HCN channels: New targets for the design of an antidepressant with rapid effects

J Affect Disord. 2019 Feb 15:245:764-770. doi: 10.1016/j.jad.2018.11.081. Epub 2018 Nov 13.

Abstract

Background: Major depressive disorder (MDD) is a prevalent neuropsychiatric disease that carries a staggering global burden. Although numerous antidepressants are available on the market, unfortunately, many patients die by committing suicide as a result of the therapeutic lag between treatment initiation and the improvement of depressive symptoms. This therapeutic lag highlights the need for new antidepressants that provide rapid relief of depressive symptoms.

Method: In this review, we discuss the seminal researches on hyperpolarization-activated cyclic nucleotide-gated (HCN) channels in animal models of depression and highlight the substantial evidence supporting the development of rapid-acting antidepressants targeting HCN channels.

Results: HCN channels are associated with the risk of depression and targeting HCN channels or its auxiliary subunit tetratricopeptide repeat-containing Rab8b-interacting protein (TRIP8b) function may exert a rapid antidepressant-like effect.

Conclusions: Compounds acting on HCN subunits or the TRIP8b-HCN interaction site may be excellent candidates for development into effective drugs with rapid antidepressant action.

Keywords: Depression; HCN channels; Rapid antidepressant action.

Publication types

  • Review

MeSH terms

  • Animals
  • Antidepressive Agents / pharmacology*
  • Antidepressive Agents / therapeutic use*
  • Depressive Disorder, Major / drug therapy*
  • Depressive Disorder, Major / metabolism*
  • Humans
  • Hyperpolarization-Activated Cyclic Nucleotide-Gated Channels / antagonists & inhibitors*
  • Hyperpolarization-Activated Cyclic Nucleotide-Gated Channels / metabolism
  • Molecular Targeted Therapy*
  • Receptors, Cytoplasmic and Nuclear / metabolism
  • Time Factors

Substances

  • Antidepressive Agents
  • Hyperpolarization-Activated Cyclic Nucleotide-Gated Channels
  • PEX5L protein, human
  • Receptors, Cytoplasmic and Nuclear