Evidence map›Paper›PMID 31139875›Full record

ArticlePsychopharmacology2019

Vortioxetine reverses medial prefrontal cortex-mediated cognitive deficits in male rats induced by castration as a model of androgen deprivation therapy for prostate cancer.

Alexandra M Sharp, Suphada Lertphinyowong, Samantha S Yee, Denisse Paredes, Jonathan Gelfond, Teresa L Johnson-Pais, Robin J Leach, Michael Liss, April L Risinger, Anna C Sullivan and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Psychopharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07633626 (Potential Effect of Vortioxetine on Cognitive Functioning of Patients With ALK-positive Non-Small Cell Lung Cancer Treated With Lorlatinib), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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.

NCT07633626 recruitingnot on this mapstarted 2026, after this paper: background citation

Potential Effect of Vortioxetine on Cognitive Functioning of Patients With ALK-positive Non-Small Cell Lung Cancer Treated With Lorlatinib

TypeobservationalSponsorCentro de Tratamiento e Investigación sobre Cáncer, Luis Carlos Sarmiento AnguloRan2026 to 2027Enrolled24ConditionsAdvanced ALK/ROS1-positive NSCLC, Carcinoma, Non-Small-Cell Lung (NSCLC), Lung Adenocarcinoma, ALK-positive Non-small Cell Lung Cancer (NSCLC)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Risks associated with cognitive function and management strategies in the clinical use of ADT: a systematic review from clinical and preclinical studies.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Prostate cancer treatment and the relationship of androgen deprivation therapy to cognitive function.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2022
    Review
  7. Article
  8. Review
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 1 institution in 1 country.

Alexandra M SharpDepartment of Pharmacology, University of Texas Health Science Center, San Antonio, TX, 78229, USA.
Suphada LertphinyowongDepartment of Pharmacology, University of Texas Health Science Center, San Antonio, TX, 78229, USA.
Samantha S YeeDepartment of Pharmacology, University of Texas Health Science Center, San Antonio, TX, 78229, USA.
Denisse ParedesDepartment of Pharmacology, University of Texas Health Science Center, San Antonio, TX, 78229, USA.
Jonathan GelfondDepartment of Epidemiology and Biostatistics, University of Texas Health Science Center, San Antonio, TX, 78229, USA.
Teresa L Johnson-PaisDepartment of Urology, University of Texas Health Science Center, San Antonio, TX, 78229, USA.
Robin J LeachDepartment of Urology, University of Texas Health Science Center, San Antonio, TX, 78229, USA.
Michael LissDepartment of Urology, University of Texas Health Science Center, San Antonio, TX, 78229, USA.
April L RisingerDepartment of Pharmacology, University of Texas Health Science Center, San Antonio, TX, 78229, USA.
Anna C SullivanCenter for Biomedical Neuroscience, University of Texas Health Science Center, San Antonio, TX, 78229, USA.
Ian M ThompsonDepartment of Urology, University of Texas Health Science Center, San Antonio, TX, 78229, USA.
David A MorilakDepartment of Pharmacology, University of Texas Health Science Center, San Antonio, TX, 78229, USA. morilak@uthscsa.edu.ORCID http://orcid.org/0000-0001-6689-6258
The University of Texas Health Science Center at San Antonio · US

Funding

TISSUE CULTURE---COREP30CA054174 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Robin Jean Leach · 1991 to 2026
$59.1M
TRANSGENIC COREP30AG013319 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI JAMES FLOYD NELSON · 1995 to 2026
$30.6M
San Antonio OAIC - Research Education Component (REC)P30AG044271 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Adam Salmon · 2015 to 2026
$14.1M
Cognitive impairment associated with androgen deprivation therapy for prostate cancerR01CA224672 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI MORILAK, DAVID A · 2019 to 2023
$2.0M
Cancer Prevention and Research Institute of Texas RP180055National Institutes of Health, National Cancer Institute CA224672NCI NIH HHS P30 CA054174NCI NIH HHS R01 CA224672NIA NIH HHS P30 AG013319NIA NIH HHS P30 AG044271
6 · The paper itself

Abstract

rationaleAndrogen deprivation therapy (ADT) is an effective treatment for prostate cancer, but induces profound cognitive impairment. Little research has addressed mechanisms underlying these deficits or potential treatments. This is an unmet need to improve quality of life for prostate cancer survivors.

objectivesWe investigated mechanisms of cognitive impairment after ADT in rats and potential utility of the multimodal serotonin-targeting drug, vortioxetine, to improve the impairment, as vortioxetine has specific efficacy against cognitive impairment in depression.

methodsMale Sprague-Dawley rats were surgically castrated. Vortioxetine (28 mg/kg/day) was administered in the diet. The attentional set-shifting test was used to assess medial prefrontal cortex (mPFC) executive function. Afferent-evoked field potentials were recorded in the mPFC of anesthetized rats after stimulating the ventral hippocampus (vHipp) or medial dorsal thalamus (MDT). Gene expression changes were assessed by microarray. Effects of vortioxetine on growth of prostate cancer cells were assessed in vitro.

resultsADT impaired cognitive set shifting and attenuated responses evoked in the mPFC by the vHipp afferent, but not the MDT. Both the cognitive impairment and attenuated vHipp-evoked responses were reversed by chronic vortioxetine treatment. Preliminary investigation of gene expression in the mPFC indicates that factors involved in neuronal plasticity and synaptic transmission were down-regulated by castration and up-regulated by vortioxetine in castrated animals. Vortioxetine neither altered the growth of prostate cancer cells in vitro nor interfered with the antiproliferative effects of the androgen antagonist, enzalutamide.

conclusionsThese results suggest that vortioxetine may be useful in mitigating cognitive impairment associated with ADT for prostate cancer.

Indexed as

Androgen AntagonistsAnimalsCognitive DysfunctionDose-Response Relationship, DrugMaleOrchiectomyPrefrontal CortexProstatic NeoplasmsRatsRats, Sprague-DawleyVortioxetineAndrogen AntagonistsVortioxetineAndrogenAntidepressantCognitive flexibilityMedial dorsal thalamusMedial prefrontal cortexProstate cancerVentral hippocampus

Identifiers

PMID31139875
PMCPMC6832770
OpenAlexW2947389724

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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.