Microglial BDNF modulates arketamine's antidepressant-like effects through cortico-accumbal pathways

Sci Adv. 2025 Jul 11;11(28):eadv5986. doi: 10.1126/sciadv.adv5986. Epub 2025 Jul 9.

Abstract

Arketamine, the (R)-enantiomer of (R,S)-ketamine, shows even greater rapid and sustained antidepressant-like effects in rodent models compared to esketamine, yet the underlying mechanisms remain unclear. In this study, we used the chronic social defeat stress (CSDS) model to investigate how arketamine exerts its antidepressant-like effects. We found that activating cAMP response element-binding protein (CREB) at S133 and methyl-CpG-binding protein 2 (MeCP2) at S421 drives the transcription of brain-derived neurotrophic factor (BDNF), contributing to arketamine's antidepressant-like effects. Furthermore, microglia-derived BDNF enhances excitatory synaptic transmission in the infralimbic (IL) region of the medial prefrontal cortex (mPFC), mediating the antidepressant-like effects of arketamine in CSDS-susceptible mice. Last, microglia-derived BDNF can activate mPFC (IL) neurons projecting to the nucleus accumbens (NAc) shell, contributing to arketamine's antidepressant-like effects. These findings highlight the essential role of microglial BDNF in modulating NAc-projecting mPFC neurons, which contribute to the antidepressant-like effects of arketamine.

MeSH terms

  • Animals
  • Antidepressive Agents* / pharmacology
  • Brain-Derived Neurotrophic Factor* / genetics
  • Brain-Derived Neurotrophic Factor* / metabolism
  • Cyclic AMP Response Element-Binding Protein / metabolism
  • Depression / drug therapy
  • Depression / metabolism
  • Disease Models, Animal
  • Ketamine* / analogs & derivatives
  • Ketamine* / pharmacology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Microglia* / drug effects
  • Microglia* / metabolism
  • Nucleus Accumbens* / drug effects
  • Nucleus Accumbens* / metabolism
  • Prefrontal Cortex* / drug effects
  • Prefrontal Cortex* / metabolism
  • Synaptic Transmission / drug effects

Substances

  • Brain-Derived Neurotrophic Factor
  • Ketamine
  • Antidepressive Agents
  • Cyclic AMP Response Element-Binding Protein
  • Bdnf protein, mouse