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Kava Science Kavain, the Major Constituent of the Anxiolytic Kava Extract, Potentiates GABAA Receptors [2016]

bobarctor

Kava Curious
https://www.ncbi.nlm.nih.gov/pubmed/27332705

Extracts of the pepper plant kava (Piper methysticum) are effective in alleviating anxiety in clinical trials. Despite the long-standing therapeutic interest in kava, the molecular target(s) of the pharmacologically active constituents, kavalactones have not been established. γ-Aminobutyric acid type A receptors (GABAARs) are assumed to be the in vivo molecular target of kavalactones based on data from binding assays, but evidence in support of a direct interaction between kavalactones and GABAARs is scarce and equivocal. In this study, we characterised the functional properties of the major anxiolytic kavalactone, kavain at human recombinant α1β2, β2γ2L, αxβ2γ2L (x = 1, 2, 3 and 5), α1βxγ2L (x = 1, 2 and 3) and α4β2δ GABAARs expressed in Xenopus oocytes using the two-electrode voltage clamp technique. We found that kavain positively modulated all receptors regardless of the subunit composition, but the degree of enhancement was greater at α4β2δ than at α1β2γ2L GABAARs. The modulatory effect of kavain was unaffected by flumazenil, indicating that kavain did not enhance GABAARs via the classical benzodiazepine binding site. The β3N265M point mutation which has been previously shown to profoundly decrease anaesthetic sensitivity, also diminished kavain-mediated potentiation. To our knowledge, this study is the first report of the functional characteristics of a single kavalactone at distinct GABAAR subtypes, and presents the first experimental evidence in support of a direct interaction between a kavalactone and GABAARs.
 

ThePiper

Kava Lover
This is interesting, but also more confusing than most studies on kava I've seen lol. Can someone give us a good thorough explanation of all the implications for folks like us that aren't familiar with the more complicated terminology? :(
 

Alia

'Awa Grower/Collector
https://www.ncbi.nlm.nih.gov/pubmed/27332705

Extracts of the pepper plant kava (Piper methysticum) are effective in alleviating anxiety in clinical trials. Despite the long-standing therapeutic interest in kava, the molecular target(s) of the pharmacologically active constituents, kavalactones have not been established. γ-Aminobutyric acid type A receptors (GABAARs) are assumed to be the in vivo molecular target of kavalactones based on data from binding assays, but evidence in support of a direct interaction between kavalactones and GABAARs is scarce and equivocal. In this study, we characterised the functional properties of the major anxiolytic kavalactone, kavain at human recombinant α1β2, β2γ2L, αxβ2γ2L (x = 1, 2, 3 and 5), α1βxγ2L (x = 1, 2 and 3) and α4β2δ GABAARs expressed in Xenopus oocytes using the two-electrode voltage clamp technique. We found that kavain positively modulated all receptors regardless of the subunit composition, but the degree of enhancement was greater at α4β2δ than at α1β2γ2L GABAARs. The modulatory effect of kavain was unaffected by flumazenil, indicating that kavain did not enhance GABAARs via the classical benzodiazepine binding site. The β3N265M point mutation which has been previously shown to profoundly decrease anaesthetic sensitivity, also diminished kavain-mediated potentiation. To our knowledge, this study is the first report of the functional characteristics of a single kavalactone at distinct GABAAR subtypes, and presents the first experimental evidence in support of a direct interaction between a kavalactone and GABAARs.
First-- thanks to @bobarctor for posting this link and 2nd- I agree with @ThePiper ...it would be so wonderful to have a more universally understood, practical, explanation of this study. It is worth repeating the words of a Chaminade University researcher who writes of the "entourage effect" of kava/'awa-- you need the whole product for best effect. This might be hinted at in the conclusion part of this kavain study when they say--"Despite the long history of kava consumption and the wealth of clinical evidence in favour of the efficacy of kavalactones in treating anxiety, there is a severe gap in our understanding of the molecular target(s) and the mechanism(s) of action of these psychoactive compounds". ...But, maybe not. Could @verticity help us here?
 

bobarctor

Kava Curious
Kawain seemingly does not act via classical benzodiazepine binding sites. Also the study showed that you can study how kawain bind to certain GABAA subunits (not human in vitro though)
 

bobarctor

Kava Curious
There exists GABAA subunits to which ethanol binds to, but also those that ethanol does not bind to.

It's a fascinating field.
 
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Go Krunk Yourself

Kava Enthusiast
Kawain seemingly does not act via classical benzodiazepine binding sites. Also the study showed that you can study how kawain bind to certain GABAA subunits (not human in vitro though)
I have pretty extensive experience with GABA related drugs and you can really tell just by feel.
 
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