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Potentiation of antidepressant effects: NPY1R agonist and ketamine synergy enhances TrkB signaling and neurogenesis in the ventral hippocampus.

Carlos Arrabal-Gómez, Pedro Serrano-Castro, Jose Andrés Sánchez-Pérez, Natalia Garcia-Casares, Kjell Fuxé, Dasiel O Borroto-Escuela, Manuel Narváez

Expert Opinion on Therapeutic Targets April 1, 2024 DOI: 10.1080/14728222.2024.2342524 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Preclinical study Peer reviewed
Population Rodents
Interventions NPY1R agonist Ketamine
Topics Ketamine Neuroplasticity Esketamine
Keywords Antidepressant therapy Npy1r agonist Ventral hippocampus #antidepressants depression treatment Mood disorders Psychiatric medication #neuroscience brain research Neurobiology Neural studies #ketamine ketamine therapy Psychedelic medicine Dissociative anesthetics
Citations 7
Key points Combined administration of an NPY1R agonist and Ketamine potentiated antidepressant-like effects in rodents, associated with increased NPY1R/TrkB heteroreceptor complexes, BDNF expression, and neurogenesis in the ventral hippocampus.

Abstract

Major Depressive Disorder (MDD) poses a significant challenge to global health, with current treatments often limited by efficacy and onset delays. This study explores the synergistic antidepressant-like effects of an NPY1R agonist and Ketamine, targeting their neurobiological interactions within the ventral hippocampus. Utilizing a preclinical model, this study administered Neuropeptide Y receptor 1 (NPY1R) agonist and Ketamine, both separately and in combination, through intracerebroventricular (icv) and intranasal (i.n.) routes. The Forced Swimming Test (FST) was employed to assess antidepressant-like activity, while in situ Proximity Ligation Assay and immunohistochemistry were used to examine NPY1R/TrkB heteroreceptor complexes and BDNF expression in the ventral dentate gyrus (DG), along with neurogenesis markers. The combined treatment significantly reduced immobility in the FST, indicative of enhanced antidepressant-like effects, correlated with increased formation of NPY1R/TrkB complex and brain-derived neurotrophic factor (BDNF) expression in the ventral DG. These molecular alterations were associated with increased neurogenesis. The coadministration of an NPY1R agonist and Ketamine in a rodent model demonstrated potentiated antidepressant responses through synergistic neurobiological pathways, including TrkB signaling and hippocampal neurogenesis. This indicates a novel therapeutic strategy for MDD, warranting further clinical investigation to fully understand its implications.

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