2018
DOI: 10.1093/ijnp/pyy007
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Ketamine-Induced Prefrontal Serotonin Release Is Mediated by Cholinergic Neurons in the Pedunculopontine Tegmental Nucleus

Abstract: BackgroundKetamine rapidly elicits antidepressive effects in humans and mice in which serotonergic activity is involved. Although α4β2 nicotinic acetylcholine receptor (α4β2 nAChR) in the dorsal raphe nucleus plays a key role in the ketamine-induced prefrontal serotonin release, the source of cholinergic afferents, and its role is unclear.MethodsPrefrontal serotonin levels after ketamine injection were measured by microdialysis in rats. Electrolytic lesion of pedunculopontine tegmental nucleus and laterodorsal… Show more

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Cited by 28 publications
(25 citation statements)
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“…The mechanism underlying the antidepressant-like effect of ketamine may involve increased activity in the descending mPFC-DRN glutamatergic connections which physiologically activate DRN 5-HT projection cells [15]. Interestingly, it has been shown that activation of 5-HT DRN projection cells by ketamine is mediated by the cholinergic projection from the pedunculopontine tegmental nucleus [45]. However, these studies were performed using naïve animals, not subjected to stress or corticosterone administration.…”
Section: Discussionmentioning
confidence: 99%
“…The mechanism underlying the antidepressant-like effect of ketamine may involve increased activity in the descending mPFC-DRN glutamatergic connections which physiologically activate DRN 5-HT projection cells [15]. Interestingly, it has been shown that activation of 5-HT DRN projection cells by ketamine is mediated by the cholinergic projection from the pedunculopontine tegmental nucleus [45]. However, these studies were performed using naïve animals, not subjected to stress or corticosterone administration.…”
Section: Discussionmentioning
confidence: 99%
“…At “therapeutically” relevant concentrations in mice, ketamine inhibited serotonin clearance and produced antidepressant-like effects in wild-type mice, but not in SERT−/− and PMAT−/− mice. Taken together with existing literature [ 15 , 16 , 17 , 18 , 19 , 45 , 47 , 48 , 49 , 50 ], a critical role for serotonin and its inhibition of uptake via SERT and PMAT cannot be ruled out as important contributing factors to ketamine’s antidepressant mechanism of action. These findings pave the way for future experiments to interrogate the role, and mechanism of action, of SERT and PMAT in the antidepressant actions of ketamine, which will add to literature suggesting that concurrent blockade of SERT and “uptake-2” transporters, such as PMAT, has greater antidepressant efficacy than SSRIs alone [ 21 , 23 , 24 ].…”
Section: Discussionmentioning
confidence: 96%
“…The importance of serotonin is perhaps best exemplified by reports from several groups who found that the antidepressant-like effect of ketamine is lost when serotonin is depleted via PCPA treatment [ 16 , 17 , 18 ]. Consistent with an important role for serotonin in the antidepressant effects of ketamine, multiple studies have shown that ketamine increases extracellular serotonin, yet the mechanism(s) by which this occurs remains unclear [ 15 , 18 , 46 , 47 , 48 , 49 , 50 ]. Our studies point to ketamine-induced inhibition of serotonin clearance via SERT and PMAT as potential mechanisms.…”
Section: Discussionmentioning
confidence: 99%
“…Dental cement and a small metal peg were used to secure the guide cannula on the skull, then the duct cover were putted and tightened. After 3-4 d recovery period, microdialysis experiments were performed as previously described 38…”
Section: Microdialysismentioning
confidence: 99%