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Single subanesthetic dose of ketamine exerts antioxidant and antidepressive-like effect in ACTH-induced preclinical model of depression.

Ana Ivanović, Jelena Petrović, Dušanka Stanić, Jelena Nedeljković, Miloš Ilić, Marin M Jukić, Bojana Pejušković, Vesna Pešić

Molecular and cellular neurosciences June 1, 2025 DOI: 10.1016/j.mcn.2025.104006 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Animal experimental study Peer reviewed
Population Male Wistar rats
Intervention Ketamine
Dose 10 mg/kg, ip
Duration 21 days of ACTH pretreatment, single ketamine dose
Topics Depression Ketamine Esketamine
Keywords Acth Dna Oxidative stress Ketamine therapy Depression treatment Antioxidant research Psychiatric medicine Stress hormones
Citations 3
Key findings Ketamine demonstrated antidepressant and antioxidant effects in a rodent model of treatment-resistant depression induced by ACTH, reducing oxidative stress markers and enhancing antioxidant enzyme activity.

Abstract

Hyperactivity of the hypothalamic-pituitary-adrenal (HPA) axis and oxidative stress represent important mechanisms that have been implicated in etiopathology of depression. Although first antidepressants were introduced in clinical practice more than six decades ago, approximately 30 % of patients with a diagnosis of depression show treatment resistance. A noncompetitive N-methyl-d-aspartate receptor antagonist ketamine has shown promising rapid antidepressant effects and has been approved for treatment-resistant depression (TRD). In the present study, we investigated antioxidant and antidepressant-like activity of a single subanesthetic dose of ketamine (10 mg/kg, ip) in a rodent model of TRD induced by adrenocorticotropic hormone (10 μg ACTH/day, sc, 21 days). Behavioral assessment was performed, and plasma biomarkers of oxidative stress and DNA damage in peripheral blood lymphocytes (PBLs) were determined. We observed that ACTH produced depressive-like behavior and significant increase in superoxide anion (O2·-), advanced oxidation protein products (AOPP), malondialdehyde (MDA) and total oxidant status (TOS) in male Wistar rats. This effect was accompanied by reduced activity of antioxidant enzymes - superoxide dismutase (SOD) and paraoxonase1 (PON1) in plasma and increase in DNA damage in PBLs. In the described model of TRD, we have demonstrated antidepressant effects of ketamine for the first time. Our results reveal that ketamine was effective in reducing O2.-, AOPP, MDA and TOS, while enhancing SOD and PON1 activity in ACTH-rats. Collectively, our study sheds light on molecular mechanisms implicated in antioxidant activity of ketamine, thus incentivizing further investigation of its effects on ROS metabolism and antioxidant defenses in clinical trials, particularly in depression.

Comparable studies

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

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