Cited by 228Treatment of Major DepressionBipolar Disorder and TreatmentNeuroscience and Neuropharmacology Research

Glutamatergic Modulators: The Future of Treating Mood Disorders?

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Zarate, Carlos, Machado-Vieira, Rodrigo, Henter, Ioline, Ibrahim, Lobna, Diazgranados, Nancy, Salvadore, Giacomo·2010·Harvard Review of Psychiatry

Abstract

Mood disorders such as bipolar disorder and major depressive disorder are common, chronic, and recurrent conditions affecting millions of individuals worldwide. Existing antidepressants and mood stabilizers used to treat these disorders are insufficient for many. Patients continue to have low remission rates, delayed onset of action, residual subsyndromal symptoms, and relapses. New therapeutic agents able to exert faster and sustained antidepressant or mood-stabilizing effects are urgently needed to treat these disorders. In this context, the glutamatergic system has been implicated in the pathophysiology of mood disorders in unique clinical and neurobiological ways. In addition to evidence confirming the role of the glutamatergic modulators riluzole and ketamine as proof-of-concept agents in this system, trials with diverse glutamatergic modulators are under way. Overall, this system holds considerable promise for developing the next generation of novel therapeutics for the treatment of bipolar disorder and major depressive disorder.

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Authors
Zarate, C., Machado-Vieira, R., Henter, I., Ibrahim, L., Diazgranados, N., & Salvadore, G.
Affiliations
National Institutes of Health (US)
Corresponding author
Zarate, Carlos
Venue
Harvard Review of Psychiatry
Published
2010-08
Volume
18
Issue
5
Pages
293-303
ISSN
1067-3229 (ISSN-L)
OpenAlex
W2000388202
Cited by
228
References
129
Citations by year
2026: 2 · 2025: 2 · 2024: 5 · 2023: 6 · 2022: 23 · 2021: 9 · 2020: 12 · 2019: 11 · 2018: 3 · 2017: 13 · 2016: 19 · 2015: 23 · 2014: 19 · 2013: 24 · 2012: 35
FWCI
2.91
Type
journal article
Language
en
Open access
Locations
  • Harvard Review of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes of Health (Z99 MH999999)
Topics
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
Keywords
mood disorders, bipolar disorder, major depressive disorder, antidepressants, mood stabilizers, riluzole, ketamine, glutamatergic system, new drugs, remission rate, relapse
MeSH terms
Bipolar Disorder, Major Depressive Disorder, Humans, Ketamine, Receptors, Glutamate, Excitatory Amino Acid Agents, Riluzole, Mood Disorders

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