Evidence map›Paper›PMID 23012427›Full record

Trial reportProceedings of the National Academy of Sciences of the United States of America2012

NMDA receptor function in large-scale anticorrelated neural systems with implications for cognition and schizophrenia.

Alan Anticevic, Mark Gancsos, John D Murray, Grega Repovs, Naomi R Driesen, Debra J Ennis, Mark J Niciu, Peter T Morgan, Toral S Surti, Michael H Bloch and 5 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Proceedings of the National Academy of Sciences of the United States of America, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02533232 (Minocycline Augmentation of Clozapine for Treatment Resistant Schizophrenia), which is not on this map. Cited by 146 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 1 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.

NCT02533232 phase1unknown statusnot on this mapstarted 2022, after this paper: background citation

Minocycline Augmentation of Clozapine for Treatment Resistant Schizophrenia: A Randomised Placebo-controlled Double-blind Trial

TypeinterventionalSponsorPakistan Institute of Living and LearningRan2022 to 2022Enrolled60ConditionsSchizophrenia, Schizoaffective Disorder, Schizophreniform DisorderArmsMinocycline
3 · Its place in the literature

Who cites it

146 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Region- and time- specific effects of ketamine on cerebral blood flow: a randomized controlled trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
    Trial
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  7. A robust and reproducible connectome fingerprint of ketamine is highly associated with the connectomic signature of antidepressants.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
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  12. Is a Responsive Default Mode Network Required for Successful Working Memory Task Performance?The Journal of neuroscience : the official journal of the Society for Neuroscience · 2015
    Trial
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  14. Selective augmentation of striatal functional connectivity following NMDA receptor antagonism: implications for psychosis.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2015
    Trial
  15. Article
  16. Review
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86 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

15 authors.

Alan AnticevicDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT 06510, USA.
Mark Gancsos
John D Murray
Grega Repovs
Naomi R Driesen
Debra J Ennis
Mark J Niciu
Peter T Morgan
Toral S Surti
Michael H Bloch
Ramachandran Ramani
Mark A Smith
Xiao-Jing Wang
John H Krystal
Philip R Corlett

Funding

Recurrent Neual Circuit Basis of Time Integration and Decision MakingR01MH062349 · NIMH · YALE UNIVERSITY · PI WANG, XIAO-JING · 2001 to 2022
$7.2M
Research Training for Medical Students & Physician-Scientists in Child PsychiatryR25MH077823 · NIMH · YALE UNIVERSITY · PI ANDRES S MARTIN · 2006 to 2026
$4.0M
Longitudinal Structural MRI Study of Adulthood Outcome in Tourette SyndromeK23MH091240 · NIMH · YALE UNIVERSITY · PI BLOCH, MICHAEL H · 2010 to 2014
$902k
NIMH NIH HHS K23 MH091240NIMH NIH HHS R01 MH062349NIMH NIH HHS R25 MH077823
6 · The paper itself

Abstract

Glutamatergic neurotransmission mediated by N-methyl-d-aspartate (NMDA) receptors is vital for the cortical computations underlying cognition and might be disrupted in severe neuropsychiatric illnesses such as schizophrenia. Studies on this topic have been limited to processes in local circuits; however, cognition involves large-scale brain systems with multiple interacting regions. A prominent feature of the human brain's global architecture is the anticorrelation of default-mode vs. task-positive systems. Here, we show that administration of an NMDA glutamate receptor antagonist, ketamine, disrupted the reciprocal relationship between these systems in terms of task-dependent activation and connectivity during performance of delayed working memory. Furthermore, the degree of this disruption predicted task performance and transiently evoked symptoms characteristic of schizophrenia. We offer a parsimonious hypothesis for this disruption via biophysically realistic computational modeling, namely cortical disinhibition. Together, the present findings establish links between glutamate's role in the organization of large-scale anticorrelated neural systems, cognition, and symptoms associated with schizophrenia in humans.

Indexed as

AdultAlgorithmsBrainCognitionDouble-Blind MethodExcitatory Amino Acid AntagonistsFemaleHumansInfusions, IntravenousKetamineMagnetic Resonance ImagingMaleMemoryModels, NeurologicalPattern Recognition, VisualPsychomotor PerformanceExcitatory Amino Acid AntagonistsKetamineReceptors, N-Methyl-D-Aspartate

Identifiers

PMID23012427
PMCPMC3478611

What OpenQuestion holds

Textmetadata
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.