Abstract

Ketamine has rapid and robust antidepressant effects. However, unwanted psychotomimetic effects limit its widespread use. Hence, several studies examined whether GluN2B-subunit selective NMDA antagonists would exhibit a better therapeutic profile. Although preclinical work has revealed some of the mechanisms of action of ketamine at cellular and molecular levels, the impact on brain circuitry is poorly understood. Several neuroimaging studies have examined the functional changes in the brain induced by acute administration of ketamine and Ro 25-6981 (a GluN2B-subunit selective antagonist), but the changes in the microstructure of gray and white matter have received less attention. Here, the effects of ketamine and Ro 25-6981 on gray and white matter integrity in male Sprague–Dawley rats were determined using diffusion-weighted magnetic resonance imaging (DWI). In addition, DWI-based structural brain networks were estimated and connectivity metrics were computed at the regional level. Immunohistochemical analyses were also performed to determine whether changes in myelin basic protein (MBP) and neurofilament heavy-chain protein (NF200) may underlie connectivity changes. In general, ketamine and Ro 25-6981 showed some opposite structural alterations, but both compounds coincided only in increasing the fractional anisotropy in infralimbic prefrontal cortex and dorsal raphe nucleus. These changes were associated with increments of NF200 in deep layers of the infralimbic cortex (together with increased MBP) and the dorsal raphe nucleus. Our results suggest that the synthesis of NF200 and MBP may contribute to the formation of new dendritic spines and myelination, respectively. We also suggest that the increase of fractional anisotropy of the infralimbic and dorsal raphe nucleus areas could represent a biomarker of a rapid antidepressant response.

Highlights

  • Depression is the most prevalent of psychiatric diseases with a high medical and societal burden

  • Here we examined the effects of ketamine and Ro 25-6981 on structural integrity using diffusion-weighted magnetic resonance imaging (DWI) using male Sprague–Dawley rats

  • Post hoc multiple comparisons evidenced that ketamine significantly increased fractional anisotropy (FA) in dorsal raphe nucleus (DRN) (Fig. 2, A1), IL (Fig. 2, A2), vHPC and corpus callosum (CC) in both hemispheres as well as in right Amy, nucleus accumbens (NAcc) and OFC (Supplementary Table S1)

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Summary

Introduction

Depression is the most prevalent of psychiatric diseases with a high medical and societal burden. Current antidepressant treatments fail to achieve full response in approximately 40% of patients. There is a crucial need to develop new and rapid therapies. Ketamine exhibits robust and rapid antidepressant effects. Its early psychotomimetic effects precede antidepressant action. For this reason, several studies examined whether GluN2Bsubunit selective NMDA receptor antagonists would exhibit a better therapeutic profile. Preclinical work has uncovered some of the mechanisms of action of ketamine at cellular and molecular level, the way the drug impact on brain circuitry is poorly understood

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