Department of Biomedical Engineering, Falk Center for Molecular Therapeutics, McCormick School of Engineering and Applied Sciences, Northwestern University, Evanston, IL 60201, USA.
Neuropsychopharmacology. 2013 Apr;38(5):729-42. doi: 10.1038/npp.2012.246. Epub 2012 Dec 5.
Recent human clinical studies with the NMDA receptor (NMDAR) antagonist ketamine have revealed profound and long-lasting antidepressant effects with rapid onset in several clinical trials, but antidepressant effects were preceded by dissociative side effects. Here we show that GLYX-13, a novel NMDAR glycine-site functional partial agonist, produces an antidepressant-like effect in the Porsolt, novelty induced hypophagia, and learned helplessness tests in rats without exhibiting substance abuse-related, gating, and sedative side effects of ketamine in the drug discrimination, conditioned place preference, pre-pulse inhibition and open-field tests. Like ketamine, the GLYX-13-induced antidepressant-like effects required AMPA/kainate receptor activation, as evidenced by the ability of NBQX to abolish the antidepressant-like effect. Both GLYX-13 and ketamine persistently (24 h) enhanced the induction of long-term potentiation of synaptic transmission and the magnitude of NMDAR-NR2B conductance at rat Schaffer collateral-CA1 synapses in vitro. Cell surface biotinylation studies showed that both GLYX-13 and ketamine led to increases in both NR2B and GluR1 protein levels, as measured by Western analysis, whereas no changes were seen in mRNA expression (microarray and qRT-PCR). GLYX-13, unlike ketamine, produced its antidepressant-like effect when injected directly into the medial prefrontal cortex (MPFC). These results suggest that GLYX-13 produces an antidepressant-like effect without the side effects seen with ketamine at least in part by directly modulating NR2B-containing NMDARs in the MPFC. Furthermore, the enhancement of 'metaplasticity' by both GLYX-13 and ketamine may help explain the long-lasting antidepressant effects of these NMDAR modulators. GLYX-13 is currently in a Phase II clinical development program for treatment-resistant depression.
最近的人类临床研究表明,N-甲基-D-天冬氨酸受体(NMDAR)拮抗剂氯胺酮在几项临床试验中显示出快速起效、深刻而持久的抗抑郁作用,但抗抑郁作用之前出现了分离副作用。在这里,我们展示了一种新型 NMDAR 甘氨酸位点功能部分激动剂 GLYX-13,它在 Porsolt 、新异诱发的摄食量减少和习得性无助测试中产生抗抑郁样作用,而在药物辨别、条件性位置偏爱、预脉冲抑制和开阔场测试中没有表现出氯胺酮与物质滥用相关的门控和镇静副作用。与氯胺酮一样,GLYX-13 诱导的抗抑郁样作用需要 AMPA/KA 受体激活,这一点可以通过 NBQX 消除抗抑郁样作用来证明。GLYX-13 和氯胺酮都能持续(24 小时)增强突触传递的长时程增强诱导和大鼠沙费尔侧枝-CA1 突触上 NMDAR-NR2B 电导率,体外。细胞表面生物素化研究表明,GLYX-13 和氯胺酮都导致 NR2B 和 GluR1 蛋白水平的增加,这可以通过 Western 分析来衡量,而在 mRNA 表达(微阵列和 qRT-PCR)方面没有变化。GLYX-13 与氯胺酮不同,当直接注射到内侧前额叶皮质(MPFC)时,会产生抗抑郁样作用。这些结果表明,GLYX-13 产生抗抑郁样作用,而没有氯胺酮的副作用,至少部分原因是直接调节 MPFC 中的 NR2B 含有 NMDAR。此外,GLYX-13 和氯胺酮都增强了“形质变化”,这可能有助于解释这些 NMDAR 调节剂的持久抗抑郁作用。GLYX-13 目前正在进行治疗抵抗性抑郁症的 II 期临床开发计划。