γ-Amino-β-hydroxybutyric acid

γ-Amino-β-hydroxybutyric acid(GABOB), also known asβ-hydroxy-γ-aminobutyric acid(β-hydroxy-GABA), sold under the brand nameGamibetalamong others, is ananticonvulsantwhich is used for the treatment ofepilepsyinEurope,Japan,andMexico.[1][2]It is aGABA analogue,or ananalogueof theneurotransmitterγ-aminobutyric acid(GABA), and has been found to be anendogenousmetaboliteof GABA.[2][3][4][5]

γ-Amino-β-hydroxybutyric acid
Clinical data
Trade namesGamibetal, others
Other namesBuxamine; Buxamina; Bussamina; γ-Amino-β-hydroxybutyric acid; GABOB; β-Hydroxy-γ-aminobutyric acid; β-Hydroxy-GABA
Identifiers
  • (±)-4-amino-3-hydroxybutanoic acid
CAS Number
PubChemCID
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
CompTox Dashboard(EPA)
ECHA InfoCard100.011.916Edit this at Wikidata
Chemical and physical data
FormulaC4H9NO3
Molar mass119.120g·mol−1
3D model (JSmol)
  • C(C(CN)O)C(=O)O
  • InChI=1S/C4H9NO3/c5-2-3(6)1-4(7)8/h3,6H,1-2,5H2,(H,7,8)
  • Key:YQGDEPYYFWUPGO-UHFFFAOYSA-N

Medical uses

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GABOB is an anticonvulsant and is used in the treatment ofepilepsy.[1][2]

Pharmacology

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GABOB is aGABA receptor agonist.[6]It has twostereoisomers,and showsstereoselectivityin its actions.[6]Specifically, (R)-(–)-GABOB is a moderate-potencyagonistof theGABABreceptor,while (S)-(+)-GABOB is apartial agonistof the GABABreceptor and an agonist of theGABAAreceptor.[6](S)-(+)-GABOB is around twice as potent an anticonvulsant as (R)-(–)-GABOB.[7]GABOB is used medically as aracemic mixture.[6]

Relative to GABA, GABOB has more potentinhibitoryeffects on thecentral nervous system,perhaps due to its greater capacity to cross theblood–brain barrier.[5][8]However, GABOB is of relatively low potency as an anticonvulsant when used by itself, and is more useful as anadjuvanttreatment used alongside another anticonvulsant.[9][10]

Chemistry

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GABOB, or β-hydroxy-GABA, is a closestructural analogueof GABA (seeGABA analogue), as well as ofγ-hydroxybutyric acid(GHB),phenibut(β-phenyl-GABA),baclofen(β-(4-chlorophenyl)-GABA),[11]andpregabalin(β-isobutyl-GABA).

Society and culture

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Generic name

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GABOB has been referred to by thegeneric namebuxamineorbuxamina.[1][6]

Brand names

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GABOB is sold primarily under the brand name Gamibetal.[1]It has also been marketed under a variety of other brand names including Aminoxan, Bogil, Diastal, Gabimex, Gabomade, Gaboril, Gamalate, and Kolpo.[1][12]

References

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  1. ^abcdeIndex Nominum 2000: International Drug Directory.Taylor & Francis. January 2000. pp. 44–.ISBN978-3-88763-075-1.
  2. ^abcSmith MB (23 October 2013)."Biologically Important Amino Acids".Methods of Non-α-Amino Acid Synthesis(Second ed.). CRC Press. pp. 146–.ISBN978-1-4665-7789-3.
  3. ^Cooper JR, Bloom FE, Roth RH (2003).The Biochemical Basis of Neuropharmacology.Oxford University Press. pp. 112–.ISBN978-0-19-514007-1.
  4. ^Melis GB, Paoletti AM, Mais V, Mastrapasqua NM, Strigini F, Fruzzetti F, et al. (2014). "Dose-related effects of gamma-amino beta-hydroxy butyric acid (GABOB) infusion on growth hormone secretion in normal women".Journal of Endocrinological Investigation.5(2):101–106.doi:10.1007/BF03350499.PMID7096918.S2CID71239193.
  5. ^abHayashi T (March 1959)."The inhibitory action of beta-hydroxy-gamma-aminobutyric acid upon the seizure following stimulation of the motor cortex of the dog".The Journal of Physiology.145(3):570–578.doi:10.1113/jphysiol.1959.sp006163.PMC1356963.PMID13642322.
  6. ^abcdeCorelli F, Mugnaini C (17 January 2017)."Chemistry of GABABReceptor Ligands: Focus on Agonists and Antagonists ".In Colombo G (ed.).GABAB Receptor.Springer. pp. 25–.ISBN978-3-319-46044-4.
  7. ^Roberts E, Krause DN, Wong E, Mori A (February 1981)."Different Efficacies of d- and l-γ-Amino-β-Hydroxybutyric Acids in GABA Receptor and Transport Test Systems".The Journal of Neuroscience.1(2):132–140.doi:10.1523/JNEUROSCI.01-02-00132.1981.PMC6564147.PMID6267220.
  8. ^Demaio D, Pasquariello G (October 1963). "Gamma-amino-beta-hydroxybutyric acid (GABOB) and brain serotonin".Psychopharmacologia.5(1):84–86.doi:10.1007/BF00405577.PMID14085623.S2CID1436623.
  9. ^Chemello R, Giaretta D, Pellegrini A, Testa G (1980). "[Effect of gamma-amino-beta-hydroxybutyric acid (GABHB) on experimentally-induced epileptic activity]" [Effect of γ-amino-β-hydroxybutyric acid (GABHB) on experimentally-induced epileptic activity].Rivista di Neurologia(in Italian).50(4):253–268.PMID7466221.
  10. ^García-Flores E, Farías R (1997). "gamma-Amino-beta-hydroxybutyric acid as add-on therapy in adult patients with severe focal epilepsy".Stereotactic and Functional Neurosurgery.69(1-4 Pt 2):243–246.doi:10.1159/000099882.PMID9711762.
  11. ^Lapin I (2001)."Phenibut (beta-phenyl-GABA): a tranquilizer and nootropic drug".CNS Drug Reviews.7(4):471–481.doi:10.1111/j.1527-3458.2001.tb00211.x.PMC6494145.PMID11830761.
  12. ^Muller NF (19 June 1998).European Drug Index: European Drug Registrations(Fourth ed.). CRC Press. pp. 181–.ISBN978-3-7692-2114-5.