PMID- 38220554 OWN - NLM STAT- MEDLINE DCOM- 20240315 LR - 20240325 IS - 1878-108X (Electronic) IS - 0166-2236 (Linking) VI - 47 IP - 3 DP - 2024 Mar TI - An integrative view on the cell-type-specific mechanisms of ketamine's antidepressant actions. PG - 195-208 LID - S0166-2236(23)00291-6 [pii] LID - 10.1016/j.tins.2023.12.004 [doi] AB - Over the past six decades, the use of ketamine has evolved from an anesthetic and recreational drug to the first non-monoaminergic antidepressant approved for treatment-resistant major depressive disorder (MDD). Subanesthetic doses of ketamine and its enantiomer (S)-ketamine (esketamine) directly bind to several neurotransmitter receptors [including N-methyl-d-aspartic acid receptor (NMDAR), kappa and mu opioid receptor (KOR and MOR)] widely distributed in the brain and across different cell types, implicating several potential molecular mechanisms underlying the action of ketamine as an antidepressant. This review examines preclinical studies investigating cell-type-specific mechanisms underlying the effects of ketamine on behavior and synapses. Cell-type-specific approaches are crucial for disentangling the critical mechanisms involved in the therapeutic effect of ketamine. CI - Copyright (c) 2023 Elsevier Ltd. All rights reserved. FAU - Lewis, Vern AU - Lewis V AD - Department of Neuroscience, Carleton University, Health Sciences Building, 1125 Colonel By Drive, Ottawa, Ontario K1S 5B6, Canada. FAU - Rurak, Gareth AU - Rurak G AD - Department of Neuroscience, Carleton University, Health Sciences Building, 1125 Colonel By Drive, Ottawa, Ontario K1S 5B6, Canada. FAU - Salmaso, Natalina AU - Salmaso N AD - Department of Neuroscience, Carleton University, Health Sciences Building, 1125 Colonel By Drive, Ottawa, Ontario K1S 5B6, Canada. FAU - Aguilar-Valles, Argel AU - Aguilar-Valles A AD - Department of Neuroscience, Carleton University, Health Sciences Building, 1125 Colonel By Drive, Ottawa, Ontario K1S 5B6, Canada. Electronic address: argel.aguilavalles@carleton.ca. LA - eng PT - Journal Article PT - Review DEP - 20240113 PL - England TA - Trends Neurosci JT - Trends in neurosciences JID - 7808616 RN - 690G0D6V8H (Ketamine) RN - 0 (Antidepressive Agents) RN - 0 (Receptors, N-Methyl-D-Aspartate) SB - IM MH - Humans MH - *Ketamine/pharmacology/therapeutic use MH - *Depressive Disorder, Major/drug therapy MH - Antidepressive Agents/pharmacology/therapeutic use MH - Depression/drug therapy MH - Brain/metabolism MH - Receptors, N-Methyl-D-Aspartate OTO - NOTNLM OT - circuits OT - glia OT - interneurons OT - plasticity OT - psychiatric disease OT - rapidly acting antidepressant COIS- Declaration of interests A.A.-V. serves as a scientific advisor to BetterLife Pharma. The other authors have no competing interests in relation to this work. EDAT- 2024/01/15 00:42 MHDA- 2024/03/15 06:44 CRDT- 2024/01/14 22:04 PHST- 2023/06/21 00:00 [received] PHST- 2023/11/08 00:00 [revised] PHST- 2023/12/22 00:00 [accepted] PHST- 2024/03/15 06:44 [medline] PHST- 2024/01/15 00:42 [pubmed] PHST- 2024/01/14 22:04 [entrez] AID - S0166-2236(23)00291-6 [pii] AID - 10.1016/j.tins.2023.12.004 [doi] PST - ppublish SO - Trends Neurosci. 2024 Mar;47(3):195-208. doi: 10.1016/j.tins.2023.12.004. Epub 2024 Jan 13.