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Dopamine Receptor D1 Activation Alleviates Repeated Ketamine Exposure-Induced Cognitive Dysfunction in Mice by Inhibiting NLRP3/Caspase-1-Dependent Pyroptosis.

Ying Pan, Jia-Yu Zhang, Ang Li, Xiu-Mei Zhu, Peng Lv, Feng-Tong Zhang, Yang Bai, Yang Li, Jia-Yi Wei, Jun Yao

Schizophrenia Bulletin April 1, 2026 DOI: 10.1093/schbul/sbag063 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Experimental animal and in vitro study Peer reviewed
Population Mice (in vivo) and HT22 mouse hippocampal neuronal cells (in vitro)
Interventions Ketamine DRD1 agonist DRD1 antagonist caspase-1 antagonist
Topics Ketamine Esketamine
Keywords Animals Mice, inbred c57bl Disease models, animal Caspase 1 Receptors, dopamine d1 Dopamine agonists Behavior, animal Male Pyroptosis Cognitive dysfunction Cognitive impairment Nlrp3 Drd1
Key findings Ketamine induced dose-dependent pyroptosis via the NLRP3/caspase-1 pathway in HT22 cells and mice, and DRD1 activation reduced this pyroptosis and ameliorated ketamine-induced cognitive impairment, while a DRD1 antagonist worsened pyroptosis and replicated behavioral deficits. The authors conclude that DRD1 activation mitigates ketamine-induced cognitive dysfunction by inhibiting NLRP3/caspase-1-dependent pyroptosis.

Abstract

Background and hypothesis: Ketamine triggers cellular pyroptosis through an NOD-like receptor protein 3 (NLRP3)/caspase-1 pathway, leading to neurotoxicity and cognitive deficits. Dopamine receptor D1 (DRD1) activation, however, suppresses NLRP3 inflammasome activation, thereby curbing inflammation. We hypothesized that ketamine induces pyroptosis through the NLRP3/caspase-1 pathway, resulting in neurotoxicity and cognitive dysfunction, and that DRD1 activation could counteract these effects. Study

Design: To investigate the relationship between DRD1 and ketamine-induced pyroptosis and behavioral changes in mice, we conducted both in vivo and in vitro experiments. Study

Results: Our findings reveal that ketamine induces dose-dependent pyroptosis in HT22 cells, which is alleviated by NLRP3 and caspase-1 antagonists. Furthermore, a DRD1 agonist effectively reduces ketamine-induced pyroptosis in these cells. In vivo, DRD1 activation decreases ketamine-induced NLRP3/caspase-1-dependent neuronal pyroptosis and ameliorates cognitive impairment in mice by inhibiting NLRP3. Conversely, a DRD1 antagonist enhances NLRP3/caspase-1-mediated pyroptosis, replicating the behavioral deficits seen with ketamine exposure. Moreover, DRD1-specific knockdown in neuronal cells prevents ketamine-induced cognitive dysfunction and reduces pyroptosis.

Conclusions: Dopamine receptor D1 activation mitigates ketamine-induced cognitive dysfunction in mice by inhibiting NLRP3/caspase-1-dependent pyroptosis. These findings offer new insights into the psychobehavioral disorders and cytotoxicity associated with ketamine.

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