Ketamine alters cortical integration of GABAergic interneurons and induces long-term sex-dependent impairments in transgenic Gad67-GFP mice

Cell Death Dis. 2014 Jul 3;5(7):e1311. doi: 10.1038/cddis.2014.275.

Abstract

Ketamine, a non-competitive N-methyl-D-aspartate (NMDA) antagonist, widely used as an anesthetic in neonatal pediatrics, is also an illicit drug named Super K or KitKat consumed by teens and young adults. In the immature brain, despite several studies indicating that NMDA antagonists are neuroprotective against excitotoxic injuries, there is more and more evidence indicating that these molecules exert a deleterious effect by suppressing a trophic function of glutamate. In the present study, we show using Gad67-GFP mice that prenatal exposure to ketamine during a time-window in which GABAergic precursors are migrating results in (i) strong apoptotic death in the ganglionic eminences and along the migratory routes of GABAergic interneurons; (ii) long-term deficits in interneuron density, dendrite numbers and spine morphology; (iii) a sex-dependent deregulation of γ-aminobutyric acid (GABA) levels and GABA transporter expression; (iv) sex-dependent changes in the response to glutamate-induced calcium mobilization; and (v) the long-term sex-dependent behavioral impairment of locomotor activity. In conclusion, using a preclinical approach, the present study shows that ketamine exposure during cortical maturation durably affects the integration of GABAergic interneurons by reducing their survival and differentiation. The resulting molecular, morphological and functional modifications are associated with sex-specific behavioral deficits in adults. In light of the present data, it appears that in humans, ketamine could be deleterious for the development of the brain of preterm neonates and fetuses of addicted pregnant women.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Apoptosis
  • Calcium / metabolism
  • Cell Differentiation
  • Cerebral Cortex / cytology
  • Cerebral Cortex / embryology
  • Cerebral Cortex / metabolism*
  • Female
  • Glutamate Decarboxylase / genetics
  • Glutamate Decarboxylase / metabolism*
  • Glutamic Acid / metabolism
  • Green Fluorescent Proteins / genetics
  • Green Fluorescent Proteins / metabolism
  • Humans
  • Illicit Drugs / adverse effects
  • Illicit Drugs / metabolism
  • Ketamine / adverse effects*
  • Ketamine / metabolism
  • Locomotion
  • Male
  • Maternal Exposure / adverse effects*
  • Mice
  • Mice, Transgenic
  • Neurons / cytology
  • Neurons / metabolism*
  • Pregnancy
  • Prenatal Exposure Delayed Effects / etiology
  • Prenatal Exposure Delayed Effects / metabolism*
  • Prenatal Exposure Delayed Effects / physiopathology
  • Receptors, GABA / genetics
  • Receptors, GABA / metabolism
  • Sexual Behavior, Animal
  • Species Specificity
  • Substance-Related Disorders / metabolism*
  • Substance-Related Disorders / physiopathology
  • gamma-Aminobutyric Acid / metabolism*

Substances

  • Illicit Drugs
  • Receptors, GABA
  • Green Fluorescent Proteins
  • Glutamic Acid
  • gamma-Aminobutyric Acid
  • Ketamine
  • Glutamate Decarboxylase
  • glutamate decarboxylase 1
  • Calcium