Novel Pharmacological Approaches to the Treatment of Depression

Major depressive disorder is one of the most prevalent mental health disorders. Monoamine-based antidepressants were the first drugs developed to treat major depressive disorder. More recently, ketamine and other analogues were introduced as fast-acting antidepressants. Unfortunately, currently avai...

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Main Authors: Elias Elias, Ariel Y. Zhang, Melissa T. Manners
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/12/2/196
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author Elias Elias
Ariel Y. Zhang
Melissa T. Manners
author_facet Elias Elias
Ariel Y. Zhang
Melissa T. Manners
author_sort Elias Elias
collection DOAJ
description Major depressive disorder is one of the most prevalent mental health disorders. Monoamine-based antidepressants were the first drugs developed to treat major depressive disorder. More recently, ketamine and other analogues were introduced as fast-acting antidepressants. Unfortunately, currently available therapeutics are inadequate; lack of efficacy, adverse effects, and risks leave patients with limited treatment options. Efforts are now focused on understanding the etiology of depression and identifying novel targets for pharmacological treatment. In this review, we discuss promising novel pharmacological targets for the treatment of major depressive disorder. Targeting receptors including N-methyl-D-aspartate receptors, peroxisome proliferator-activated receptors, G-protein-coupled receptor 39, metabotropic glutamate receptors, galanin and opioid receptors has potential antidepressant effects. Compounds targeting biological processes: inflammation, the hypothalamic-pituitary-adrenal axis, the cholesterol biosynthesis pathway, and gut microbiota have also shown therapeutic potential. Additionally, natural products including plants, herbs, and fatty acids improved depressive symptoms and behaviors. In this review, a brief history of clinically available antidepressants will be provided, with a primary focus on novel pharmaceutical approaches with promising antidepressant effects in preclinical and clinical studies.
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spelling doaj.art-4ac1a22e015b44018affa15874cdf59d2023-11-23T20:45:37ZengMDPI AGLife2075-17292022-01-0112219610.3390/life12020196Novel Pharmacological Approaches to the Treatment of DepressionElias Elias0Ariel Y. Zhang1Melissa T. Manners2Department of Biological Sciences, University of the Sciences, 600 South 43rd Street, Philadelphia, PA 19104, USADepartment of Biological Sciences, University of the Sciences, 600 South 43rd Street, Philadelphia, PA 19104, USADepartment of Biological Sciences, University of the Sciences, 600 South 43rd Street, Philadelphia, PA 19104, USAMajor depressive disorder is one of the most prevalent mental health disorders. Monoamine-based antidepressants were the first drugs developed to treat major depressive disorder. More recently, ketamine and other analogues were introduced as fast-acting antidepressants. Unfortunately, currently available therapeutics are inadequate; lack of efficacy, adverse effects, and risks leave patients with limited treatment options. Efforts are now focused on understanding the etiology of depression and identifying novel targets for pharmacological treatment. In this review, we discuss promising novel pharmacological targets for the treatment of major depressive disorder. Targeting receptors including N-methyl-D-aspartate receptors, peroxisome proliferator-activated receptors, G-protein-coupled receptor 39, metabotropic glutamate receptors, galanin and opioid receptors has potential antidepressant effects. Compounds targeting biological processes: inflammation, the hypothalamic-pituitary-adrenal axis, the cholesterol biosynthesis pathway, and gut microbiota have also shown therapeutic potential. Additionally, natural products including plants, herbs, and fatty acids improved depressive symptoms and behaviors. In this review, a brief history of clinically available antidepressants will be provided, with a primary focus on novel pharmaceutical approaches with promising antidepressant effects in preclinical and clinical studies.https://www.mdpi.com/2075-1729/12/2/196antidepressantnatural productsmajor depressive disorderpharmacological treatmentmental healthmonoamine deficiency
spellingShingle Elias Elias
Ariel Y. Zhang
Melissa T. Manners
Novel Pharmacological Approaches to the Treatment of Depression
Life
antidepressant
natural products
major depressive disorder
pharmacological treatment
mental health
monoamine deficiency
title Novel Pharmacological Approaches to the Treatment of Depression
title_full Novel Pharmacological Approaches to the Treatment of Depression
title_fullStr Novel Pharmacological Approaches to the Treatment of Depression
title_full_unstemmed Novel Pharmacological Approaches to the Treatment of Depression
title_short Novel Pharmacological Approaches to the Treatment of Depression
title_sort novel pharmacological approaches to the treatment of depression
topic antidepressant
natural products
major depressive disorder
pharmacological treatment
mental health
monoamine deficiency
url https://www.mdpi.com/2075-1729/12/2/196
work_keys_str_mv AT eliaselias novelpharmacologicalapproachestothetreatmentofdepression
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