A review.μ- And δ-Opioid receptors have been investigated for potential antidepressant activity, using exogenous agonists and antagonists for both receptors and enkephalin (ENKs) protected from their inactivating enzymes by dual inhibitors such as RB101 (N-(R,S)-2-benzyl-3- ((S)(2-amino-4-methyl-thio)-butyldithio)- 1-oxopropyl)-1-phenylalanine benzyl ester), which induced a synaptic enhancement of phasically released ENKs, to develop fast-acting therapeutics for severe depression, particularly in adolescents.In animal models, exogenous delta agonists such as SNC80 (( + )- 4-(aR)-a-((2S,5R)-2,5-dimethyl-4-(2- propenyl)-1-piperazinyl)-(3-methoxyphenyl) methyl)-N,N-diethylbenzamide induce highly significant antidepressant effects whereas mu agonists do not.This is associated with an increase in brain-derived neurotrophic factor mRNA, which has been suggested to have a role in antidepressant effects, as well as an indirect increase in DA efflux into the striatum.Dtimulation of opioid receptors by RB101 protected ENKs does not induce the undesirable side effects of morphine.The key role of interconnected endogenous opioid and dopaminergic systems in mood control is demonstrated by the facilitation of antidepressant-like effects of RB101 after deafferentation of the dopaminergic mesolimbic pathway, which increases the concentrations of PENK and ENKs.Taken together, these results suggest a phasic control of the dopaminergic mesolimbic pathway by ENKs, which may be impaired in depressive-like syndromes, and clin. studies are starting to investigate this endogenous opioid-DA interaction in human depression.