IUNICS, University of the Balearic Islands, Cra. de Valldemossa, Km 7.5, Palma, E-07122, Spain.
Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain.
Pharmacol Rep. 2024 Oct;76(5):991-1000. doi: 10.1007/s43440-024-00636-y. Epub 2024 Aug 19.
The aging process causes anatomical and physiological changes that predispose to the development of late-life depression while reduces the efficacy of classical antidepressants. Novel fast-acting antidepressants such as ketamine might be good candidates to be explored in the context of aging, especially given the lack of previous research on its efficacy for this age period. Thus, the aim of the present study was to characterize ketamine's effects in older rats.
The fast-acting (30 min) and repeated (7 days) antidepressant-like effects of ketamine (5 mg/kg, ip) were evaluated in 14-month-old single-housed rats through the forced-swim and novelty-suppressed feeding tests. In parallel, the modulation of neurotrophic-related proteins (i.e., mBDNF, mTOR, GSK3) was assessed in brain regions affected by the aging process, prefrontal cortex and hippocampus, as well as possible changes in hippocampal cell proliferation.
Acute ketamine induced a fast-acting antidepressant-like response in male aged rats, as observed by a reduced immobility in the forced-swim test, in parallel with a region-specific increase in mBDNF protein content in prefrontal cortex. However, repeated ketamine failed to induce antidepressant-like efficacy, but decreased mBDNF protein content in prefrontal cortex. The rate of hippocampal cell proliferation and/or other markers evaluated was not modulated by either paradigm of ketamine.
These results complement prior data supporting a fast-acting antidepressant-like effect of ketamine in rats, to further extend its efficacy to older ages. Future studies are needed to further clarify the lack of response after the repeated treatment as well as its potential adverse effects in aging.
衰老过程导致解剖和生理变化,使老年人易患迟发性抑郁症,同时降低经典抗抑郁药的疗效。新型快速作用的抗抑郁药,如氯胺酮,可能是在衰老背景下探索的良好候选药物,尤其是鉴于以前缺乏针对这一年龄段的疗效研究。因此,本研究旨在探讨氯胺酮对老年大鼠的作用。
通过强迫游泳和新异抑制进食试验,评估了快速作用(30 分钟)和重复(7 天)氯胺酮(5mg/kg,ip)对 14 月龄独居大鼠的抗抑郁样作用。平行地,评估了神经发生相关蛋白(即 mBDNF、mTOR、GSK3)在受衰老过程影响的脑区(前额叶皮层和海马体)中的调制,以及海马体细胞增殖的可能变化。
急性氯胺酮诱导雄性老年大鼠快速抗抑郁样反应,表现为强迫游泳试验中不动时间减少,同时前额叶皮层 mBDNF 蛋白含量增加。然而,重复氯胺酮未能诱导抗抑郁样疗效,但降低了前额叶皮层的 mBDNF 蛋白含量。两种氯胺酮方案均未调节海马体细胞增殖率和/或评估的其他标志物。
这些结果补充了先前支持氯胺酮在大鼠中具有快速抗抑郁样作用的研究,进一步扩展了其在老年人群中的疗效。需要进一步的研究来阐明重复治疗后的无反应及其在衰老中的潜在不良影响。