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Subanesthetic ketamine reactivates adult cortical plasticity to restore vision from amblyopia

Steven F. Grieco, Xin Qiao, Xiaoting Zheng, Yongjun Liu, Lujia Chen, Hai Zhang, Jeffrey Gavornik, Cary Lai, Sunil P Gandhi, Todd C. Holmes, Xiangmin Xu

bioRxiv Preprint Server March 16, 2020 preprint DOI: 10.1101/2020.03.16.994475 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Experimental study
Population Adult mice
Intervention Ketamine
Dose single-dose
Topics Neuroplasticity Esketamine Ketamine
Keywords Brain flexibility Brain malleability Brain adaptability Vision restoration Sight recovery Visual recovery Vision repair Eyesight restoration Amblyopia treatment Visual acuity improvement Neurological treatment Brain therapy Neurotherapy Brain disorder treatment Neurological intervention Brain-based therapy
Citations 14
Key findings Ketamine reactivates adult visual cortical plasticity and promotes functional recovery from amblyopia through rapid and sustained cortical disinhibition mediated by downregulation of NRG1 signaling in parvalbumin-expressing inhibitory neurons.

Abstract

Subanesthetic ketamine evokes rapid and long-lasting antidepressant effects in human patients. The mechanism for ketamine’s effects remains elusive, but ketamine may broadly modulate brain plasticity processes. We show that single-dose ketamine reactivates adult mouse visual cortical plasticity and promotes functional recovery of visual acuity defects from amblyopia. Ketamine specifically induces down-regulation of neuregulin-1 (NRG1) expression in parvalbumin-expressing (PV) inhibitory neurons in mouse visual cortex. NRG1 downregulation in PV neurons co-tracks both the fast onset and sustained decreases in synaptic inhibition to excitatory neurons, along with reduced synaptic excitation to PV neurons in vitro and in vivo following a single ketamine treatment. These effects are blocked by exogenous NRG1 as well as PV targeted receptor knockout. Thus ketamine reactivation of adult visual cortical plasticity is mediated through rapid and sustained cortical disinhibition via downregulation of PV-specific NRG1 signaling. Our findings reveal the neural plasticity-based mechanism for ketamine-mediated functional recovery from adult amblyopia.

Comparable studies

Other preclinical and animal studies on ketamine, most cited first.

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