␦ receptors are exocytosed to the cell surface, fewer ␥2-receptors will be exocytosed (7, 17) . The limited slot hypothesis has been proposed in the study of calcium channels at nerve terminals, where N-type and P/Q-type Ca 2ϩ channels may compete for channel slots to trigger vesicular release (66) . Considering the large number of membrane proteins and a limited cell surface, it is possible that only limited membrane slots are allocated for each specific type of receptor or channel and that different subtypes within the same family will have to compete with each other to achieve functional homeostasis. FIGURE 11 . A working model illustrating the homeostatic competition between synaptic and extrasynaptic GABA A receptors. There are limited slots for GABA A receptors on the plasma membrane, with half being synaptic and half extrasynaptic. Overexpression of ␣2␤3␥2 receptors does not further increase the total receptor number or the number of GABAergic synapses. In contrast, overexpression of ␣6␤3␦ receptors takes some slots that are usually occupied by ␣1-3␤␥2 receptors, causing the reduction of postsynaptic GABA A receptor clusters and presynaptic GABAergic terminals. Overexpression of the ␣6 subunit induces surface expression of ␣6␤3␦ and ␣6␤3␥2 receptors, also resulting in the down-regulation of synaptic GABAergic transmission. The ␣6 GBS ␤3␦ GBS receptors can bind with gephyrin and cluster at synaptic sites, still occupying the receptor slots typically occupied by ␣1-3␤␥2 receptors, causing a reduction of synaptic GABAergic transmission. Finally, overexpression of ␣5␤3␥2 receptors also reduces the number of ␣1-3␤␥2 receptors on the plasma membrane, resulting in decreased synaptic GABAergic transmission.

{'paper_id': '18025735', 'title': 'Homeostatic Competition between Phasic and Tonic Inhibition', 's2_url': 'https://api.semanticscholar.org/CorpusID:18025735', 'source': 'S2ORC'}