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Bioactive ketamine metabolite exerts in vivo neuroplastogenic effects to improve hippocampal function in a treatment-resistant depression model.

Lace M Riggs, Sage Aronson, Ta-Chung M. Mou, Edna F R Pereira, Scott M. Thompson, Todd D Gould

Cell Reports May 21, 2025 DOI: 10.1016/j.celrep.2025.115743 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Experimental animal study Peer reviewed
Population Wistar Kyoto rats (model of treatment-resistant depression)
Interventions (2R 6R)-hydroxynorketamine
Topics Depression Neuroplasticity Esketamine Ketamine
Keywords Cp: neuroscience Wistar kyoto Electrophysiology Multi-color fiber photometry Novelty recognition Rapid-acting antidepressant Memory & cognition Ketamine & psychopharmacology
Citations 2
Key findings (2R,6R)-HNK restores long-term potentiation and reverses deficits in hippocampal-dependent synaptic activity and spatial recognition memory in a rat model of treatment-resistant depression.

Abstract

An acute increase in excitatory synaptic transmission contributes to the rapid antidepressant actions of neuroplastogens, including ketamine and its bioactive metabolite, (2R,6R)-hydroxynorketamine (HNK). It is hypothesized that drug-induced metaplastic changes in synaptic strength account for therapeutically relevant behavioral adaptations in vivo. Using the plasticity-deficient Wistar Kyoto model of treatment-resistant depression, we demonstrate that (2R,6R)-HNK potentiates glutamatergic transmission, promotes synaptic strength, restores long-term potentiation (LTP), and reverses deficits in hippocampal-dependent synaptic activity and behavior. (2R,6R)-HNK selectively potentiated CA1 pyramidal neuron activity during novelty exploration and restored Schaffer collateral-dependent spatial recognition memory. Prior experience with spatial learning partially occluded LTP in control rats, an effect mimicked in LTP-impaired rats in which spatial learning deficits were reversed by (2R,6R)-HNK. These findings demonstrate that (2R,6R)-HNK exerts rapid neuroplastogenic effects in vivo, which improve cognitive function and promote adaptive changes in synaptic strength at functionally impaired synapses.

Comparable studies

Other preclinical and animal studies on ketamine for depression, most cited first.

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