Worldwide, millions of people suffer from
treatment-resistant depression.
Ketamine, a glutamatergic receptor antagonist, can have a rapid
antidepressant effect even in treatment-resistant patients. A proposed mechanism for the
antidepressant effect of
ketamine is the reduction of
neuroinflammation. To further explore this hypothesis, we investigated whether a single dose of
ketamine can modulate protracted
neuroinflammation in a repeated social defeat (RSD) stress rat model, which resembles features of depression. To this end, male animals exposed to RSD were injected with
ketamine (20 mg/kg) or vehicle. A combination of behavioral analyses and PET scans of the inflammatory marker TSPO in the brain were performed. Rats submitted to RSD showed
anhedonia-like behavior in the
sucrose preference test, decreased
weight gain, and increased TSPO levels in the insular and entorhinal cortices, as observed by [
11C]-PK11195 PET. Whole brain TSPO levels correlated with
corticosterone levels in several brain regions of RSD exposed animals, but not in controls.
Ketamine injection 1 day after RSD disrupted the correlation between TSPO levels and serum
corticosterone levels, but had no effect on depressive-like symptoms,
weight gain or the protracted RSD-induced increase in TSPO expression in male rats. These results suggest that
ketamine does not exert its effect on the hypothalamic-pituitary-adrenal axis by modulation of
neuroinflammation.