Evidence map›Paper›PMID 28195139›Full record

Trial reportNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2017

Altered Insula Connectivity under MDMA.

Ishan C Walpola, Timothy Nest, Leor Roseman, David Erritzoe, Amanda Feilding, David J Nutt, Robin L Carhart-Harris

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
4.8field-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.

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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Dissociable effects of LSD and MDMA on striato-cortical connectivity in healthy subjects.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  8. Review
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  11. Review
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  18. Intrinsic connectivity of the prefrontal cortex and striato-limbic system respectively differentiate major depressive from generalized anxiety disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
    Article
  19. Review
  20. 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 3 institutions in 2 countries.

Ishan C WalpolaDepartment of Psychiatry, McGill University Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Timothy NestDepartment of Psychiatry, McGill University Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Leor RosemanDivision of Brain Sciences, Faculty of Medicine, Centre for Neuropsychopharmacology, Imperial College London, London, UK.
David ErritzoeDivision of Brain Sciences, Faculty of Medicine, Centre for Neuropsychopharmacology, Imperial College London, London, UK.
Amanda FeildingThe Beckley Foundation, Oxford, UK.
David J NuttDivision of Brain Sciences, Faculty of Medicine, Centre for Neuropsychopharmacology, Imperial College London, London, UK.
Robin L Carhart-HarrisDivision of Brain Sciences, Faculty of Medicine, Centre for Neuropsychopharmacology, Imperial College London, London, UK.
Imperial College London · GBMcGill University · CABeckley Foundation · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

Recent work with noninvasive human brain imaging has started to investigate the effects of 3,4-methylenedioxymethamphetamine (MDMA) on large-scale patterns of brain activity. MDMA, a potent monoamine-releaser with particularly pronounced serotonin- releasing properties, has unique subjective effects that include: marked positive mood, pleasant/unusual bodily sensations and pro-social, empathic feelings. However, the neurobiological basis for these effects is not properly understood, and the present analysis sought to address this knowledge gap. To do this, we administered MDMA-HCl (100 mg p.o.) and, separately, placebo (ascorbic acid) in a randomized, double-blind, repeated-measures design with twenty-five healthy volunteers undergoing fMRI scanning. We then employed a measure of global resting-state functional brain connectivity and follow-up seed-to-voxel analysis to the fMRI data we acquired. Results revealed decreased right insula/salience network functional connectivity under MDMA. Furthermore, these decreases in right insula/salience network connectivity correlated with baseline trait anxiety and acute experiences of altered bodily sensations under MDMA. The present findings highlight insular disintegration (ie, compromised salience network membership) as a neurobiological signature of the MDMA experience, and relate this brain effect to trait anxiety and acutely altered bodily sensations-both of which are known to be associated with insular functioning.

Indexed as

AdultBrain MappingCerebral CortexDouble-Blind MethodFemaleFollow-Up StudiesHallucinogensHumansImage Processing, Computer-AssistedLinear ModelsMagnetic Resonance ImagingMaleMiddle AgedNerve NetN-Methyl-3,4-methylenedioxyamphetamineRestHallucinogensN-Methyl-3,4-methylenedioxyamphetamine

Identifiers

PMID28195139
PMCPMC5603811
OpenAlexW2588080892

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.