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Cerebellar Purkinje neurons (PNs) receive inhibitory GABAergic input from stellate and basket cells, which are located in the outer and inner portions of the molecular layer, respectively. Ethanol (EtOH) was recently shown to increase GABAergic transmission at PNs via a mechanism that involves enhanced calcium release from presynaptic internal stores (Kelm et al., J Pharmacol Exp Ther. 323:356-64, 2007). Here, we further characterized the effect of EtOH on GABA release and assessed its impact on PN excitability. Using whole-cell patch-clamp electrophysiological techniques in cerebellar vermis parasagittal slices, we found that EtOH acutely increases the frequency but not the amplitude or half-width of miniature and spontaneous inhibitory postsynaptic currents (IPSCs). EtOH significantly increased the amplitude and decreased the paired-pulse ratio of IPSCs evoked by stimulation in the outer but not inner molecular layer. In current-clamp, EtOH decreased both the amplitude of EPSPs evoked in PNs by granule cell axon stimulation and the number of action potentials triggered by these events; these effects depended on GABA A receptor activation as they were not observed in presence of bicuculline. Loose-patch cell-attached PN recordings revealed that neither the spontaneous action potential firing frequency nor the coefficient of variation of the interspike interval were altered by acute EtOH exposure. These findings suggest that EtOH differentially affects GABAergic transmission at stellate cell-and basket cell-to-PN synapses and that it modulates PN firing triggered by granule cell axonal input. These effects could be in part responsible for the cerebellar impairments associated with acute EtOH intoxication.