Chaki Shigeyuki
Research Headquarters, Taisho Pharmaceutical Co., Ltd., Yoshino-cho, Saitama, Japan.
Adv Pharmacol. 2019;86:97-120. doi: 10.1016/bs.apha.2019.03.004. Epub 2019 Apr 24.
Abnormalities of glutamatergic transmission are implicated in neuropsychiatric disorders. Among the glutamate receptors, metabotropic (mGlu) 2/3 receptors have recently gained much attention as molecular targets for the treatment of several neuropsychiatric disorders including depression and anxiety. Both orthosteric and allosteric antagonists of mGlu2/3 receptors have been synthesized, and their therapeutic potential has been examined. These research activities have demonstrated the promise of mGlu2/3 receptor antagonists as potential treatment agents for the above-mentioned neuropsychiatric disorders. In particular, it has been considered that the antidepressant effects of mGlu2/3 receptor antagonists are worthy of pursuing, since the antidepressant profiles as well as synaptic/neural mechanisms involved in the actions of mGlu2/3 receptor antagonists are similar to those of ketamine, which has been demonstrated to show potent, rapid and sustained efficacy in patients with depression, even those resistant to the conventionally prescribed antidepressants. In this chapter, the general pharmacology of mGlu2/3 receptor antagonists and their therapeutic potential are reviewed. In particular, I focus on the usefulness of mGlu2/3 receptor antagonists as novel antidepressants, in comparison with ketamine.
谷氨酸能传递异常与神经精神疾病有关。在谷氨酸受体中,代谢型(mGlu)2/3受体最近作为治疗包括抑郁症和焦虑症在内的几种神经精神疾病的分子靶点而备受关注。mGlu2/3受体的正构和变构拮抗剂均已合成,并对其治疗潜力进行了研究。这些研究活动证明了mGlu2/3受体拮抗剂作为上述神经精神疾病潜在治疗药物的前景。特别是,人们认为mGlu2/3受体拮抗剂的抗抑郁作用值得探索,因为mGlu2/3受体拮抗剂的抗抑郁特征以及其作用涉及的突触/神经机制与氯胺酮相似,氯胺酮已被证明对抑郁症患者,甚至对传统处方抗抑郁药耐药的患者具有强效、快速和持续的疗效。在本章中,将对mGlu2/3受体拮抗剂的一般药理学及其治疗潜力进行综述。特别是,与氯胺酮相比,我将重点关注mGlu2/3受体拮抗剂作为新型抗抑郁药的实用性。