Evidence map›Paper›PMID 26174294›Full record

Trial reportBritish journal of anaesthesia2015

Effect of propofol on the medial temporal lobe emotional memory system: a functional magnetic resonance imaging study in human subjects.

K O Pryor, J C Root, M Mehta, E Stern, H Pan, R A Veselis, D A Silbersweig

2 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of anaesthesia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.5field-weighted citation impact, top 5% 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.

NCT00504894 phase4terminatednot on this map

Neuroimaging the Effects of Intravenous Anesthetic on Amygdala Dependent Memory Processes

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2007 to 2013Enrolled60ConditionsHealthyArmsPlacebo, Propofol, Thiopental
NCT04125121 nacompletednot on this mapstarted 2019, after this paper: background citation

Neuroplasticity Induced by General Anaesthesia

TypeinterventionalSponsorSigne Sloth MadsenRan2019 to 2021Enrolled20ConditionsHealthy Volunteers, General Anaesthesia, NeuroplasticityArmsSevoflurane-propofol
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 58 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Circulating Endocannabinoids: From Whence Do They Come and Where are They Going?Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2018
    Review
  15. Article
  16. Memory and awareness in anaesthesia.British journal of anaesthesia · 2015
    Article
  17. 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

7 authors at 2 institutions in 1 country.

K O PryorDepartment of Anesthesiology, Weill Cornell Medical College, 1300 York Avenue, New York, NY 10065, USA Department of Anesthesia and Critical Care, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA kap9009@med.cornell.edu.
J C RootDepartment of Anesthesiology, Weill Cornell Medical College, 1300 York Avenue, New York, NY 10065, USA Department of Anesthesia and Critical Care, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
M MehtaDepartment of Anesthesia and Critical Care, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
E SternFunctional Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, 824 Boylston Street, Chestnut Hill, MA 02467, USA.
H PanFunctional Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, 824 Boylston Street, Chestnut Hill, MA 02467, USA.
R A VeselisDepartment of Anesthesia and Critical Care, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
D A SilbersweigFunctional Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, 824 Boylston Street, Chestnut Hill, MA 02467, USA.
Memorial Sloan Kettering Cancer Center · USBrigham and Women's Hospital · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
The Effect of Intravenous Anesthetics on Fear Learning & Memory Systems in HumansK08GM083213 · NIGMS · WEILL MEDICAL COLL OF CORNELL UNIV · PI PRYOR, KANE · 2008 to 2011
$504k
NCI NIH HHS P30 CA008748NIGMS NIH HHS K08 GM083213
6 · The paper itself

Abstract

backgroundSubclinical doses of propofol produce anterograde amnesia, characterized by an early failure of memory consolidation. It is unknown how propofol affects the amygdala-dependent emotional memory system, which modulates consolidation in the hippocampus in response to emotional arousal and neurohumoral stress. We present an event-related functional magnetic resonance imaging study of the effects of propofol on the emotional memory system in human subjects.

methodsThirty-five healthy subjects were randomized to receive propofol, at an estimated brain concentration of 0.90 μg ml(-1), or placebo. During drug infusion, emotionally arousing and neutral images were presented in a continuous recognition task, while blood-oxygen-level-dependent activation responses were acquired. After a drug-free interval of 2 h, subsequent memory for successfully encoded items was assessed. Imaging analysis was performed using statistical parametric mapping and behavioural analysis using signal detection models.

resultsPropofol had no effect on the stereotypical amygdalar response to emotional arousal, but caused marked suppression of the hippocampal response. Propofol caused memory performance to become uncoupled from amygdalar activation, but it remained correlated with activation in the posterior hippocampus, which decreased in proportion to amnesia.

conclusionsPropofol is relatively ineffective at suppressing amygdalar activation at sedative doses, but abolishes emotional modulation and causes amnesia via mechanisms that commonly involve hyporesponsiveness of the hippocampus. These findings raise the possibility that amygdala-dependent fear systems may remain intact even when a patient has diminished memory of events. This may be of clinical importance in the perioperative development of fear-based psychopathologies, such as post-traumatic stress disorder. CLINICAL

trial registrationNCT00504894.

Indexed as

AdolescentAdultAmygdalaAnesthetics, IntravenousEmotionsFemaleHippocampusHumansMagnetic Resonance ImagingMaleMemoryOxygenPropofolReaction TimeReceptors, GABA-AAnesthetics, IntravenousOxygenPropofolReceptors, GABA-Aamnesia, chemically inducedamygdalafMRIhippocampusmemory, drug effectspropofol, pharmacology

Identifiers

PMID26174294
PMCPMC4501915
OpenAlexW2122856915

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.