PMID- 32963409 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210110 IS - 0001-4079 (Print) IS - 2271-4820 (Electronic) IS - 0001-4079 (Linking) VI - 204 IP - 9 DP - 2020 Dec TI - [The next psychoactive drugs: From imipramine to ketamine]. PG - 1034-1042 LID - 10.1016/j.banm.2020.09.038 [doi] AB - Since the 1950s, the therapeutic arsenal against depression has grown considerably. From the discovery of monoamine oxidase inhibitors (MAOI) to the antidepressant effect of ketamine, these pharmacological breakthroughs made the history of psychiatry. They also guided the research about the pathophysiology of depression, one of the most devasting diseases, which affects between 10 and 20 % of general population. In this article, we offer a short historical review of the various therapeutic options developed over the past century and the consequences of these innovations. We then review the most recent one, ketamine (and its enantiomer S, esketamine). Ketamine's effects are spectacular both in terms of their very short onset time, and because they are observed even in treatment-resistant depression. Just as MAOIs and tricyclic antidepressants allowed the "monoaminergic hypothesis of depression" to emerge, to unravel the mechanisms of ketamine's antidepressant effects should allow the understanding of the role of glutamatergic system, or that of neuro-inflammation, in the neurobiology of depression. Ketamine might also help to refine our understanding of the cognitive pathophysiology of depression, or even to deeply transform the clinical representations about what depression is. CI - (c) 2020 l'Academie nationale de medecine. Published by Elsevier Masson SAS. All rights reserved. FAU - Carrillo, P AU - Carrillo P AD - Departement de psychiatrie, centre hospitalier le Vinatier, 69678 Bron, France. FAU - Petit, A-C AU - Petit AC AD - Universite de Paris, 75006 Paris, France. AD - Service hospitalo-universitaire, GHU Paris psychiatrie & neurosciences, 75014 Paris, France. AD - Unite de neuropathologie experimentale, departement sante globale, Institut Pasteur, 75015 Paris, France. FAU - Gaillard, R AU - Gaillard R AD - Universite de Paris, 75006 Paris, France. AD - Service hospitalo-universitaire, GHU Paris psychiatrie & neurosciences, 75014 Paris, France. AD - Unite de neuropathologie experimentale, departement sante globale, Institut Pasteur, 75015 Paris, France. FAU - Vinckier, F AU - Vinckier F AD - Universite de Paris, 75006 Paris, France. AD - Service hospitalo-universitaire, GHU Paris psychiatrie & neurosciences, 75014 Paris, France. LA - fre PT - English Abstract PT - Journal Article PT - Review TT - Psychotropes du futur : de l'imipramine a la ketamine. DEP - 20200917 PL - Netherlands TA - Bull Acad Natl Med JT - Bulletin de l'Academie nationale de medecine JID - 7503383 PMC - PMC7494514 OTO - NOTNLM OT - Antidepressant OT - Depression OT - Ketamine OT - Neuro-inflammation OT - Psychiatry EDAT- 2020/09/24 06:00 MHDA- 2020/09/24 06:01 PMCR- 2020/09/17 CRDT- 2020/09/23 06:33 PHST- 2020/02/15 00:00 [received] PHST- 2020/09/10 00:00 [accepted] PHST- 2020/09/24 06:00 [pubmed] PHST- 2020/09/24 06:01 [medline] PHST- 2020/09/23 06:33 [entrez] PHST- 2020/09/17 00:00 [pmc-release] AID - S0001-4079(20)30512-4 [pii] AID - 10.1016/j.banm.2020.09.038 [doi] PST - ppublish SO - Bull Acad Natl Med. 2020 Dec;204(9):1034-1042. doi: 10.1016/j.banm.2020.09.038. Epub 2020 Sep 17.