Departamento de Fisiologia e Farmacologia, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil.
Departamento de Biofisiologia, Faculdade de Medicina Estácio de Juazeiro do Norte, Juazeiro do Norte, CE, Brasil.
Braz J Med Biol Res. 2020 Dec 18;54(2):e10107. doi: 10.1590/1414-431X202010107. eCollection 2020.
Ketamine (KET) is an N-methyl-D-aspartate (NMDA) antagonist with rapid and long-lasting antidepressant effects, but how the drug shows its sustained effects is still a matter of controversy. The objectives were to evaluate the mechanisms for KET rapid (30 min) and long-lasting (15 and 30 days after) antidepressant effects in mice. A single dose of KET (2, 5, or 10 mg/kg, po) was administered to male Swiss mice and the forced swim test (FST) was performed 30 min, 15, or 30 days later. Imipramine (IMI, 30 mg/kg, ip), a tricyclic antidepressant drug, was used as reference. The mice were euthanized, separated into two time-point groups (D1, first day after KET injection; D30, 30 days later), and brain sections were processed for glycogen synthase kinase-3 (GSK-3), histone deacetylase (HDAC), brain-derived neurotrophic factor (BDNF), and glial fibrillary acidic protein (GFAP) immunohistochemical assays. KET (5 and 10 mg/kg) presented rapid and long-lasting antidepressant-like effects. As expected, the immunoreactivities for brain GSK-3 and HDAC decreased compared to control groups in all areas (striatum, DG, CA1, CA3, and mainly pre-frontal cortex, PFC) after KET injection. Increases in BDNF immunostaining were demonstrated in the PFC, DG, CA1, and CA3 areas at D1 and D30 time-points. GFAP immunoreactivity was also increased in the PFC and striatum at both time-points. In conclusion, KET changed brain BDNF and GFAP expressions 30 days after a single administration. Although neuroplasticity could be involved in the observed effects of KET, more studies are needed to explain the mechanisms for the drug's sustained antidepressant-like effects.
氯胺酮(KET)是一种 N-甲基-D-天冬氨酸(NMDA)拮抗剂,具有快速而持久的抗抑郁作用,但药物如何显示其持续作用仍存在争议。本研究旨在评估氯胺酮(KET)在小鼠中快速(30 分钟)和长期(15 和 30 天)抗抑郁作用的机制。雄性瑞士小鼠给予单剂量 KET(2、5 或 10 mg/kg,po),并在 30 分钟、15 或 30 天后进行强迫游泳试验(FST)。三环类抗抑郁药丙咪嗪(IMI,30 mg/kg,ip)作为参考药物。处死小鼠,分为两个时间点组(D1,KET 注射后第 1 天;D30,30 天后),并对脑切片进行糖原合酶激酶-3(GSK-3)、组蛋白去乙酰化酶(HDAC)、脑源性神经营养因子(BDNF)和胶质纤维酸性蛋白(GFAP)免疫组织化学检测。KET(5 和 10 mg/kg)表现出快速和持久的抗抑郁样作用。与对照组相比,KET 注射后所有区域(纹状体、DG、CA1、CA3,主要是前额叶皮层,PFC)的脑 GSK-3 和 HDAC 免疫反应性均降低。BDNF 免疫染色在 D1 和 D30 时间点在 PFC、DG、CA1 和 CA3 区域增加。在两个时间点,PFC 和纹状体的 GFAP 免疫反应性也增加。总之,单次给药 30 天后,KET 改变了大脑 BDNF 和 GFAP 的表达。尽管神经可塑性可能参与了 KET 观察到的作用,但需要更多的研究来解释药物持续抗抑郁样作用的机制。