PMID- 28133445 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1662-5099 (Print) IS - 1662-5099 (Electronic) IS - 1662-5099 (Linking) VI - 9 DP - 2016 TI - ON or OFF?: Modulating the N-Methyl-D-Aspartate Receptor in Major Depression. PG - 169 LID - 10.3389/fnmol.2016.00169 [doi] LID - 169 AB - Since the discovery that a single dose of ketamine, an N-methyl-D-aspartate receptor (NMDAR) antagonist, had rapid and long-lasting antidepressant effects, there has been increased interest in using NMDAR modulators in the pharmacotherapy of depression. Ketamine's efficacy seems to imply that depression is a disorder of NMDAR hyperfunctionality. However, studies showing that not all NMDAR antagonists are able to act as antidepressants challenge this notion. Furthermore, NMDAR co-agonists have also been gaining attention as possible treatments. Co-agonists such as D-serine and sarcosine have shown efficacy in both pre-clinical models and human trials. This raises the question of how both NMDAR antagonists and agonists are able to have converging behavioral effects. Here we critically review the evidence and proposed therapeutic mechanisms for both NMDAR antagonists and agonists, and collate several theories on how both activation and inhibition of NMDARs appear to have antidepressant effects. FAU - Chan, Shi Yu AU - Chan SY AD - Department of Psychiatry, Warneford Hospital, University of Oxford Oxford, UK. FAU - Matthews, Edward AU - Matthews E AD - Green Templeton College, University of Oxford Oxford, UK. FAU - Burnet, Philip W J AU - Burnet PW AD - Department of Psychiatry, Warneford Hospital, University of Oxford Oxford, UK. LA - eng PT - Journal Article PT - Review DEP - 20170113 PL - Switzerland TA - Front Mol Neurosci JT - Frontiers in molecular neuroscience JID - 101477914 PMC - PMC5233677 OTO - NOTNLM OT - NMDAR antagonist OT - depression OT - glycine site OT - mTOR OT - subunit EDAT- 2017/01/31 06:00 MHDA- 2017/01/31 06:01 PMCR- 2016/01/01 CRDT- 2017/01/31 06:00 PHST- 2016/11/04 00:00 [received] PHST- 2016/12/27 00:00 [accepted] PHST- 2017/01/31 06:00 [entrez] PHST- 2017/01/31 06:00 [pubmed] PHST- 2017/01/31 06:01 [medline] PHST- 2016/01/01 00:00 [pmc-release] AID - 10.3389/fnmol.2016.00169 [doi] PST - epublish SO - Front Mol Neurosci. 2017 Jan 13;9:169. doi: 10.3389/fnmol.2016.00169. eCollection 2016.