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Glutamatergic receptor and neuroplasticity in depression: Implications for ketamine and rapastinel as the rapid-acting antidepressants.

Ya-Ting Wang, Ning-Ning Zhang, Ling Liu, Hong Jiang, Die Hu, Zhen-Zhen Wang, N. Chen, Yi Zhang

Biochemical and Biophysical Research Communications - BBRC 2022 DOI: 10.1016/j.bbrc.2022.01.024 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Topics Depression Esketamine Ketamine Neuroplasticity
Citations 47
Key findings Ketamine and rapastinel share convergent antidepressant mechanisms through BDNF and mTORC1 pathways in synaptic plasticity.

Abstract

PURPOSE OF REVIEW To explore the convergent downstream pathways of ketamine and rapastinel and drive further development of identification for following generational rapid-acting antidepressants in the synaptic process. RECENT FINDINGS Ketamine is an NMDAR antagonist and is proven effective in depression for the rapid and sustained antidepressant response, while rapastinel is an NMDAR positive allosteric modulator, producing antidepressant effects like ketamine with no severe side effects. The common antidepressant effects of ketamine and rapastinel are BDNF and mTORC1 pathway in synaptic plasticity.