Chaki Shigeyuki
Molecular Function and Pharmacology Laboratories, Taisho Pharmaceutical Co., Ltd., 1-403 Yoshino-cho, Kita-ku, Saitama, 331-9530 Japan.
Nihon Shinkei Seishin Yakurigaku Zasshi. 2012 Aug;32(4):219-26.
Recently, abnormalities of glutamatergic transmission have been implicated in the pathophysiology of depression. Moreover, both ketamine, an NMDA receptor antagonist, and riluzole, a modulator of glutamatergic, transmission have been reported to be effective for the treatment of patients with treatment-refractory depression. Based on these findings, extensive studies to develop agents acting on glutamatergic transmission have been conducted. Glutamate receptors are divided into two main subtypes, ionotropic glutamate receptors and metabotropic glutamate (mGlu) receptors, both of which have subtypes. Of these, much attention has been paid to mGlu2/3 receptors. mGlu2/3 receptor antagonists such as MGS0039 and LY341495 have been reported to exert antidepressant effects in animal models of depression including the forced swim test, tail suspension test, learned helplessness paradigm, olfactory bulmectomy model and isolation rearing model, and to enhance serotonin release in the prefrontal cortex and dopamine release in the nucleus accumbens. Moreover, activation of AMPA receptor and mTOR signaling have been suggested to be involved in the antidepressant effects of mGlu2/3 receptor antagonists, as demonstrated in the actions of ketamine. Thus, mGlu2/3 receptor antagonists may share some neural networks with ketamine in exerting their antidepressant effects. In addition, the potential of other agents targeting glutamatergic transmission for novel antidepressants is being investigated.
最近,谷氨酸能传递异常已被认为与抑郁症的病理生理学有关。此外,据报道,N-甲基-D-天冬氨酸(NMDA)受体拮抗剂氯胺酮和谷氨酸能传递调节剂利鲁唑对难治性抑郁症患者的治疗均有效。基于这些发现,人们开展了广泛的研究来开发作用于谷氨酸能传递的药物。谷氨酸受体主要分为两种亚型,即离子型谷氨酸受体和代谢型谷氨酸(mGlu)受体,两者又各有亚型。其中,mGlu2/3受体受到了广泛关注。据报道,mGlu2/3受体拮抗剂如MGS0039和LY341495在包括强迫游泳试验、悬尾试验、习得性无助范式、嗅球切除模型和隔离饲养模型在内的抑郁症动物模型中具有抗抑郁作用,并能增强前额叶皮质中5-羟色胺的释放以及伏隔核中多巴胺的释放。此外,如氯胺酮的作用所示,α-氨基-3-羟基-5-甲基-4-异恶唑丙酸(AMPA)受体的激活和哺乳动物雷帕霉素靶蛋白(mTOR)信号传导被认为与mGlu2/3受体拮抗剂的抗抑郁作用有关。因此,mGlu2/3受体拮抗剂在发挥其抗抑郁作用时可能与氯胺酮共享一些神经网络。此外,其他针对谷氨酸能传递的药物作为新型抗抑郁药的潜力也正在研究中。