PMID- 25467702 OWN - NLM STAT- MEDLINE DCOM- 20150526 LR - 20220330 IS - 1872-7123 (Electronic) IS - 0165-1781 (Linking) VI - 225 IP - 1-2 DP - 2015 Jan 30 TI - Ketamine and other potential glutamate antidepressants. PG - 1-13 LID - S0165-1781(14)00861-0 [pii] LID - 10.1016/j.psychres.2014.10.028 [doi] AB - The need for rapid acting antidepressants is widely recognised. There has been much interest in glutamate mechanisms in major depressive disorder (MDD) as a promising target for the development of new antidepressants. A single intravenous infusion of ketamine, a N-methyl-d-aspartate (NMDA) receptor antagonist anaesthetic agent, can alleviate depressive symptoms in patients within hours of administration. The mechanism of action appears to be in part through glutamate release onto non-NMDA receptors including alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) and metabotropic receptors. However these are also reported effects on 5-HT, dopamine and intracellular effects on the mammalian target of rapamycin (mTOR) pathway. The effects of SSRI (Selective Serotonin Reuptake Inhibitor) antidepressants may also involve alterations in NMDA function. The article reviews the effect of current antidepressants on NMDA and examines the efficacy and mechanism of ketamine. Response to ketamine is also discussed and comparison with other glutamate drugs including lamotrigine, amantadine, riluzole, memantine, traxoprodil, GLYX-13, MK-0657, RO4917523, AZD2066 and Coluracetam. Future studies need to link the rapid antidepressant effects seen with ketamine to inflammatory theories in MDD. CI - Copyright (c) 2014 Elsevier Ireland Ltd. All rights reserved. FAU - Dutta, Arpan AU - Dutta A AD - Neuroscience & Psychiatry Unit, Institute of Brain, Behaviour and Mental Health, Stopford Building, University of Manchester, Manchester M13 9PT, UK. Electronic address: arpan.dutta@postgrad.manchester.ac.uk. FAU - McKie, Shane AU - McKie S AD - Neuroscience & Psychiatry Unit, Institute of Brain, Behaviour and Mental Health, Stopford Building, University of Manchester, Manchester M13 9PT, UK. FAU - Deakin, J F William AU - Deakin JFW AD - Neuroscience & Psychiatry Unit, Institute of Brain, Behaviour and Mental Health, Stopford Building, University of Manchester, Manchester M13 9PT, UK. LA - eng PT - Journal Article PT - Review DEP - 20141113 PL - Ireland TA - Psychiatry Res JT - Psychiatry research JID - 7911385 RN - 0 (Antidepressive Agents) RN - 0 (Receptors, AMPA) RN - 0 (Receptors, Metabotropic Glutamate) RN - 0 (Receptors, N-Methyl-D-Aspartate) RN - 3KX376GY7L (Glutamic Acid) RN - 690G0D6V8H (Ketamine) RN - W8O17SJF3T (Memantine) SB - IM MH - Animals MH - Antidepressive Agents/*therapeutic use MH - Depressive Disorder, Major/*drug therapy MH - Glutamic Acid/*metabolism MH - Humans MH - Ketamine/pharmacology/*therapeutic use MH - Memantine/therapeutic use MH - Receptors, AMPA/drug effects MH - Receptors, Metabotropic Glutamate/drug effects MH - Receptors, N-Methyl-D-Aspartate/drug effects MH - Treatment Outcome OTO - NOTNLM OT - Glutamate OT - Ketamine OT - Major depressive disorder OT - N-methyl-d-aspartate OT - alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid EDAT- 2014/12/04 06:00 MHDA- 2015/05/27 06:00 CRDT- 2014/12/04 06:00 PHST- 2014/04/26 00:00 [received] PHST- 2014/09/29 00:00 [revised] PHST- 2014/10/28 00:00 [accepted] PHST- 2014/12/04 06:00 [entrez] PHST- 2014/12/04 06:00 [pubmed] PHST- 2015/05/27 06:00 [medline] AID - S0165-1781(14)00861-0 [pii] AID - 10.1016/j.psychres.2014.10.028 [doi] PST - ppublish SO - Psychiatry Res. 2015 Jan 30;225(1-2):1-13. doi: 10.1016/j.psychres.2014.10.028. Epub 2014 Nov 13.