Evidence map›Paper›PMID 19539268›Full record

Trial reportBiological psychiatry2009

The effects of tryptophan depletion on neural responses to emotional words in remitted depression.

Jonathan P Roiser, Jamey Levy, Stephen J Fromm, Allison C Nugent, S Lalith Talagala, Gregor Hasler, Fritz A Henn, Barbara J Sahakian, Wayne C Drevets

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Biological psychiatry, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

63 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Habenula Connectivity and Intravenous Ketamine in Treatment-Resistant Depression.The international journal of neuropsychopharmacology · 2021
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  11. Review
  12. Article
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  18. Avoiding monetary loss: A human habenula functional MRI ultra-high field study.Cortex; a journal devoted to the study of the nervous system and behavior · 2021
    Article
  19. Article
  20. The Habenula in the Link Between ADHD and Mood Disorder.Frontiers in behavioral neuroscience · 2021
    Article

3 more citing papers are in PubMed but not listed here.

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

9 authors.

Jonathan P RoiserInstitute of Cognitive Neuroscience, University College London, 17 Queen Square, London WC1N 3AR, United Kingdom. j.roiser@ucl.ac.uk
Jamey Levy
Stephen J Fromm
Allison C Nugent
S Lalith Talagala
Gregor Hasler
Fritz A Henn
Barbara J Sahakian
Wayne C Drevets

Funding

Tryptophan Depletion in Remitted Depressed PatientsZ01MH002817 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI DREVETS, WAYNE C · 2003 to 2008
$912k
Tryptophan Depletion in Remitted Depressed PatientsZIAMH002817 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI DREVETS, WAYNE C · 2009 to 2009
$373k
Intramural NIH HHS Z01 MH002817Intramural NIH HHS Z99 MH999999Medical Research Council G0001354
6 · The paper itself

Abstract

backgroundMajor depressive disorder (MDD) has been associated with both dysfunction of the central serotonergic system and abnormal responses to emotional stimuli. We used acute tryptophan depletion (ATD) to investigate the effect of temporarily reducing brain serotonin synthesis on neural and behavioral responses to emotional stimuli in remitted MDD subjects (rMDD) and healthy control subjects.

methodsTwenty control subjects and 23 rMDD subjects who had been unmedicated and in remission for > or =3 months completed the study. Following tryptophan or sham depletion, participants performed an emotional-processing task during functional magnetic resonance imaging. In addition, resting state regional blood flow was measured using arterial spin labeling.

resultsNeither group exhibited significant mood change following ATD. However, tryptophan depletion differentially affected the groups in terms of hemodynamic responses to emotional words in a number of structures implicated in the pathophysiology of MDD, including medial thalamus and caudate. These interactions were driven by increased responses to emotional words in the control subjects, with little effect in the patients under the ATD condition. Following ATD, habenula blood flow increased significantly in the rMDD subjects relative to the control subjects, and increasing amygdala blood flow was associated with more negative emotional bias score across both groups.

conclusionsThese data provide evidence for elevated habenula blood flow and alterations in the neural processing of emotional stimuli following ATD in rMDD subjects, even in the absence of overt mood change. However, further studies are required to determine whether these findings represent mechanisms of resilience or vulnerability to MDD.

Indexed as

Remission, SpontaneousAdolescentAdultBrainCross-Over StudiesDepressionDouble-Blind MethodEmotionsFemaleHumansMaleMiddle AgedNeuronsPlacebosPsychomotor PerformanceRegional Blood FlowPlacebosSerotoninTryptophan

Identifiers

PMID19539268
PMCPMC2745906

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.