Neural Excitability Control is the critical physiological process of maintaining a precise, dynamic homeostatic balance between excitatory and inhibitory neurotransmission within the central nervous system, which determines the brain’s overall responsiveness and prevents both pathological hypo- and hyper-excitability. This fine-tuned control is essential for stable mood, optimal sensory processing, coordinated motor function, and the prevention of seizure activity. Endogenous neurosteroids and metabolic status are potent, rapid modulators of this delicate neural balance.
Origin
This concept is fundamental to neurophysiology and neuropharmacology, where ‘neural excitability’ refers to a neuron’s propensity to generate an action potential, and ‘control’ signifies the robust regulatory mechanisms ensuring stability. It highlights the absolute necessity of inhibitory neurotransmitters, such as GABA, in balancing the effects of excitatory ones like glutamate, to prevent runaway neural activity.
Mechanism
The mechanism is largely governed by the function of ligand-gated ion channels and G-protein coupled receptors at the synaptic junction. Neurosteroids, such as allopregnanolone, can directly or allosterically modulate the GABA-A receptor, significantly enhancing inhibitory current and hyperpolarizing the neuron. Conversely, chronic stress and inflammation can shift the balance toward excitation by altering receptor expression and synaptic structure. Precise control is achieved by regulating the number, location, and sensitivity of these key channels and receptors.
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