Evidence map›Paper›PMID 26937618›Full record

ArticleNature medicine2016

Synaptic plasticity and depression: new insights from stress and rapid-acting antidepressants.

Ronald S Duman, George K Aghajanian, Gerard Sanacora, John H Krystal

2 registry-linked trialsAbstract read
In one paragraph

Article in Nature medicine, 2016. 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 902 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
902citing papers in PubMed, 6 pooled it
122.1field-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.

NCT04780152 phase2 / phase3unknown statusnot on this mapstarted 2021, after this paper: background citation

Assessment of Efficacy and Safety of Anodal Transcranial Direct Current Stimulation (TDCS) in Pediatric and Teenage Patients With Major Depressive Disorder During COVID-19 Pandemics

TypeinterventionalSponsorEl Instituto Nacional de Neurologia y Neurocirugia Manuel Velasco SuarezRan2021 to 2022Enrolled172ConditionsMajor Depressive DisorderArmsTranscranial Direct Current Stimulation, Placebo-simulation of transcranial direct current stimulation, Fluoxetine Tablets
NCT05680220 narecruitingnot on this mapstarted 2023, after this paper: background citation

A Double-blinded, Randomized Placebo-controlled Trial of 40 Hz Light Neurostimulation Therapy for Patients With Depression

TypeinterventionalSponsorKlaus MartinyRan2023 to 2027Enrolled60ConditionsMajor Depressive Disorder, Treatment Resistant DepressionArmsNeurostimulation System (NSS): Active Setting, Neurostimulation System (NSS): Sham Setting
3 · Its place in the literature

Who cites it

902 citing papers in PubMed, 6 syntheses or guidelines pooled it, 1,639 citations in OpenAlex.

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842 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

4 authors at 1 institution in 1 country.

Ronald S DumanDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
George K AghajanianDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Gerard SanacoraDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
John H KrystalDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Yale University · US

Funding

YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
Translational Technologies CoreP50AA012870 · NIAAA · YALE UNIVERSITY · PI John H. Krystal · 2001 to 2026
$43.7M
ZIPRASIDONE IN TOURETTES SYNDROME, OBSESSIVE COMPULSIVE &PERVASIVE DEV. DISORDERM01RR000125 · NCRR · YALE UNIVERSITY · PI ALPERN, ROBERT J · 1985 to 2006
$24.1M
Role of mTOR and Synaptogenesis in the Actions of Rapid-Acting AntidepressantsR01MH093897 · NIMH · YALE UNIVERSITY · PI DILEONE, RALPH J · 2011 to 2021
$5.0M
Antidepressants: Signal Transduction and Gene ExpressionR37MH045481 · NIMH · YALE UNIVERSITY · PI DUMAN, RONALD S. · 2005 to 2014
$3.5M
Translational Neuroscience Optimization of GlyT1 InhibitorUH2TR000960 · NCATS · YALE UNIVERSITY · PI KRYSTAL, JOHN H. · 2013 to 2014
$2.2M
Synaptic mechanisms underlying the rapid antidepressant actions of scopolamineR01MH105910 · NIMH · YALE UNIVERSITY · PI PICCIOTTO, MARINA R · 2014 to 2018
$2.2M
ANTIDEPRESSANTS AND SIGNAL TRANSDUCTION IN BRAINR01MH045481 · NIMH · YALE UNIVERSITY · PI DUMAN, RONALD S. · 1995 to 2004
$1.3M
ANTIDEPRESSANTS: SIGNAL TRANSDUCTION AND GENE EXPRESSIONR29MH045481 · NIMH · YALE UNIVERSITY · PI DUMAN, RONALD S. · 1989 to 1993
–
NCATS NIH HHS 1UH2TR000960-01NCRR NIH HHS M01RR00125NCRR NIH HHS UL1 RR024139NIAAA NIH HHS P50AA12870NIMH NIH HHS MH045481NIMH NIH HHS MH093897NIMH NIH HHS R01 MH105910
6 · The paper itself

Abstract

Depression is a common, devastating illness. Current pharmacotherapies help many patients, but high rates of a partial response or no response, and the delayed onset of the effects of antidepressant therapies, leave many patients inadequately treated. However, new insights into the neurobiology of stress and human mood disorders have shed light on mechanisms underlying the vulnerability of individuals to depression and have pointed to novel antidepressants. Environmental events and other risk factors contribute to depression through converging molecular and cellular mechanisms that disrupt neuronal function and morphology, resulting in dysfunction of the circuitry that is essential for mood regulation and cognitive function. Although current antidepressants, such as serotonin-reuptake inhibitors, produce subtle changes that take effect in weeks or months, it has recently been shown that treatment with new agents results in an improvement in mood ratings within hours of dosing patients who are resistant to typical antidepressants. Within a similar time scale, these new agents have also been shown to reverse the synaptic deficits caused by stress.

Indexed as

Neuronal PlasticityAntidepressive AgentsBrain-Derived Neurotrophic FactorCytokinesDepressive DisorderDiabetes MellitusExcitatory Amino Acid AntagonistsFemaleGlucocorticoidsHumansHypothalamo-Hypophyseal SystemInflammationKetamineMalePituitary-Adrenal SystemSelective Serotonin Reuptake InhibitorsAntidepressive AgentsBrain-Derived Neurotrophic FactorCytokinesExcitatory Amino Acid AntagonistsGlucocorticoidsKetamineSelective Serotonin Reuptake Inhibitors

Identifiers

PMID26937618
PMCPMC5405628
OpenAlexW2291443053

What OpenQuestion holds

Textmetadata
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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.