NMDA receptor antagonists and pain: ketamine.
Abstract: N-Methyl-D-aspartate (NMDA) is a synthetic chemical binding molecule (ligand) that selectively binds to the "slow response" glutamate NMDA receptor (NMDAR). NMDARs are important for normal brain function and play a central role in learning, memory, and the development of central nervous system hyperactive states. Diverse chemicals belonging to various drug families have demonstrated NMDAR antagonistic effects. Ketamine has been shown to produce antihyperalgesic effects produced by incision and tissue or nerve damage, and has become popular in equine practice as an anesthetic and more recently as an analgesic for standing surgical procedures and the treatment of laminitis. This review focuses on the development of ketamine as an anesthetic and analgesic in horses.
Copyright © 2010 Elsevier Inc. All rights reserved.
Publication Date: 2010-11-09 PubMed ID: 21056300DOI: 10.1016/j.cveq.2010.07.009Google Scholar: Lookup
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Summary
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The research article primarily discusses the use of NMDA receptor antagonist, Ketamine, as an anesthetic and analgesic in horses.
Overview of NMDA Receptors and Antagonists
- The article begins with an explanation about N-Methyl-D-aspartate (NMDA), a synthetic chemical binding molecule. It specifically binds to the “slow response” glutamate NMDA receptor, which is essential for normal brain function.
- These receptors play a crucial role in various functions of the brain such as learning, memory, and the development of hyperactive states within the central nervous system.
- The research focuses on various chemicals from different drug families that have shown NMDA receptor antagonistic effects. In essence, these chemicals act as blockers for the NMDA receptors, inhibiting or reducing their activity.
Ketamine as a NMDA Receptor Antagonist
- Ketamine, a drug most commonly used as an anaesthetic, has been demonstrated to act as an antagonist for NMDA receptors. When administered, it can result in antihyperalgesic effects, essentially reducing heightened sensitivity to pain.
- These properties make it useful in medical procedures that involve incision, tissue damage or nerve damage, as it can effectively ease the pain or discomfort.
Ketamine use in Equine Practice
- The major highlight of the research is the increasing popularity of Ketamine in equine practice, which refers to veterinary care for horses.
- It is primarily used as an anesthetic and increasingly as an analgesic as the drug has proven to be effective for standing surgical procedures and treating laminitis, a painful condition affecting horses’ hooves.
- The article concludes by emphasizing the development and increasing use of Ketamine as both an anesthetic and analgesic drug in the treatment of horses.
Cite This Article
APA
Muir WW.
(2010).
NMDA receptor antagonists and pain: ketamine.
Vet Clin North Am Equine Pract, 26(3), 565-578.
https://doi.org/10.1016/j.cveq.2010.07.009 Publication
Researcher Affiliations
- Equine Anesthesia and Analgesia Consulting Services, 338 West 7th Avenue, Columbus, OH 43201, USA. bill.muir@amcny.org
MeSH Terms
- Animals
- Excitatory Amino Acid Antagonists / pharmacology
- Excitatory Amino Acid Antagonists / therapeutic use
- Horse Diseases / drug therapy
- Horses / metabolism
- Ketamine / pharmacology
- Ketamine / therapeutic use
- Pain / drug therapy
- Pain / veterinary
- Receptors, N-Methyl-D-Aspartate / antagonists & inhibitors
- Receptors, N-Methyl-D-Aspartate / drug effects
- Receptors, N-Methyl-D-Aspartate / metabolism
Citations
This article has been cited 12 times.- Tan J, Song R, Luo S, Fu W, Ma Y, Zheng L, He Z. Efficacy of Resveratrol in Experimental Subarachnoid Hemorrhage Animal Models: A Stratified Meta-Analysis.. Front Pharmacol 2022;13:905208.
- Ruíz-López P, Morgaz J, Quirós-Carmona S, Navarrete-Calvo R, Domínguez JM, Gómez-Villamandos RJ, Granados MM. Parasympathetic Tone Changes in Anesthetized Horses after Surgical Stimulation, and Morphine, Ketamine, and Dobutamine Administration.. Animals (Basel) 2022 Apr 15;12(8).
- Hu X, Zhu Y, Zhou F, Peng C, Hu Z, Chen C. Efficacy of Melatonin in Animal Models of Subarachnoid Hemorrhage: A Systematic Review and Stratified Meta-Analysis.. Front Neurol 2021;12:685731.
- Asim M, Hao B, Yang YH, Fan BF, Xue L, Shi YW, Wang XG, Zhao H. Ketamine Alleviates Fear Generalization Through GluN2B-BDNF Signaling in Mice.. Neurosci Bull 2020 Feb;36(2):153-164.
- Kayalha H, Yaghoubi S, Yazdi Z, Izadpanahi P. Effect of Intervenous Magnesium Sulfate on Decreasing Opioid Requirement after Surgery of the Lower Limb Fracture by Spinal Anesthesia.. Int J Prev Med 2019;10:57.
- Etchison AR, Bos L, Ray M, McAllister KB, Mohammed M, Park B, Phan AV, Heitz C. Low-dose Ketamine Does Not Improve Migraine in the Emergency Department: A Randomized Placebo-controlled Trial.. West J Emerg Med 2018 Nov;19(6):952-960.
- Ida KK, Sauvage A, Gougnard A, Grauwels M, Serteyn D, Sandersen C. Use of Nasotracheal Intubation during General Anesthesia in Two Ponies with Tracheal Collapse.. Front Vet Sci 2018;5:42.
- Slikker W Jr, Liu F, Rainosek SW, Patterson TA, Sadovova N, Hanig JP, Paule MG, Wang C. Ketamine-Induced Toxicity in Neurons Differentiated from Neural Stem Cells.. Mol Neurobiol 2015 Oct;52(2):959-69.
- Gianotti G, Valverde A, Johnson R, Sinclair M, Gibson T, Dyson DH. Influence of prior determination of baseline minimum alveolar concentration (MAC) of isoflurane on the effect of ketamine on MAC in dogs.. Can J Vet Res 2014 Jul;78(3):207-13.
- Wang C, Liu F, Patterson TA, Paule MG, Slikker W Jr. Preclinical assessment of ketamine.. CNS Neurosci Ther 2013 Jun;19(6):448-53.
- Wang XW, Hu S, Mao-Ying QL, Li Q, Yang CJ, Zhang H, Mi WL, Wu GC, Wang YQ. Activation of c-jun N-terminal kinase in spinal cord contributes to breast cancer induced bone pain in rats.. Mol Brain 2012 Jun 9;5:21.
- Capitanio JP, Del Rosso LA, Calonder LA, Blozis SA, Penedo MC. Behavioral effects of prenatal ketamine exposure in rhesus macaques are dependent on MAOA genotype.. Exp Clin Psychopharmacol 2012 Jun;20(3):173-80.
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