PMID- 28748374 OWN - NLM STAT- MEDLINE DCOM- 20180514 LR - 20181202 IS - 1432-2072 (Electronic) IS - 0033-3158 (Linking) VI - 234 IP - 21 DP - 2017 Nov TI - Alterations in amino acid levels in mouse brain regions after adjunctive treatment of brexpiprazole with fluoxetine: comparison with (R)-ketamine. PG - 3165-3173 LID - 10.1007/s00213-017-4700-z [doi] AB - RATIONALE: Brexpiprazole, a serotonin-dopamine activity modulator, is approved in the USA as an adjunctive therapy to antidepressants for treating major depressive disorders. Similar to the N-methyl-D-aspartate receptor (NMDAR) antagonist ketamine, the combination of brexpiprazole and fluoxetine has demonstrated antidepressant-like effects in animal models of depression. OBJECTIVES: The present study was conducted to examine whether the combination of brexpiprazole and fluoxetine could affect the tissue levels of amino acids [glutamate, glutamine, gamma-aminobutyric acid (GABA), D-serine, L-serine, and glycine] that are associated with NMDAR neurotransmission. METHODS: The tissue levels of amino acids in the frontal cortex, striatum, hippocampus, and cerebellum were measured after a single [or repeated (14 days)] oral administration of vehicle, fluoxetine (10 mg/kg), brexpiprazole (0.1 mg/kg), or a combination of the two drugs. Furthermore, we measured the tissue levels of amino acids after a single administration of the NMDAR antagonist (R)-ketamine. RESULTS: A single injection of the combination of fluoxetine and brexpiprazole significantly increased GABA levels in the striatum, the D-serine/L-serine ratio in the frontal cortex, and the glycine/L-serine ratio in the hippocampus. A repeated administration of the combination significantly altered the tissue levels of amino acids in all regions. Interestingly, a repeated administration of the combination significantly decreased the D-serine/L-serine ratio in the frontal cortex, striatum, and hippocampus. In contrast, a single administration of (R)-ketamine significantly increased the D-serine/L-serine ratio in the frontal cortex. CONCLUSIONS: These results suggested that alterations in the tissue levels of these amino acids may be involved in the antidepressant-like effects of the combination of brexpiprazole and fluoxetine. FAU - Ma, Min AU - Ma M AD - Division of Clinical Neuroscience, Chiba University Center for Forensic Mental Health, 1-8-1 Inohana, Chiba, 260-8670, Japan. FAU - Ren, Qian AU - Ren Q AD - Division of Clinical Neuroscience, Chiba University Center for Forensic Mental Health, 1-8-1 Inohana, Chiba, 260-8670, Japan. FAU - Fujita, Yuko AU - Fujita Y AD - Division of Clinical Neuroscience, Chiba University Center for Forensic Mental Health, 1-8-1 Inohana, Chiba, 260-8670, Japan. FAU - Yang, Chun AU - Yang C AD - Division of Clinical Neuroscience, Chiba University Center for Forensic Mental Health, 1-8-1 Inohana, Chiba, 260-8670, Japan. FAU - Dong, Chao AU - Dong C AD - Division of Clinical Neuroscience, Chiba University Center for Forensic Mental Health, 1-8-1 Inohana, Chiba, 260-8670, Japan. FAU - Ohgi, Yuta AU - Ohgi Y AD - Department of CNS Research, New Drug Research Division, Otsuka Pharmaceutical Co., Ltd., Tokushima, Japan. FAU - Futamura, Takashi AU - Futamura T AD - Department of CNS Research, New Drug Research Division, Otsuka Pharmaceutical Co., Ltd., Tokushima, Japan. FAU - Hashimoto, Kenji AU - Hashimoto K AD - Division of Clinical Neuroscience, Chiba University Center for Forensic Mental Health, 1-8-1 Inohana, Chiba, 260-8670, Japan. hashimoto@faculty.chiba-u.jp. LA - eng PT - Journal Article DEP - 20170726 PL - Germany TA - Psychopharmacology (Berl) JT - Psychopharmacology JID - 7608025 RN - 0 (Amino Acids) RN - 0 (Antidepressive Agents) RN - 0 (Quinolones) RN - 0 (Receptors, N-Methyl-D-Aspartate) RN - 0 (Thiophenes) RN - 01K63SUP8D (Fluoxetine) RN - 2J3YBM1K8C (brexpiprazole) RN - 690G0D6V8H (Ketamine) SB - IM MH - Administration, Oral MH - Amino Acids/*metabolism MH - Animals MH - Antidepressive Agents/*pharmacology MH - Brain/*drug effects MH - Depressive Disorder, Major/drug therapy MH - Fluoxetine/*pharmacology MH - Ketamine/*pharmacology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Quinolones/*pharmacology MH - Receptors, N-Methyl-D-Aspartate/drug effects MH - Thiophenes/*pharmacology OTO - NOTNLM OT - (R)-Ketamine OT - Brexpiprazole OT - D-Serine OT - GABA OT - Glutamate EDAT- 2017/07/28 06:00 MHDA- 2018/05/15 06:00 CRDT- 2017/07/28 06:00 PHST- 2017/04/11 00:00 [received] PHST- 2017/07/17 00:00 [accepted] PHST- 2017/07/28 06:00 [pubmed] PHST- 2018/05/15 06:00 [medline] PHST- 2017/07/28 06:00 [entrez] AID - 10.1007/s00213-017-4700-z [pii] AID - 10.1007/s00213-017-4700-z [doi] PST - ppublish SO - Psychopharmacology (Berl). 2017 Nov;234(21):3165-3173. doi: 10.1007/s00213-017-4700-z. Epub 2017 Jul 26.