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Antidepressant Low Doses of Ketamine and Melatonin in Combination Produce Additive Neurogenesis in Human Olfactory Neuronal Precursors.

Rosa Estrada-Reyes, Daniel B Quero-Chávez, Salvador Alarcón-Elizalde, Montserrat G Cercós, Citlali Trueta, Luis A Constantino-Jonapa, Julián Oikawa-Sala, Jesús Argueta, Ricardo Cruz-Garduño, Margarita L Dubocovich, Gloria Benítez-King

Molecules September 1, 2022 DOI: 10.3390/molecules27175650 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Preclinical in vitro study Peer reviewed
Population Cloned human olfactory neuronal precursor cells
Interventions Ketamine Melatonin
Measures cell clusters > 50 µm in diameter positively stained for nestin, doublecortin, BrdU and Ki67
Topics Ketamine Neuroplasticity Esketamine
Keywords Antidepressants Melatonin Olfactory neuronal precursors
Key points The ketamine/melatonin combination increased neurogenesis in human olfactory neuronal precursor cells, measured as formation of cell clusters over 50 micrometers positive for nestin, doublecortin, BrdU, and Ki67, at doses of each drug that were ineffective alone. The authors report the effect is mediated by melatonin receptors, CaM Kinase II, and CaM antagonism, and propose this could have clinical advantages for fast treatment of depression.

Abstract

Melatonin (MEL), an indolamine with diverse functions in the brain, has been shown to produce antidepressant-like effects, presumably through stimulating neurogenesis. We recently showed that the combination of MEL with ketamine (KET), an NMDA receptor antagonist, has robust antidepressant-like effects in mice, at doses that, by themselves, are non-effective and have no adverse effects. Here, we show that the KET/MEL combination increases neurogenesis in a clone derived from human olfactory neuronal precursors, a translational pre-clinical model for effects in the human CNS. Neurogenesis was assessed by the formation of cell clusters > 50 µm in diameter, positively stained for nestin, doublecortin, BrdU and Ki67, markers of progenitor cells, neurogenesis, and proliferation. FGF, EGF and BDNF growth factors increased the number of cell clusters in cultured, cloned ONPs. Similarly, KET or MEL increased the number of clusters in a dose-dependent manner. The KET/MEL combination further increased the formation of clusters, with a maximal effect obtained after a triple administration schedule. Our results show that the combination of KET/MEL, at subeffective doses that do not produce adverse effects, stimulate neurogenesis in human neuronal precursors. Moreover, the mechanism by which the combination elicits neurogenesis is meditated by melatonin receptors, CaM Kinase II and CaM antagonism. This could have clinical advantages for the fast treatment of depression.

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