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Ketamine preserves perineuronal nets in chronic stressed mice brain through the inhibition of microglia activation

Jingwen Yang, Ting Huang, Meng Wang, Yingrui Xu, Xuan Li, Chang-Qi Li, Wenyu Cao, Li-Yan He, Huamao Zhou

IBRO Neuroscience Reports July 26, 2026 DOI: 10.1016/j.ibneur.2026.07.016 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Preclinical experimental study Peer reviewed
Population Mice subjected to chronic restraint stress
Intervention Ketamine
Topics Esketamine Ketamine
Key findings Ketamine alleviated depression-like behavior and attenuated the chronic restraint stress-induced reduction of WFA-positive cells in the hippocampus and medial prefrontal cortex, while having little or no effect on PV- or c-Fos-positive cells or PNN-related transcripts. Ketamine markedly reduced IBA1-positive cells, suggesting microglia-mediated PNN remodeling.

Abstract

Background: Deeper understanding of ketamine’s mechanism of action would contribute to the discovery of novel therapeutic targets with fast-onset actions. To gain insight on the mechanism underlying the antidepressant-like effects of ketamine, we focused on perineuronal nets (PNNs), an extracellular matrix structure that surrounds fast-spiking parvalbumin-positive interneurons and regulates synaptic plasticity, whose integrity is known to be compromised under stress-induced depressive conditions.

Methods: We first performed the description of the plastic remodeling of PNNs in the Chronic restraint stress (CRS) mice treated or un-treated with ketamine, by quantifying the number of WFA, marker of PNNs, parvalbumin (PV) and c-Fos positive cells, as a surrogate of neuronal activity. And then, we investigated the the transcripts of a number of proteins involved in the formation or degradation of PNNs with or without ketamine in CRS mice. Next, we evaluated the expression of IBA1, a microglial marker, in the hippocampus and medial prefrontal cortex after CRS treated or un-treated with ketamine.

Results: We found that ketamine effectively alleviated the animals’ depression like behavior as well as attenuates CRS-induced reduction of WFA-positive cells in the hippocampus and medial prefrontal cortex of mice. Although ketamine treatment had little or no effect on the number of PV, c-Fos positive cells and the transcripts of proteins involved in the formation or degradation of PNNs. Notably, ketamine treatment lead to remarkably reduced the number of IBA1-positive cells in the hippocampus and medial prefrontal cortex after CRS.

Conclusion: Our findings suggest that PNNs is characterized by region-specific changes in chronic stress mouse brain and provide extensive evidence that ketamine exposure initiates microglia to remodel PNN, instead of the PNN accumulation and degradation enzymes.