Radford Kennett D, Park Thomas Y, Lee Bong Hyo, Moran Sean, Osborne Lisa A, Choi Kwang H
Daniel K. Inouye Graduate School of Nursing, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD, USA; The Center for Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Pharmacol Biochem Behav. 2017 Feb;153:130-140. doi: 10.1016/j.pbb.2016.12.014. Epub 2016 Dec 24.
Clinicians administer subanesthetic intravenous (IV) ketamine infusions for treatment of refractory depression, chronic pain, and post-traumatic stress disorder in humans. However, ketamine is administered via the subcutaneous (SC) or intraperitoneal (IP) routes to rodents in most pre-clinical research, which may limit translational application. The present study characterized the dose-response of a subanesthetic IV ketamine bolus (2 and 5mg/kg) and 1-h infusion (5, 10, and 20mg/kg/h) on dissociative stereotypy, locomotion, sensorimotor gating, and thermal nociception in male Sprague-Dawley rats. The secondary aim was to measure ketamine and norketamine plasma concentrations following IV ketamine bolus at 1, 20, and 50min and at the conclusion of the 1-h infusion using liquid chromatography/mass spectrometry. The results showed that ketamine bolus and infusions produced dose-dependent dissociative stereotypy. Bolus (2 and 5mg/kg) and 20mg/kg/h infusion increased locomotor activity while 5mg/kg/h infusion decreased locomotor activity. Both 10 and 20mg/kg/h infusions reduced the acoustic startle reflex, while 5mg/kg bolus and 20mg/kg/h infusion impaired pre-pulse inhibition. Ketamine 5mg/kg bolus and the 10 and 20mg/kg/h infusions induced significant and prolonged antinociception to the hotplate test. Plasma concentrations of ketamine decreased quickly after bolus while norketamine levels increased from 1 to 20min and plateaued from 20 to 50min. The peak ketamine plasma concentrations [ng/ml] were similar between 5mg/kg bolus [4100] vs. 20mg/kg/h infusion [3900], and 2mg/kg bolus [1700] vs. 10mg/kg/h infusion [1500]. These results support the findings from previous ketamine injection studies and further validate the feasibility of administering subanesthetic doses of IV ketamine infusion to rats for neuropharmacological studies.
临床医生通过静脉注射亚麻醉剂量的氯胺酮来治疗人类的难治性抑郁症、慢性疼痛和创伤后应激障碍。然而,在大多数临床前研究中,氯胺酮是通过皮下或腹腔注射途径给予啮齿动物的,这可能会限制其转化应用。本研究表征了亚麻醉剂量的静脉注射氯胺酮推注(2和5mg/kg)以及1小时输注(5、10和20mg/kg/h)对雄性Sprague-Dawley大鼠解离性刻板行为、运动、感觉运动门控和热痛觉的剂量反应。次要目的是在静脉注射氯胺酮推注后1、20和50分钟以及1小时输注结束时,使用液相色谱/质谱法测量氯胺酮和去甲氯胺酮的血浆浓度。结果表明,氯胺酮推注和输注产生了剂量依赖性的解离性刻板行为。推注(2和5mg/kg)和20mg/kg/h输注增加了运动活性,而5mg/kg/h输注降低了运动活性。10和20mg/kg/h输注均降低了听觉惊跳反射,而5mg/kg推注和20mg/kg/h输注损害了前脉冲抑制。5mg/kg推注的氯胺酮以及10和20mg/kg/h输注对热板试验诱导了显著且持久的镇痛作用。推注后氯胺酮的血浆浓度迅速下降,而去甲氯胺酮水平在1至20分钟内升高,并在20至50分钟内达到平稳。5mg/kg推注[4100]与20mg/kg/h输注[3900]之间以及2mg/kg推注[1700]与10mg/kg/h输注[1500]之间的氯胺酮血浆峰值浓度[ng/ml]相似。这些结果支持了先前氯胺酮注射研究的结果,并进一步验证了向大鼠静脉注射亚麻醉剂量的氯胺酮进行神经药理学研究的可行性。