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]
^ 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 .