Li Yan, Zhu Zhuo R, Ou Bao C, Wang Ya Q, Tan Zhou B, Deng Chang M, Gao Yi Y, Tang Ming, So Ji H, Mu Yang L, Zhang Lan Q
Department of Physiology, School of Basic Medicine, Huazhong University of Science and Technology, Wuhan, China; The Institute of Brain Research, Huazhong University of Science and Technology, Wuhan, China.
Department of Physiology, School of Basic Medicine, Huazhong University of Science and Technology, Wuhan, China.
Behav Brain Res. 2015 Feb 15;279:100-5. doi: 10.1016/j.bbr.2014.11.016. Epub 2014 Nov 15.
Major depressive disorder is one of the most prevalent and life-threatening forms of mental illnesses. The traditional antidepressants often take several weeks, even months, to obtain clinical effects. However, recent clinical studies have shown that ketamine, an N-methyl-D-aspartate (NMDA) receptor antagonist, exerts rapid antidepressant effects within 2h and are long-lasting. The aim of the present study was to investigate whether dopaminergic system was involved in the rapid antidepressant effects of ketamine. The acute administration of ketamine (20 mg/kg) significantly reduced the immobility time in the forced swim test. MK-801 (0.1 mg/kg), the more selective NMDA antagonist, also exerted rapid antidepressant-like effects. In contrast, fluoxetine (10 mg/kg) did not significantly reduced the immobility time in the forced swim test after 30 min administration. Notably, pretreatment with haloperidol (0.15 mg/kg, a nonselective dopamine D2/D3 antagonist), but not SCH23390 (0.04 and 0.1 mg/kg, a selective dopamine D1 receptor antagonist), significantly prevented the effects of ketamine or MK-801. Moreover, the administration of sub-effective dose of ketamine (10 mg/kg) in combination with pramipexole (0.3 mg/kg, a dopamine D2/D3 receptor agonist) exerted antidepressant-like effects compared with each drug alone. In conclusion, our results indicated that the dopamine D2/D3 receptors, but not D1 receptors, are involved in the rapid antidepressant-like effects of ketamine.
重度抑郁症是最常见且危及生命的精神疾病形式之一。传统抗抑郁药通常需要数周甚至数月才能产生临床效果。然而,最近的临床研究表明,N-甲基-D-天冬氨酸(NMDA)受体拮抗剂氯胺酮能在2小时内产生快速抗抑郁效果,且效果持久。本研究的目的是调查多巴胺能系统是否参与氯胺酮的快速抗抑郁作用。急性给予氯胺酮(20毫克/千克)可显著缩短强迫游泳试验中的不动时间。更具选择性的NMDA拮抗剂MK-801(0.1毫克/千克)也能产生快速的类抗抑郁作用。相比之下,氟西汀(10毫克/千克)给药30分钟后,在强迫游泳试验中并未显著缩短不动时间。值得注意的是,用氟哌啶醇(0.15毫克/千克,一种非选择性多巴胺D2/D3拮抗剂)预处理可显著阻断氯胺酮或MK-801的作用,但用SCH23390(0.04和0.1毫克/千克,一种选择性多巴胺D1受体拮抗剂)预处理则无此作用。此外,与单独使用每种药物相比,给予次有效剂量的氯胺酮(10毫克/千克)与普拉克索(0.3毫克/千克,一种多巴胺D2/D3受体激动剂)联合使用可产生类抗抑郁作用。总之,我们的结果表明,多巴胺D2/D3受体而非D1受体参与了氯胺酮的快速类抗抑郁作用。