Evidence map›Paper›PMID 30223909›Full record

ArticlePsychological medicine2019

Prefrontal glutamate levels predict altered amygdala-prefrontal connectivity in traumatized youths.

Olga Therese Ousdal, Anne Marita Milde, Alexander R Craven, Lars Ersland, Tor Endestad, Annika Melinder, Quentin J Huys, Kenneth Hugdahl

Open access · hybridAbstract read
In one paragraph

Article in Psychological medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. 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

8 authors at 6 institutions in 3 countries.

Olga Therese OusdalDepartment of Radiology,Haukeland University Hospital,Bergen,Norway.
Anne Marita MildeDepartment of Biological and Medical Psychology,University of Bergen,Bergen,Norway.
Alexander R CravenDepartment of Biological and Medical Psychology,University of Bergen,Bergen,Norway.
Lars ErslandDepartment of Clinical Engineering,Haukeland University Hospital,Bergen,Norway.
Tor EndestadInstitute of Psychology,University of Oslo,Oslo,Norway.
Annika MelinderInstitute of Psychology,University of Oslo,Oslo,Norway.
Quentin J HuysTranslational Neuromodeling Unit,Institute of Biomedical Engineering,University of Zürich and Swiss Federal Institute of Technology (ETH) Zürich,Zurich,Switzerland.
Kenneth HugdahlDepartment of Radiology,Haukeland University Hospital,Bergen,Norway.
University of Oslo · NOHaukeland University Hospital · NOUni Research (Norway) · NOUniversity College London · GBUniversity Hospital of Zurich · CHUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeurobiological models of stress and stress-related mental illness, including post-traumatic stress disorder, converge on the amygdala and the prefrontal cortex (PFC). While a surge of research has reported altered structural and functional connectivity between amygdala and the medial PFC following severe stress, few have addressed the underlying neurochemistry.

methodsWe combined resting-state functional magnetic resonance imaging measures of amygdala connectivity with in vivo MR-spectroscopy (1H-MRS) measurements of glutamate in 26 survivors from the 2011 Norwegian terror attack and 34 control subjects.

resultsTraumatized youths showed altered amygdala-anterior midcingulate cortex (aMCC) and amygdala-ventromedial prefrontal cortex (vmPFC) connectivity. Moreover, the trauma survivors exhibited reduced levels of glutamate in the vmPFC which fits with the previous findings of reduced levels of Glx (glutamate + glutamine) in the aMCC (Ousdal et al., 2017) and together suggest long-term impact of a traumatic experience on glutamatergic pathways. Importantly, local glutamatergic metabolite levels predicted the individual amygdala-aMCC and amygdala-vmPFC functional connectivity, and also mediated the observed group difference in amygdala-aMCC connectivity.

conclusionsOur findings suggest that traumatic stress may influence amygdala-prefrontal neuronal connectivity through an effect on prefrontal glutamate and its compounds. Understanding the neurochemical underpinning of altered amygdala connectivity after trauma may ultimately lead to the discovery of new pharmacological agents which can prevent or treat stress-related mental illness.

Indexed as

AmygdalaConnectomeGyrus CinguliPrefrontal CortexPsychological TraumaAdolescentAdultFemaleGlutamic AcidHumansMagnetic Resonance ImagingMaleNorwayProton Magnetic Resonance SpectroscopySurvivorsTerrorismGlutamic AcidAmygdalafunctional MRIglutamateprefrontal cortexPTSDstress

Identifiers

PMID30223909
PMCPMC6650776
OpenAlexW2889994671

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.