Evidence map›Paper›PMID 33101078›Full record

ArticleFrontiers in psychiatry2020

Effect of Ketamine on Limbic GABA and Glutamate: A Human

Leo R Silberbauer, Benjamin Spurny, Patricia Handschuh, Manfred Klöbl, Petr Bednarik, Birgit Reiter, Vera Ritter, Patricia Trost, Melisande E Konadu, Marita Windpassinger and 4 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.0field-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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

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  6. HumanFrontiers in neuroscience · 2025
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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

14 authors at 1 institution in 1 country.

Leo R SilberbauerDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Benjamin SpurnyDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Patricia HandschuhDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Manfred KlöblDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Petr BednarikDepartment of Biomedical Imaging and Image-guided Therapy, High Field MR Centre, Medical University of Vienna, Vienna, Austria.
Birgit ReiterDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Vera RitterDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Patricia TrostDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Melisande E KonaduDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Marita WindpassingerDepartment of Anesthesia, Intensive Care Medicine and Pain Medicine, Medical University of Vienna, Vienna, Austria.
Thomas StimpflDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Wolfgang BognerDepartment of Biomedical Imaging and Image-guided Therapy, High Field MR Centre, Medical University of Vienna, Vienna, Austria.
Rupert LanzenbergerDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Marie SpiesDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · AT

Funding

Austrian Science Fund FWF KLI 516Austrian Science Fund FWF P 30701
6 · The paper itself

Abstract

introductionConverging evidence suggests that ketamine elicits antidepressant effects

methodsTwenty-five healthy subjects underwent two multivoxel MRS scans using a spiral encoded, MEGA-edited LASER-localized 3D-MRSI sequence, at baseline and 2 h following intravenous administration of racemic ketamine (0.8 mg/kg bodyweight over 50 min). Ketamine, norketamine and dehydronorketamine plasma levels were determined at routine intervals during and after infusion. Automated region-of-interest (ROI)-based quantification of mean metabolite concentration was used to assess changes in GABA+/total creatine (tCr), Glx/tCr, and GABA+/Glx ratios in the thalamus, hippocampus, insula, putamen, rostral anterior cingulate cortex (ACC), caudal ACC, and posterior cingulate cortex. Effects of ketamine on neurotransmitter levels and association with ketamine- and metabolite plasma levels were tested with repeated measures analyses of variance (rmANOVA) and correlation analyses, respectively.

resultsFor GABA+/tCr rmANOVA revealed a measurement by region interaction effect (p

conclusionThis study provides evidence for decreased hippocampal GABA+/tCr ratio 2 h following ketamine administration. As MRS methodology measures total levels of intra- and extracellular GABA, results might indicate drug induced alterations in GABA turnover. Our study in healthy humans suggests that changes in GABA levels, particularly in the hippocampus, should be further assessed for their relevance to ketamine´s antidepressant effects.

Indexed as

depressionGABAglutamateketamineketamine metaboliteslimbic systemmagnetic resonance spectroscopy

Identifiers

PMID33101078
PMCPMC7507577
OpenAlexW3084182099

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.