Neurotrophic mechanisms underlying the rapid and sustained antidepressant actions of ketamine
This systematic review explores the neurotrophic mechanisms underlying ketamine’s rapid and sustained antidepressant effects, particularly in treatment-resistant depression. Ketamine increases brain-derived neurotrophic factor (BDNF) and vascular endothelial growth factor (VEGF) in the medial prefrontal cortex and hippocampus, promoting synaptogenesis and neurogenesis. These actions reverse the neuronal atrophy commonly observed in