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Identification of New Ketamine Metabolites and Their Detailed Distribution in the Mammalian Brain

Vallianatou, Theodosia ; de Souza Anselmo, Carina ; Tsiara, Ioanna ; Bèchet, Nicholas B. LU ; Lundgaard, Iben LU and Globisch, Daniel (2024) In ACS Chemical Neuroscience 15(7). p.1335-1341
Abstract

Ketamine is a common anesthetic used in human and veterinary medicine. This drug has recently received increased medical and scientific attention due to its indications for neurological diseases. Despite being applied for decades, ketamine’s entire metabolism and pharmacological profile have not been elucidated yet. Therefore, insights into the metabolism and brain distribution are important toward identification of neurological effects. Herein, we have investigated ketamine and its metabolites in the pig brain, cerebrospinal fluid, and plasma using mass spectrometric and metabolomics analysis. We discovered previously unknown metabolites and validated their chemical structures. Our comprehensive analysis of the brain distribution of... (More)

Ketamine is a common anesthetic used in human and veterinary medicine. This drug has recently received increased medical and scientific attention due to its indications for neurological diseases. Despite being applied for decades, ketamine’s entire metabolism and pharmacological profile have not been elucidated yet. Therefore, insights into the metabolism and brain distribution are important toward identification of neurological effects. Herein, we have investigated ketamine and its metabolites in the pig brain, cerebrospinal fluid, and plasma using mass spectrometric and metabolomics analysis. We discovered previously unknown metabolites and validated their chemical structures. Our comprehensive analysis of the brain distribution of ketamine and 30 metabolites describes significant regional differences detected mainly for phase II metabolites. Elevated levels of these metabolites were identified in brain regions linked to clearance through the cerebrospinal fluid. This study provides the foundation for multidisciplinary studies of ketamine metabolism and the elucidation of neurological effects by ketamine.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
brain distribution, drug metabolism, Ketamine, mass spectrometry, phase II metabolites
in
ACS Chemical Neuroscience
volume
15
issue
7
pages
7 pages
publisher
The American Chemical Society (ACS)
external identifiers
  • pmid:38506562
  • scopus:85188460220
ISSN
1948-7193
DOI
10.1021/acschemneuro.4c00051
language
English
LU publication?
yes
id
dee47baa-6bad-404c-93e7-b1996ede9f58
date added to LUP
2024-04-12 09:54:05
date last changed
2024-04-26 11:50:23
@article{dee47baa-6bad-404c-93e7-b1996ede9f58,
  abstract     = {{<p>Ketamine is a common anesthetic used in human and veterinary medicine. This drug has recently received increased medical and scientific attention due to its indications for neurological diseases. Despite being applied for decades, ketamine’s entire metabolism and pharmacological profile have not been elucidated yet. Therefore, insights into the metabolism and brain distribution are important toward identification of neurological effects. Herein, we have investigated ketamine and its metabolites in the pig brain, cerebrospinal fluid, and plasma using mass spectrometric and metabolomics analysis. We discovered previously unknown metabolites and validated their chemical structures. Our comprehensive analysis of the brain distribution of ketamine and 30 metabolites describes significant regional differences detected mainly for phase II metabolites. Elevated levels of these metabolites were identified in brain regions linked to clearance through the cerebrospinal fluid. This study provides the foundation for multidisciplinary studies of ketamine metabolism and the elucidation of neurological effects by ketamine.</p>}},
  author       = {{Vallianatou, Theodosia and de Souza Anselmo, Carina and Tsiara, Ioanna and Bèchet, Nicholas B. and Lundgaard, Iben and Globisch, Daniel}},
  issn         = {{1948-7193}},
  keywords     = {{brain distribution; drug metabolism; Ketamine; mass spectrometry; phase II metabolites}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{1335--1341}},
  publisher    = {{The American Chemical Society (ACS)}},
  series       = {{ACS Chemical Neuroscience}},
  title        = {{Identification of New Ketamine Metabolites and Their Detailed Distribution in the Mammalian Brain}},
  url          = {{http://dx.doi.org/10.1021/acschemneuro.4c00051}},
  doi          = {{10.1021/acschemneuro.4c00051}},
  volume       = {{15}},
  year         = {{2024}},
}