GABAA receptors (GABAARs), the principal sites of synaptic inhibition in the brain, are dynamic entities on the neuronal cell surface, but the role their membrane trafficking plays in shaping neuronal activity remains obscure. Here, we examined this by using mutant receptor 3 subunits (3S408/9A), which have reduced binding to the clathrin adaptor protein-2, a critical regulator of GABAAR endocytosis. Neurons expressing 3S408/9A subunits exhibited increases in the number and size of inhibitory synapses, together with enhanced inhibitory synaptic transmission due to reduced GABAAR endocytosis. Furthermore, neurons expressing 3S408/9A subunits had deficits in the number of mature spines and reduced accumulation of postsynaptic density protein-95 at excitatory synapses. This deficit in spine maturity was reversed by pharmacological blockade of GABAARs. Therefore, regulating the efficacy of synaptic inhibition by modulating GABAAR membrane trafficking may play a critical role in regulating spine maturity with significant implications for synaptic plasticity together with behavior.endocytosis ͉ inhibition ͉ phosphorylation F ast neuronal inhibition in the brain is largely mediated by GABA A Rs, which are Cl-selective pentameric ligand-gated ion channels assembled from 7 subunit classes with multiple members; ␣ (1-6),  (1-3), ␥ (1-3), ␦, , , and . Consensus opinion suggests that the majority of synaptic receptor subtypes are assembled from ␣1-3, , and ␥2 subunits. The accumulation of GABA A Rs on the neuronal membrane is a critical factor in determining synaptic inhibition and is largely dependent on rates of receptor exo-and endocytosis (1). After ER assembly, GABA A Rs are inserted in the neuronal plasma membrane primarily at extrasynaptic sites and access the inhibitory postsynaptic specialization via lateral diffusion where they are stabilized via interaction with complements of the subsynaptic cytoskeleton (2, 3). Extrasynaptic receptor populations exhibit short cell surface half-lives and are rapidly removed from the plasma membrane via clathrin dependent-endocytosis (2, 4).The endocytosis of GABA A Rs is facilitated via the direct binding of the intracellular domains of receptor 1-3, ␥1-2, and ␦ subunits to the 2 adaptin of the AP2 complex (2-AP2) (5, 6). Subsequent analysis has revealed the presence of a conserved basic patchbinding motif for 2-AP2 within all receptor  subunits (7), which contains the principal sites of phosphorylation within GABA A Rs for cAMP-dependent protein kinase and protein kinase C, residues S408/9 respectively (1). In keeping with this, in vitro studies showed reduced binding of the GST-3 intracellular domain (ICD) to 2-AP2 with phosphorylation at S408/9 (7).To determine the significance of regulated GABA A R endocytosis in a neuronal context and the physiological consequence of altered GABA A R cell surface levels, we expressed receptor 3 subunits in which S408/9 have been mutated to alanines in neurons. This mutation dramatically increased the synaptic accumulation of GABA ...