Evidence map›Paper›PMID 23903233›Full record

ReviewCNS spectrums2014

Serotonergic modulation of glutamate neurotransmission as a strategy for treating depression and cognitive dysfunction.

Alan L Pehrson, Connie Sanchez

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in CNS spectrums, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02234362 (Vortioxetine for Menopausal Depression and Associated Symptoms), which is not on this map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
16.5field-weighted citation impact, top 1% 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.

NCT02234362 phase4completednot on this mapstarted 2015, after this paper: background citation

Vortioxetine for Menopausal Depression and Associated Symptoms

TypeinterventionalSponsorMassachusetts General HospitalRan2015 to 2016Enrolled47ConditionsDepression, Menopause, Vasomotor Disturbance, Hot FlashesArmsvortioxetine
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 155 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

2 authors at 1 institution in 1 country.

Alan L PehrsonExternal Sourcing and Scientific Excellence, Lundbeck Research USA, Inc., Paramus, New Jersey, USA.
Connie SanchezExternal Sourcing and Scientific Excellence, Lundbeck Research USA, Inc., Paramus, New Jersey, USA.
Lundbeck (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Monoamine-based treatments for depression have evolved greatly over the past several years, but shortcomings such as suboptimal efficacy, treatment lag, and residual cognitive dysfunction are still significant. Preclinical and clinical studies using compounds directly targeting glutamatergic neurotransmission present new opportunities for antidepressant treatment, with ketamine having a surprisingly rapid and sustained antidepressant effect that is presumably mediated through glutamate-dependent mechanisms. While direct modulation of glutamate transmission for antidepressant and cognition-enhancing actions may be hampered by nonspecific effects, indirect modulation through the serotonin (5-HT) system may be a viable alternative approach. Based on localization and function, 5-HT can modulate glutamate neurotransmission at least through the 5-HT1A, 5-HT1B, 5-HT3, and 5-HT7 receptors, which presents a rational pharmacological opportunity for modulating glutamatergic transmission without the direct use of glutamatergic compounds. Combining one or more of these glutamate-modulating 5-HT targets with 5-HT transporter inhibition may offer new therapeutic opportunities. The multimodal compounds vortioxetine and vilazodone are examples of this approach with diverse mechanisms, and their different clinical effects will provide valuable insights into serotonergic modulation of glutamate transmission for the potential treatment of depression and associated cognitive dysfunction.

Indexed as

AnimalsCognition DisordersDepressionGlutamic AcidHumansSerotoninSerotonin AgentsSynaptic TransmissionGlutamic AcidSerotoninSerotonin Agents

Identifiers

PMID23903233
PMCPMC3968911
OpenAlexW2109860355

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.