Basimglurant for treatment of major depressive disorder: a novel negative allosteric modulator of metabotropic glutamate receptor 5
Abstract
INTRODUCTION: Metabotropic glutamate receptor 5 (mGlu5) negative allosteric modulators (NAM) such as 2-Methyl-6-(phenylethynyl)pyridine (MPEP) and 3-((2-Methyl-1,3-thiazol-4-yl)ethynyl)pyridine (MTEP) can produce antidepressant-like effects; an example being the forced swim test in rodents. It is therefore of high interest that a new mGlu5 NAM called basimglurant (RO4917523, RG7090) was recently introduced for clinical development in depression. AREAS COVERED: The current article reports on the preclinical and clinical work with basimglurant which strongly supports its use for treatment of depression. The authors cover the pharmacodynamics, pharmacokinetics and safety and tolerability features of basimglurant together with its clinical efficacy in a clinical type II trial. EXPERT OPINION: The antidepressant activity of basimglurant may be related to a preferential reduction of mGlu5 receptor signaling in distinct populations of cortical limbic GABA interneurons causing disinhibition of discrete glutamate neuronal networks in brain circuits of mood and emotion. Basimglurant's removal of mGlu5 receptor induced inhibition of D2 receptor signaling in A2A-D2-mGlu5 heteroreceptor complexes of ventral striato-pallidal GABA neurons mediating anti-reward may also play a role. Basimglurant is a highly promising antidepressant drug now in clinical development for depression. However, further clinical trials are highly warranted.
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Basimglurant and fenobam are being explored as antidepressants and anxiolytics acting on glutamatergic receptors.
“There is interest in developing agents, such as basimglurant and fenobam, as antidepressants and anxiolytics that target glutamatergic receptors 46.”
From Genome-wide meta-analysis of depression identifies 102 independent variants and highlights the importance of the prefrontal brain regions (2019) · cites this paper as [46]
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BindingDB (2019) · UC San Diego · doi:10.7270/q2dj5hs8
- Authors
- Fuxe, K., & Borroto-Escuela, D. O.
- Venue
- Expert Opinion on Investigational Drugs
- Publisher
- Informa Healthcare
- Published
- 2015-07-29
- Volume
- 24
- Issue
- 9
- Pages
- 1247-1260
- ISSN
- 1354-3784 (ISSN-L)
- 1744-7658
- OpenAlex
- W1756714365
- Cited by
- 43
- References
- 86
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 4 · 2022: 3 · 2021: 3 · 2020: 5 · 2019: 3 · 2018: 4 · 2017: 8 · 2016: 4 · 2015: 1
- FWCI
- 4.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Expert Opinion on Investigational Drugs (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- major depressive disorder, metabotropic glutamate receptor 5, negative allosteric modulators, antidepressant effects, pharmacokinetics, pharmacodynamics, safety and tolerability, depression treatment
- MeSH terms
- Allosteric Regulation, Animals, Antidepressive Agents, Depressive Disorder, Major, Major Depressive Disorder, Humans, Imidazoles, Pyridines, Receptor, Metabotropic Glutamate 5
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