Ketamine and rapid-acting antidepressants: a window into a new neurobiology for mood disorder therapeutics.

Ketamine and rapid-acting antidepressants: a window into a new neurobiology for mood disorder therapeutics.
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氯胺酮和快速作用的抗抑郁药:介绍新的神经生物学的窗口,用于情绪障碍疗法。

DOI:
10.1146/annurev-med-053013-062946
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发表时间:
2015
影响因子:
10.5
通讯作者:
Krystal JH
Krystal JH
中科院分区:
医学1区
文献类型:
--
作者:
Abdallah CG;Sanacora G;Duman RS;Krystal JH

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氯胺酮是新一代谷氨酸基抗抑郁药的原型,可在治疗后数小时内迅速缓解抑郁症。在过去的十年中,有重复的证据表明氯胺酮在难治性抑郁症中具有快速和有效的抗抑郁作用。此外,临床前和生物标志物研究已经开始阐明氯胺酮快速抗抑郁作用的机制,为抑郁症生物学提供了一个新的窗口,并确定了大量潜在的治疗靶点。本文讨论了氯胺酮的有效性、安全性和耐受性,总结了抑郁症的神经生物学,综述了氯胺酮快速抗抑郁作用的机制,并讨论了下一代速效抗抑郁药的前景。
Ketamine is the prototype for a new generation of glutamate-based antidepressants that rapidly alleviate depression within hours of treatment. Over the past decade, there has been replicated evidence demonstrating the rapid and potent antidepressant effects of ketamine in treatment-resistant depression. Moreover, preclinical and biomarker studies have begun to elucidate the mechanism underlying the rapid antidepressant effects of ketamine, offering a new window into the biology of depression and identifying a plethora of potential treatment targets. This article discusses the efficacy, safety, and tolerability of ketamine, summarizes the neurobiology of depression, reviews the mechanisms underlying the rapid antidepressant effects of ketamine, and discusses the prospects for next-generation rapid-acting antidepressants.
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