Evidence map›Paper›PMID 26268223›Full record

ArticleJournal of neural engineering2015

A PK-PD model of ketamine-induced high-frequency oscillations.

Francisco J Flores, ShiNung Ching, Katharine Hartnack, Amanda B Fath, Patrick L Purdon, Matthew A Wilson, Emery N Brown

Abstract read
In one paragraph

Article in Journal of neural engineering, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.3field-weighted citation impact, top 32% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 20 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

7 authors at 4 institutions in 1 country.

Francisco J FloresDepartment of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA, USA.
ShiNung Ching
Katharine Hartnack
Amanda B Fath
Patrick L Purdon
Matthew A Wilson
Emery N Brown
Harvard University · USMassachusetts General Hospital · USMassachusetts Institute of Technology · USWellesley College · US

Funding

A Systems Neuroscience Approach for the Study of General AnesthesiaDP1OD003646 · OD · MASSACHUSETTS GENERAL HOSPITAL · PI BROWN, EMERY N · 2007 to 2011
$4.4M
Hippocampal Prefrontal Cortical Interactions in MemoryR01MH061976 · NIMH · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI WILSON, MATTHEW A · 2002 to 2011
$3.2M
A Neural Systems Approach to Monitoring and Drug-Delivery for General AnesthesiaDP2OD006454 · OD · MASSACHUSETTS GENERAL HOSPITAL · PI PURDON, PATRICK L. · 2009 to 2009
$2.7M
NIH HHS DP1 OD003646NIH HHS DP1-OD003646NIH HHS DP2 OD006454NIH HHS DP2-OD006454NIMH NIH HHS 5R01MH061976NIMH NIH HHS R01 MH061976Wellcome Trust
6 · The paper itself

Abstract

objectiveKetamine is a widely used drug with clinical and research applications, and also known to be used as a recreational drug. Ketamine produces conspicuous changes in the electrocorticographic (ECoG) signals observed both in humans and rodents. In rodents, the intracranial ECoG displays a high-frequency oscillation (HFO) which power is modulated nonlinearly by ketamine dose. Despite the widespread use of ketamine there is no model description of the relationship between the pharmacokinetic-pharmacodynamics (PK-PDs) of ketamine and the observed HFO power. APPROACH: In the present study, we developed a PK-PD model based on estimated ketamine concentration, its known pharmacological actions, and observed ECoG effects. The main pharmacological action of ketamine is antagonism of the NMDA receptor (NMDAR), which in rodents is accompanied by an HFO observed in the ECoG. At high doses, however, ketamine also acts at non-NMDAR sites, produces loss of consciousness, and the transient disappearance of the HFO. We propose a two-compartment PK model that represents the concentration of ketamine, and a PD model based in opposing effects of the NMDAR and non-NMDAR actions on the HFO power. MAIN

resultsWe recorded ECoG from the cortex of rats after two doses of ketamine, and extracted the HFO power from the ECoG spectrograms. We fit the PK-PD model to the time course of the HFO power, and showed that the model reproduces the dose-dependent profile of the HFO power. The model provides good fits even in the presence of high variability in HFO power across animals. As expected, the model does not provide good fits to the HFO power after dosing the pure NMDAR antagonist MK-801. SIGNIFICANCE: Our study provides a simple model to relate the observed electrophysiological effects of ketamine to its actions at the molecular level at different concentrations. This will improve the study of ketamine and rodent models of schizophrenia to better understand the wide and divergent range of effects that ketamine has.

Indexed as

Models, NeurologicalAnesthetics, DissociativeAnimalsBiological ClocksBrain WavesCerebral CortexComputer SimulationDose-Response Relationship, DrugDrug Therapy, Computer-AssistedKetamineRatsRats, Sprague-DawleyReceptors, N-Methyl-D-AspartateAnesthetics, DissociativeKetamineReceptors, N-Methyl-D-Aspartate

Identifiers

PMID26268223
PMCPMC5764707
OpenAlexW2251999361

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Registered trials

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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.