TY - JOUR PY - 2022// TI - Rapid treatments for depression: Endocannabinoid system as a therapeutic target JO - Neuroscience and biobehavioral reviews A1 - Sharafi, AmirMohammad A1 - Pakkhesal, Sina A1 - Fakhari, Ali A1 - Khajehnasiri, Nazli A1 - Ahmadalipour, Ali SP - e104635 EP - e104635 VL - 137 IS - N2 - Current first-line treatments for major depressive disorder (MDD), i.e., antidepressant drugs and psychotherapy, show delayed onset of therapeutic effect as late as 2-3 weeks or more. In the clinic, the speed of beginning of the actions of antidepressant drugs or other interventions is vital for many reasons. Late-onset means that depression, its related disability, and the potential danger of suicide remain a threat for some patients. There are some rapid-acting antidepressant interventions, such as sleep deprivation, ketamine, acute exercise, which induce a significant response, ranging from a few hours to maximally one week, and most of them share a common characteristic that is the activation of the endocannabinoid (eCB) system. Activation of this system, i.e., augmentation of eCB signaling, appears to have anti-depressant-like actions. This article puts the idea forward that the activation of eCB signaling represents a critical mechanism of rapid-acting therapeutic interventions in MDD, and this system might contribute to the development of novel rapid-acting treatments for MDD.

Language: en

LA - en SN - 0149-7634 UR - http://dx.doi.org/10.1016/j.neubiorev.2022.104635 ID - ref1 ER -