Serotonergic transmission plays differentiated roles in the rapid and sustained antidepressant-like effects of ketamine

Br J Pharmacol. 2024 Dec;181(23):4874-4889. doi: 10.1111/bph.17324. Epub 2024 Sep 5.

Abstract

Background and purpose: The emerging antidepressant effects of ketamine have inspired tremendous interest in its underlying neurobiological mechanisms, although the involvement of 5-HT in the antidepressant effects of ketamine remains unclear.

Experimental approach: The chronic restraint stress procedure was performed to induce depression-like behaviours in mice. OFT, FST, TST, and NSFT tests were used to evaluate the antidepressant-like effects of ketamine. Tph2 knockout or depletion of 5-HT by PCPA and 5,7-DHT were used to manipulate the brain 5-HT system. ELISA and fibre photometry recordings were used to measure extracellular 5-HT levels in the brain.

Key results: 60 min after injection, ketamine (10 mg·kg-1, i.p.) produced rapid antidepressant-like effects and increased brain 5-HT levels. After 24 h, ketamine significantly reduced immobility time in TST and FST tests and increased brain 5-HT levels, as measured by ELISA and fibre photometry recordings. The sustained (24 h) but not rapid (60 min) antidepressant-like effects of ketamine were abrogated by PCPA and 5,7-DHT, or by Tph2 knockout. Importantly, NBQX (10 mg·kg-1, i.p.), an AMPA receptor antagonist, significantly inhibited the effect of ketamine on brain 5-HT levels and abolished the sustained antidepressant-like effects of ketamine in naïve or CRS-treated mice.

Conclusion and implications: This study confirms the requirement of serotonergic neurotransmission for the sustained antidepressant-like effects of ketamine, which appears to involve AMPA receptors, and provides avenues to search for antidepressant pharmacological targets.

Keywords: 5‐HT; AMPA; antidepressant; ketamine; sustained.

MeSH terms

  • Animals
  • Antidepressive Agents* / pharmacology
  • Behavior, Animal / drug effects
  • Brain / drug effects
  • Brain / metabolism
  • Depression / drug therapy
  • Depression / metabolism
  • Ketamine* / pharmacology
  • Male
  • Mice
  • Mice, Inbred C57BL*
  • Mice, Knockout*
  • Serotonin* / metabolism
  • Stress, Psychological / drug therapy
  • Stress, Psychological / metabolism
  • Synaptic Transmission / drug effects
  • Tryptophan Hydroxylase / genetics
  • Tryptophan Hydroxylase / metabolism

Substances

  • Ketamine
  • Antidepressive Agents
  • Serotonin
  • Tph2 protein, mouse
  • Tryptophan Hydroxylase