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 inMolecular psychiatry Vol. 23; no. 4; pp. 824 - 832
Main Authors Esterlis, I, DellaGioia, N, Pietrzak, R H, Matuskey, D, Nabulsi, N, Abdallah, C G, Yang, J, Pittenger, C, Sanacora, G, Krystal, J H, Parsey, R V, Carson, R E, DeLorenzo, C
Format Journal Article
LanguageEnglish
Published London Nature Publishing Group UK 01.04.2018
Nature Publishing Group
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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
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– name: 7 Stony Brook University Department of Psychiatry
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– name: 5 U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, Clinical Neurosciences Division, VA Connecticut Healthcare System
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/28397841$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright Macmillan Publishers Limited, part of Springer Nature. 2018
COPYRIGHT 2018 Nature Publishing Group
Copyright Nature Publishing Group Apr 2018
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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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proquest
gale
pubmed
crossref
springer
SourceType Open Access Repository
Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 824
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
Volume 23
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