The Effects of Low Dose Ketamine on Working Memory
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1)School of Biological Science and Medical Engineering, Beihang University, Beijing 100191, China;2.4)First Hospital of Jilin University, Changchun 130021, China;3.2)Strategic Support Force Medical Center, Beijing 100101, China;4.5)Savaid Medical School, University of Chinese Academy of Sciences, Beijing 101408, China;5.3)Brainnetome Center and National Laboratory of Pattern Recognition, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China

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This work was supported by grants from the National Key Research and Development Program of China (2017YFA0105203) and the Strategic Priority Research Program of the Chinese Academy of Sciences (XDB32040200).

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    Abstract:

    Ketamine is an NMDAR antagonist that has been widely used for clinical anesthesia. In addition, low-dose ketamine has analgesic, anti-inflammatory and antidepressant effects, which have attracted extensive attention in recent years. However, how low-dose ketamine can affect the higher cognitive functions remain unclear. Here we review the effects of low-dose ketamine on working memory (WM). WM is the ability to temporally hold and manipulate information in the brain. It mainly relies on a network involving several key brain areas such as the prefrontal cortex (PFC), hippocampus, etc. WM plays a key role in many complex cognitive processes, thus to understand how it may be affected by low-dose ketamine is informative and important for its clinic use. Here we review the studies showing that acute or chronic use of low-dose ketamine will impair working memory in a sophisticated way. The possible mechanisms underlying such impairments include breaking the excitation/inhibition (E/I) balance in the PFC, changing the short-term and long-term synaptic plasticity, activating the DA pathway, etc. We also pointed out that to fully reveal the effects of low-dose ketamine on WM and related neural mechanism, future multi-facet studies combining behavioral tests, electrophysiology, neuroimaging, histology, etc, and with more comparable dosage and time of medication would be needed. We hope that this review will be instrumental for facilitating appropriate use of low-dose ketamine in clinical settings.

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ZHAO Zhi-Ping, NIE Chuang, JIANG Cheng-Teng, LUO Wei-Wei, GU Jian-Wen, YU Shan. The Effects of Low Dose Ketamine on Working Memory[J]. Progress in Biochemistry and Biophysics,2023,50(3):473-485

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History
  • Received:April 28,2022
  • Revised:December 30,2022
  • Accepted:August 12,2022
  • Online: March 22,2023
  • Published: March 20,2023