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. 2022 Jan 18;12:797577. doi: 10.3389/fpsyt.2021.797577

Figure 1.

Figure 1

Ketamine's effects on the kynurenine pathway leads to lowered levels of neurotoxic quinolinic acid (QUIN) via inhibition of cytokine production, and lowered effects of QUIN/NMDA binding by blocking the NMDA receptor. (1) Ketamine binding blocks the NMDA receptor, reducing the neurotoxic effects of QUIN released from microglia. (2) This decreased neurotoxicity decreases ATP release from the synapse. (3) As a result, the microglia no longer extend toward this “find me” signal and the inflammatory reaction is dampened, and the microglia assumes a less reactive state. In addition, ketamine was found to mitigate the reaction of microglia to inflammatory stimuli such as stress or LPS and decreased the production of proinflammatory cytokines. Created with BioRender.com.