Evidence map›Paper›PMID 21855054›Full record

Trial reportBiological psychiatry2012

Intravenous ethanol infusion decreases human cortical γ-aminobutyric acid and N-acetylaspartate as measured with proton magnetic resonance spectroscopy at 4 tesla.

Rosane Gomez, Kevin L Behar, June Watzl, Stuart A Weinzimer, Barbara Gulanski, Gerard Sanacora, Julia Koretski, Elizabeth Guidone, Lihong Jiang, Ismene L Petrakis and 3 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Biological psychiatry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03220776 (Imaging Framework for Testing GABAergic/Glutamatergic Drugs in Bipolar Alcoholics), which is not on this map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 4% of its field
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.

NCT03220776 phase2completednot on this mapstarted 2017, after this paper: background citation

Imaging Framework for Testing GABAergic/Glutamatergic Drugs in Bipolar Alcoholics

TypeinterventionalSponsorMedical University of South CarolinaRan2017 to 2022Enrolled54ConditionsAlcohol Use Disorder, Bipolar DisorderArmsN-Acetylcysteine, Gabapentin, Placebo Oral Tablet
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. The neurobiological markers of acute alcohol's subjective effects in humans.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
    Trial
  4. Trial
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  7. Trial
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
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  17. Article
  18. To Infuse or Ingest in Human Laboratory Alcohol Research.Alcoholism, clinical and experimental research · 2020
    Review
  19. Article
  20. Article
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

13 authors at 2 institutions in 2 countries.

Rosane GomezUniversidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Kevin L Behar
June Watzl
Stuart A Weinzimer
Barbara Gulanski
Gerard Sanacora
Julia Koretski
Elizabeth Guidone
Lihong Jiang
Ismene L Petrakis
Brian Pittman
John H Krystal
Graeme F Mason
Yale University · USUniversidade Federal do Rio Grande do Sul · BR

Funding

YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
Translational Technologies CoreP50AA012870 · NIAAA · YALE UNIVERSITY · PI Matthew J Girgenti · 2001 to 2026
$43.7M
CORTICAL GABA FUNCTION IN ALCOHOLISMR01AA011321 · NIAAA · YALE UNIVERSITY · PI KRYSTAL, JOHN H. · 1999 to 2011
$4.9M
GABA Effects of Nicotine in Men and WomenR01DA021785 · NIDA · YALE UNIVERSITY · PI MASON, GRAEME F. · 2009 to 2013
$1.8M
AMINO ACID NEUROTRANSMITTER DYSREGULATION IN ALCOHOLISMK05AA014906 · NIAAA · YALE UNIVERSITY · PI KRYSTAL, JOHN H. · 2004 to 2008
$918k
Studies of Amino Acid Neurotransmitter Contributions to DepressionK02MH076222 · NIMH · YALE UNIVERSITY · PI SANACORA, GERARD · 2006 to 2010
$634k
Role of Acetate in Heavy DrinkingR21AA018210 · NIAAA · YALE UNIVERSITY · PI MASON, GRAEME F. · 2009 to 2010
$453k
NCRR NIH HHS UL1 RR024139NIAAA NIH HHS 2R01AA011321NIAAA NIH HHS K05 AA014906NIAAA NIH HHS KO5 AA 14906NIAAA NIH HHS P50 AA012870NIAAA NIH HHS P50 AA12870NIAAA NIH HHS R01 AA011321NIAAA NIH HHS R21 AA018210NIDA NIH HHS R01 DA021785NIMH NIH HHS K02 MH076222
6 · The paper itself

Abstract

backgroundEthanol modulates glutamate and γ-aminobutyric (GABA) function. However, little is known about the acute pharmacologic effects of ethanol on levels of GABA, glutamate, and other metabolites measurable in the human cortex in vivo with proton magnetic resonance spectroscopy ((1)H-MRS).

methodsEleven healthy social drinkers received two intravenous ethanol infusions that raised breath alcohol levels to a clamped plateau of 60 mg/dL over 60-70 min. The first infusion established tolerability of the procedure, and the second procedure, conducted 15 ± 12 days later, was performed during (1)H-MRS of occipital GABA, glutamate, and other metabolites.

resultsThe time course of brain ethanol approximated that of breath ethanol, but venous ethanol lagged by approximately 7 min. The GABA fell 13 ± 8% after 5 min of the ethanol infusion and remained reduced (p = .003) throughout the measurement. The combination of N-acetylaspartate and N-acetylaspartyl glutamate (summed as NAA) fell steadily during the infusion by 8 ± 3% (p = .0036).

conclusionsEthanol reduced cortical GABA and NAA levels in humans. Reductions in GABA levels are consistent with facilitation of GABA(A) receptor function by ethanol. The gradual decline in NAA levels suggests inhibition of neural or metabolic activity in the brain.

Indexed as

AdultAspartic AcidBreath TestsCerebral CortexDipeptidesEthanolFemalegamma-Aminobutyric AcidHumansInfusions, IntravenousMagnetic Resonance SpectroscopyMaleAspartic AcidDipeptidesEthanolgamma-Aminobutyric Acidisospaglumic acidN-acetylaspartate

Identifiers

PMID21855054
PMCPMC3227760
OpenAlexW2053740594

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.