Evidence map›Paper›PMID 32732915›Full record

ArticleTranslational psychiatry2020

Modulation of inhibitory control networks relate to clinical response following ketamine therapy in major depression.

Ashish K Sahib, Joana Ra Loureiro, Megha M Vasavada, Antoni Kubicki, Benjamin Wade, Shantanu H Joshi, Roger P Woods, Eliza Congdon, Randall Espinoza, Katherine L Narr

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Towards an expanded neurocognitive account of ketamine's rapid antidepressant effects.The international journal of neuropsychopharmacology · 2025
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  11. Neuroimaging-Derived Biomarkers of the Antidepressant Effects of Ketamine.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2023
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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

10 authors at 2 institutions in 1 country.

Ashish K SahibDepartment of Neurology, Ahmanson-Lovelace Brain Mapping Center, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0003-0622-9634
Joana Ra LoureiroDepartment of Neurology, Ahmanson-Lovelace Brain Mapping Center, Los Angeles, CA, USA.
Megha M VasavadaDepartment of Neurology, Ahmanson-Lovelace Brain Mapping Center, Los Angeles, CA, USA.
Antoni KubickiDepartment of Neurology, Ahmanson-Lovelace Brain Mapping Center, Los Angeles, CA, USA.
Benjamin WadeDepartment of Neurology, Ahmanson-Lovelace Brain Mapping Center, Los Angeles, CA, USA.
Shantanu H JoshiDepartment of Neurology, Ahmanson-Lovelace Brain Mapping Center, Los Angeles, CA, USA.
Roger P WoodsDepartment of Neurology, Ahmanson-Lovelace Brain Mapping Center, Los Angeles, CA, USA.
Eliza CongdonDepartment of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, CA, USA.
Randall EspinozaDepartment of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0003-2895-4212
Katherine L NarrDepartment of Neurology, Ahmanson-Lovelace Brain Mapping Center, Los Angeles, CA, USA. narr@ucla.edu.
Brain Mapping Foundation · USUniversity of California, Los Angeles · US

Funding

Perturbation of the treatment resistant depression connectome by fast-acting therapiesU01MH110008 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ESPINOZA, RANDALL, NARR, KATHERINE L · 2016 to 2019
$5.5M
Biomarkers of fast acting therapies in major depressionK24MH102743 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI NARR, KATHERINE L · 2014 to 2018
$889k
NIMH NIH HHS K24 MH102743NIMH NIH HHS U01 MH110008
6 · The paper itself

Abstract

Subanesthetic ketamine is found to induce fast-acting and pronounced antidepressant effects, even in treatment resistant depression (TRD). However, it remains unclear how ketamine modulates neural function at the brain systems-level to regulate emotion and behavior. Here, we examined treatment-related changes in the inhibitory control network after single and repeated ketamine therapy in TRD. Forty-seven TRD patients (mean age = 38, 19 women) and 32 healthy controls (mean age = 35, 18 women) performed a functional magnetic resonance imaging (fMRI) response inhibition task at baseline, and 37 patients completed the fMRI task and symptom scales again 24 h after receiving both one and four 0.5 mg/kg intravenous ketamine infusions. Analyses of fMRI data addressed effects of diagnosis, time, and differences between treatment remitters and non-remitters. Significant decreases in brain activation were observed in the inhibitory control network, including in prefrontal and parietal regions, and visual cortex following serial ketamine treatment, p < 0.05 corrected. Remitters were distinguished from non-remitters by having lower functional activation in the supplementary motor area (SMA) prior to treatment, which normalized towards controls following serial ketamine treatment. Results suggest that ketamine treatment leads to neurofunctional plasticity in executive control networks including the SMA during a response-inhibitory task. SMA changes relate to reductions in depressive symptoms, suggesting modulation of this network play an important role in therapeutic response. In addition, early changes in the SMA network during response inhibition appear predictive of overall treatment outcome, and may serve as a biomarker of treatment response.

Indexed as

Depressive Disorder, Treatment-ResistantKetamineMajor Depressive DisorderAdultAntidepressive AgentsDepressionFemaleHumansAntidepressive AgentsKetamine

Identifiers

PMID32732915
PMCPMC7393172
OpenAlexW3045558647

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.