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The inhibition that occurs between motor bursts (called mid-cycle or RECIPROCAL INHIBITION) is coincident with activity in antagonistic motor neurons. The inhibition hyperpolarizes the membrane potential of motor neurons and reduces their input resistance to prevent action potentials. During reciprocal inhibition, chloride ion channels open to allow the influx of negatively charged chloride ions into motor neurons. The channels are associated with membrane bound receptors for the inhibitory amino acid GLYCINE and they are opened when spinal inhibitory INTERNEURONS release glycine onto motor neurons. Reciprocal inhibition during locomotion can be blocked by the glycine receptor antagonist, strychnine. The mid-cycle inhibition helps to ensure that antagonists are active in alternation.
4-Cl-KYN (AV-101) is a potent and selective glycine receptor antagonist [128] for which antidepressant-like activity was demonstrated in animal studies [17]. Currently AV-101 is under evaluation in a phase 2 randomized, controlled clinical trials (NCT02484456).