7-Chlorokynurenic acid
Chemical compound
7-Chlorokynurenic acid (7-CKA ) is a tool compound that acts as a potent and selective competitive antagonist of the glycine site of the NMDA receptor .[ 1] It produces ketamine -like rapid antidepressant effects in animal models of depression .[ 2] [ 3] However, 7-CKA is unable to cross the blood-brain-barrier , and for this reason, is unsuitable for clinical use .[ 4] As a result, a centrally-penetrant prodrug of 7-CKA, 4-chlorokynurenine (AV-101), has been developed for use in humans, and is being studied in clinical trials as a potential treatment for major depressive disorder ,[ 4] [ 5] [ 6] and anti-nociception.[ 7] In addition to antagonizing the NMDA receptor, 7-CKA also acts as a potent inhibitor of the reuptake of glutamate into synaptic vesicles (or as a vesicular glutamate reuptake inhibitor ), an action that it mediates via competitive blockade of vesicular glutamate transporters (Ki = 0.59 mM).[ 8]
See also
References
^ Kemp JA, Foster AC, Leeson PD, Priestley T, Tridgett R, Iversen LL, Woodruff GN (1988). "7-Chlorokynurenic acid is a selective antagonist at the glycine modulatory site of the N-methyl-D-aspartate receptor complex" . Proc. Natl. Acad. Sci. U.S.A . 85 (17): 6547–50. Bibcode :1988PNAS...85.6547K . doi :10.1073/pnas.85.17.6547 . PMC 282010 . PMID 2842779 .
^ Zhang, Ke; Xu, Ting; Yuan, Zhongmin; Wei, Zhisheng; Yamaki, Vitor Nagai; Huang, Mingfa; Huganir, Richard L.; Cai, Xiang (2016-12-13). "Essential roles of AMPA receptor GluA1 phosphorylation and presynaptic HCN channels in fast-acting antidepressant responses of ketamine" . Sci. Signal . 9 (458): ra123. doi :10.1126/scisignal.aai7884 . ISSN 1945-0877 . PMC 5564288 . PMID 27965425 .
^ Zanos, Panos; Piantadosi, Sean C.; Wu, Hui-Qiu; Pribut, Heather J.; Dell, Matthew J.; Can, Adem; Snodgrass, H. Ralph; Zarate, Carlos A.; Schwarcz, Robert (October 2015). "The Prodrug 4-Chlorokynurenine Causes Ketamine-Like Antidepressant Effects, but Not Side Effects, by NMDA/GlycineB-Site Inhibition" . The Journal of Pharmacology and Experimental Therapeutics . 355 (1): 76–85. doi :10.1124/jpet.115.225664 . ISSN 1521-0103 . PMC 4576668 . PMID 26265321 .
^ a b Hokari M, Wu HQ, Schwarcz R, Smith QR (1996). "Facilitated brain uptake of 4-chlorokynurenine and conversion to 7-chlorokynurenic acid" . NeuroReport . 8 (1): 15–8. doi :10.1097/00001756-199612200-00004 . PMID 9051744 . S2CID 32729671 .
^ Gerhard, Danielle M.; Wohleb, Eric S.; Duman, Ronald S. (March 2016). "Emerging treatment mechanisms for depression: focus on glutamate and synaptic plasticity" . Drug Discovery Today . 21 (3): 454–464. doi :10.1016/j.drudis.2016.01.016 . ISSN 1878-5832 . PMC 4803609 . PMID 26854424 .
^ Vécsei, László; Szalárdy, Levente; Fülöp, Ferenc; Toldi, József (2012). "Kynurenines in the CNS: recent advances and new questions". Nature Reviews Drug Discovery . 12 (1): 64–82. doi :10.1038/nrd3793 . ISSN 1474-1776 . PMID 23237916 . S2CID 31914015 .
^ Wallace, Mark; White, Alexander; Grako, Kathy A.; Lane, Randal; Cato, Allen (Jo); Snodgrass, H. Ralph (2017-06-14). "Randomized, double-blind, placebo-controlled, dose-escalation study: Investigation of the safety, pharmacokinetics, and antihyperalgesic activity of l-4-chlorokynurenine in healthy volunteers" . Scandinavian Journal of Pain . 17 (1): 243–251. doi :10.1016/j.sjpain.2017.05.004 . ISSN 1877-8860 . PMID 29229209 . S2CID 46873455 .
^ Bartlett RD, Esslinger CS, Thompson CM, Bridges RJ (1998). "Substituted quinolines as inhibitors of L-glutamate transport into synaptic vesicles". Neuropharmacology . 37 (7): 839–46. doi :10.1016/s0028-3908(98)00080-x . PMID 9776380 . S2CID 39853026 .
AMPAR Tooltip α-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor KAR Tooltip Kainate receptor NMDAR Tooltip N-Methyl-D-aspartate receptor
Transporter
EAATs Tooltip Excitatory amino acid transporters vGluTs Tooltip Vesicular glutamate transporters
Enzyme
GAH Tooltip Glutamine aminohydrolase (glutaminase) AST Tooltip Aspartate aminotransferase ALT Tooltip Alanine aminotransferase GDH Tooltip Glutamate dehydrogenase GS Tooltip Glutamine synthetase GAD Tooltip Glutamate decarboxylase