Stan T L, Alvarsson A, Branzell N, Sousa V C, Svenningsson P
Section of Translational Neuropharmacology, Department of Clinical Neuroscience, Laboratory of Translational Neuropharmacology, Center of Molecular Medicine, Karolinska Institute, Stockholm, Sweden.
Transl Psychiatry. 2014 Jun 3;4(6):e395. doi: 10.1038/tp.2014.39.
Preclinical and clinical data have identified ketamine, a non-selective NMDAR (N-methyl-D-aspartate receptor) antagonist, as a promising medication for patients who do not respond to treatment with monoamine-based antidepressants. Moreover, unlike the current monoamine-based antidepressants, ketamine has a long-lasting effect already after a single dose. The mechanisms of ketamine action remain to be fully understood. Using a recently developed microelectrode array (MEA), which allows sub-second measurements of fluctuating glutamate concentrations, we studied here the effects of in vivo local application of the ketamine and of the N2B subunit-specific antagonist Ro25-6981 upon evoked glutamate release. Both ligands inhibit glutamate release in subregions of the hippocampus and prefrontal cortex. Likewise, acute systemic ketamine treatment, at an antidepressant dose, caused a reduction in evoked glutamate release in the subiculum. We suggest that the effects of ketamine and Ro25-6981 in the subiculum could involve blockade of presynaptic NMDA receptors containing N2B subunits.
临床前和临床数据已确定,氯胺酮作为一种非选择性N-甲基-D-天冬氨酸受体(NMDAR)拮抗剂,对于那些对基于单胺的抗抑郁药治疗无反应的患者来说是一种有前景的药物。此外,与目前基于单胺的抗抑郁药不同,氯胺酮单次给药后就具有持久作用。氯胺酮的作用机制仍有待充分了解。我们使用最近开发的微电极阵列(MEA),该阵列能够对波动的谷氨酸浓度进行亚秒级测量,在此研究了体内局部应用氯胺酮和N2B亚基特异性拮抗剂Ro25-6981对诱发的谷氨酸释放的影响。两种配体均抑制海马体和前额叶皮质亚区域的谷氨酸释放。同样,以抗抑郁剂量进行的急性全身氯胺酮治疗导致海马下托诱发的谷氨酸释放减少。我们认为,氯胺酮和Ro25-6981在海马下托的作用可能涉及对含有N2B亚基的突触前NMDA受体的阻断。