PMID- 36890259 OWN - NLM STAT- MEDLINE DCOM- 20230831 LR - 20230901 IS - 1433-8491 (Electronic) IS - 0940-1334 (Print) IS - 0940-1334 (Linking) VI - 273 IP - 7 DP - 2023 Oct TI - Esmethadone-HCl (REL-1017): a promising rapid antidepressant. PG - 1463-1476 LID - 10.1007/s00406-023-01571-4 [doi] AB - This review article presents select recent studies that form the basis for the development of esmethadone into a potential new drug. Esmethadone is a promising member of the pharmacological class of uncompetitive N-methyl-D-aspartate receptor (NMDAR) antagonists that have shown efficacy for major depressive disorder (MDD) and other diseases and disorders, such as Alzheimer's dementia and pseudobulbar affect. The other drugs in the novel class of NMDAR antagonists with therapeutic uses that are discussed for comparative purposes in this review are esketamine, ketamine, dextromethorphan, and memantine. We present in silico, in vitro, in vivo, and clinical data for esmethadone and other uncompetitive NMDAR antagonists that may advance our understanding of the role of these receptors in neural plasticity in health and disease. The efficacy of NMDAR antagonists as rapid antidepressants may advance our understanding of the neurobiology of MDD and other neuropsychiatric diseases and disorders. CI - (c) 2023. The Author(s). FAU - Fava, Maurizio AU - Fava M AD - Department of Psychiatry, Massachusetts General Hospital, Boston, MA, 02114, USA. FAU - Stahl, Stephen M AU - Stahl SM AD - Department of Psychiatry, VAMC (SD), University of California, San Diego, La Jolla, CA, 92093, USA. AD - Neuroscience Education Institute, Carlsbad, CA, 92008, USA. FAU - De Martin, Sara AU - De Martin S AD - Department of Pharmaceutical and Pharmacological Sciences, University of Padua, 35122, Padua, Italy. FAU - Mattarei, Andrea AU - Mattarei A AD - Department of Pharmaceutical and Pharmacological Sciences, University of Padua, 35122, Padua, Italy. FAU - Bettini, Ezio AU - Bettini E AD - In Vitro Pharmacology Department, Aptuit, an Evotec Company, 37135, Verona, Italy. FAU - Comai, Stefano AU - Comai S AD - Department of Pharmaceutical and Pharmacological Sciences, University of Padua, 35122, Padua, Italy. AD - Department of Biomedical Sciences, University of Padua, 35122, Padua, Italy. AD - Department of Psychiatry, McGill University, Montreal, QC, H3A 1A1, Canada. FAU - Alimonti, Andrea AU - Alimonti A AD - Department of Health Sciences and Technology, ETH Zurich, 8092, Zurich, Switzerland. AD - Institute of Oncology Research (IOR), Oncology Institute of Southern Switzerland (IOSI), 6500, Bellinzona, Switzerland. AD - Universita della Svizzera Italiana, 6900, Lugano, Switzerland. AD - Veneto Institute of Molecular Medicine, 35129, Padua, Italy. AD - Department of Medicine-DIMED, University of Padua, 35122, Padua, Italy. FAU - Bifari, Francesco AU - Bifari F AD - Department of Medical Biotechnology and Translational Medicine, University of Milan, 20122, Milan, Italy. FAU - Pani, Luca AU - Pani L AD - Relmada Therapeutics, Coral Gables, FL, 33134, USA. AD - Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Miami, Miami, FL, 33146, USA. AD - Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41121, Modena, Italy. FAU - Folli, Franco AU - Folli F AD - Department of Health Sciences, University of Milan, 20122, Milan, Italy. FAU - Guidetti, Clotilde AU - Guidetti C AD - Child and Adolescent Neuropsychiatry Unit, Department of Neuroscience, Bambino Gesu Pediatric Hospital, 00165, Rome, Italy. FAU - Furlan, Alberto AU - Furlan A AD - Department of Pharmaceutical and Pharmacological Sciences, University of Padua, 35122, Padua, Italy. FAU - Sgrignani, Jacopo AU - Sgrignani J AD - Institute for Research in Biomedicine (IRB), Universita della Svizzera Italiana (USI), 6500, Bellinzona, Switzerland. FAU - Locatelli, Patrizia AU - Locatelli P AD - Institute for Research in Biomedicine (IRB), Universita della Svizzera Italiana (USI), 6500, Bellinzona, Switzerland. FAU - Cavalli, Andrea AU - Cavalli A AD - Institute for Research in Biomedicine (IRB), Universita della Svizzera Italiana (USI), 6500, Bellinzona, Switzerland. AD - Swiss Institute of Bioinformatics, 1015, Lausanne, Switzerland. FAU - O'Gorman, Cedric AU - O'Gorman C AD - Relmada Therapeutics, Coral Gables, FL, 33134, USA. FAU - Traversa, Sergio AU - Traversa S AD - Relmada Therapeutics, Coral Gables, FL, 33134, USA. FAU - Inturrisi, Charles E AU - Inturrisi CE AD - Relmada Therapeutics, Coral Gables, FL, 33134, USA. FAU - Pappagallo, Marco AU - Pappagallo M AD - Relmada Therapeutics, Coral Gables, FL, 33134, USA. FAU - Manfredi, Paolo L AU - Manfredi PL AD - Relmada Therapeutics, Coral Gables, FL, 33134, USA. pmanfredi@relmada.com. LA - eng PT - Journal Article PT - Review DEP - 20230308 PL - Germany TA - Eur Arch Psychiatry Clin Neurosci JT - European archives of psychiatry and clinical neuroscience JID - 9103030 RN - 0 (Excitatory Amino Acid Antagonists) RN - W8O17SJF3T (Memantine) RN - 0 (Antidepressive Agents) SB - IM MH - Humans MH - Excitatory Amino Acid Antagonists/pharmacology MH - *Depressive Disorder, Major/drug therapy MH - Memantine/pharmacology/therapeutic use MH - Antidepressive Agents/pharmacology/therapeutic use MH - *Alzheimer Disease/drug therapy PMC - PMC10465385 OTO - NOTNLM OT - Esketamine OT - Esmethadone OT - Ketamine OT - Major depressive disorder OT - N-Methyl-D-aspartate receptor OT - REL-1017 COIS- Relmada Therapeutics and its consultants and employees contributed to all aspects of this manuscript, including all described experimental work. EDAT- 2023/03/09 06:00 MHDA- 2023/08/31 06:41 PMCR- 2023/03/08 CRDT- 2023/03/08 23:19 PHST- 2022/11/28 00:00 [received] PHST- 2023/02/13 00:00 [accepted] PHST- 2023/08/31 06:41 [medline] PHST- 2023/03/09 06:00 [pubmed] PHST- 2023/03/08 23:19 [entrez] PHST- 2023/03/08 00:00 [pmc-release] AID - 10.1007/s00406-023-01571-4 [pii] AID - 1571 [pii] AID - 10.1007/s00406-023-01571-4 [doi] PST - ppublish SO - Eur Arch Psychiatry Clin Neurosci. 2023 Oct;273(7):1463-1476. doi: 10.1007/s00406-023-01571-4. Epub 2023 Mar 8.