Evidence map›Paper›PMID 40253307›Full record

ArticleArchives of toxicology2025

Biotransformation of ketamine in terminal in vivo experiments under chronic intermittent hypoxia conditions and the role of AhR.

António B Pimpão, Luísa Teixeira-Santos, Nuno R Coelho, Maria João Correia, Judit Morello, Alexandra M M Antunes, Emília C Monteiro, Sofia A Pereira

Abstract read
In one paragraph

Article in Archives of toxicology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

António B Pimpão *iNOVA4Health, NOVA Medical School | Faculdade de Ciências Médicas, NMS|FCM, Universidade NOVA de Lisboa, Lisboa, Portugal.
Luísa Teixeira-Santos *iNOVA4Health, NOVA Medical School | Faculdade de Ciências Médicas, NMS|FCM, Universidade NOVA de Lisboa, Lisboa, Portugal.
Nuno R CoelhoiNOVA4Health, NOVA Medical School | Faculdade de Ciências Médicas, NMS|FCM, Universidade NOVA de Lisboa, Lisboa, Portugal.
Maria João CorreiaiNOVA4Health, NOVA Medical School | Faculdade de Ciências Médicas, NMS|FCM, Universidade NOVA de Lisboa, Lisboa, Portugal.
Judit MorelloiNOVA4Health, NOVA Medical School | Faculdade de Ciências Médicas, NMS|FCM, Universidade NOVA de Lisboa, Lisboa, Portugal.
Alexandra M M AntunesCentro de Química Estrutural, Institute of Molecular Sciences, Departamento de Engenharia Química, Instituto Superior Técnico (IST), Universidade de Lisboa, Lisboa, Portugal.
Emília C MonteiroiNOVA4Health, NOVA Medical School | Faculdade de Ciências Médicas, NMS|FCM, Universidade NOVA de Lisboa, Lisboa, Portugal.
Sofia A PereiraiNOVA4Health, NOVA Medical School | Faculdade de Ciências Médicas, NMS|FCM, Universidade NOVA de Lisboa, Lisboa, Portugal. sofia.pereira@nms.unl.pt.ORCID 0000-0002-8456-9995

Funding

Fundação para a Ciência e a Tecnologia 2022.06292.PTDCFundação para a Ciência e a Tecnologia 2022.11188.BDFundação para a Ciência e a Tecnologia IUDB/004462/2020/TL2/P2Fundação para a Ciência e a Tecnologia LA/P/0056/2020Fundação para a Ciência e a Tecnologia PD/BD/114257/2016Fundação para a Ciência e a Tecnologia PTDC/MED-TOX/30418/2017Fundação para a Ciência e a Tecnologia RNEM-LISBOA-01-0145-FEDER-022125Fundação para a Ciência e a Tecnologia SFRH/BD/131331/2017Fundação para a Ciência e a Tecnologia UIDB/00100/2020Fundação para a Ciência e a Tecnologia UIDP/00100/2020Fundação para a Ciência e a Tecnologia UIDP/04462/2020
6 · The paper itself

Abstract

We were pioneers in describing aryl hydrocarbon receptor (AhR) activation by chronic intermittent hypoxia (CIH) in a rat pre-clinical model. This model mimics hypertension (HTN) secondary to obstructive sleep apnea, enabling longitudinal investigation of hypertension development. Concerns about the influence of barbiturates on AhR-regulated enzymes led us to opt for ketamine/medetomidine anesthesia in terminal in vivo experiments. However, the biotransformation and the metabolomic pathways of ketamine in CIH conditions, which is associated to AhR overactivation, are yet to be disclosed. A rat model of CIH was used, with experimental groups defined based on the duration of CIH exposure. Ketamine/medetomidine (75/0.5 mg/kg) was administered intraperitoneally as terminal anesthetic. Metabolomic strategies were used to reveal the profiles of ketamine and its metabolites in liver and kidney tissues, uncovering six metabolites, including the first report of norketamine glucuronide formation in the liver. While PCA analysis revealed similar ketamine metabolite fingerprints in normoxia and CIH, a predominance of hydroxynorketamine over norketamine was observed in CIH condition. A consistent association between norketamine, hydroxyketamine and the metabolome was found in both normoxia and CIH conditions. The AhR antagonist CH-223191 (5 mg/kg) influenced hydroxynorketamine glucuronidation in the liver. No changes in medetomidine biotransformation were detected. Overall, these findings expand the knowledge of ketamine metabolism and its tissue-dependence. The results emphasize the importance of considering how ketamine biotransformation may differ between control and experimental conditions in metabolic studies, particularly in chronic intermittent hypoxia conditions. The role of AhR in ketamine biotransformation is herein described for the first time.

Indexed as

HypoxiaKetamineReceptors, Aryl HydrocarbonAnimalsBiotransformationDisease Models, AnimalKidneyLiverMaleMetabolomicsRatsRats, Sprague-DawleyKetaminenorketamineReceptors, Aryl HydrocarbonAnesthesiaAryl hydrocarbon receptorHydroxynorketamineMetabolismNorketamine glucuronideObstructive sleep apnea

Identifiers

PMID40253307
PMCPMC12198304

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.