A translational perspective on the anti-anhedonic effect of ketamine and its neural underpinnings

Anhedonia, a pronounced reduction in interest or pleasure in any of life’s daily activities, is a cardinal symptom of major depression. In this Perspective article, we synthesise the recent evidence from rodent, monkey and human neuroimaging literature to highlight how the habenula, a small evolutio...

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Veröffentlicht in:Molecular psychiatry 2022-01, Vol.27 (1), p.81-87
Hauptverfasser: Pulcu, Erdem, Guinea, Calum, Cowen, Philip J., Murphy, Susannah E., Harmer, Catherine J.
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container_end_page 87
container_issue 1
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container_title Molecular psychiatry
container_volume 27
creator Pulcu, Erdem
Guinea, Calum
Cowen, Philip J.
Murphy, Susannah E.
Harmer, Catherine J.
description Anhedonia, a pronounced reduction in interest or pleasure in any of life’s daily activities, is a cardinal symptom of major depression. In this Perspective article, we synthesise the recent evidence from rodent, monkey and human neuroimaging literature to highlight how the habenula, a small evolutionarily conserved subcortical structure located in the midbrain, may orchestrate the behavioural expression of anhedonia across fronto-mesolimbic networks. We then review how this circuitry can be modulated by ketamine, an NMDA receptor antagonist with rapid antidepressant properties. We propose that experimental paradigms founded in reinforcement learning and value-based decision-making can usefully probe this network and thereby help elucidate the mechanisms underlying ketamine’s rapid antidepressant action.
doi_str_mv 10.1038/s41380-021-01183-1
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59/78
631/378
631/477
64/60
Anhedonia
Antidepressive Agents - pharmacology
Antidepressive Agents - therapeutic use
Behavior
Behavioral Sciences
Biological Psychology
Decision making
Depressive Disorder, Major - drug therapy
Dopamine
Glutamic acid receptors (ionotropic)
Habenula
Hedonic response
Humans
Ketamine
Ketamine - pharmacology
Ketamine - therapeutic use
Medical imaging
Medicine
Medicine & Public Health
Mental depression
Mesencephalon
Mesolimbic system
N-Methyl-D-aspartic acid receptors
Neuroimaging
Neurosciences
Perspective
Pharmacotherapy
Psychiatry
Receptors, N-Methyl-D-Aspartate - metabolism
title A translational perspective on the anti-anhedonic effect of ketamine and its neural underpinnings
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