Ketamine-induced reduction in mGluR5 availability is associated with an antidepressant response: an [11C]ABP688 and PET imaging study in depression
The mechanisms of action of the rapid antidepressant effects of ketamine, an N -methyl- D -aspartate glutamate receptor antagonist, have not been fully elucidated. This study examined the effects of ketamine on ligand binding to a metabotropic glutamatergic receptor (mGluR5) in individuals with majo...
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Published in | Molecular psychiatry Vol. 23; no. 4; pp. 824 - 832 |
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Main Authors | , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
London
Nature Publishing Group UK
01.04.2018
Nature Publishing Group |
Subjects | |
Online Access | Get full text |
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Abstract | The mechanisms of action of the rapid antidepressant effects of ketamine, an
N
-methyl-
D
-aspartate glutamate receptor antagonist, have not been fully elucidated. This study examined the effects of ketamine on ligand binding to a metabotropic glutamatergic receptor (mGluR5) in individuals with major depressive disorder (MDD) and healthy controls. Thirteen healthy and 13 MDD nonsmokers participated in two [
11
C]ABP688 positron emission tomography (PET) scans on the same day—before and during intravenous ketamine administration—and a third scan 1 day later. At baseline, significantly lower [
11
C]ABP688 binding was detected in the MDD as compared with the control group. We observed a significant ketamine-induced reduction in mGluR5 availability (that is, [
11
C]ABP688 binding) in both MDD and control subjects (average of 14±9% and 19±22%, respectively;
P
<0.01 for both), which persisted 24 h later. There were no differences in ketamine-induced changes between MDD and control groups at either time point (
P
=0.8). A significant reduction in depressive symptoms was observed following ketamine administration in the MDD group (
P
<0.001), which was associated with the change in binding (
P
<0.04) immediately after ketamine. We hypothesize that glutamate released after ketamine administration moderates mGluR5 availability; this change appears to be related to antidepressant efficacy. The sustained decrease in binding may reflect prolonged mGluR5 internalization in response to the glutamate surge. |
---|---|
AbstractList | The mechanisms of action of the rapid antidepressant effects of ketamine, an N-methyl-D-aspartate glutamate receptor antagonist, have not been fully elucidated. This study examined the effects of ketamine on ligand binding to a metabotropic glutamatergic receptor (mGluR5) in individuals with major depressive disorder (MDD) and healthy controls. Thirteen healthy and 13 MDD nonsmokers participated in two [
C]ABP688 positron emission tomography (PET) scans on the same day-before and during intravenous ketamine administration-and a third scan 1 day later. At baseline, significantly lower [
C]ABP688 binding was detected in the MDD as compared with the control group. We observed a significant ketamine-induced reduction in mGluR5 availability (that is, [
C]ABP688 binding) in both MDD and control subjects (average of 14±9% and 19±22%, respectively; P<0.01 for both), which persisted 24 h later. There were no differences in ketamine-induced changes between MDD and control groups at either time point (P=0.8). A significant reduction in depressive symptoms was observed following ketamine administration in the MDD group (P<0.001), which was associated with the change in binding (P<0.04) immediately after ketamine. We hypothesize that glutamate released after ketamine administration moderates mGluR5 availability; this change appears to be related to antidepressant efficacy. The sustained decrease in binding may reflect prolonged mGluR5 internalization in response to the glutamate surge. The mechanisms of action of the rapid antidepressant effects of ketamine, an NMDA glutamate receptor antagonist, have not been fully elucidated. This study examined effects of ketamine on ligand binding to a metabotropic glutamatergic receptor (mGluR5) in individuals with major depressive disorder (MDD) and healthy controls. Thirteen healthy and thirteen MDD nonsmokers participated in two [ 11 C]ABP688 positron emission tomography (PET) scans on the same day – before and during intravenous ketamine administration – and a third scan 1 day later. At baseline, significantly lower [ 11 C]ABP688 binding was detected in the MDD as compared to the control group. We observed a significant ketamine-induced reduction in mGluR5 availability, (i.e. [ 11 C]ABP688 binding), in both MDD and control subjects (average of 14±9% and 19±22%, respectively; p<0.01 for both), which persisted 24 hours later. There were no differences in ketamine-induced changes between MDD and control groups at either time point (p=0.8). A significant reduction in depressive symptoms was observed following ketamine administration in the MDD group (p<0.001), which was associated with the change in binding (p<0.04) immediately post ketamine. We hypothesize that glutamate released after ketamine administration moderates mGluR5 availability; this change appears to be related to antidepressant efficacy. The sustained decrease in binding may reflect prolonged mGluR5 internalization in response to the glutamate surge. The mechanisms of action of the rapid antidepressant effects of ketamine, an N-methyl-D-aspartate glutamate receptor antagonist, have not been fully elucidated. This study examined the effects of ketamine on ligand binding to a metabotropic glutamatergic receptor (mGluR5) in individuals with major depressive disorder (MDD) and healthy controls. Thirteen healthy and 13 MDD nonsmokers participated in two [[sup.11]C]ABP688 positron emission tomography (PET) scans on the same day--before and during intravenous ketamine administration--and a third scan 1 day later. At baseline, significantly lower [[sup.11]C]ABP688 binding was detected in the MDD as compared with the control group. We observed a significant ketamine-induced reduction in mGluR5 availability (that is, [[sup.11]C]ABP688 binding) in both MDD and control subjects (average of 14[+ or -]9% and 19[+ or -]22%, respectively; P [less than] 0.01 for both), which persisted 24 h later. There were no differences in ketamine-induced changes between MDD and control groups at either time point (P=0.8). A significant reduction in depressive symptoms was observed following ketamine administration in the MDD group (P [less than] 0.001), which was associated with the change in binding (P [less than] 0.04) immediately after ketamine. We hypothesize that glutamate released after ketamine administration moderates mGluR5 availability; this change appears to be related to antidepressant efficacy. The sustained decrease in binding may reflect prolonged mGluR5 internalization in response to the glutamate surge. The mechanisms of action of the rapid antidepressant effects of ketamine, an N-methyl-D-aspartate glutamate receptor antagonist, have not been fully elucidated. This study examined the effects of ketamine on ligand binding to a metabotropic glutamatergic receptor (mGluR5) in individuals with major depressive disorder (MDD) and healthy controls. Thirteen healthy and 13 MDD nonsmokers participated in two [11 C]ABP688 positron emission tomography (PET) scans on the same day--before and during intravenous ketamine administration--and a third scan 1 day later. At baseline, significantly lower [11 C]ABP688 binding was detected in the MDD as compared with the control group. We observed a significant ketamine-induced reduction in mGluR5 availability (that is, [11 C]ABP688 binding) in both MDD and control subjects (average of 14±9% and 19±22%, respectively; P<0.01 for both), which persisted 24 h later. There were no differences in ketamine-induced changes between MDD and control groups at either time point (P=0.8). A significant reduction in depressive symptoms was observed following ketamine administration in the MDD group (P<0.001), which was associated with the change in binding (P<0.04) immediately after ketamine. We hypothesize that glutamate released after ketamine administration moderates mGluR5 availability; this change appears to be related to antidepressant efficacy. The sustained decrease in binding may reflect prolonged mGluR5 internalization in response to the glutamate surge. The mechanisms of action of the rapid antidepressant effects of ketamine, an N -methyl- D -aspartate glutamate receptor antagonist, have not been fully elucidated. This study examined the effects of ketamine on ligand binding to a metabotropic glutamatergic receptor (mGluR5) in individuals with major depressive disorder (MDD) and healthy controls. Thirteen healthy and 13 MDD nonsmokers participated in two [ 11 C]ABP688 positron emission tomography (PET) scans on the same day—before and during intravenous ketamine administration—and a third scan 1 day later. At baseline, significantly lower [ 11 C]ABP688 binding was detected in the MDD as compared with the control group. We observed a significant ketamine-induced reduction in mGluR5 availability (that is, [ 11 C]ABP688 binding) in both MDD and control subjects (average of 14±9% and 19±22%, respectively; P <0.01 for both), which persisted 24 h later. There were no differences in ketamine-induced changes between MDD and control groups at either time point ( P =0.8). A significant reduction in depressive symptoms was observed following ketamine administration in the MDD group ( P <0.001), which was associated with the change in binding ( P <0.04) immediately after ketamine. We hypothesize that glutamate released after ketamine administration moderates mGluR5 availability; this change appears to be related to antidepressant efficacy. The sustained decrease in binding may reflect prolonged mGluR5 internalization in response to the glutamate surge. The mechanisms of action of the rapid antidepressant effects of ketamine, an N-methyl-D-aspartate glutamate receptor antagonist, have not been fully elucidated. This study examined the effects of ketamine on ligand binding to a metabotropic glutamatergic receptor (mGluR5) in individuals with major depressive disorder (MDD) and healthy controls. Thirteen healthy and 13 MDD nonsmokers participated in two [[sup.11]C]ABP688 positron emission tomography (PET) scans on the same day--before and during intravenous ketamine administration--and a third scan 1 day later. At baseline, significantly lower [[sup.11]C]ABP688 binding was detected in the MDD as compared with the control group. We observed a significant ketamine-induced reduction in mGluR5 availability (that is, [[sup.11]C]ABP688 binding) in both MDD and control subjects (average of 14[+ or -]9% and 19[+ or -]22%, respectively; P [less than] 0.01 for both), which persisted 24 h later. There were no differences in ketamine-induced changes between MDD and control groups at either time point (P=0.8). A significant reduction in depressive symptoms was observed following ketamine administration in the MDD group (P [less than] 0.001), which was associated with the change in binding (P [less than] 0.04) immediately after ketamine. We hypothesize that glutamate released after ketamine administration moderates mGluR5 availability; this change appears to be related to antidepressant efficacy. The sustained decrease in binding may reflect prolonged mGluR5 internalization in response to the glutamate surge. Molecular Psychiatry (2018) 23, 824-832; doi: 10.1038/mp.2017.58; published online 11 April 2017 |
Audience | Academic |
Author | Krystal, J H Pietrzak, R H Abdallah, C G Sanacora, G Nabulsi, N Carson, R E Pittenger, C Parsey, R V Esterlis, I Yang, J DellaGioia, N Matuskey, D DeLorenzo, C |
AuthorAffiliation | 5 U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, Clinical Neurosciences Division, VA Connecticut Healthcare System 6 Stony Brook University Department of Preventive Medicine 7 Stony Brook University Department of Psychiatry 9 Stony Brook University Department of Radiology 2 Yale University Department of Radiology and Biomedical Imaging 1 Yale University Department of Psychiatry 8 Stony Brook University Department of Biomedical Engineering 4 Yale University Department of Neuroscience 3 Yale University Department of Biomedical Engineering |
AuthorAffiliation_xml | – name: 4 Yale University Department of Neuroscience – name: 6 Stony Brook University Department of Preventive Medicine – name: 2 Yale University Department of Radiology and Biomedical Imaging – name: 7 Stony Brook University Department of Psychiatry – name: 1 Yale University Department of Psychiatry – name: 5 U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, Clinical Neurosciences Division, VA Connecticut Healthcare System – name: 8 Stony Brook University Department of Biomedical Engineering – name: 3 Yale University Department of Biomedical Engineering – name: 9 Stony Brook University Department of Radiology |
Author_xml | – sequence: 1 givenname: I surname: Esterlis fullname: Esterlis, I email: irina.esterlis@yale.edu organization: Department of Psychiatry, Yale University, U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, Clinical Neurosciences Division, VA Connecticut Healthcare System – sequence: 2 givenname: N surname: DellaGioia fullname: DellaGioia, N organization: Department of Psychiatry, Yale University – sequence: 3 givenname: R H surname: Pietrzak fullname: Pietrzak, R H organization: Department of Psychiatry, Yale University, U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, Clinical Neurosciences Division, VA Connecticut Healthcare System – sequence: 4 givenname: D surname: Matuskey fullname: Matuskey, D organization: Department of Psychiatry, Yale University, Department of Radiology and Biomedical Imaging, Yale University – sequence: 5 givenname: N surname: Nabulsi fullname: Nabulsi, N organization: Department of Radiology and Biomedical Imaging, Yale University – sequence: 6 givenname: C G surname: Abdallah fullname: Abdallah, C G organization: Department of Psychiatry, Yale University, U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, Clinical Neurosciences Division, VA Connecticut Healthcare System – sequence: 7 givenname: J surname: Yang fullname: Yang, J organization: Department of Preventive Medicine, Stony Brook University – sequence: 8 givenname: C orcidid: 0000-0003-2117-9321 surname: Pittenger fullname: Pittenger, C organization: Department of Psychiatry, Yale University – sequence: 9 givenname: G surname: Sanacora fullname: Sanacora, G organization: Department of Psychiatry, Yale University – sequence: 10 givenname: J H surname: Krystal fullname: Krystal, J H organization: Department of Psychiatry, Yale University, U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, Clinical Neurosciences Division, VA Connecticut Healthcare System, Department of Neuroscience, Yale University – sequence: 11 givenname: R V surname: Parsey fullname: Parsey, R V organization: Department of Psychiatry, Stony Brook University, Department of Biomedical Engineering, Stony Brook University, Department of Radiology, Stony Brook University – sequence: 12 givenname: R E surname: Carson fullname: Carson, R E organization: Department of Radiology and Biomedical Imaging, Yale University, Department of Biomedical Engineering, Yale University – sequence: 13 givenname: C surname: DeLorenzo fullname: DeLorenzo, C organization: Department of Psychiatry, Stony Brook University, Department of Biomedical Engineering, Stony Brook University |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28397841$$D View this record in MEDLINE/PubMed |
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ContentType | Journal Article |
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Snippet | The mechanisms of action of the rapid antidepressant effects of ketamine, an
N
-methyl-
D
-aspartate glutamate receptor antagonist, have not been fully... The mechanisms of action of the rapid antidepressant effects of ketamine, an N-methyl-D-aspartate glutamate receptor antagonist, have not been fully... The mechanisms of action of the rapid antidepressant effects of ketamine, an NMDA glutamate receptor antagonist, have not been fully elucidated. This study... |
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SubjectTerms | 631/337 631/378 Adult Antidepressants Antidepressive Agents - pharmacology Anxiety disorders Behavioral Sciences Biological Psychology Biomedical engineering Brain - metabolism Carbon Radioisotopes Case-Control Studies Comparative analysis Depression - diagnostic imaging Depressive Disorder, Major - diagnostic imaging Depressive Disorder, Major - metabolism Dosage and administration Drug abuse Excitatory Amino Acid Antagonists - pharmacology Female Glutamatergic transmission Glutamic Acid - metabolism Glutamic acid receptors (metabotropic) Health care Humans Internalization Intravenous administration Ketamine Ketamine - metabolism Ketamine - pharmacology Ligands Major depressive disorder Male Medicine Medicine & Public Health Mental depression Mental disorders Metabotropic glutamate receptors Metabotropic receptors N-Methyl-D-aspartic acid receptors Neurosciences original-article Pharmacotherapy Positron emission tomography Positron-Emission Tomography - methods Proteins Psychiatry Radiation Receptor, Metabotropic Glutamate 5 - drug effects Receptor, Metabotropic Glutamate 5 - metabolism Spectrum analysis Substance abuse treatment Tomography |
Title | Ketamine-induced reduction in mGluR5 availability is associated with an antidepressant response: an [11C]ABP688 and PET imaging study in depression |
URI | https://link.springer.com/article/10.1038/mp.2017.58 https://www.ncbi.nlm.nih.gov/pubmed/28397841 https://www.proquest.com/docview/2016511942 https://pubmed.ncbi.nlm.nih.gov/PMC5636649 |
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