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Downregulation in the human and mice cerebella after ketamine versus ketamine plus ethanol treatment.

W M Chan, Jie Xu, Ming Fan, Yanling Jiang, Therese Y M Tsui, Maria S M Wai, W P Lam, D T Yew

Microscopy research and technique March 2012 DOI: 10.1002/jemt.21052 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case study with animal experiment Case report Peer reviewed
Sample size 3
Population Habitual ketamine users (n = 3) and male ICR mice
Interventions Ketamine Ethanol
Dose 30 mg/kg intraperitoneally (ketamine); 0.5 mL 12% orally (ethanol, mice); 12%, 200 mL (alcohol, human participants)
Duration 3 months (mouse treatment); 1 h before fMRI test (alcohol consumption in humans)
Measures functional magnetic resonance imaging (fMRI), silver staining, TUNEL test, two-way ANOVA
Topics Esketamine Ketamine
Key findings Ketamine was associated with cerebellar damage: fewer Purkinje cells and more apoptotic cells in the cerebella of mice treated for three months, with apoptosis significantly greater in mice given both ketamine and ethanol (P < 0.001) than in controls. In three habitual ketamine users, cerebellum activation during limb movement decreased after alcohol consumption. The authors propose an interactive mechanism between ethanol and ketamine acting on the cerebellum.

Abstract

To study the deleterious effects of ketamine and the potential interaction effects between ethanol and ketamine on the cerebellum, functional magnetic resonance imaging (fMRI) tests were performed on the habitual ketamine users (n = 3) when they flexed and extended their upper limbs. Another fMRI test was performed on the same participants in which they consumed alcohol (12%, 200 mL) 1 h before the test. Downregulation on the activity of cerebellum was observed and the level of activation in the cerebellum decreased dramatically in habitual ketamine users with alcohol consumption before the test. Further studies were performed by using male ICR mice receiving treatment of ketamine only [30 mg kg(-1) intraperitoneally (i.p.)] or ethanol only everyday (0.5 mL 12% orally) and those with coadministration of the above dosages of ketamine and ethanol for 3 months. Fewer Purkinje cells were observed in the cerebellar sections of ketamine treated mice under silver staining. For TUNEL test, a significant increase in the apoptotic cells were observed in the cerebella of the ketamine treated mice (P = 0.016) and of those with co-administration of ketamine and ethanol (P < 0.001), when compared with the control. A statistical significance (P < 0.001) in two-way ANOVA test indicated that there might be an interactive mechanism between ethanol and ketamine acting on the cerebellum.

Comparable studies

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

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