Neurochem. Int. Vol. 11, No. 1, pp. 49-53, 1987 0197-0186/87 $3.00+0.00
Printed in Great Britain. All rights reserved © 1987 Pergamon Journals Ltd
DISCONTINUATION EFFECTS OF OXAZEPAM AND
DIAZEPAM TREATMENT ON BRAIN GABA METABOLISM
IN RATS
MIR AHAMED HOSSAIN, ISHWAR S. SINGH, TAPAS K. MAKAR, SUBHENDU GOSWAMI
and JAGAT J. GHOSI-I*
Department of Biochemistry, University College of Science, Calcutta University,
35 Ballygunge Circular Road, Calcutta 700 019, India
(Received 26 November 1986; accepted 2 February 1987)
Abstract--The effects of oxazepam and diazepam (both at 10 mg/kg, i.p.) during continuous treatment
for 15 days and following discontinuation after 5 days onwards on cerebral glutamic acid decarboxylase
(GAD) and GABA-aminotransferase (GABA-T) have been studied. It has been found that during
continuous treatment as well as following discontinuation after 5 days, a significant increase in GAD
activity is observed in case of diazepam but not in case of oxazepam. On the other hand, a marked decrease
in GABA-T activity is observed during continuous treatment up to 15 days with both diazepam and
oxazepam but during discontinuation phase, the decreased GABA-T activity tends to increase and attain
normal value much earlier in case of oxazepam than diazepam. This differential effect of oxazepam and
diazepam on y-aminobutyric acid (GABA) metabolism, following discontinuation of treatment, may
possibly contribute to the difference in withdrawal effects associated with the two benzodiazepines.
The after effects of the discontinuation of benzo-
diazepine (BDZ) drugs following continued use have
been reported to elicit characteristic withdrawal reac-
tions (Pevnic et al., 1978; Mendelson, 1978; Ayed,
1979; Winokur et al., 1980). However, the so-called
withdrawal effects are also reported to differ with
different group of BDZ drugs, both short and long
acting ones (Hollister, 1981; Lawrence et al., 1983).
Several investigators have implicated the role of
),-aminobutyric acid (GABA) in the mechanism of
BDZ withdrawal and associated processes. BDZ
drugs have been reported to block GABA-antagonist
induced convulsion, to enhance GABA binding to
synaptic membrane and to potentiate inhibitory ac-
tion of GABA (Costa et al., 1975, 1979). On the other
hand, GABA as well as GABA agonists increase the
binding of BDZ (Briley et al., 1978; Tallman et al.,
1978). Cowen and Nutt (1982) hypothesized that
during repeated use of BDZ, adaptive changes in the
GABAergic neurotransmission occurs and an acute
reduction in GABA function following withdrawal of
BDZs may possibly account for the hyperexcitability
*Address correspondence to: Professor J. J. Ghosh,
Centenary Professor of Biochemistry, Department of
Biochemistry, University College of Science, 35
BaUygunge Circular Road, Calcutta 700 019, India.
49
NC,I. II/I--D
and withdrawal effects. However, despite many stud-
ies relating GABA and BDZ action, studies at the
level of GABA metabolism during continuous use as
well as following discontinuation of different BDZ
drugs have attracted relatively little attention. In the
present experiment two representative BDZ drugs
with distinct pharmacokinetic properties, oxazepam
and diazepam, have been used to study their effect on
GABA metabolising enzymes, glutamic acid decar-
boxylase (GAD, EC 4.1.1.15) and on GABA-
aminotransferase (GABA-T, EC 2.6.1.19) during
continuous treatment and following abrupt discon-
tinuation.
EXPERIMENTAL PROCEDURES
Materials
GABA, Na-L-Glutamic acid, ~t-oxoglutarate, pyri-
doxalphosphate, 3-methyl 2-benzothiozolone 2-hydrazone
(MBTH) were obtained from Sigma.
Drugs
Diazepam (Hoffman La Roche, Switzerland) Oxazepam
(John Wyeth, U.K.).
Animals
Adult male albino rats of Charles Foster strain and
weighing about 120-140 g were used for the study. The rats
were housed at 25_+ I°C, (12h light and dark cycle) and
maintained on food and water ad libitum. Oxazcpam and
Diazepam in 30% polyethylene glycol vehicle was adminis-
tered intraperitoneally at the dose of 10mg/kg body wt.