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Ketamine’s regional selectivity: activity and receptor reserves

Science · 2024-08-09

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Science · Research frontiers

Ketamine’s regional selectivity: activity and receptor reserves

Comparing lateral habenula and hippocampal CA1 in male mice, researchers link ketamine’s early effects to cellular activity and NMDA-receptor reserves, with habenular changes connected to later hippocampal signals.

Representative receptor-exchange schematic from original Figure 5B: synaptic and extrasynaptic NMDA receptors and drug blockade; a conceptual diagram, not experimental microscopy

The same receptor can be found throughout the brain without a drug producing identical effects everywhere. Ketamine’s rapid antidepressant action sharpens the question: which regions respond early, and which changes follow? A 2024 Science study compares lateral habenula and hippocampal CA1 in chronically stressed male mice. Receptor presence is only a starting point; current cellular activity and available receptor reserves influence the strength and persistence of the drug’s effects.

KEY FINDING

In chronically stressed mice, ketamine rapidly suppresses lateral-habenular NMDA responses and firing without matching early CA1 changes. Manipulating cellular activity changes this sensitivity, and habenular NR1 intervention affects post-ketamine hippocampal signals.

Contents · 7 sections

The same receptor responds differently across two regions

Lateral habenula (LHb) connects with networks involved in negative affect, while CA1 is widely studied in memory and plasticity. Slice recordings after drug administration in chronically restrained mice reveal reduced LHb NMDA-receptor currents without a significant matching decrease in CA1 pyramidal cells.

The difference concerns the tested NMDA responses: AMPA currents do not significantly change in either region. Surface NR1-subunit levels in habenular tissue also remain unchanged after treatment, distinguishing the current reduction from a simple loss of surface receptors.

Original figure 1The same receptor responds differently across two regions
The same receptor responds differently across two regions
Original Figure 1: ketamine reduces LHb NMDA-receptor currents without a significant corresponding CA1 change. AMPA currents do not change significantly.
Source: Min Chen et al. · Science · TDM
Original figure and English caption ↗

More active habenular cells show an earlier firing decrease

In-vivo recordings establish the timing. Stressed mice show higher baseline overall and burst firing in LHb than in CA1 pyramidal cells. LHb firing decreases rapidly after treatment and remains reduced through the tested hour, whereas CA1 overall and burst firing do not change significantly.

Ketamine can block open NMDA-receptor channels, making activity an important context. More opportunities for receptors to open provide more opportunities for blockade. Within LHb, cells with stronger baseline bursting are also more represented among inhibited cells.

Original figure 2More active habenular cells show an earlier firing decrease
More active habenular cells show an earlier firing decrease
Original Figure 2: stressed mice have higher baseline LHb activity, which ketamine suppresses rapidly. Tested CA1 overall and burst firing changes are not significant.
Source: Min Chen et al. · Science · TDM
Original figure and English caption ↗

Without chronic stress, the habenula lacks the same response

Compared with unstressed mice, stressed mice show stronger LHb NMDA responses, higher membrane NR1 levels and greater firing activity. NMDA-current amplitude correlates with forced-swim immobility, associating cellular responses with the measured behavior.

In unstressed mice, the same treatment does not significantly change overall or burst firing. Current curves differ at some stimulus intensities, but NMDA and AMPA currents at the selected main comparison intensity do not significantly change. The same region can therefore respond differently across states.

Original figure 3Without chronic stress, the habenula lacks the same response
Without chronic stress, the habenula lacks the same response
Original Figure 3: LHb receptor responses, membrane NR1 and firing differ between stressed and unstressed mice. In unstressed animals, currents at the main comparison intensity and overall firing do not change significantly.
Source: Min Chen et al. · Science · TDM
Original figure and English caption ↗

Raising hippocampal activity changes drug sensitivity

The researchers then manipulate activity rather than only compare existing differences. After increasing activity in a subset of CA1 pyramidal cells, ketamine produces smaller NMDA currents in those cells than in neighboring unactivated cells, while AMPA currents remain similar. Changing activity reveals an early inhibitory effect.

Conversely, reducing activity in a subset of stressed-mouse LHb cells during treatment leaves larger subsequent NMDA currents and weaker blockade in those cells. These complementary results support a contribution of activity to regional drug selectivity.

Original figure 4Raising hippocampal activity changes drug sensitivity
Raising hippocampal activity changes drug sensitivity
Original Figure 4: increasing CA1 activity makes NMDA currents more susceptible to ketamine, while reducing LHb activity weakens blockade. AMPA comparisons are not significant.
Source: Min Chen et al. · Science · TDM
Original figure and English caption ↗

Similar blockade can be followed by different recovery

In slices, NMDA currents decrease in both regions during drug exposure, but recover more rapidly in CA1 after washout while LHb remains inhibited. Current-based estimates suggest a larger extrasynaptic receptor reserve in CA1 and a higher synaptic fraction in LHb. Different reserves may shape recovery.

Membrane receptors can exchange laterally between synaptic and extrasynaptic locations. When extrasynaptic CA1 receptors also become available for blockade, washout no longer produces the same rapid recovery. This supports replacement by unblocked receptors as an explanation, with less reserve for replacement in LHb.

Synaptic receptors can be pictured as active stations, with extrasynaptic receptors available as replacements. If some stations are blocked, an adequate unblocked reserve may restore responses; recovery is harder when that reserve is also blocked or initially small. This analogy reflects the proposed membrane-receptor exchange model.

Original figure 5Similar blockade can be followed by different recovery
Similar blockade can be followed by different recovery
Original Figure 5: recovery from blockade differs between regions. More extensive blockade of CA1 surface receptors limits recovery; current-based estimates and schematics support the extrasynaptic-reserve explanation.
Source: Min Chen et al. · Science · TDM
Original figure and English caption ↗

Habenular changes connect with later hippocampal responses

Reducing the obligatory NR1 subunit in LHb shifts forced-swim and sucrose-preference measures toward improvement, whether intervention precedes or follows chronic stress. Ketamine produces no further significant behavioral improvement in mice already receiving the NR1 intervention.

The hippocampus still participates. In controls, hippocampal serotonin signals rise after treatment, followed by a later BDNF increase. These treatment-associated increases are no longer significant after LHb NR1 intervention. The findings support a temporally ordered interregional model linking early habenular changes with subsequent hippocampal signals.

Original figure 6Habenular changes connect with later hippocampal responses
Habenular changes connect with later hippocampal responses
Original Figure 6: LHb NR1 intervention improves behavioral measures without further significant improvement from ketamine; the post-treatment hippocampal BDNF increase is also absent. The schematic summarizes early and subsequent regional effects.
Source: Min Chen et al. · Science · TDM
Original figure and English caption ↗

Regional selectivity emerges from cellular conditions

This adult male mouse study relates drug action to receptor state, cellular activity and available reserves. LHb and CA1 show different early responses while remaining connected through later effects. Understanding how a drug affects the brain therefore involves both its molecular target and when, and in what state, different regions enter the process.

Publication details

Min Chen, Shuangshuang Ma, Hanxiao Liu, Yiyan Dong, Jingxiang Tang, Zheyi Ni, Yi Tan, Chenchi Duan, Hui Li, Hefeng Huang, Yulong Li, Xiaohua Cao, Christopher J. Lingle, Yan Yang, Hailan Hu
Brain region–specific action of ketamine as a rapid antidepressant
Science · 2024-08-09
DOI: 10.1126/science.ado7010