9FAV | pdb_00009fav

CryoEM structure of human full-length beta3gamma2 GABA(A) receptor in complex with GARLH4, the TMD of Neuroligin2 and Megabody25, in a closed state (StateC2)

External Resource: Annotation

Protein Family Annotation
Gene Ontology: Gene Product Annotation
InterPro: Protein Family Classification
Pharos: Disease Associations

Protein Family Annotation Pfam Database Homepage

Chains	Accession	Name	Description	Comments	Source
G [auth L]	PF10242	Lipoma HMGIC fusion partner-like protein (L_HMGIC_fpl)	Lipoma HMGIC fusion partner-like protein	-	Family
E [auth C]	PF02932	Neurotransmitter-gated ion-channel transmembrane region (Neur_chan_memb)	Neurotransmitter-gated ion-channel transmembrane region	-	Family
E [auth C]	PF02931	Neurotransmitter-gated ion-channel ligand binding domain (Neur_chan_LBD)	Neurotransmitter-gated ion-channel ligand binding domain	-	Family
A [auth B], B [auth E], C [auth A], D	PF02932	Neurotransmitter-gated ion-channel transmembrane region (Neur_chan_memb)	Neurotransmitter-gated ion-channel transmembrane region	-	Family
A [auth B], B [auth E], C [auth A], D	PF02931	Neurotransmitter-gated ion-channel ligand binding domain (Neur_chan_LBD)	Neurotransmitter-gated ion-channel ligand binding domain	-	Family

Gene Ontology: Gene Product Annotation Gene Ontology Database Homepage

Chains	Polymer	Molecular Function	Biological Process	Cellular Component
H [auth K], I [auth O], J [auth F]	Megabody25	-	-	-
G [auth L]	LHFPL tetraspan subfamily member 4 protein	protein binding binding signaling receptor binding GABA receptor binding	protein localization to postsynaptic specialization membrane protein localization to postsynaptic membrane protein localization to cell periphery cellular localization protein localization to synapse biological regulation localization within membrane protein localization to membrane protein-containing complex localization neurotransmitter receptor localization to postsynaptic specialization membrane localization regulation of postsynaptic membrane neurotransmitter receptor levels macromolecule localization protein localization to organelle protein localization to postsynaptic specialization membrane protein localization to postsynaptic membrane protein localization to cell periphery cellular localization protein localization to synapse biological regulation localization within membrane protein localization to membrane protein-containing complex localization neurotransmitter receptor localization to postsynaptic specialization membrane localization regulation of postsynaptic membrane neurotransmitter receptor levels macromolecule localization protein localization to organelle cellular process protein localization to postsynapse intracellular protein localization regulation of biological quality protein localization to cell junction receptor localization to synapse membrane organization gamma-aminobutyric acid receptor clustering postsynapse organization neurotransmitter-gated ion channel clustering cellular component organization cell junction organization receptor clustering cellular component organization or biogenesis synapse organization postsynaptic membrane organization multicellular organismal process regulation of cellular component organization regulation of cellular process cellular component biogenesis multicellular organism development cellular component assembly cell junction assembly anatomical structure development regulation of synapse structure or activity regulation of synapse assembly system development developmental process regulation of biological process inhibitory synapse assembly nervous system development regulation of cellular component biogenesis regulation of cell junction assembly regulation of synapse organization synapse assembly regulation of inhibitory synapse assembly system process sensory perception nervous system process sensory perception of sound sensory perception of mechanical stimulus	cell periphery postsynapse cellular anatomical structure postsynaptic membrane synapse cell junction membrane plasma membrane plasma membrane region synaptic membrane somatodendritic compartment cell projection dendrite dendritic tree cell periphery postsynapse cellular anatomical structure postsynaptic membrane synapse cell junction membrane plasma membrane plasma membrane region synaptic membrane somatodendritic compartment cell projection dendrite dendritic tree neuron projection plasma membrane bounded cell projection postsynaptic specialization organelle GABA-ergic synapse inhibitory synapse
F [auth H]	Neuroligin-2	protein binding binding signaling receptor binding neurexin family protein binding identical protein binding cell adhesion molecule binding	cellular response to stimulus positive regulation of cell communication multicellular organismal process regulation of postsynaptic membrane potential system process regulation of cellular process positive regulation of signal transduction response to stimulus signaling modulation of chemical synaptic transmission regulation of system process positive regulation of excitatory postsynaptic potential positive regulation of biological process regulation of signal transduction chemical synaptic transmission, postsynaptic cellular response to stimulus positive regulation of cell communication multicellular organismal process regulation of postsynaptic membrane potential system process regulation of cellular process positive regulation of signal transduction response to stimulus signaling modulation of chemical synaptic transmission regulation of system process positive regulation of excitatory postsynaptic potential positive regulation of biological process regulation of signal transduction chemical synaptic transmission, postsynaptic cell communication positive regulation of response to stimulus synaptic signaling modulation of excitatory postsynaptic potential regulation of multicellular organismal process signal transduction regulation of biological quality positive regulation of cellular process trans-synaptic signaling regulation of biological process regulation of signaling cell surface receptor signaling pathway nervous system process biological regulation cell-cell signaling chemical synaptic transmission regulation of nervous system process regulation of trans-synaptic signaling regulation of response to stimulus anterograde trans-synaptic signaling regulation of cell communication cellular process excitatory postsynaptic potential regulation of membrane potential positive regulation of signaling behavior thigmotaxis positive regulation of inhibitory postsynaptic potential positive regulation of nervous system process modulation of inhibitory postsynaptic potential inhibitory postsynaptic potential positive regulation of multicellular organismal process membrane organization cellular localization postsynapse organization localization within membrane protein localization to membrane cellular component organization localization organelle organization postsynaptic density protein 95 clustering cell junction organization postsynaptic density organization macromolecule localization cellular component organization or biogenesis synapse organization postsynaptic specialization organization intracellular protein localization postsynaptic membrane organization regulation of developmental process cellular developmental process cell projection organization positive regulation of dendritic spine development cell development regulation of dendritic spine development neuron projection development positive regulation of developmental process neurogenesis multicellular organism development neuron differentiation dendrite development cell differentiation anatomical structure development system development developmental process dendritic spine development plasma membrane bounded cell projection organization nervous system development generation of neurons neuron development cell adhesion cell-cell adhesion neuron cell-cell adhesion inhibitory synapse assembly cellular component biogenesis cellular component assembly cell junction assembly synapse assembly neurotransmitter-gated ion channel clustering receptor clustering presynapse organization presynapse assembly terminal button organization regulation of localization protein localization to synapse regulation of protein localization positive regulation of protein localization to synapse regulation of protein localization to synapse positive regulation of protein localization protein localization to cell junction positive regulation of nervous system development positive regulation of cellular component organization regulation of cellular component organization regulation of nervous system development regulation of synapse structure or activity regulation of synapse assembly regulation of multicellular organismal development positive regulation of cellular component biogenesis regulation of cellular component biogenesis regulation of cell junction assembly positive regulation of cell junction assembly regulation of synapse organization positive regulation of synapse assembly metabolic process primary metabolic process protein metabolic process macromolecule metabolic process insulin metabolic process synaptic transmission, glutamatergic regulation of synaptic transmission, glutamatergic positive regulation of synaptic transmission positive regulation of synaptic transmission, glutamatergic membrane biogenesis presynaptic membrane assembly membrane assembly presynaptic membrane organization protein localization to cell surface positive regulation of synaptic transmission, GABAergic synaptic transmission, GABAergic regulation of synaptic transmission, GABAergic regulation of presynapse assembly regulation of presynapse organization respiratory gaseous exchange by respiratory system respiratory system process regulation of respiratory gaseous exchange regulation of respiratory system process regulation of respiratory gaseous exchange by nervous system process vesicle localization transport regulation of transport synaptic vesicle clustering synaptic vesicle cycle establishment of localization vesicle-mediated transport vesicle-mediated transport in synapse positive regulation of transport organelle localization establishment of localization in cell positive regulation of synaptic vesicle clustering regulation of synaptic vesicle clustering synaptic vesicle localization neuromuscular process neuromuscular process controlling balance positive regulation of protein localization to membrane t-SNARE clustering positive regulation of t-SNARE clustering regulation of cellular localization regulation of t-SNARE clustering regulation of protein localization to membrane adult locomotory behavior adult behavior locomotory behavior jump response exploration behavior locomotory exploration behavior cell population proliferation positive regulation of cell population proliferation regulation of cell population proliferation biological process involved in intraspecies interaction between organisms social behavior cell junction maintenance cellular component maintenance cell-cell junction maintenance cell-cell junction organization postsynaptic membrane assembly postsynapse assembly sensory perception sensory perception of pain establishment of protein localization nitrogen compound transport positive regulation of establishment of protein localization positive regulation of insulin secretion regulation of peptide hormone secretion regulation of hormone levels positive regulation of peptide hormone secretion establishment of protein localization to extracellular region protein secretion regulation of protein secretion regulation of secretion regulation of hormone secretion regulation of peptide secretion positive regulation of secretion by cell hormone secretion protein localization to extracellular region positive regulation of protein transport peptide secretion regulation of secretion by cell secretion by cell positive regulation of hormone secretion positive regulation of secretion amide transport signal release positive regulation of peptide secretion secretion regulation of peptide transport regulation of establishment of protein localization export from cell regulation of protein transport positive regulation of protein secretion peptide transport protein transport regulation of insulin secretion peptide hormone secretion hormone transport insulin secretion organelle assembly postsynaptic specialization assembly excitatory synapse assembly gephyrin clustering involved in postsynaptic density assembly postsynaptic density assembly	cell periphery postsynapse cellular anatomical structure postsynaptic membrane synapse cell junction membrane plasma membrane plasma membrane region synaptic membrane presynapse presynaptic membrane dopaminergic synapse somatodendritic compartment cell periphery postsynapse cellular anatomical structure postsynaptic membrane synapse cell junction membrane plasma membrane plasma membrane region synaptic membrane presynapse presynaptic membrane dopaminergic synapse somatodendritic compartment cell projection dendrite dendritic tree neuron projection dendritic shaft plasma membrane bounded cell projection axon inhibitory synapse cell surface glycinergic synapse postsynaptic specialization membrane postsynaptic specialization organelle ribbon synapse symmetric synapse GABA-ergic synapse symmetric, GABA-ergic, inhibitory synapse neuron to neuron synapse excitatory synapse
E [auth C]	Isoform 2 of Gamma-aminobutyric acid receptor subunit gamma-2	transmitter-gated monoatomic ion channel activity monoatomic anion transmembrane transporter activity chloride transmembrane transporter activity GABA-gated chloride ion channel activity molecular transducer activity gated channel activity monoatomic ion channel activity signaling receptor activity ligand-gated monoatomic anion channel activity neurotransmitter receptor activity ligand-gated channel activity ligand-gated monoatomic ion channel activity extracellular ligand-gated monoatomic ion channel activity passive transmembrane transporter activity channel activity transmitter-gated monoatomic ion channel activity monoatomic anion transmembrane transporter activity chloride transmembrane transporter activity GABA-gated chloride ion channel activity molecular transducer activity gated channel activity monoatomic ion channel activity signaling receptor activity ligand-gated monoatomic anion channel activity neurotransmitter receptor activity ligand-gated channel activity ligand-gated monoatomic ion channel activity extracellular ligand-gated monoatomic ion channel activity passive transmembrane transporter activity channel activity transmitter-gated channel activity monoatomic ion transmembrane transporter activity monoatomic anion channel activity transporter activity transmembrane transporter activity chloride channel activity benzodiazepine receptor activity GABA-A receptor activity GABA receptor activity transmembrane signaling receptor activity transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic membrane potential postsynaptic neurotransmitter receptor activity neurotransmitter receptor activity involved in regulation of postsynaptic membrane potential	transport monoatomic ion transmembrane transport establishment of localization chloride transport transmembrane transport localization chloride transmembrane transport monoatomic anion transport monoatomic anion transmembrane transport monoatomic ion transport cellular process inorganic anion transport cellular response to nitrogen compound cellular response to stimulus transport monoatomic ion transmembrane transport establishment of localization chloride transport transmembrane transport localization chloride transmembrane transport monoatomic anion transport monoatomic anion transmembrane transport monoatomic ion transport cellular process inorganic anion transport cellular response to nitrogen compound cellular response to stimulus cellular response to chemical stimulus response to histamine response to stimulus response to chemical cellular response to histamine response to nitrogen compound behavior adult behavior multicellular organismal process regulation of biological process signaling biological regulation cell-cell signaling gamma-aminobutyric acid signaling pathway cell communication developmental process inhibitory synapse assembly nervous system development cellular component organization cellular component biogenesis multicellular organism development cell junction organization cellular component assembly cell junction assembly anatomical structure development synapse organization cellular component organization or biogenesis synapse assembly system development trans-synaptic signaling synaptic transmission, GABAergic chemical synaptic transmission synaptic signaling anterograde trans-synaptic signaling post-embryonic development	protein-containing complex cellular anatomical structure transmembrane transporter complex membrane chloride channel complex membrane protein complex transporter complex monoatomic ion channel complex cell periphery postsynapse postsynaptic membrane synapse cell junction plasma membrane protein-containing complex cellular anatomical structure transmembrane transporter complex membrane chloride channel complex membrane protein complex transporter complex monoatomic ion channel complex cell periphery postsynapse postsynaptic membrane synapse cell junction plasma membrane plasma membrane region synaptic membrane postsynaptic specialization membrane postsynaptic specialization organelle GABA receptor complex GABA-A receptor complex receptor complex GABA-ergic synapse membrane-bounded organelle intracellular anatomical structure intracellular vesicle intracellular membrane-bounded organelle intracellular organelle cytoplasmic vesicle membrane vesicle membrane cytoplasmic vesicle cytoplasm vesicle organelle membrane cell leading edge neuron projection leading edge membrane plasma membrane bounded cell projection somatodendritic compartment neuron projection membrane cell projection dendrite membrane dendrite dendritic tree cell projection membrane neuron spine dendritic spine axon
A [auth B], B [auth E], C [auth A], D	Gamma-aminobutyric acid receptor subunit beta-3	transmitter-gated monoatomic ion channel activity monoatomic anion transmembrane transporter activity chloride transmembrane transporter activity GABA-gated chloride ion channel activity molecular transducer activity gated channel activity monoatomic ion channel activity signaling receptor activity ligand-gated monoatomic anion channel activity neurotransmitter receptor activity ligand-gated channel activity ligand-gated monoatomic ion channel activity extracellular ligand-gated monoatomic ion channel activity passive transmembrane transporter activity channel activity transmitter-gated monoatomic ion channel activity monoatomic anion transmembrane transporter activity chloride transmembrane transporter activity GABA-gated chloride ion channel activity molecular transducer activity gated channel activity monoatomic ion channel activity signaling receptor activity ligand-gated monoatomic anion channel activity neurotransmitter receptor activity ligand-gated channel activity ligand-gated monoatomic ion channel activity extracellular ligand-gated monoatomic ion channel activity passive transmembrane transporter activity channel activity transmitter-gated channel activity monoatomic ion transmembrane transporter activity monoatomic anion channel activity transporter activity transmembrane transporter activity chloride channel activity GABA-A receptor activity GABA receptor activity transmembrane signaling receptor activity transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic membrane potential postsynaptic neurotransmitter receptor activity neurotransmitter receptor activity involved in regulation of postsynaptic membrane potential identical protein binding protein binding binding	developmental process ear development sensory organ development inner ear development cochlea development animal organ development anatomical structure development response to stimulus response to chemical response to xenobiotic stimulus behavior multicellular organismal process system process learning developmental process ear development sensory organ development inner ear development cochlea development animal organ development anatomical structure development response to stimulus response to chemical response to xenobiotic stimulus behavior multicellular organismal process system process learning learning or memory nervous system process cognition exploration behavior transport monoatomic ion transmembrane transport establishment of localization chloride transport transmembrane transport localization chloride transmembrane transport monoatomic anion transport monoatomic anion transmembrane transport monoatomic ion transport cellular process inorganic anion transport cellular response to nitrogen compound cellular response to stimulus cellular response to chemical stimulus response to histamine cellular response to histamine response to nitrogen compound circadian sleep/wake cycle, sleep rhythmic process circadian sleep/wake cycle rhythmic behavior circadian rhythm circadian behavior circadian sleep/wake cycle, REM sleep sleep circadian sleep/wake cycle process hard palate development secondary palate development roof of mouth development mechanoreceptor differentiation inner ear receptor cell development cellular developmental process cell development nervous system development inner ear receptor cell differentiation generation of neurons neurogenesis multicellular organism development neuron differentiation cell differentiation neuron development system development regulation of biological process signaling biological regulation cell-cell signaling gamma-aminobutyric acid signaling pathway cell communication memory head development brain development cerebellum development central nervous system development metencephalon development hindbrain development response to anesthetic regulation of cellular process signal transduction reproductive process multicellular organismal reproductive process reproductive behavior inhibitory synapse assembly cellular component organization cellular component biogenesis cell junction organization cellular component assembly cell junction assembly synapse organization cellular component organization or biogenesis synapse assembly cellular response to metal ion response to metal ion response to zinc ion cellular response to zinc ion regulation of postsynaptic membrane potential chemical synaptic transmission, postsynaptic synaptic signaling regulation of biological quality trans-synaptic signaling cell surface receptor signaling pathway chemical synaptic transmission anterograde trans-synaptic signaling inhibitory postsynaptic potential regulation of membrane potential biological process involved in intraspecies interaction between organisms social behavior motor behavior synaptic transmission, GABAergic nerve development innervation	protein-containing complex cellular anatomical structure transmembrane transporter complex membrane chloride channel complex membrane protein complex transporter complex monoatomic ion channel complex cell periphery postsynapse postsynaptic membrane synapse cell junction plasma membrane protein-containing complex cellular anatomical structure transmembrane transporter complex membrane chloride channel complex membrane protein complex transporter complex monoatomic ion channel complex cell periphery postsynapse postsynaptic membrane synapse cell junction plasma membrane plasma membrane region synaptic membrane cell surface postsynaptic specialization membrane postsynaptic specialization organelle GABA receptor complex GABA-A receptor complex receptor complex GABA-ergic synapse membrane-bounded organelle intracellular anatomical structure intracellular vesicle intracellular membrane-bounded organelle intracellular organelle cytoplasmic vesicle membrane vesicle membrane cytoplasmic vesicle cytoplasm vesicle organelle membrane neuron spine neuron projection dendritic spine plasma membrane bounded cell projection somatodendritic compartment cell projection dendrite dendritic tree

InterPro: Protein Family Classification InterPro Database Homepage

Chains	Accession	Name	Type
G [auth L]	IPR019372	Lipoma HMGIC fusion partner-like protein	Family
F [auth H]	IPR051093	Neuroligin and Bile salt-activated lipase	Family
F [auth H]	IPR002018	Carboxylesterase, type B	Domain
F [auth H]	IPR019819	Carboxylesterase type B, conserved site	Conserved Site
F [auth H]	IPR000460	Neuroligin	Family
F [auth H]	IPR029058	Alpha/Beta hydrolase fold	Homologous Superfamily
E [auth C]	IPR005437	Gamma-aminobutyric acid receptor subunit gamma-1/4	Family
E [auth C]	IPR006202	Neurotransmitter-gated ion-channel ligand-binding domain	Domain
E [auth C]	IPR036719	Neurotransmitter-gated ion-channel transmembrane domain superfamily	Homologous Superfamily
E [auth C]	IPR006028	Gamma-aminobutyric acid A receptor/Glycine receptor alpha	Family
E [auth C]	IPR005439	Gamma-aminobutyric-acid A receptor, gamma 2 subunit	Family
E [auth C]	IPR006029	Neurotransmitter-gated ion-channel transmembrane domain	Domain
E [auth C]	IPR036734	Neurotransmitter-gated ion-channel ligand-binding domain superfamily	Homologous Superfamily
E [auth C]	IPR018000	Neurotransmitter-gated ion-channel, conserved site	Conserved Site
E [auth C]	IPR038050	Neuronal acetylcholine receptor	Homologous Superfamily
E [auth C]	IPR006201	Neurotransmitter-gated ion-channel	Family
A [auth B], B [auth E], C [auth A], D	IPR006202	Neurotransmitter-gated ion-channel ligand-binding domain	Domain
A [auth B], B [auth E], C [auth A], D	IPR036719	Neurotransmitter-gated ion-channel transmembrane domain superfamily	Homologous Superfamily
A [auth B], B [auth E], C [auth A], D	IPR006028	Gamma-aminobutyric acid A receptor/Glycine receptor alpha	Family
A [auth B], B [auth E], C [auth A], D	IPR002289	Gamma-aminobutyric-acid A receptor, beta subunit	Family
A [auth B], B [auth E], C [auth A], D	IPR006029	Neurotransmitter-gated ion-channel transmembrane domain	Domain
A [auth B], B [auth E], C [auth A], D	IPR036734	Neurotransmitter-gated ion-channel ligand-binding domain superfamily	Homologous Superfamily
A [auth B], B [auth E], C [auth A], D	IPR018000	Neurotransmitter-gated ion-channel, conserved site	Conserved Site
A [auth B], B [auth E], C [auth A], D	IPR038050	Neuronal acetylcholine receptor	Homologous Superfamily
A [auth B], B [auth E], C [auth A], D	IPR006201	Neurotransmitter-gated ion-channel	Family

Pharos: Disease Associations Pharos Homepage Annotation

Chains	Drug Target	Associated Disease
G [auth L]	Pharos: Q7Z7J7	atypical teratoid rhabdoid tumor malignant ependymoma ovarian cancer glioblastoma malignant glioma pilocytic astrocytoma lung carcinoma osteosarcoma subependymal giant cell astrocytoma
F [auth H]	Pharos: Q8NFZ4	atrial fibrillation hypothyroidism osteosarcoma uterine corpus leiomyoma central nervous system cancer malignant ependymoma ovarian cancer Hashimoto thyroiditis medulloblastoma schizophrenia
E [auth C]	Pharos: P18507	childhood absence epilepsy febrile seizures, familial, 8 hepatic encephalopathy epilepsy cocaine dependence juvenile absence epilepsy absence epilepsy generalized epilepsy with febrile seizures plus hepatic coma early myoclonic encephalopathy cocaine abuse Dravet syndrome alcohol abuse amphetamine abuse rolandic epilepsy childhood absence epilepsy febrile seizures, familial, 8 hepatic encephalopathy epilepsy cocaine dependence juvenile absence epilepsy absence epilepsy generalized epilepsy with febrile seizures plus hepatic coma early myoclonic encephalopathy cocaine abuse Dravet syndrome alcohol abuse amphetamine abuse rolandic epilepsy insomnia status epilepticus developmental and epileptic encephalopathy, 6 tetanus malignant glioma mixed anxiety and depressive disorder pilocytic astrocytoma primitive neuroectodermal tumor atypical teratoid rhabdoid tumor schizophrenia intellectual disability large cell medulloblastoma subependymal giant cell astrocytoma lung carcinoma medulloblastoma epilepsy with generalized tonic-clonic seizures panic disorder alcohol withdrawal delirium peptic ulcer disease astrocytic tumor generalized epilepsy with febrile seizures plus, type 1 pseudotumor cerebri irritable bowel syndrome Lennox-Gastaut syndrome malignant ependymoma oligodendroglioma partial epilepsy Pick disease generalized anxiety disorder glioblastoma
A [auth B], B [auth E], C [auth A], D	Pharos: P28472	epilepsy Angelman syndrome childhood absence epilepsy Lennox-Gastaut syndrome developmental and epileptic encephalopathy, 43 epilepsy, childhood absence, susceptibility to, 5 absence epilepsy autism insomnia autism spectrum disorder intellectual disability schizophrenia depressive disorder malignant ependymoma duplication/inversion 15q11 epilepsy Angelman syndrome childhood absence epilepsy Lennox-Gastaut syndrome developmental and epileptic encephalopathy, 43 epilepsy, childhood absence, susceptibility to, 5 absence epilepsy autism insomnia autism spectrum disorder intellectual disability schizophrenia depressive disorder malignant ependymoma duplication/inversion 15q11 status epilepticus pancreatic intraductal papillary-mucinous neoplasm astrocytic tumor gastric carcinoma pilocytic astrocytoma glioblastoma bipolar disorder primitive neuroectodermal tumor brain injury interstitial cystitis juvenile absence epilepsy Sjogren syndrome malignant glioma mixed anxiety and depressive disorder epilepsy with generalized tonic-clonic seizures oligodendroglioma epilepsy, childhood absence, susceptibility to, 1 pancreatic intraductal papillary-mucinous neoplasm with low grade dysplasia peptic ulcer disease pituitary cancer psoriasis irritable bowel syndrome schizoaffective disorder large cell medulloblastoma Crohn disease lung carcinoma medulloblastoma alcohol withdrawal delirium early myoclonic encephalopathy tetanus panic disorder atypical teratoid rhabdoid tumor Pick disease generalized anxiety disorder Prader-Willi syndrome