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TrkB dependent adult hippocampal progenitor differentiation mediates sustained ketamine antidepressant response

Zhenzhong Ma, Tong Zang, Shari G. Birnbaum, Zi-Lai Wang, Jane E. Johnson, Chun-Li Zhang, L. Parada

Nature Communications November 21, 2017 DOI: 10.1038/s41467-017-01709-8 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Basic science animal study Peer reviewed
Population Mice
Intervention Ketamine
Dose low doses
Topics Esketamine Ketamine
Key points Ketamine promotes differentiation of adult hippocampal neural progenitors into mature neurons via TrkB-dependent ERK activation in mice. Blocking TrkB, ERK signaling, or adult neurogenesis each prevents ketamine's behavioral effects, while enhanced ERK activity extends the response and rescues deficits in TrkB-deficient mice, suggesting this mechanism underlies ketamine's sustained antidepressant action.

Abstract

Adult neurogenesis persists in the rodent dentate gyrus and is stimulated by chronic treatment with conventional antidepressants through BDNF/TrkB signaling. Ketamine in low doses produces both rapid and sustained antidepressant effects in patients. Previous studies have shed light on post-transcriptional synaptic NMDAR mediated mechanisms underlying the acute effect, but how ketamine acts at the cellular level to sustain this anti-depressive function for prolonged periods remains unclear. Here we report that ketamine accelerates differentiation of doublecortin-positive adult hippocampal neural progenitors into functionally mature neurons. This process requires TrkB-dependent ERK pathway activation. Genetic ablation of TrkB in neural stem/progenitor cells, or pharmacologic disruption of ERK signaling, or inhibition of adult neurogenesis, each blocks the ketamine-induced behavioral responses. Conversely, enhanced ERK activity via Nf1 gene deletion extends the response and rescues both neurogenic and behavioral deficits in mice lacking TrkB. Thus, TrkB-dependent neuronal differentiation is involved in the sustained antidepressant effects of ketamine. The precise mechanism for the sustained antidepressant action of ketamine is unclear. This study shows ketamine can promote neuronal differentiation via TrkB-ERK activation in mice and the sustained behavioral effect is attenuated when adult neurogenesis is blocked, but extended when it is enhanced.

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