RT Journal Article SR Electronic T1 Inhibition of Excitatory Synaptic Transmission in Hippocampal Neurons by Levetiracetam Involves Zn2+-Dependent GABA Type A Receptor–Mediated Presynaptic Modulation JF Journal of Pharmacology and Experimental Therapeutics JO J Pharmacol Exp Ther FD American Society for Pharmacology and Experimental Therapeutics SP 246 OP 259 DO 10.1124/jpet.113.208751 VO 348 IS 2 A1 Masahito Wakita A1 Naoki Kotani A1 Kyuya Kogure A1 Norio Akaike YR 2014 UL http://jpet.aspetjournals.org/content/348/2/246.abstract AB Levetiracetam (LEV) is an antiepileptic drug with a unique but as yet not fully resolved mechanism of action. Therefore, by use of a simplified rat-isolated nerve-bouton preparation, we have investigated how LEV modulates glutamatergic transmission from mossy fiber terminals to hippocampal CA3 neurons. Action potential–evoked excitatory postsynaptic currents (eEPSCs) were recorded using a conventional whole-cell patch-clamp recording configuration in voltage-clamp mode. The antiepileptic drug phenytoin decreased glutamatergic eEPSCs in a concentration-dependent fashion by inhibiting voltage-dependent Na+ and Ca2+ channel currents. In contrast, LEV had no effect on eEPSCs or voltage-dependent Na+ or Ca2+ channel currents. Activation of presynaptic GABA type A (GABAA) receptors by muscimol induced presynaptic inhibition of eEPSCs, resulting from depolarization block. Low concentrations of Zn2+, which had no effect on eEPSCs, voltage-dependent Na+ or Ca2+ channel currents, or glutamate receptor–mediated whole cell currents, reduced the muscimol-induced presynaptic inhibition. LEV applied in the continuous presence of 1 µM muscimol and 1 µM Zn2+ reversed this Zn2+ modulation on eEPSCs. The antagonizing effect of LEV on Zn2+-induced presynaptic GABAA receptor inhibition was also observed with the Zn2+ chelators Ca-EDTA and RhodZin-3. Our results clearly show that LEV removes the Zn2+-induced suppression of GABAA-mediated presynaptic inhibition, resulting in a presynaptic decrease in glutamate-mediated excitatory transmission. Our results provide a novel mechanism by which LEV may inhibit neuronal activity.