TABLE 1

CNS concentrations of (2R,6R)-HNK relevant to antidepressant actions

SpeciesExperimental DetailsConcentration
After ketamine dosing
 HumansEstimated peak unbound brain concentration after a typical antidepressant treatment (0.5 mg/kg, i.v., over 40 min)≤37.8 ± 14.3 nMa,b,c
 MicePeak total (bound and unbound) brain concentrations after a dose (10 mg/kg, i.p.) frequently reported to induce relevant behavioral actions1.54–2.46 µmol/kgb,d,e
After (2R,6R)-HNK dosing
 MicePeak total concentrations after a dose (10 mg/kg, i.p.) frequently reported to induce relevant behavioral actions measured in:
a) Whole brain10.66–17.80 µmol/kgd,f,g,h
b) CSF18.40 µMg
c) Extracellular hippocampal space7.57 ± 2.13 µMh
  • a Peak unbound brain concentrations were estimated based upon peak plasma levels 157 ± 59.2 nM.

  • b Concentrations correspond to racemic mixture of (2R,6R;2S,6S)-HNK.

  • c Shaffer et al. (2019).

  • d Zanos et al. (2016).

  • e Zanos et al. (2019a).

  • f Pham et al. (2018).

  • g Yamaguchi et al. (2018).

  • h Lumsden et al. (2019).