Evidence map›Paper›PMID 30238915›Full record

Trial reportNeuroImage. Clinical2018

Ketamine influences the locus coeruleus norepinephrine network, with a dependency on norepinephrine transporter genotype - a placebo controlled fMRI study.

Thomas Liebe, Meng Li, Lejla Colic, Matthias H J Munk, Catherine M Sweeney-Reed, Marie Woelfer, Moritz A Kretzschmar, Johann Steiner, Felicia von Düring, Gusalija Behnisch and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in NeuroImage. Clinical, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

24 citing papers in PubMed, 40 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

12 authors at 7 institutions in 2 countries.

Thomas LiebeClinical Affective Neuroimaging Laboratory, Leipziger Str. 44, 39112 Magdeburg, Germany; Leibniz Institute for Neurobiology, Brenneckestraße 6, 39118 Magdeburg, Germany; Clinic for Neuroradiology, University of Magdeburg, Leipziger Str. 44, Magdeburg 39120, Germany; Translational Psychiatry Tübingen, University Hospital Tübingen, Calwerstraße 14, 72076 Tübingen, Germany.
Meng LiClinical Affective Neuroimaging Laboratory, Leipziger Str. 44, 39112 Magdeburg, Germany; Department of Neurology, Otto von Guericke University of Magdeburg, Leipziger Str. 44, 39112 Magdeburg, Germany.
Lejla ColicClinical Affective Neuroimaging Laboratory, Leipziger Str. 44, 39112 Magdeburg, Germany; Leibniz Institute for Neurobiology, Brenneckestraße 6, 39118 Magdeburg, Germany.
Matthias H J MunkDepartment of Psychiatry, University of Tübingen, Calwerstr. 14, 72076 Tübingen, Germany; Department of Systems Neurophysiology, Fachbereich Biologie, Technische Universität Darmstadt, Schnittspahnstraße 10, 64287 Darmstadt, Germany.
Catherine M Sweeney-ReedNeurocybernetics and Rehabilitation, Department of Neurology, University of Magdeburg, Leipziger Str. 44, Magdeburg 39120, Germany.
Marie WoelferClinical Affective Neuroimaging Laboratory, Leipziger Str. 44, 39112 Magdeburg, Germany; Leibniz Institute for Neurobiology, Brenneckestraße 6, 39118 Magdeburg, Germany; Department of Biomedical Engineering, New Jersey Institute of Technology, 323 Dr Martin Luther King Jr Blvd, Newark, NJ 07102, USA.
Moritz A KretzschmarDepartment of Anesthesiology and Intensive Care Medicine, University of Magdeburg, Leipziger Str. 44, Magdeburg 39120, Germany.
Johann SteinerDepartment of Psychiatry, University of Magdeburg, Leipziger Str. 44, Magdeburg 39120, Germany.
Felicia von DüringClinical Affective Neuroimaging Laboratory, Leipziger Str. 44, 39112 Magdeburg, Germany; Leibniz Institute for Neurobiology, Brenneckestraße 6, 39118 Magdeburg, Germany.
Gusalija BehnischBehavioural Neuroscience, Leibniz Institute for Neurobiology, Brenneckestraße 6, 39118 Magdeburg, Germany.
Björn H SchottBehavioural Neuroscience, Leibniz Institute for Neurobiology, Brenneckestraße 6, 39118 Magdeburg, Germany; Center for Behavioral Brain Sciences, Otto-von-Guericke-Universität Magdeburg, Universitätsplatz 2, 39106 Magdeburg, Germany; Department of Psychiatry and Psychotherapy, University Medicine Göttingen, von Siebold-Str. 5, 37075 Göttingen, Germany.
Martin WalterClinical Affective Neuroimaging Laboratory, Leipziger Str. 44, 39112 Magdeburg, Germany; Leibniz Institute for Neurobiology, Brenneckestraße 6, 39118 Magdeburg, Germany; Department of Neurology, Otto von Guericke University of Magdeburg, Leipziger Str. 44, 39112 Magdeburg, Germany; Department of Psychiatry, University of Magdeburg, Leipziger Str. 44, Magdeburg 39120, Germany; Center for Behavioral Brain Sciences, Otto-von-Guericke-Universität Magdeburg, Universitätsplatz 2, 39106 Magdeburg, Germany; Max Planck Institute for Biological Cybernetics Tübingen, Max-Planck-Ring 8-14, 72076 Tübingen, Germany; Translational Psychiatry Tübingen, University Hospital Tübingen, Calwerstraße 14, 72076 Tübingen, Germany. Electronic address: martin.walter@uni-tuebingen.de.
University Hospital Magdeburg · DELeibniz Institute for Neurobiology · DEMax Planck Institute for Biological Cybernetics · DENew Jersey Institute of Technology · USTechnische Universität Darmstadt · DEUniversitätsmedizin Göttingen · DEUniversity Children's Hospital Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKetamine is receiving increasing attention as a rapid-onset antidepressant in patients suffering from major depressive disorder (MDD) with treatment resistance or severe suicidal ideation. Ketamine modulates several neurotransmitter systems, including norepinephrine via the norepinephrine transporter (NET), both peripherally and centrally. The locus coeruleus (LC), which has high NET concentration, has been attributed to brain networks involved in depression. Thus we investigated the effects of single-dose of racemic ketamine on the LC using resting state functional MRI.

methodsFifty-nine healthy participants (mean age 25.57 ± 4.72) were examined in a double-blind, randomized, placebo-controlled study with 7 Tesla MRI. We investigated the resting state functional connectivity (rs-fc) of the LC before and one hour after subanesthetic ketamine injection (0.5 mg/kg), as well as associations between its rs-fc and a common polymorphism in the NET gene (rs28386840).

resultsA significant interaction of drug and time was revealed, and post hoc testing showed decreased rs-fc between LC and the thalamus after ketamine administration compared with baseline levels, including the mediodorsal, ventral anterior, ventral lateral, ventral posterolateral and centromedian nuclei. The rs-fc reduction was more pronounced in NET rs28386840 [AA] homozygous subjects than in [T] carriers.

conclusionsWe demonstrated acute rs-fc changes after ketamine administration in the central node of the norepinephrine pathway. These findings may contribute to understanding the antidepressant effect of ketamine at the system level, supporting modes of action on networks subserving aberrant arousal regulation in depression.

Indexed as

AdultAntidepressive AgentsBrain MappingDouble-Blind MethodFemaleGenotypeHumansKetamineLocus CoeruleusMagnetic Resonance ImagingMaleNorepinephrineNorepinephrine Plasma Membrane Transport ProteinsPolymorphism, Single NucleotideYoung AdultAntidepressive AgentsKetamineNorepinephrineNorepinephrine Plasma Membrane Transport ProteinsSLC6A2 protein, humanAttention networksKetamineLocus coeruleus (LC)Major depressive disorder (MDD)Norepinephrine transporter (NET)Pharmacogenetics

Identifiers

PMID30238915
PMCPMC6146384
OpenAlexW2890471101

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.