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Dual action of ketamine confines addiction liability

Authors: Linda D. Simmler; Yue Li; Lotfi C. Hadjas; Agnès Hiver; Ruud van Zessen; Christian Lüscher;

Dual action of ketamine confines addiction liability

Abstract

Ketamine is clinically used as an anesthetic, a fast-acting antidepressant, and recreationally used for its dissociative properties. Addictive drugs, such as cocaine, increase dopamine (DA) levels in the nucleus accumbens (NAc). This facilitates synaptic plasticity in the mesolimbic system, which causes behavioral adaptations, eventually driving the transition to compulsion1-4. The addiction liability of ketamine is a matter of much debate, also because of its complex pharmacology that among several targets includes N-methyl-d-aspartic acid (NMDA) receptor (NMDAR) antagonism5,6. Here we show that ketamine fails to induce synaptic plasticity typically observed with addictive drugs in mice despite inducing robust DA transients in the NAc. Ketamine nevertheless supported reinforcement via disinhibition of DA neurons in the ventral tegmental area (VTA). This effect was mediated by NMDAR antagonism in VTA γ-aminobutyric acid (GABA) neurons but quickly terminated by type 2 DA receptors (D2R) on DA neurons. The rapid off-kinetics of the DA transients along with the NMDARs antagonism precluded the induction of synaptic plasticity in the VTA and NAc, and failed to elicit locomotor sensitization and uncontrolled self-administration. In summary, ketamine’s dual-action leads to a unique constellation for DA-driven positive reinforcement yet low addiction liability.

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Keywords

Mice, Neuronal Plasticity, Substance-Related Disorders, Dopamine, Dopaminergic Neurons, Ventral Tegmental Area, Animals, Ketamine, Self Administration, Receptors, N-Methyl-D-Aspartate, Reinforcement, Psychology, Nucleus Accumbens

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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