GABAergic tone (activation of GABAA receptors) is region-selectively increased in hepatic encephalopathy (HE).
Increased levels of neurosteroids contribute to increased GABAergic tone.
Increased GABAergic tone contributes to impaired cognition and motor coordination in HE.
Reducing GABAergic tone restores cognitive function and motor coordination in HE.
Modulation of GABAA receptors by neurosteroids is a new therapeutic approach to improve cognitive and motor alterations in HE.