This Week in Ketamine: New Hope for Depression & Anxiety | ISHA Health

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This Week in Ketamine: New Hope for Depression & Anxiety | ISHA Health

Written by

Isha Team

published:

March 17, 2023

updated:

October 6, 2023

A lot of interesting papers this week including ketamine and zinc for anorexia nervosa, a meta-analysis comparing ketamine vs ECT, a clinical guideline for SI discussing ketamine. Read more below 👇

  1. A systematic review and meta-analysis compared the efficacy and adverse effects of ketamine versus electroconvulsive therapy for major depressive disorder, finding that ketamine seems to be an attractive alternative due to its rapid-onset antidepressant effects and impact on suicidal thoughts.
  • Ketamine is a promising alternative to electroconvulsive therapy for major depressive disorder.
  • Ketamine has rapid-onset antidepressant effects and an impact on suicidal thoughts.

  1. An article reviewed the potential benefits of novel ketamine and zinc treatment for anorexia nervosa, including potential beneficial interactions with the gut microbiome.
  • Ketamine and zinc treatment could be a potential treatment for anorexia nervosa.
  • There may be potential beneficial interactions with the gut microbiome.

  1. Clinical practice guidelines for management of suicidal behavior discussed the use of ketamine in rapidly reducing suicidal ideation.
  • Ketamine has been shown to be effective in rapidly reducing suicidal ideation.
  • The use of ketamine is recommended, but there are still some issues concerning its use.

  1. A review of psilocybin discussed its chemistry, clinical uses, and future research directions, along with other classic psychedelics like ketamine and LSD.
  • Classic psychedelics like ketamine and psilocybin produce individualized subjective effects.
  • There is a growing public interest in psychedelic medicine.

  1. An article studied the antidepressant effects of ketamine and how it triggers intracellular signaling pathways to mediate synaptic plasticity.
  • Ketamine triggers intracellular signaling pathways to mediate synaptic plasticity.
  • This mechanism underlies the rapid antidepressant effects and links to downstream signaling and the sustained effects.

  1. An article discussed the potential benefits of using an "active" placebo that mimics the cognitive effects of ketamine to optimize control conditions in studies comparing IV ketamine with a saline placebo.
  • Using an "active" placebo may better mimic the cognitive effects of ketamine.
  • This could optimize control conditions in studies comparing IV ketamine with a saline placebo.

  1. An article studied the effect of ketamine on endoplasmic reticulum stress in rats with neuropathic pain, finding an improvement in allodynia after ketamine injection.
  • Ketamine injection improved allodynia in rats with neuropathic pain.
  • The duration of the ketamine effect and changes in the contralateral and ipsilateral sides were observed.

  1. An article investigated the protective effect of Lipoxin A4 methyl ester on ketamine-induced neurotoxicity in SH-SY5Y cells, as well as morphological changes induced by ketamine.
  • Lipoxin A4 methyl ester could protect against ketamine-caused cytotoxicity in SH-SY5Y cells.
  • Inhibition of leptin signaling pathway may be involved in the protective effect.

  1. An article investigated the long-term effects of repeated exposure to various doses of ketamine on anxiety-like behaviors and locomotor activity in juvenile rats.
  • The potential adverse effects of ketamine use in juvenile age are uncertain.
  • Repeated exposure to various doses of ketamine could affect anxiety-like behaviors and locomotor activity in juvenile rats.

  1. An article studied the antidepressant effects of ketamine in mice treated with tumor necrosis factor-α, finding that BNIP3L/NIX-mediated mitophagy was involved in the antidepressant effects of ketamine.
  • BNIP3L/NIX-mediated mitophagy is involved in the antidepressant effects of ketamine.
  • Ketamine could alleviate passive stress-coping behaviors induced by tumor necrosis factor-α.

References:

  1. Moreira, D.A.S., Gauer, L.E., Teixeira, G., da Silva, A.C., Farias, L.P., & von Werne Baes, C. (2023). Efficacy and adverse effects of ketamine versus electroconvulsive therapy for major depressive disorder: A systematic review and meta-analysis. Journal of Affective Disorders.
  2. Elwyn, R., Mitchell, J., Kohn, M.R., Driver, C., Hay, P., & Walsh, B.T. (2023). Novel Ketamine and Zinc Treatment for Anorexia Nervosa and the Potential Beneficial Interactions With the Gut Microbiome. Neuroscience & Biobehavioral Reviews.
  3. Sarkhel, S., Vijayakumar, V., & Vijayakumar, L. (2023). Clinical practice guidelines for management of suicidal behaviour. Indian Journal of Psychiatry.
  4. Milliken, E., Galettis, P., & Martin, J. (2023). A review of psilocybin: chemistry, clinical uses and future research directions. Australian Journal of Chemistry.
  5. Kim, J.W., Suzuki, K., Kavalali, E.T., & Monteggia, L.M. (2023). Bridging rapid and sustained antidepressant effects of ketamine. Trends in Molecular Medicine.
  6. Feeney, A., & Papakostas, G.I. (2023). Pharmacotherapy: Ketamine and Esketamine. Psychiatric Clinics.
  7. Seo, E.H., Piao, L., Cho, E.H., Hong, S.W., & Kim, S.H. (2023). The Effect of Ketamine on Endoplasmic Reticulum Stress in Rats with Neuropathic Pain. International Journal of Molecular Sciences.
  8. Zhang, R., Wang, X., Xie, Z., Cao, T., Jiang, S., & Huang, L. (2023). Lipoxin A4 methyl ester attenuated ketamine-induced neurotoxicity in SH-SY5Y cells via regulating leptin pathway. Toxicology in Vitro.
  9. Arpacı, A.H., Çalıskan, H., Gunes, E., & Işık, B. (2023). Effects of the Recurrent and Different Doses of Ketamine Exposure on Anxiety-like Behaviors and Locomotor Activity in Juvenile Rats. Current Alzheimer Research.
  10. Lu, J.J., Wu, P.F., He, J.G., Li, Y.K., Long, L.H., Yao, X.P., & Yang, J.H. (2023). BNIP3L/NIX-mediated mitophagy alleviates passive stress-coping behaviors induced by tumor necrosis factor-α. Molecular Psychiatry.

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