Abstract
This study investigated the effectiveness of ketamine, a noncompetitive N-methyl-d-aspartate (NMDA) receptor antagonist, in alleviating the enhanced anxiety and fear response in both a mouse model of PTSD induced by inescapable electric foot shocks and a rat model of PTSD induced by a time-dependent sensitization (TDS) procedure. First, we evaluated the effect of ketamine on behavioral deficits in a mouse model of PTSD that consisted of foot shocks followed by three situational reminders. Our results showed that the aversive procedure induced several behavioral deficiencies, such as increased freezing behavior and anxiety, as well as reduced time spent in an aversive-like context, which were reversed by repeated treatment with ketamine. The effect of ketamine on behavioral changes after exposure to TDS was also investigated, and the levels of brain-derived neurotrophic factor (BDNF) in the hippocampus were measured. The results revealed that after TDS, the rats showed a significant increase in contextual freezing and a decrease in the percentage of time spent in and numbers of entries into open arms in the elevated plus maze test. As a positive control drug, sertraline (Ser, 15 mg/kg, i.g.), a selective serotonin reuptake inhibitor (SSRI) ameliorated these behavioral deficits. These behavioral effects were mimicked by chronic ketamine treatment. Furthermore, ketamine normalized the decreased BDNF level in the hippocampus in post-TDS rats. Taken together, these results suggest that ketamine exerts a therapeutic effect on PTSD that might be at least partially mediated by an influence on BDNF signaling in the hippocampus.
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Abbreviations
- ANOVA:
-
Analysis of variance
- BDNF:
-
Brain-derived neurotrophic factor
- NMDA:
-
N-methyl-d-aspartate
- PTSD:
-
Posttraumatic stress disorder
- TDS:
-
Time-dependent sensitization
- SSRIs:
-
Selective serotonin reuptake inhibitors
- EPM:
-
Elevated plus maze
- ST:
-
Staircase test
References
Adamec R (1997) Transmitter systems involved in neural plasticity underlying increased anxiety and defense—implications for understanding anxiety following traumatic stress. Neurosci Biobehav Rev 21:755–765
Adamec RE, Burton P, Shallow T, Budgell J (1999) NMDA receptors mediate lasting increases in anxiety-like behavior produced by the stress of predator exposure—implications for anxiety associated with posttraumatic stress disorder. Physiol Behav 65:723–737
Berman RM, Cappiello A, Anand A, Oren DA, Heninger GR, Charney DS, Krystal JH (2000) Antidepressant effects of ketamine in depressed patients. Biol Psychiatry 47:351–354
Broekman BF, Olff M, Boer F (2007) The genetic background to PTSD. Neurosci Biobehav Rev 31:348–362
da Silva FC, do Carmo de Oliveira Cito M, da Silva MI, Moura BA, de Aquino Neto MR, Feitosa ML, de Castro Chaves R, Macedo DS, de Vasconcelos SM, de Franca Fonteles MM, de Sousa FC (2010) Behavioral alterations and pro-oxidant effect of a single ketamine administration to mice. Brain Res Bull 83:9–15
Dell'Osso L, Carmassi C, Del Debbio A, Catena Dell'Osso M, Bianchi C, da Pozzo E, Origlia N, Domenici L, Massimetti G, Marazziti D, Piccinni A (2009) Brain-derived neurotrophic factor plasma levels in patients suffering from post-traumatic stress disorder. Prog Neuro-psychopharmacol Biol Psychiatry 33:899–902
Domino EF (2010) Taming the ketamine tiger. 1965. Anesthesiology 113:678–684
Duman RS, Monteggia LM (2006) A neurotrophic model for stress-related mood disorders. Biol Psychiatry 59:1116–1127
Engin E, Treit D, Dickson CT (2009) Anxiolytic- and antidepressant-like properties of ketamine in behavioral and neurophysiological animal models. Neuroscience 161:359–369
Felmingham KL, Dobson-Stone C, Schofield PR, Quirk GJ, Bryant RA (2013) The brain-derived neurotrophic factor Val66Met polymorphism predicts response to exposure therapy in posttraumatic stress disorder. Biol Psychiatry 73:1059–1063
Garcia LS, Comim CM, Valvassori SS, Reus GZ, Andreazza AC, Stertz L, Fries GR, Gavioli EC, Kapczinski F, Quevedo J (2008a) Chronic administration of ketamine elicits antidepressant-like effects in rats without affecting hippocampal brain-derived neurotrophic factor protein levels. Basic Clin Pharmacol Toxicol 103:502–506
Garcia LS, Comim CM, Valvassori SS, Reus GZ, Barbosa LM, Andreazza AC, Stertz L, Fries GR, Gavioli EC, Kapczinski F, Quevedo J (2008b) Acute administration of ketamine induces antidepressant-like effects in the forced swimming test and increases BDNF levels in the rat hippocampus. Prog Neuro-psychopharmacol Biol Psychiatry 32:140–144
Grillon C, Southwick SM, Charney DS (1996) The psychobiological basis of posttraumatic stress disorder. Mol Psychiatry 1:278–297
Haddad P (1998) The SSRI discontinuation syndrome. J Psychopharmacology 12:305–313
Hashimoto K (2011) Role of the mTOR signaling pathway in the rapid antidepressant action of ketamine. Expert Rev Neurother 11:33–36
Kapur S, Seeman P (2002) NMDA receptor antagonists ketamine and PCP have direct effects on the dopamine D(2) and serotonin 5-HT(2)receptors-implications for models of schizophrenia. Mol Psychiatry 7:837–844
Khan S, Liberzon I (2004) Topiramate attenuates exaggerated acoustic startle in an animal model of PTSD. Psychopharmacology 172:225–9
Kos T, Popik P, Pietraszek M, Schafer D, Danysz W, Dravolina O, Blokhina E, Galankin T, Bespalov AY (2006) Effect of 5-HT3 receptor antagonist MDL 72222 on behaviors induced by ketamine in rats and mice. Eur Neuropsychopharmacol: J Eur Coll Neuropsychopharmacol 16:297–310
Krystal JH, Karper LP, Seibyl JP, Freeman GK, Delaney R, Bremner JD, Heninger GR, Bowers MB Jr, Charney DS (1994) Subanesthetic effects of the noncompetitive NMDA antagonist, ketamine, in humans. Psychotomimetic, perceptual, cognitive, and neuroendocrine responses. Arch Gen Psychiatry 51:199–214
Lang UE, Borgwardt S (2013a) Molecular mechanisms of depression: perspectives on new treatment strategies. Cell Physiol Biochem: Int J Exp Cell Physiol, Biochem Pharmacol 31:761–777
Lang UE, Borgwardt S (2013b) Molecular mechanisms of depression: perspectives on new treatment strategies. Cell Physiol Biochem 31:761–777
Lee JL, Milton AL, Everitt BJ (2006) Reconsolidation and extinction of conditioned fear: inhibition and potentiation. J Neurosci: Off J Soc Neurosci 26:10051–10056
Lewin GR, Barde YA (1996) Physiology of the neurotrophins. Annu Rev Neurosci 19:289–317
Li N, Lee B, Liu RJ, Banasr M, Dwyer JM, Iwata M, Li XY, Aghajanian G, Duman RS (2010) mTOR-dependent synapse formation underlies the rapid antidepressant effects of NMDA antagonists. Science 329:959–964
Liebsch G, Montkowski A, Holsboer F, Landgraf R (1998) Behavioural profiles of two Wistar rat lines selectively bred for high or low anxiety-related behaviour. Behav Brain Res 94:301–310
Liu JL, Li M, Dang XR, Wang ZH, Rao ZR, Wu SX, Li YQ, Wang W (2009) A NMDA receptor antagonist, MK-801 impairs consolidating extinction of auditory conditioned fear responses in a Pavlovian model. PLoS One 4:e7548
Lommatzsch M, Zingler D, Schuhbaeck K, Schloetcke K, Zingler C, Schuff-Werner P, Virchow JC (2005) The impact of age, weight and gender on BDNF levels in human platelets and plasma. Neurobiol Aging 26:115–123
Machado-Vieira R, Salvadore G, Diazgranados N, Zarate CA Jr (2009) Ketamine and the next generation of antidepressants with a rapid onset of action. Pharmacol Ther 123:143–150
Maeng S, Zarate CA Jr, Du J, Schloesser RJ, McCammon J, Chen G, Manji HK (2008) Cellular mechanisms underlying the antidepressant effects of ketamine: role of alpha-amino-3-hydroxy-5-methylisoxazole-4-propionic acid receptors. Biol Psychiatry 63:349–352
Matsuoka Y, Nishi D, Noguchi H, Kim Y, Hashimoto K (2013) Longitudinal changes in serum brain-derived neurotrophic factor in accident survivors with posttraumatic stress disorder. Neuropsychobiology 68:44–50
McGhee LL, Maani CV, Garza TH, Gaylord KM, Black IH (2008) The correlation between ketamine and posttraumatic stress disorder in burned service members. The Journal of Trauma 64:S195–198, Discussion S197-8
Mehta D, Binder EB (2012) Gene x environment vulnerability factors for PTSD: the HPA-axis. Neuropharmacology 62:654–662
Nelson EM, Philbrick AM (2012) Avoiding serotonin syndrome: the nature of the interaction between tramadol and selective serotonin reuptake inhibitors. Ann Pharmacother 46:1712–1716
Oosthuizen F, Wegener G, Harvey BH (2005) Nitric oxide as inflammatory mediator in post-traumatic stress disorder (PTSD): evidence from an animal model. Neuropsychiatr Dis Treat 1:109–123
Pivac N, Kozaric-Kovacic D, Grubisic-Ilic M, Nedic G, Rakos I, Nikolac M, Blazev M, Muck-Seler D (2012) The association between brain-derived neurotrophic factor Val66Met variants and psychotic symptoms in posttraumatic stress disorder. World J Biol Psychiatry: Off J World Fed Soc Biol Psychiatry 13:306–311
Pynoos RS, Ritzmann RF, Steinberg AM, Goenjian A, Prisecaru I (1996) A behavioral animal model of posttraumatic stress disorder featuring repeated exposure to situational reminders. Biol Psychiatry 39:129–134
Qiu ZK, Zhang LM, Zhao N, Chen HX, Zhang YZ, Liu YQ, Mi TY, Zhou WW, Li Y, Yang RF, Xu JP, Li YF (2013) Repeated administration of AC-5216, a ligand for the 18kDa translocator protein, improves behavioral deficits in a mouse model of post-traumatic stress disorder. Prog Neuro-Psychopharmacol Biol Psychiatry 45:40–46
Reul JM, Nutt DJ (2008) Glutamate and cortisol—a critical confluence in PTSD? J Psychopharmacol 22:469–472
Rosa AO, Lin J, Calixto JB, Santos AR, Rodrigues AL (2003) Involvement of NMDA receptors and L-arginine-nitric oxide pathway in the antidepressant-like effects of zinc in mice. Behav Brain Res 144:87–93
Sheeler RD, Ackerman MJ, Richelson E, Nelson TK, Staab JP, Tangalos EG, Dieser LM, Cunningham JL (2012) Considerations on safety concerns about citalopram prescribing. Mayo Clin Proc Mayo Clin 87:1042–1045
Tso MM, Blatchford KL, Callado LF, McLaughlin DP, Stamford JA (2004) Stereoselective effects of ketamine on dopamine, serotonin and noradrenaline release and uptake in rat brain slices. Neurochem Int 44:1–7
Uys JD, Stein DJ, Daniels WM, Harvey BH (2003) Animal models of anxiety disorders. Curr Psychiatry Rep 5:274–281
Wilson C, Kercher M, Quinn B, Murphy A, Fiegel C, McLaurin A (2007) Effects of age and sex on ketamine-induced hyperactivity in rats. Physiol Behav 91:202–207
Yilmaz A, Schulz D, Aksoy A, Canbeyli R (2002) Prolonged effect of an anesthetic dose of ketamine on behavioral despair. Pharmacol, Biochem Behav 71:341–344
Zarate C Jr, Machado-Vieira R, Henter I, Ibrahim L, Diazgranados N, Salvadore G (2010) Glutamatergic modulators: the future of treating mood disorders? Harv Rev Psychiatry 18:293–303
Zhang LM, Yao JZ, Li Y, Li K, Chen HX, Zhang YZ, Li YF (2012) Anxiolytic effects of flavonoids in animal models of posttraumatic stress disorder. Evid-based Complement Alternat Med: eCAM 2012:623753
Zhang LM, Zhao N, Guo WZ, Jin ZL, Chen HX, Xue R, Zhang YZ, Yang RF, Li YF (2013) Antidepressant-like and anxiolytic-like effects of YL-IPA08, a potent ligand for the translocator protein (18 kDa). Neuropharmacology. 81:116–125
Zimmerman JM, Maren S (2010) NMDA receptor antagonism in the basolateral but not central amygdala blocks the extinction of Pavlovian fear conditioning in rats. Eur J Neurosci 31:1664–1670
Acknowledgments
This study was supported by the National Natural Science Foundation of China (No. 81001653, 30973516, 81102423, 81102498, 81072624, and 81173036) and the National Key New Drug Creation Program (No. 2012ZX09102101-004, 2012ZX09J12110-02C, and 2012ZX09J12201-004).
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Author Zhang (Li-ming Zhang) performed the research design, data analysis, and manuscript writing. Authors Wen-Wen Zhou, Ya-Jun Ji, and Ying Li performed the behavioral tests and Western blotting. Nan-Zhao, Hong-Xia Chen, and Rui Xue participated in behavioral tests. Authors Zhang (You-Zhi Zhang) and Wang contributed to research design, data analysis, and manuscript revision. Authors Mei and Li contributed to research design and manuscript revision.
Li-Ming Zhang and Wen-Wen Zhou contributed equally to this study.
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Zhang, LM., Zhou, WW., Ji, YJ. et al. Anxiolytic effects of ketamine in animal models of posttraumatic stress disorder. Psychopharmacology 232, 663–672 (2015). https://doi.org/10.1007/s00213-014-3697-9
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DOI: https://doi.org/10.1007/s00213-014-3697-9