PMID- 33190819 OWN - NLM STAT- MEDLINE DCOM- 20211124 LR - 20211124 IS - 0013-7006 (Print) IS - 0013-7006 (Linking) VI - 47 IP - 2 DP - 2021 Apr TI - [Ketamine, psilocybin, and rapid acting antidepressant: new promise for psychiatry?]. PG - 171-178 LID - S0013-7006(20)30234-7 [pii] LID - 10.1016/j.encep.2020.08.006 [doi] AB - The hypothesis of monoaminergic deficiency has long dominated the conceptual framework for the development of new antidepressant strategies, but the limits of conventional antidepressant treatments targeting monoaminergic signaling have motivated the search for new antidepressant pathways. The success of ketamine in the management of depressive disorders has provoked a renewed interest in hallucinogenic substances such as psilocybin targeting the serotonergic signaling 5HT(2A) and neurosteroid allosteric modulator of gamma-aminobutyric acid (GABAA) receptors such as brexanolone. Unlike conventional treatments, these modulators of glutamatergic, serotonergic and GABAergic systems exert a rapid antidepressant effect ranging from 24hours to a week. Apart from their clinical interest and the fantasized search for a "miracle" molecule that jointly meets the expectations of patients and clinicians, these new targets could lead to the identification of potential new biomarkers for the development of rapid-acting antidepressants and redefine therapeutic strategies in mood disorders. CI - Copyright (c) 2020. Published by Elsevier Masson SAS. FAU - Bottemanne, H AU - Bottemanne H AD - Control-Interoception-Attention team, Paris Brain Institute, Institut du Cerveau (ICM), UMR 7225/UMR_S 1127, Sorbonne University/CNRS/Inserm, Paris, France.; Department of Psychiatry, Pitie-Salpetriere Hospital, Assistance Publique-Hopitaux de Paris (APHP), Paris, France. Electronic address: hugo.bottemanne@gmail.com. FAU - Claret, A AU - Claret A AD - Department of Psychiatry, Pitie-Salpetriere Hospital, Assistance Publique-Hopitaux de Paris (APHP), Paris, France. FAU - Fossati, P AU - Fossati P AD - Control-Interoception-Attention team, Paris Brain Institute, Institut du Cerveau (ICM), UMR 7225/UMR_S 1127, Sorbonne University/CNRS/Inserm, Paris, France.; Department of Psychiatry, Pitie-Salpetriere Hospital, Assistance Publique-Hopitaux de Paris (APHP), Paris, France. LA - fre PT - Journal Article TT - Ketamine, psilocybine, et antidepresseurs d'action rapide : de nouvelles promesses pour la psychiatrie? DEP - 20201112 PL - France TA - Encephale JT - L'Encephale JID - 7505643 RN - 0 (Antidepressive Agents) RN - 2RV7212BP0 (Psilocybin) RN - 690G0D6V8H (Ketamine) SB - IM MH - Antidepressive Agents/therapeutic use MH - Humans MH - *Ketamine/pharmacology/therapeutic use MH - Psilocybin/pharmacology/therapeutic use MH - *Psychiatry OTO - NOTNLM OT - Antidepressant OT - Antidepresseur OT - Brexanolone OT - Depression resistante aux traitements OT - Esketamine OT - Esketamine OT - Ketamine OT - Ketamine OT - Major depressive disorder OT - Neurosteroid OT - Neurosteroide OT - Psilocybin OT - Psilocybine OT - Psychedelic OT - Psychedelique OT - Treatment resistant depression OT - Episode depressif caracterise EDAT- 2020/11/17 06:00 MHDA- 2021/11/25 06:00 CRDT- 2020/11/16 05:29 PHST- 2020/03/05 00:00 [received] PHST- 2020/07/12 00:00 [revised] PHST- 2020/08/08 00:00 [accepted] PHST- 2020/11/17 06:00 [pubmed] PHST- 2021/11/25 06:00 [medline] PHST- 2020/11/16 05:29 [entrez] AID - S0013-7006(20)30234-7 [pii] AID - 10.1016/j.encep.2020.08.006 [doi] PST - ppublish SO - Encephale. 2021 Apr;47(2):171-178. doi: 10.1016/j.encep.2020.08.006. Epub 2020 Nov 12.