The Behavioral Effects of the Antidepressant Tianeptine Require the Mu-Opioid Receptor

Neuropsychopharmacology. 2017 Sep;42(10):2052-2063. doi: 10.1038/npp.2017.60. Epub 2017 Mar 17.

Abstract

Depression is a debilitating chronic illness that affects around 350 million people worldwide. Current treatments, such as selective serotonin reuptake inhibitors, are not ideal because only a fraction of patients achieve remission. Tianeptine is an effective antidepressant with a previously unknown mechanism of action. We recently reported that tianeptine is a full agonist at the mu opioid receptor (MOR). Here we demonstrate that the acute and chronic antidepressant-like behavioral effects of tianeptine in mice require MOR. Interestingly, while tianeptine also produces many opiate-like behavioral effects such as analgesia and reward, it does not lead to tolerance or withdrawal. Furthermore, the primary metabolite of tianeptine (MC5), which has a longer half-life, mimics the behavioral effects of tianeptine in a MOR-dependent fashion. These results point to the possibility that MOR and its downstream signaling cascades may be novel targets for antidepressant drug development.

MeSH terms

  • Analgesics, Opioid / pharmacology
  • Animals
  • Antidepressive Agents, Tricyclic / metabolism
  • Antidepressive Agents, Tricyclic / pharmacokinetics
  • Antidepressive Agents, Tricyclic / pharmacology*
  • Depressive Disorder / drug therapy
  • Depressive Disorder / metabolism
  • Dose-Response Relationship, Drug
  • Drug Tolerance
  • HEK293 Cells
  • Humans
  • Male
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Molecular Structure
  • Morphine / pharmacology
  • Receptors, Opioid, mu / agonists
  • Receptors, Opioid, mu / genetics
  • Receptors, Opioid, mu / metabolism*
  • Thiazepines / metabolism
  • Thiazepines / pharmacokinetics
  • Thiazepines / pharmacology*

Substances

  • Analgesics, Opioid
  • Antidepressive Agents, Tricyclic
  • OPRM1 protein, human
  • Oprm protein, mouse
  • Receptors, Opioid, mu
  • Thiazepines
  • tianeptine
  • Morphine