Novel glutamatergic agents for major depressive disorder and bipolar disorder
Open accessAbstract
Mood disorders such as major depressive disorder (MDD) and bipolar disorder (BPD) are common, chronic, recurrent mental illnesses that affect the lives and functioning of millions of individuals worldwide. Growing evidence suggests that the glutamatergic system is central to the neurobiology and treatment of these disorders. Here, we review data supporting the involvement of the glutamatergic system in the pathophysiology of mood disorders as well as the efficacy of glutamatergic agents as novel therapeutics.
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A single dose of ketamine alleviates depressive symptoms within hours in patients who have failed to respond to two or more conventional antidepressants, and the effects are sustained for 7 to 10 days.
“A single dose of ketamine alleviates depressive symptoms within hours in patients who have failed to respond to two or more conventional antidepressants, and the effects are sustained for 7 to 10 days.”
From Synaptic Dysfunction in Depression: Potential Therapeutic Targets (2012) · cites this paper as [47]
Section 5.2 (Ketamine; page unavailable) reports that a single dose produced antidepressant effects within two hours in patients with treatment-resistant major depressive disorder, with effects described as lasting 1–2 weeks. It does not specify that these patients had failed two or more conventional antidepressants, and it reports a sustained response at one week in 35% of patients rather than all patients. (LLM, conf=0.86)
Experimental — accuracy not yet measuredWith more than 90% of CNS neurons acting through glutamatergic and GABAergic pathways, excitatory activity must be well-regulated by an inhibitory component.
“With more than 90% of CNS neurons acting through these pathways, the excitatory activity must be well-regulated by an inhibitory component [12].”
From Pharmacotherapies Targeting GABA-Glutamate Neurotransmission for Treatment-Resistant Depression (2023) · cites this paper as [12]
The function of the CNS fundamentally relies on a delicate physiological balance between glutamatergic and GABAergic systems.
“The function of the CNS fundamentally relies on a delicate physiological balance between glutamatergic and GABAergic systems.”
From Pharmacotherapies Targeting GABA-Glutamate Neurotransmission for Treatment-Resistant Depression (2023) · cites this paper as [12]
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Self-citationSmith, E. G., Deligiannidis, K. M., Ulbricht, C. M., Landolin, C. S., Patel, J. K., & Rothschild, A. J. (2013) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.12m08252 · Cited by 82 · see citing works
Ketamine, Sleep, and Depression: Current Status and New Questions
Duncan, W. C., & Zarate, C. A. (2013) · Current Psychiatry Reports · doi:10.1007/s11920-013-0394-z · Cited by 76 · see citing works
Self-citationPereira, V. S., Casarotto, P. C., Hiroaki-Sato, V. A., Sartim, A. G., Guimarães, F. S., & Joca, S. R. L. (2013) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2013.01.008 · Cited by 66 · see citing works
Pharmacotherapies Targeting GABA-Glutamate Neurotransmission for Treatment-Resistant Depression
Vecera, C. M., C. Courtes, A., Jones, G., Soares, J. C., & Machado-Vieira, R. (2023) · Pharmaceuticals · doi:10.3390/ph16111572 · Cited by 48 · see citing works
“With more than 90% of CNS neurons acting through these pathways, the excitatory activity must be well-regulated by an inhibitory component [12].”
BackgroundSelf-citationBeyond the therapeutic shackles of the monoamines: new mechanisms in bipolar disorder biology
Data-Franco, J., Singh, A., Popovic, D., Ashton, M., Berk, M., Vieta, E., Figueira, M. L., & Dean, O. M. (2017) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2016.09.004 · Cited by 38 · see citing works
Are 24-hour motor activity patterns associated with continued rapid response to ketamine?
Duncan Jr, W. C., Slonena, E. E., Hejazi, N. S., Brutsche, N., Park, L. T., Henter, I. D., Ballard, E. D., & Zarate Jr, C. A. (2018) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s172089 · Cited by 17 · see citing works
Self-citation
- Authors
- Machado-Vieira, R., Ibrahim, L., Henter, I. D., & Zarate, C. A.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Zarate, Carlos A.
- Venue
- Pharmacology Biochemistry and Behavior
- Publisher
- Elsevier BV
- Published
- 2012-02
- Volume
- 100
- Issue
- 4
- Pages
- 678-687
- ISSN
- 0091-3057 (ISSN-L)
- PMC
- PMC3253881
- OpenAlex
- W2083850312
- Cited by
- 92
- References
- 180
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 4 · 2023: 5 · 2022: 5 · 2021: 3 · 2020: 8 · 2019: 4 · 2018: 2 · 2017: 5 · 2016: 5 · 2015: 13 · 2014: 13 · 2013: 12 · 2012: 5
- FWCI
- 1.20
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Pharmacology Biochemistry and Behavior (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (Z99 MH999999)
- U.S. Food and Drug Administration
- National Institute of Mental Health (ZIAMH002857)
- Topics
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- glutamatergic system, major depressive disorder, bipolar disorder, mood disorders, glutamatergic agents, antidepressants, mood stabilizers, glutamate receptors, neurobiology of depression, pathophysiology
- MeSH terms
- Bipolar Disorder, Depressive Disorder, Major, Major Depressive Disorder, Humans, Receptors, Glutamate
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