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Time-dependent antidepressant-like effects of reelin and ketamine in the repeated-corticosterone model of chronic stress.

Kaylene K A Scheil, Carla L Sánchez-Lafuente, Brady S Reive, Ciara S Halvorson, Jennifer Floyd, Hannah M O Reid, Jenessa N Johnston, Lisa E Kalynchuk, Hector J Caruncho

Progress in neuro-psychopharmacology & biological psychiatry June 8, 2024 DOI: 10.1016/j.pnpbp.2024.110998 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 120
Population Female Long Evans rats
Interventions Reelin Ketamine
Dose reelin 3μg; i.v., ketamine 10 mg/kg; i.p.
Duration 21-day chronic corticosterone paradigm, with behavioral and biological evaluations at 1 h, 6 h, 12 h, and 1 week after treatment
Topics Depression Ketamine Esketamine
Keywords Chronic stress Corticosterone Rapid-acting antidepressants Reelin Depression treatment Rapid antidepressants Brain proteins Mental health research
Citations 5
Key findings Both reelin and ketamine individually reversed chronic stress-induced behavioral deficits and restored hippocampal reelin expression within one hour, with effects lasting at least one week, and their combination showed additive antidepressant-like effects at one week.

Abstract

There is an urgent need for novel antidepressants, given that approximately 30% of those diagnosed with depression do not respond adequately to first-line treatment. Additionally, monoaminergic-based antidepressants have a substantial therapeutic time-lag, often taking months to reach full therapeutic effect. Ketamine, an N-methyl-d-aspartate receptor (NMDAR) antagonist is the only current effective rapid-acting antidepressant, demonstrating efficacy within hours and lasting up to two weeks with an acute dose. Reelin, an extracellular matrix glycoprotein, has demonstrated rapid-acting antidepressant-like effects at 24 h, however the exact timescale of these effects has not been investigated. To determine the short and long-term effects of reelin, female Long Evans rats (n = 120) underwent a chronic corticosterone (CORT; or vehicle) paradigm (40 mg/kg, 21 days). On day 21, rats were treated with reelin (3μg; i.v.), ketamine (10 mg/kg; i.p.), both reelin and ketamine (same doses), or vehicle (saline). Behavioural and biological effects were then evaluated at 1 h, 6 h, 12 h, and 1 week after treatment. The 1-week cohort continued CORT injections to ensure the effect of chronic stress was not lost. Individually, both reelin and ketamine significantly rescued CORT-induced behaviour and hippocampal reelin expression at all timepoints. Ketamine rescued a decrease in dendritic maturity as induced by CORT. Synergistic effects of reelin and ketamine appeared at 1-week, suggesting a potential additive effect of the antidepressant-like actions. Taken together, this study provides further support for reelin-based therapeutics to develop rapid-acting antidepressant.

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