Yale School of Medicine Department of Psychiatry, Ribicoff Research Facilities of the Connecticut Mental Health Center, New Haven, Connecticut
Yale School of Medicine Department of Psychiatry, Ribicoff Research Facilities of the Connecticut Mental Health Center, New Haven, Connecticut.
J Pharmacol Exp Ther. 2020 Jul;374(1):200-210. doi: 10.1124/jpet.119.264069. Epub 2020 Apr 7.
Both an agonist and its associated prodrug for metabotropic glutamate (mGlu) receptors demonstrated anxiolytic efficacy in large, randomized, multicenter, double-blind, placebo-controlled trials studying patients with generalized anxiety disorder (GAD). These mGlu receptor agonists produced robust preclinical anxiolytic-like effects in rodent models. Several different metabotropic glutamate receptor positive allosteric modulators have been found to produce antidepressant-like effects on several preclinical screening paradigms, including differential-reinforcement-of-low-rate 72-second (DRL 72-s) behavior [increased reinforcers, decreased response rate, and cohesive rightward shifts in inter-response time distributions]. Although mGlu receptor agonists have not been tested formally for therapeutic effects in treating patients with major depressive disorder, these compounds generally fail to exert antidepressant-like effects in preclinical screening paradigms and did not improve depressive symptoms in GAD trials. Thus, the present studies were designed to test the potential antidepressant-like effects of the mGlu receptor agonist 1,2,5R,6-2-aminobicyclo[3.1.0]hexane-2,6-bicarboxylate monohydrate (LY354740) on the DRL 72-s schedule. LY354740 did not test similarly to clinically validated antidepressant drugs when administered alone or when coadministered with the selective serotonin reuptake inhibitor fluoxetine in rats. Another glutamate-based antidepressant drug, the uncompetitive -methyl-D-aspartate channel blocker racemic ketamine, exerted antidepressant-like effects when administered at subanesthetic doses in rats. The findings further support the specificity of rat DRL 72-s behavior when screening for anxiolytic versus antidepressant drugs and extend testing of compounds with glutamatergic mechanisms of action. SIGNIFICANCE STATEMENT: The metabotropic glutamate receptor agonist and clinically validated anxiolytic drug 1,2,5R,6-2-aminobicyclo[3.1.0]hexane-2,6-bicarboxylate monohydrate did not test similar to antidepressant drugs (increased reinforcers, decreased response rate, and cohesive rightward shifts in the inter-response time distribution) when tested on differential-reinforcement-of-low-rate 72-second (DRL 72-s) behavior and also did not enhance the antidepressant-like effects of the serotonin reuptake inhibitor fluoxetine. The uncompetitive -methyl-D-aspartate receptor antagonist ketamine increased the reinforcement rate, decreased the response rate, and induced a rightward shift in the inter-response time distribution similar to antidepressant drugs; these results confirm the utility of DRL 72-s schedule of reinforcement when testing clinically validated anxiolytic versus antidepressant glutamatergic drugs.
两种代谢型谷氨酸(mGlu)受体的激动剂及其相关前药在研究广泛性焦虑障碍(GAD)患者的大型、随机、多中心、双盲、安慰剂对照试验中均显示出抗焦虑疗效。这些 mGlu 受体激动剂在啮齿动物模型中产生了强大的抗焦虑样作用。几种不同的代谢型谷氨酸受体正变构调节剂已被发现对几种临床前筛选模型具有抗抑郁作用,包括差异强化低速率 72 秒(DRL 72-s)行为[增加强化物、降低反应率以及反应时间分布的凝聚性右移]。尽管 mGlu 受体激动剂尚未在治疗患有重度抑郁症的患者的治疗效果方面进行正式测试,但这些化合物通常在临床前筛选模型中不具有抗抑郁样作用,并且在 GAD 试验中并未改善抑郁症状。因此,本研究旨在测试代谢型谷氨酸受体激动剂 1,2,5R,6-2-氨基双环[3.1.0]己烷-2,6-二羧酸一水合物(LY354740)对 DRL 72-s 方案的潜在抗抑郁样作用。LY354740 单独给药或与选择性 5-羟色胺再摄取抑制剂氟西汀联合给药时,与经过临床验证的抗抑郁药无相似作用。另一种基于谷氨酸的抗抑郁药物,非竞争性 -甲基-D-天冬氨酸通道阻滞剂消旋氯胺酮,在以亚麻醉剂量给药时在大鼠中产生抗抑郁样作用。这些发现进一步支持大鼠 DRL 72-s 行为在筛选抗焦虑与抗抑郁药物时的特异性,并扩展了具有谷氨酸能作用机制的化合物的测试。意义声明:代谢型谷氨酸受体激动剂和经过临床验证的抗焦虑药物 1,2,5R,6-2-氨基双环[3.1.0]己烷-2,6-二羧酸一水合物与抗抑郁药(增加强化物、降低反应率以及反应时间分布的凝聚性右移)无相似作用,当在差异强化低速率 72 秒(DRL 72-s)行为上进行测试时,也不能增强 5-羟色胺再摄取抑制剂氟西汀的抗抑郁样作用。非竞争性 -甲基-D-天冬氨酸受体拮抗剂氯胺酮增加了强化率、降低了反应率,并诱导了与抗抑郁药相似的反应时间分布右移;这些结果证实了 DRL 72-s 强化方案在测试经过临床验证的抗焦虑与抗抑郁谷氨酸能药物时的有效性。