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SeminarPast EventNeuroscience

Decoding ketamine: Neurobiological mechanisms underlying its rapid antidepressant efficacy

Zanos Panos

Assistant Professor of Neuropharmacology.

Translational Neuropharmacology Lab, University of Cyprus, Center for Applied Neurosience & Department of Psychology, Nicosia, Cyprus

Schedule
Friday, April 4, 2025

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Schedule

Friday, April 4, 2025

3:00 PM Europe/Athens

Host: Athens Neuroscience

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Event Information

Domain

Neuroscience

Original Event

View source

Host

Athens Neuroscience

Duration

60 minutes

Abstract

Unlike traditional monoamine-based antidepressants that require weeks to exert effects, ketamine alleviates depression within hours, though its clinical use is limited by side effects. While ketamine was initially thought to work primarily through NMDA receptor (NMDAR) inhibition, our research reveals a more complex mechanism. We demonstrate that NMDAR inhibition alone cannot explain ketamine's sustained antidepressant effects, as other NMDAR antagonists like MK-801 lack similar efficacy. Instead, the (2R,6R)-hydroxynorketamine (HNK) metabolite appears critical, exhibiting antidepressant effects without ketamine's side effects. Paradoxically, our findings suggest an inverted U-shaped dose-response relationship where excessive NMDAR inhibition may actually impede antidepressant efficacy, while some level of NMDAR activation is necessary. The antidepressant actions of ketamine and (2R,6R)-HNK require AMPA receptor activation, leading to synaptic potentiation and upregulation of AMPA receptor subunits GluA1 and GluA2. Furthermore, NMDAR subunit GluN2A appears necessary and possibly sufficient for these effects. This research establishes NMDAR-GluN2A activation as a common downstream effector for rapid-acting antidepressants, regardless of their initial targets, offering promising directions for developing next-generation antidepressants with improved efficacy and reduced side effects.

Topics

(2R6R)-hydroxynorketamineAMPA receptorGluA1GluA2GluN2ANMDA receptorsNMDARantidepressant efficacydepressionketaminerapid-acting antidepressantssynaptic potentiation

About the Speaker

Zanos Panos

Assistant Professor of Neuropharmacology.

Translational Neuropharmacology Lab, University of Cyprus, Center for Applied Neurosience & Department of Psychology, Nicosia, Cyprus

Contact & Resources

Personal Website

zanoslab.com

@https://www.instagram.com/neuropharmlab/

Follow on Twitter/X

twitter.com/https://www.instagram.com/neuropharmlab/

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