Evidence map›Paper›PMID 23613579›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2013

Differential targeting of brain stress circuits with a selective glucocorticoid receptor modulator.

Ioannis Zalachoras, René Houtman, Erika Atucha, Rene Devos, Ans M I Tijssen, Pu Hu, Peter M Lockey, Nicole A Datson, Joseph K Belanoff, Paul J Lucassen and 5 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05217758 (RESET-medication), which is not on this map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
4.5field-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.

NCT05217758 phase2completednot on this mapstarted 2021, after this paper: background citation

RESET-medication: Glucocorticoid Receptor (GR) Blockade As Diseasemodifying Treatment for Depression with Childhood Trauma

TypeinterventionalSponsorAmsterdam UMC, location VUmcRan2021 to 2024Enrolled158ConditionsMajor Depressive Disorder, Childhood TraumaArmsMifepristone, Placebo
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 117 citations in OpenAlex.

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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 at 5 institutions in 2 countries.

Ioannis ZalachorasDepartment of Endocrinology and Metabolism and Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, 2300 RA Leiden, The Netherlands.
René Houtman
Erika Atucha
Rene Devos
Ans M I Tijssen
Pu Hu
Peter M Lockey
Nicole A Datson
Joseph K Belanoff
Paul J Lucassen
Marian Joëls
E Ronald de Kloet
Benno Roozendaal
Hazel Hunt
Onno C Meijer
Leiden University Medical Center · NLCorcept Therapeutics (United States) · USNetherlands Institute for Neuroscience · NLRadboud University Medical Center · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glucocorticoid receptor (GR) antagonism may be of considerable therapeutic value in stress-related psychopathology such as depression. However, blockade of all GR-dependent processes in the brain will lead to unnecessary and even counteractive effects, such as elevated endogenous cortisol levels. Selective GR modulators are ligands that can act both as agonist and as antagonist and may be used to separate beneficial from harmful treatment effects. We have discovered that the high-affinity GR ligand C108297 is a selective modulator in the rat brain. We first demonstrate that C108297 induces a unique interaction profile between GR and its downstream effector molecules, the nuclear receptor coregulators, compared with the full agonist dexamethasone and the antagonist RU486 (mifepristone). C108297 displays partial agonistic activity for the suppression of hypothalamic corticotropin-releasing hormone (CRH) gene expression and potently enhances GR-dependent memory consolidation of training on an inhibitory avoidance task. In contrast, it lacks agonistic effects on the expression of CRH in the central amygdala and antagonizes GR-mediated reduction in hippocampal neurogenesis after chronic corticosterone exposure. Importantly, the compound does not lead to disinhibition of the hypothalamus-pituitary-adrenal axis. Thus, C108297 represents a class of ligands that has the potential to more selectively abrogate pathogenic GR-dependent processes in the brain, while retaining beneficial aspects of GR signaling.

Indexed as

Gene Expression RegulationAnimalsBrainCorticotropin-Releasing HormoneDexamethasoneHippocampusLigandsMaleMifepristoneNuclear Receptor Coactivator 1PeptidesRatsRats, Sprague-DawleyReceptors, GlucocorticoidSteroidsTime FactorsCorticotropin-Releasing HormoneDexamethasoneLigandsMifepristoneNCOA1 protein, humanNuclear Receptor Coactivator 1PeptidesReceptors, GlucocorticoidSteroidsHPA axisNCoA1neuroendocrinologysteroid pharmacologytranscription regulation

Identifiers

PMID23613579
PMCPMC3651427
OpenAlexW2161618887

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.