PMID- 30398153 OWN - NLM STAT- MEDLINE DCOM- 20190108 LR - 20190108 IS - 1952-4021 (Electronic) IS - 0953-1424 (Linking) VI - 31 IP - 2 DP - 2018 May 1 TI - Ketamine and magnesium common pathway of antidepressant action. PG - 33-38 LID - 10.1684/mrh.2018.0440 [doi] AB - Depression is one of the major causes of disability worldwide. A proportion of adults with major depression fail to achieve remission with first-line treatment. Magnesium influences the neurotransmission involved in emotional processes, such as the serotonergic, noradrenergic, dopaminergic, GABAergic and glutamatergic systems. It has been reported that the mechanism of antidepressants' action is involved in the glutamatergic system. Theories about the role of magnesium ions in pathophysiology of major depressive disorder include blocking the glutamatergic N-methyl-D-aspartate receptor (NMDAR). Ketamine, NMDAR antagonist, was found to promote fast-acting antidepressant and antisuicidal effects. Magnesium and ketamine seem to be involved in key mechanisms of the major depression pathophysiology. The evidence in the paper discussed may indicate the synergistic interaction between magnesium and ketamine pharmacodynamic activity being of particular importance in mood disorders. FAU - Gorska, Natalia AU - Gorska N AD - Department of Psychiatry, Faculty of Medicine, Medical University of Gdansk, Gdansk, Poland. FAU - Cubala, Wieslaw Jerzy AU - Cubala WJ AD - Department of Psychiatry, Faculty of Medicine, Medical University of Gdansk, Gdansk, Poland. FAU - Slupski, Jakub AU - Slupski J AD - Department of Psychiatry, Faculty of Medicine, Medical University of Gdansk, Gdansk, Poland. FAU - Galuszko-Wegielnik, Maria AU - Galuszko-Wegielnik M AD - Department of Psychiatry, Faculty of Medicine, Medical University of Gdansk, Gdansk, Poland. LA - eng PT - Journal Article PT - Review PL - England TA - Magnes Res JT - Magnesium research JID - 8900948 RN - 0 (Analgesics) RN - 0 (Antidepressive Agents) RN - 690G0D6V8H (Ketamine) RN - I38ZP9992A (Magnesium) SB - IM MH - Analgesics/chemistry/*therapeutic use MH - Animals MH - Antidepressive Agents/chemistry/*therapeutic use MH - Depression/*drug therapy MH - Humans MH - Ketamine/chemistry/*therapeutic use MH - Magnesium/chemistry/*therapeutic use OTO - NOTNLM OT - ketamine OT - magnesium OT - major depressive disorder EDAT- 2018/11/07 06:00 MHDA- 2019/01/09 06:00 CRDT- 2018/11/07 06:00 PHST- 2018/11/07 06:00 [entrez] PHST- 2018/11/07 06:00 [pubmed] PHST- 2019/01/09 06:00 [medline] AID - mrh.2018.0440 [pii] AID - 10.1684/mrh.2018.0440 [doi] PST - ppublish SO - Magnes Res. 2018 May 1;31(2):33-38. doi: 10.1684/mrh.2018.0440.