El Iskandrani Kareem S, Oosterhof Chris A, El Mansari Mostafa, Blier Pierre
University of Ottawa Institute of Mental Health Research, Mood Disorders Research, Ottawa, ON, Canada.
University of Ottawa Institute of Mental Health Research, Mood Disorders Research, Ottawa, ON, Canada
J Psychopharmacol. 2015 Jul;29(7):792-801. doi: 10.1177/0269881115573809. Epub 2015 Mar 10.
The rapid antidepressant action of a subanesthetic dose of ketamine in treatment-resistant patients represents the most striking recent breakthrough in the understanding of the antidepressant response. Evidence demonstrates tight interactions between the glutamatergic and monoaminergic systems. It is thus hypothesized that monoamine systems may play a role in the immediate/rapid effects of ketamine. In vivo electrophysiological recordings were carried in male rats following ketamine administration (10 and 25 mg/kg, i.p.) to first assess its effects on monoaminergic neuron firing. In a second series of experiments, the effects of ketamine administration on α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA)- and N-methyl-D-aspartate receptor (NMDA)-evoked responses in hippocampus CA3 pyramidal neurons were also investigated using micro-iontophoretic applications. Although acute (~2 hours) ketamine administration did not affect the mean firing activity of dorsal raphe serotonin and ventral tegmental area dopamine neurons, it did increase that of locus coeruleus norepinephrine neurons. In the latter brain region, while ketamine also enhanced bursting activity, it did increase population activity of dopamine neurons in the ventral tegmental area. These effects of ketamine were prevented by the prior administration of the AMPA receptor antagonist 2,3-dioxo-6-nitro-1,2,3,4-tetrahydrobenzo[f]quinoxaline-7-sulfonamide. An increase in AMPA-evoked response of CA3 pyramidal neurons was also observed 30 minutes following acute ketamine administration. The present findings suggest that acute ketamine administration produces a rapid enhancement of catecholaminergic neurons firing activity through an amplification of AMPA transmission. These effects may play a crucial role in the antidepressant effects of ketamine observed shortly following its infusion in depressed patients.
亚麻醉剂量氯胺酮在难治性患者中产生的快速抗抑郁作用,是近期在理解抗抑郁反应方面最引人注目的突破。有证据表明谷氨酸能系统和单胺能系统之间存在紧密相互作用。因此,有人推测单胺能系统可能在氯胺酮的即刻/快速效应中发挥作用。对雄性大鼠腹腔注射氯胺酮(10和25毫克/千克)后进行体内电生理记录,以首先评估其对单胺能神经元放电的影响。在第二系列实验中,还使用微量离子电泳应用研究了氯胺酮给药对海马CA3锥体神经元中α-氨基-3-羟基-5-甲基-4-异恶唑丙酸(AMPA)和N-甲基-D-天冬氨酸受体(NMDA)诱发反应的影响。虽然急性(约2小时)给予氯胺酮不影响中缝背核5-羟色胺和腹侧被盖区多巴胺神经元的平均放电活动,但它确实增加了蓝斑去甲肾上腺素能神经元的放电活动。在后者的脑区,虽然氯胺酮也增强了爆发性活动,但它确实增加了腹侧被盖区多巴胺神经元的群体活动。氯胺酮的这些作用可被事先给予AMPA受体拮抗剂2,3-二氧代-6-硝基-1,2,3,4-四氢苯并[f]喹喔啉-7-磺酰胺所阻断。急性给予氯胺酮30分钟后,还观察到CA3锥体神经元的AMPA诱发反应增加。目前的研究结果表明,急性给予氯胺酮通过增强AMPA传递,快速增强儿茶酚胺能神经元的放电活动。这些效应可能在给抑郁症患者输注氯胺酮后不久观察到的抗抑郁作用中起关键作用。