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Nasal spray delivers new type of depression treatment

AlphaMethylPhenyl

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A nasal spray that delivers a peptide to treat depression holds promise as a potential alternative therapeutic approach, research shows. This peptide treatment interferes with the binding of two dopamine receptors -- the D1 and D2 receptor complex. The research team had found that this binding was higher in the brains of people with major depression. Disrupting the binding led to the anti-depressant effects.

A nasal spray that delivers a peptide to treat depression holds promise as a potential alternative therapeutic approach, research from the Centre for Addiction and Mental Health (CAMH) shows

The study, led by CAMH's Dr. Fang Liu, is published online in Neuropsychopharmacology.
In a previous study published in Nature Medicine in 2010, Dr. Liu developed a protein peptide that provided a highly targeted approach to treating depression that she hopes will have minimal side effects. The peptide was just as effective in relieving symptoms when compared to a conventional antidepressant in animal testing. However, the peptide had to be injected into the brain. Taken orally, it would not cross the blood-brain barrier in sufficient concentrations.

"Clinically, we needed to find a non-invasive, convenient method to deliver this peptide treatment," says Dr. Liu, Senior Scientist in the Campbell Family Mental Health Research Institute at CAMH. With the support of a Proof of Principle grant from the Canadian Institutes of Health Research (CIHR), Dr. Liu's team was able to further explore novel delivery methods.
The nasal delivery system, developed by U.S. company Impel NeuroPharma, was shown to deliver the peptide to the right part of the brain. It also relieved depression-like symptoms in animals.

"This study marks the first time a peptide treatment has been delivered through nasal passageways to treat depression," says Dr. Liu, Professor in the University of Toronto's Department of Psychiatry.

The peptide treatment interferes with the binding of two dopamine receptors -- the D1 and D2 receptor complex. Dr. Liu's team had found that this binding was higher in the brains of people with major depression. Disrupting the binding led to the anti-depressant effects.

The peptide is an entirely new approach to treating depression, which has previously relied on medications that primarily block serotonin or norepinephrine transporters.
Depression, the most common form of mental illness, is one of the leading causes of disability globally. More than 50 per cent of people living with depression do not respond to first-line medication treatment.

"This research brings us one step closer to clinical trials," says Dr. Liu. In ongoing lab research, her team is experimenting to determine if they can make the peptide break down more slowly, and travel more quickly in the brain, to improve its anti-depressant effects.


Discuss
 
Googling the title of the above will lead you to its source, but it's only when we have randomised, double-blind studies of an adequate population base that we will be in a position to estimate whether the potential benefits exceed the risks, and/or possible side effects.
 
Wouldn't less binding means less dopamine receptor agonism? Sounds like this would be similar to a neuroleptic unless binding in this context means something else. Someone correctly me if I'm wrong but this seems like wishful thinking.
 
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I think the binding they are talking about is of the two receptors intracellularly not of neurotransmitters.
 
Unless they know of some novel mechanism for depression I don't know how that makes sense. Intracellular receptors bind with lipophilic hormones and secondary messangers inside the cell and as far as I know D1/D2 are always in the cell membrane. This is probably the last we will hear of this drug.
 
It says in the article that in depressed patients there is more coupling of the receptors. So wouldn't increasing receptors binding increase depression?
 
K fuck it, if it works well then it will just be another Dexamyl. Any drug that gives you more pleasure, unlike SSRI's and tricyclics, will be both effective and abusable to the point of being banned. Only after cuntillions of dollars are made of course. Just like amphetamines can treat depression this could work. Perhaps it will be a gradual effect over time, decreasing the addictiveness.
 
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