Glutamatergic Modulators: The Future of Treating Mood Disorders?
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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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Riluzole and ketamine prevent neurotoxicity and relieve inflammation by inhibiting glutamate secretion and modulating NMDA receptors.
“Riluzole and ketamine prevent neurotoxicity and relieve inflammation by inhibiting glutamate secretion and modulating NMDA receptors[60].”
From Neuroinflammation and cytokine abnormality in major depression: cause or consequence in that illness? (2016) · cites this paper as [60]
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Antidepressant Effect of Ketamine During ECT
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Baldessarini, R. J. (2013) · doi:10.1007/978-1-4614-3710-9 · Cited by 365 · see citing works
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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)
- PMC
- PMC3000412
- 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
- green
- www.ncbi.nlm.nih.gov
- 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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