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Ketamine exerts its sustained antidepressant effects via cell-type-specific regulation of Kcnq2

MPS-Authors
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Lopez,  Juan Pablo
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Brivio,  Elena
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Karamihalev,  Stoyo
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Kos,  Aron
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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De Donno,  Carlo
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Benjamin,  Asaf
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Yang,  Huanqing
RG Stress Resilience, Max Planck Institute of Psychiatry, Max Planck Society;

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Dick,  Alec L. W.
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Stoffel,  Rainer
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Flachskamm,  Cornelia
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Ressle,  Andrea
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Roeh,  Simone
Dept. Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Max Planck Society;

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Huettl,  Rosa Eva
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Parl,  Andrea
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Eggert,  Carola
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Novak,  Bozidar
Dept. Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Max Planck Society;

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Yan,  Yu
RG Proteomics and Biomarkers, Max Planck Institute of Psychiatry, Max Planck Society;

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Yeoh,  Karin
RG Proteomics and Biomarkers, Max Planck Institute of Psychiatry, Max Planck Society;

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Lebar,  Maria
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Hauger,  Barbara
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Harbich,  Daniela
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Schmid,  Bianca
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Di Giaimo,  Rossella
Max Planck Research Group Developmental Neurobiology (Silvia Cappello), Max Planck Institute of Psychiatry, Max Planck Society;

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Turck,  Christoph W.
RG Proteomics and Biomarkers, Max Planck Institute of Psychiatry, Max Planck Society;

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Schmidt,  Mathias V.
RG Stress Resilience, Max Planck Institute of Psychiatry, Max Planck Society;

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Deussing,  Jan M.
RG Molecular Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Eder,  Matthias
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Dine,  Julien
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Chen,  Alon
Dept. Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, Max Planck Society;

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Citation

Lopez, J. P., Luecken, M. D., Brivio, E., Karamihalev, S., Kos, A., De Donno, C., et al. (2022). Ketamine exerts its sustained antidepressant effects via cell-type-specific regulation of Kcnq2. NEURON, 110(14), 2283-2298.e9. doi:10.1016/j.neuron.2022.05.001.


Cite as: https://hdl.handle.net/21.11116/0000-000A-FBB7-D
Abstract
A single sub-anesthetic dose of ketamine produces a rapid and sustained antidepressant response, yet the molecular mechanisms responsible for this remain unclear. Here, we identified cell-type-specific transcrip-tional signatures associated with a sustained ketamine response in mice. Most interestingly, we identified the Kcnq2 gene as an important downstream regulator of ketamine action in glutamatergic neurons of the ventral hippocampus. We validated these findings through a series of complementary molecular, electro-physiological, cellular, pharmacological, behavioral, and functional experiments. We demonstrated that adjunctive treatment with retigabine, a KCNQ activator, augments ketamine???s antidepressant-like effects in mice. Intriguingly, these effects are ketamine specific, as they do not modulate a response to classical an-tidepressants, such as escitalopram. These findings significantly advance our understanding of the mecha-nisms underlying the sustained antidepressant effects of ketamine, with important clinical implications.