Is the History Repeated? Can (2,6)-Hydroxynorketamine be Another Antidepressant?

Historically, identification of active metabolites has contributed to drug discovery for psychiatric disorders. It has led to the identification of new medications such as desipramine (a metabolite of imipramine) and paliperidone (a metabolite of risperidone). ( R,S )-Ketamine, which has been regard...

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Main Authors: Shigeyuki Chaki, Jun-ichi Yamaguchi
Format: Article
Language:English
Published: SAGE Publishing 2018-12-01
Series:Journal of Experimental Neuroscience
Online Access:https://doi.org/10.1177/1179069518815445
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author Shigeyuki Chaki
Jun-ichi Yamaguchi
author_facet Shigeyuki Chaki
Jun-ichi Yamaguchi
author_sort Shigeyuki Chaki
collection DOAJ
description Historically, identification of active metabolites has contributed to drug discovery for psychiatric disorders. It has led to the identification of new medications such as desipramine (a metabolite of imipramine) and paliperidone (a metabolite of risperidone). ( R,S )-Ketamine, which has been regarded as the greatest breakthrough in depression research, is rapidly and stereoselectively metabolized into a variety of metabolites. Therefore, identification of an active substance after administration of ( R,S )-ketamine is a critical issue, not only to delineate the underlying mechanisms but also to pave the way to develop a new antidepressant. Recently, one of the metabolites of ( R,S )-ketamine, namely, (2 R ,6 R )-hydroxynorketamine (HNK) was proposed as an active metabolite formed after administration of ( R,S )-ketamine, and even as being essential for ( R,S )-ketamine to exert its antidepressant effects. However, this is still controversial. Indeed, we demonstrated that the antidepressant effect of (2 R ,6 R )-HNK is not as potent as that of its parent compounds (( R )-ketamine and ( R,S )-ketamine), and that (2 R ,6 R )-HNK is not essential for ( R )-ketamine to exert its antidepressant effects. From the historical point of view, however, there is potential to discover new medications by further investigations of (2 R ,6 R )-HNK. Therefore, more careful and thorough investigation of (2 R ,6 R )-HNK is needed for the discovery of more efficacious and safer antidepressants.
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spelling doaj.art-3d90d0f4684241b7bc2061f0b8eb9b192022-12-21T22:41:23ZengSAGE PublishingJournal of Experimental Neuroscience1179-06952018-12-011210.1177/1179069518815445Is the History Repeated? Can (2,6)-Hydroxynorketamine be Another Antidepressant?Shigeyuki ChakiJun-ichi YamaguchiHistorically, identification of active metabolites has contributed to drug discovery for psychiatric disorders. It has led to the identification of new medications such as desipramine (a metabolite of imipramine) and paliperidone (a metabolite of risperidone). ( R,S )-Ketamine, which has been regarded as the greatest breakthrough in depression research, is rapidly and stereoselectively metabolized into a variety of metabolites. Therefore, identification of an active substance after administration of ( R,S )-ketamine is a critical issue, not only to delineate the underlying mechanisms but also to pave the way to develop a new antidepressant. Recently, one of the metabolites of ( R,S )-ketamine, namely, (2 R ,6 R )-hydroxynorketamine (HNK) was proposed as an active metabolite formed after administration of ( R,S )-ketamine, and even as being essential for ( R,S )-ketamine to exert its antidepressant effects. However, this is still controversial. Indeed, we demonstrated that the antidepressant effect of (2 R ,6 R )-HNK is not as potent as that of its parent compounds (( R )-ketamine and ( R,S )-ketamine), and that (2 R ,6 R )-HNK is not essential for ( R )-ketamine to exert its antidepressant effects. From the historical point of view, however, there is potential to discover new medications by further investigations of (2 R ,6 R )-HNK. Therefore, more careful and thorough investigation of (2 R ,6 R )-HNK is needed for the discovery of more efficacious and safer antidepressants.https://doi.org/10.1177/1179069518815445
spellingShingle Shigeyuki Chaki
Jun-ichi Yamaguchi
Is the History Repeated? Can (2,6)-Hydroxynorketamine be Another Antidepressant?
Journal of Experimental Neuroscience
title Is the History Repeated? Can (2,6)-Hydroxynorketamine be Another Antidepressant?
title_full Is the History Repeated? Can (2,6)-Hydroxynorketamine be Another Antidepressant?
title_fullStr Is the History Repeated? Can (2,6)-Hydroxynorketamine be Another Antidepressant?
title_full_unstemmed Is the History Repeated? Can (2,6)-Hydroxynorketamine be Another Antidepressant?
title_short Is the History Repeated? Can (2,6)-Hydroxynorketamine be Another Antidepressant?
title_sort is the history repeated can 2 6 hydroxynorketamine be another antidepressant
url https://doi.org/10.1177/1179069518815445
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