Evidence map›Paper›PMID 28844076›Full record

ReviewCurrent psychiatry reports2017

Synaptic Loss and the Pathophysiology of PTSD: Implications for Ketamine as a Prototype Novel Therapeutic.

John H Krystal, Chadi G Abdallah, Lynette A Averill, Benjamin Kelmendi, Ilan Harpaz-Rotem, Gerard Sanacora, Steven M Southwick, Ronald S Duman

Registry-linked trialAbstract readReview
In one paragraph

Review in Current psychiatry reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06036511 (Connectivity Changes Associated With Ketamine Assisted Psychotherapy for PTSD), which is not on this map. Cited by 76 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT06036511 phase1 / phase2withdrawnnot on this mapstarted 2023, after this paper: background citation

Connectivity Changes Associated With Ketamine Assisted Psychotherapy for PTSD

TypeinterventionalSponsorUniversity of New MexicoRan2023 to 2023Enrolled0ConditionsPTSDArmsKetamine Hydrochloride
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Neuroimaging correlates and predictors of response to repeated-dose intravenous ketamine in PTSD: preliminary evidence.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
    Trial
  6. Trial
  7. Article
  8. Article
  9. Methylone promotes neurite outgrowth and has long-lasting effects on fear extinction learning.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Article
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  18. Review
  19. Review
  20. Challenges and rewards of in vivo synaptic density imaging, and its application to the study of depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review

16 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

8 authors.

John H KrystalDepartment of Psychiatry, Yale University School of Medicine, 300 George St., Suite #901, New Haven, CT, 06511, USA. john.krystal@yale.edu.
Chadi G AbdallahDepartment of Psychiatry, Yale University School of Medicine, 300 George St., Suite #901, New Haven, CT, 06511, USA.
Lynette A AverillDepartment of Psychiatry, Yale University School of Medicine, 300 George St., Suite #901, New Haven, CT, 06511, USA.
Benjamin KelmendiDepartment of Psychiatry, Yale University School of Medicine, 300 George St., Suite #901, New Haven, CT, 06511, USA.
Ilan Harpaz-RotemDepartment of Psychiatry, Yale University School of Medicine, 300 George St., Suite #901, New Haven, CT, 06511, USA.
Gerard SanacoraDepartment of Psychiatry, Yale University School of Medicine, 300 George St., Suite #901, New Haven, CT, 06511, USA.
Steven M SouthwickDepartment of Psychiatry, Yale University School of Medicine, 300 George St., Suite #901, New Haven, CT, 06511, USA.
Ronald S DumanDepartment of Psychiatry, Yale University School of Medicine, 300 George St., Suite #901, New Haven, CT, 06511, USA.

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
Role of mTOR and Synaptogenesis in the Actions of Rapid-Acting AntidepressantsR01MH093897 · NIMH · YALE UNIVERSITY · PI DILEONE, RALPH J · 2011 to 2021
$5.0M
NCRR NIH HHS UL1 RR024139NIAAA NIH HHS P50 AA012870NIMH NIH HHS R01 MH093897
6 · The paper itself

Abstract

purpose of reviewStudies of the neurobiology and treatment of PTSD have highlighted many aspects of the pathophysiology of this disorder that might be relevant to treatment. The purpose of this review is to highlight the potential clinical importance of an often-neglected consequence of stress models in animals that may be relevant to PTSD: the stress-related loss of synaptic connectivity. RECENT

findingsHere, we will briefly review evidence that PTSD might be a "synaptic disconnection syndrome" and highlight the importance of this perspective for the emerging therapeutic application of ketamine as a potential rapid-acting treatment for this disorder that may work, in part, by restoring synaptic connectivity. Synaptic disconnection may contribute to the profile of PTSD symptoms that may be targeted by novel pharmacotherapeutics.

Indexed as

Stress Disorders, Post-TraumaticSynaptic TransmissionAnimalsDisease Models, AnimalExcitatory Amino Acid AntagonistsHumansKetamineNeurobiologyExcitatory Amino Acid AntagonistsKetamineConnectivityGlutamateKetamineNMDAPlasticityPTSDSynapse

Identifiers

PMID28844076
PMCPMC5904792

What OpenQuestion holds

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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.