Cited by 102Treatment of Major DepressionTryptophan and brain disordersElectroconvulsive Therapy Studies

The role of adipokines in the rapid antidepressant effects of ketamine

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Machado-Vieira, R, Gold, P W, Luckenbaugh, D A, Ballard, E D, Richards, E M, Henter, I D, De Sousa, R T, Niciu, M J +2 more·2017·Molecular Psychiatry

Abstract

We previously found that body mass index (BMI) strongly predicted response to ketamine. Adipokines have a key role in metabolism (including BMI). They directly regulate inflammation and neuroplasticity pathways and also influence insulin sensitivity, bone metabolism and sympathetic outflow; all of these have been implicated in mood disorders. Here, we sought to examine the role of three key adipokines-adiponectin, resistin and leptin-as potential predictors of response to ketamine or as possible transducers of its therapeutic effects. Eighty treatment-resistant subjects who met DSM-IV criteria for either major depressive disorder (MDD) or bipolar disorder I/II and who were currently experiencing a major depressive episode received a single ketamine infusion (0.5 mg kg-1 for 40 min). Plasma adipokine levels were measured at three time points (pre-infusion baseline, 230 min post infusion and day 1 post infusion). Overall improvement and response were assessed using percent change from baseline on the Montgomery-Asberg Depression Rating Scale and the Hamilton Depression Rating Scale. Lower baseline levels of adiponectin significantly predicted ketamine's antidepressant efficacy, suggesting an adverse metabolic state. Because adiponectin significantly improves insulin sensitivity and has potent anti-inflammatory effects, this finding suggests that specific systemic abnormalities might predict positive response to ketamine. A ketamine-induced decrease in resistin was also observed; because resistin is a potent pro-inflammatory compound, this decrease suggests that ketamine's anti-inflammatory effects may be transduced, in part, by its impact on resistin. Overall, the findings suggest that adipokines may either predict response to ketamine or have a role in its possible therapeutic effects.

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Authors
Machado-Vieira, R., Gold, P. W., Luckenbaugh, D. A., Ballard, E. D., Richards, E. M., Henter, I. D., De Sousa, R. T., Niciu, M. J., Yuan, P., & Zarate, C. A.
Affiliations
  • National Institutes of Health (US)
  • National Institute of Mental Health (US)
Venue
Molecular Psychiatry
Published
2016-04-05
Volume
22
Issue
1
Pages
127-133
ISSN
  • 1359-4184 (ISSN-L)
  • 1476-5578
OpenAlex
W2320467731
Cited by
102
References
57
Citations by year
2026: 4 · 2025: 11 · 2024: 9 · 2023: 9 · 2022: 11 · 2021: 11 · 2020: 15 · 2019: 7 · 2018: 11 · 2017: 8 · 2016: 5 · 2015: 1
FWCI
8.36
Type
journal article
Language
en
Open access
Locations
  • Molecular Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Alliance for Research on Schizophrenia and Depression
  • National Institutes of Health
  • National Institute of Mental Health (Z01MH002857, ZIAMH002857)
Topics
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
  • Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
  • Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
Keywords
ketamine, adipokines, adiponectin, resistin, leptin, antidepressant response prediction, treatment-resistant depression, major depressive disorder, bipolar disorder, anti-inflammatory activity, insulin sensitivity, body mass index
MeSH terms
Adult, Antidepressive Agents, Bipolar Disorder, Depressive Disorder, Major, Major Depressive Disorder, Double-Blind Method, Female, Forecasting, Humans, Ketamine, Male, Middle Aged, Psychiatric Status Rating Scales, Treatment Outcome, Excitatory Amino Acid Antagonists, Adiponectin, Resistin, Adipokines, Depressive Disorder, Treatment-Resistant

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