PMID- 31267156 OWN - NLM STAT- MEDLINE DCOM- 20200225 LR - 20200309 IS - 1432-2072 (Electronic) IS - 0033-3158 (Linking) VI - 236 IP - 12 DP - 2019 Dec TI - NMDA receptor antagonists traxoprodil and lanicemine improve hippocampal-prefrontal coupling and reward-related networks in rats. PG - 3451-3463 LID - 10.1007/s00213-019-05310-3 [doi] AB - RATIONALE: The N-methyl-D-aspartate receptor (NMDAR) antagonist ketamine is known to have not only a rapid antidepressant effect but also dissociative side effects. Traxoprodil and lanicemine, also NMDA antagonists, are candidate antidepressant drugs with fewer side effects. OBJECTIVES: In order to understand their mechanism of action, we investigated the acute effects of traxoprodil and lanicemine on brain connectivity using resting-state functional magnetic resonance imaging (rs-fMRI). METHODS: Functional connectivity (FC) alterations were examined using interregional correlation networks. Graph theoretical methods were used for whole brain network analysis. As interest in NMDAR antagonists as potential antidepressants was triggered by the antidepressant effect of ketamine, results were compared to previous findings from our ketamine studies. RESULTS: Similar to ketamine but to a smaller extent, traxoprodil increased hippocampal-prefrontal (Hc-PFC) coupling. Unlike ketamine, traxoprodil decreased connectivity within the PFC. Lanicemine had no effect on these properties. The improvement of Hc-PFC coupling corresponds well to clinical result, showing ketamine to have a greater antidepressant effect than traxoprodil, while lanicemine has a weak and transient effect. Connectivity changes overlapping between the drugs as well as alterations of local network properties occurred mostly in reward-related regions. CONCLUSION: The antidepressant effect of NMDA antagonists appears to be associated with enhanced Hc-PFC coupling. The effects on local network properties and regional connectivity suggest that improvement of reward processing might also be important for understanding the mechanisms underlying the antidepressant effects of these drugs. FAU - Becker, Robert AU - Becker R AUID- ORCID: 0000-0003-4080-4452 AD - Research Group Translational Imaging, Department of Neuroimaging, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, J5, 68159, Mannheim, Germany. robert.becker@zi-mannheim.de. FAU - Gass, Natalia AU - Gass N AD - Research Group Translational Imaging, Department of Neuroimaging, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, J5, 68159, Mannheim, Germany. FAU - Kussmaul, Lothar AU - Kussmaul L AD - Boehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim, Germany. FAU - Schmid, Bernhard AU - Schmid B AD - Boehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim, Germany. FAU - Scheuerer, Stefan AU - Scheuerer S AD - Boehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim, Germany. FAU - Schnell, David AU - Schnell D AD - Boehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim, Germany. FAU - Dorner-Ciossek, Cornelia AU - Dorner-Ciossek C AD - Boehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim, Germany. FAU - Weber-Fahr, Wolfgang AU - Weber-Fahr W AD - Research Group Translational Imaging, Department of Neuroimaging, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, J5, 68159, Mannheim, Germany. FAU - Sartorius, Alexander AU - Sartorius A AD - Research Group Translational Imaging, Department of Neuroimaging, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, J5, 68159, Mannheim, Germany. AD - Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany. LA - eng GR - GA 2109/2-1/Deutsche Forschungsgemeinschaft/ GR - SA 1869/11-2/Deutsche Forschungsgemeinschaft/ GR - SA 1869/14-1/Deutsche Forschungsgemeinschaft/ PT - Journal Article DEP - 20190702 PL - Germany TA - Psychopharmacology (Berl) JT - Psychopharmacology JID - 7608025 RN - 0 (AZD6765) RN - 0 (Antidepressive Agents) RN - 0 (Excitatory Amino Acid Antagonists) RN - 0 (Phenethylamines) RN - 0 (Piperidines) RN - 0 (Pyridines) RN - 0 (Receptors, N-Methyl-D-Aspartate) RN - BD2A56I30W (traxoprodil mesylate) SB - IM MH - Animals MH - Antidepressive Agents/pharmacology MH - Excitatory Amino Acid Antagonists/pharmacology MH - Hippocampus/diagnostic imaging/*drug effects/physiology MH - Magnetic Resonance Imaging/methods MH - Male MH - Phenethylamines/*pharmacology MH - Piperidines/*pharmacology MH - Prefrontal Cortex/diagnostic imaging/*drug effects/physiology MH - Pyridines/*pharmacology MH - Rats MH - Rats, Sprague-Dawley MH - Receptors, N-Methyl-D-Aspartate/*antagonists & inhibitors/physiology MH - *Reward OTO - NOTNLM OT - Hippocampal-prefrontal coupling OT - NMDA antagonists OT - Networks OT - fMRI EDAT- 2019/07/04 06:00 MHDA- 2020/02/26 06:00 CRDT- 2019/07/04 06:00 PHST- 2019/04/03 00:00 [received] PHST- 2019/06/18 00:00 [accepted] PHST- 2019/07/04 06:00 [pubmed] PHST- 2020/02/26 06:00 [medline] PHST- 2019/07/04 06:00 [entrez] AID - 10.1007/s00213-019-05310-3 [pii] AID - 10.1007/s00213-019-05310-3 [doi] PST - ppublish SO - Psychopharmacology (Berl). 2019 Dec;236(12):3451-3463. doi: 10.1007/s00213-019-05310-3. Epub 2019 Jul 2.