Ketamine can reduce harmful drinking by pharmacologically rewriting drinking memories.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
26 11 2019
Historique:
received: 11 03 2019
accepted: 18 10 2019
entrez: 28 11 2019
pubmed: 28 11 2019
medline: 14 4 2020
Statut: epublish

Résumé

Maladaptive reward memories (MRMs) are involved in the development and maintenance of acquired overconsumption disorders, such as harmful alcohol and drug use. The process of memory reconsolidation - where stored memories become briefly labile upon retrieval - may offer a means to disrupt MRMs and prevent relapse. However, reliable means for pharmacologically weakening MRMs in humans remain elusive. Here we demonstrate that the N-methyl D-aspartate (NMDA) antagonist ketamine is able to disrupt MRMs in hazardous drinkers when administered immediately after their retrieval. MRM retrieval + ketamine (RET + KET) effectively reduced the reinforcing effects of alcohol and long-term drinking levels, compared to ketamine or retrieval alone. Blood concentrations of ketamine and its metabolites during the critical 'reconsolidation window' predicted beneficial changes only following MRM reactivation. Pharmacological reconsolidation interference may provide a means to rapidly rewrite maladaptive memory and should be further pursued in alcohol and drug use disorders.

Identifiants

pubmed: 31772157
doi: 10.1038/s41467-019-13162-w
pii: 10.1038/s41467-019-13162-w
pmc: PMC6879579
doi:

Substances chimiques

Biomarkers 0
Ketamine 690G0D6V8H
norketamine XQY6JVF94X

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

5187

Subventions

Organisme : Medical Research Council
ID : MR/M007006/1
Pays : United Kingdom

Commentaires et corrections

Type : ErratumIn

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Auteurs

Ravi K Das (RK)

Clinical Psychopharmacology Unit, University College London, London, UK. ravi.das@ucl.ac.uk.

Grace Gale (G)

Clinical Psychopharmacology Unit, University College London, London, UK.

Katie Walsh (K)

Clinical Psychopharmacology Unit, University College London, London, UK.

Vanessa E Hennessy (VE)

Clinical Psychopharmacology Unit, University College London, London, UK.

Georges Iskandar (G)

University College Hospital and University College Hospital at Westmoreland Street, London, UK.

Luke A Mordecai (LA)

Pain Management Centre, University College Hospital, London, UK.

Brigitta Brandner (B)

Pain Management Centre, University College Hospital, London, UK.

Merel Kindt (M)

Experimental Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands.

H Valerie Curran (HV)

Clinical Psychopharmacology Unit, University College London, London, UK.

Sunjeev K Kamboj (SK)

Clinical Psychopharmacology Unit, University College London, London, UK.

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Classifications MeSH