Maj Institute of Pharmacology, Polish Academy of Sciences, Department of Neurobiology, 31-343 Kraków, Smętna Street 12, Poland.
Maj Institute of Pharmacology, Polish Academy of Sciences, Department of Neurobiology, 31-343 Kraków, Smętna Street 12, Poland.
Prog Neuropsychopharmacol Biol Psychiatry. 2021 Jul 13;109:110239. doi: 10.1016/j.pnpbp.2020.110239. Epub 2021 Jan 2.
Ketamine produces a rapid antidepressant effect, but its use can be associated with serious side effects. Hence, other therapeutic options that will allow us to obtain a quick and safe antidepressant effect by modulating glutamatergic transmission are needed. Antagonists of mGlu2/3 receptors, which share some mechanisms of action with ketamine, may be good candidates to obtain this effect. Here, we show that the metabotropic glutamate (mGlu) 2/3 receptor antagonist LY341495 induced a dose-dependent antidepressant-like effect in the chronic unpredictable mild stress (CUMS) model of depression in C57BL/6J mice after both single and subchronic (three-day) administration. Furthermore, a noneffective dose of LY341495 (0.3 mg/kg) given jointly with a noneffective dose of ketamine (3 mg/kg) reversed the CUMS-induced behavioral effects, indicating that coadministration of ketamine with an mGlu2/3 receptor antagonist might allow its therapeutically effective dose to be lowered. Western blot results indicate that mTOR pathway activation might be involved in the mechanism of action of this drug combination. Moreover, the combined doses of both substances did not produce undesirable behavioral effects characteristic of a higher dose of ketamine (10 mg/kg) commonly used in rodent studies to induce antidepressant effects. Coadministration of low doses of ketamine and LY341495 did not induce the hyperactivity typical of NMDA channel blockers, did not disturb short-term memory in the novel object recognition (NOR) test, and did not disturb motor coordination in the rotarod test. Our research not only confirmed the earlier data on the rapid antidepressant effect of mGlu2/3 receptor antagonists but also indicated that such compounds can safely lower the effective dose of ketamine.
氯胺酮能迅速产生抗抑郁作用,但也可能带来严重的副作用。因此,我们需要其他治疗选择,通过调节谷氨酸能传递来快速、安全地产生抗抑郁作用。代谢型谷氨酸受体 2/3(mGlu2/3)受体拮抗剂与氯胺酮有一些共同的作用机制,可能是获得这种效果的良好候选药物。在这里,我们展示了代谢型谷氨酸(mGlu)2/3 受体拮抗剂 LY341495 在慢性不可预测轻度应激(CUMS)抑郁模型中,无论是单次给药还是亚慢性(三天)给药,都能产生剂量依赖性的抗抑郁样作用。此外,LY341495 的无效剂量(0.3mg/kg)与无效剂量的氯胺酮(3mg/kg)联合使用,可逆转 CUMS 引起的行为效应,表明氯胺酮与 mGlu2/3 受体拮抗剂联合使用可能降低其治疗有效剂量。Western blot 结果表明,mTOR 通路的激活可能参与了这种药物组合的作用机制。此外,两种物质的联合剂量不会产生通常用于啮齿动物研究以诱导抗抑郁作用的较高剂量氯胺酮(10mg/kg)所产生的不良行为效应。联合使用低剂量的氯胺酮和 LY341495 不会引起 NMDA 通道阻滞剂的典型过度活跃,也不会在新物体识别(NOR)测试中干扰短期记忆,也不会在转棒测试中干扰运动协调。我们的研究不仅证实了早期关于 mGlu2/3 受体拮抗剂快速抗抑郁作用的研究数据,还表明这些化合物可以安全地降低氯胺酮的有效剂量。