PMID- 31397936 OWN - NLM STAT- MEDLINE DCOM- 20200428 LR - 20200428 IS - 1098-2396 (Electronic) IS - 0887-4476 (Linking) VI - 73 IP - 12 DP - 2019 Dec TI - (R)- and (S)-ketamine induce differential fMRI responses in conscious rats. PG - e22126 LID - 10.1002/syn.22126 [doi] AB - (R,S)-ketamine exerts robust antidepressant effects in patients with depression when given at sub-anesthetic doses. Each of the enantiomers in this racemic mixture, (R)-ketamine and (S)-ketamine, have been reported to exert antidepressant effects individually. However, the neuropharmacological effects of these enantiomers and the mechanisms underlying their antidepressive actions have not yet been fully elucidated. Therefore, we investigated the effect of (R,S)-, (R)-, and (S)-ketamine on brain activity by functional MRI (fMRI) in conscious rats and compared these with that of N-methyl-D-aspartate receptor (NMDAR) antagonist MK-801 (n = 5~7). We also assessed their pharmacokinetic profiles (n = 4) and their behavioral effects (n = 7~9). This pharmacological MRI study revealed a significant positive response to (S)-ketamine specifically in the cortex, nucleus accumbens and striatum. In contrast, negative fMRI responses were observed in various brain regions after (R)-ketamine administration. (R,S)-ketamine, evoked significant positive fMRI responses specifically in the cortex, nucleus accumbens and striatum, and this fMRI response pattern was comparable with that of (S)-ketamine. MK-801-induced similar fMRI response pattern to (S)-ketamine. The fMRI responses to (S)-ketamine and MK-801 showed differential temporal profiles, which corresponded with brain concentration profiles. (S)-ketamine and MK-801 significantly increased locomotor activity, while (R)-ketamine produced no noticeable change. (R,S)-ketamine tended to increase locomotor activity. Our novel fMRI findings show that (R)-ketamine and (S)-ketamine induce completely different fMRI response patterns on rat, and that the response produced by the latter is similar to that elicited by an NMDAR antagonist. Our findings provide insight into the antidepressant mechanism of (R,S)-ketamine. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Masaki, Yukiko AU - Masaki Y AUID- ORCID: 0000-0001-6386-3602 AD - Imaging Biomarker, Biomarker R&D Department, Shionogi & Co., Ltd., Osaka, Japan. FAU - Kashiwagi, Yuto AU - Kashiwagi Y AD - Imaging Biomarker, Biomarker R&D Department, Shionogi & Co., Ltd., Osaka, Japan. FAU - Watabe, Hiroshi AU - Watabe H AD - Cyclotron and Radioisotope Center, Tohoku University, Sendai, Japan. FAU - Abe, Kohji AU - Abe K AD - Imaging Biomarker, Biomarker R&D Department, Shionogi & Co., Ltd., Osaka, Japan. LA - eng PT - Journal Article DEP - 20190905 PL - United States TA - Synapse JT - Synapse (New York, N.Y.) JID - 8806914 RN - 0 (Antidepressive Agents) RN - 0 (Excitatory Amino Acid Antagonists) RN - 690G0D6V8H (Ketamine) RN - 6LR8C1B66Q (Dizocilpine Maleate) SB - IM MH - Animals MH - Antidepressive Agents/pharmacology MH - Brain/diagnostic imaging/*drug effects MH - Dizocilpine Maleate/pharmacology MH - Excitatory Amino Acid Antagonists/*pharmacology MH - Ketamine/*pharmacology MH - Magnetic Resonance Imaging MH - Male MH - Motor Activity/drug effects MH - Rats MH - Rats, Wistar OTO - NOTNLM OT - NMDAR OT - depression OT - ketamine OT - pharmacological MRI EDAT- 2019/08/10 06:00 MHDA- 2020/04/29 06:00 CRDT- 2019/08/10 06:00 PHST- 2018/12/26 00:00 [received] PHST- 2019/07/24 00:00 [revised] PHST- 2019/08/05 00:00 [accepted] PHST- 2019/08/10 06:00 [pubmed] PHST- 2020/04/29 06:00 [medline] PHST- 2019/08/10 06:00 [entrez] AID - 10.1002/syn.22126 [doi] PST - ppublish SO - Synapse. 2019 Dec;73(12):e22126. doi: 10.1002/syn.22126. Epub 2019 Sep 5.