Ortiz Darlene Mae D, Kim Mikyung, Lee Hyun Jun, Botanas Chrislean Jun, Custodio Raly James Perez, Sayson Leandro Val, Campomayor Nicole Bon, Lee Chaeyeon, Lee Yong Sup, Cheong Jae Hoon, Kim Hee Jin
Uimyung Research Institute for Neuroscience, Department of Pharmacy, Sahmyook University, Seoul 01795, Republic of Korea.
Department of Chemistry & Life Science, Sahmyook University, Seoul 01795, Republic of Korea.
Biomol Ther (Seoul). 2023 Mar 1;31(2):227-239. doi: 10.4062/biomolther.2022.159. Epub 2023 Feb 15.
Major depressive disorder is a leading cause of disability in more than 280 million people worldwide. Monoamine-based antidepressants are currently used to treat depression, but delays in treatment effects and lack of responses are major reasons for the need to develop faster and more efficient antidepressants. Studies show that ketamine (KET), a PCP analog, produces antidepressant effects within a few hours of administration that lasts up to a week. However, the use of KET has raised concerns about side effects, as well as the risk of abuse. 4 -F-PCP analog is a novel PCP analog that is also an NMDA receptor antagonist, structurally similar to KET, and might potentially elicit similar antidepressant effects, however, there has been no study on this subject yet. Herein, we investigate whether 4-F-PCP displays antidepressant effects and explored their potential therapeutic mechanisms. 4-F-PCP at 3 and 10 mg/kg doses showed antidepressant-like effects and repeated treatments maintained its effects. Furthermore, treatment with 4-F-PCP rescued the decreased expression of proteins most likely involved in depression and synaptic plasticity. Changes in the excitatory amino acid transporters (EAAT2, EAAT3, EAAT4) were also seen following drug treatment. Lastly, we assessed the possible side effects of 4-F-PCP after long-term treatment (up to 21 days). Results show that 4-F-PCP at 3 mg/kg dose did not alter the cognitive function of mice. Overall, current findings provide significant implications for future research not only with PCP analogs but also on the next generation of different types of antidepressants.
重度抑郁症是全球超过2.8亿人致残的主要原因。目前,基于单胺的抗抑郁药用于治疗抑郁症,但治疗效果延迟和缺乏反应是需要开发更快、更有效的抗抑郁药的主要原因。研究表明,氯胺酮(KET),一种苯环己哌啶类似物,在给药后数小时内产生抗抑郁作用,持续长达一周。然而,KET的使用引发了对副作用以及滥用风险的担忧。4-F-PCP类似物是一种新型的苯环己哌啶类似物,也是一种NMDA受体拮抗剂,在结构上与KET相似,可能会引发类似的抗抑郁作用,然而,尚未有关于该主题的研究。在此,我们研究了4-F-PCP是否具有抗抑郁作用,并探讨了其潜在的治疗机制。3和10mg/kg剂量的4-F-PCP显示出类似抗抑郁的作用,重复治疗可维持其效果。此外,4-F-PCP治疗挽救了最有可能参与抑郁症和突触可塑性的蛋白质表达的降低。药物治疗后还观察到兴奋性氨基酸转运体(EAAT2、EAAT3、EAAT4)的变化。最后,我们评估了长期治疗(长达21天)后4-F-PCP可能的副作用。结果表明,3mg/kg剂量的4-F-PCP不会改变小鼠的认知功能。总体而言,目前的研究结果不仅对未来关于苯环己哌啶类似物的研究,而且对下一代不同类型的抗抑郁药的研究都具有重要意义。