Evidence map›Paper›PMID 33426409›Full record

ArticleChronic stress (Thousand Oaks, Calif.)

Ketamine Normalizes the Structural Alterations of Inferior Frontal Gyrus in Depression.

Dan Dai, Cheryl M Lacadie, Sophie E Holmes, Ryan Cool, Alan Anticevic, Chris Averill, Chadi Abdallah, Irina Esterlis

Open access · goldAbstract read
In one paragraph

Article in Chronic stress (Thousand Oaks, Calif.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Challenges and rewards of in vivo synaptic density imaging, and its application to the study of depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
  6. Review
  7. Neuroimaging-Derived Biomarkers of the Antidepressant Effects of Ketamine.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2023
    Review
  8. Article
  9. Article
  10. Imaging synaptic density in depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
    Review
  11. Article
  12. Effects of intranasal (EClinicalMedicine · 2022
    Article
  13. Article
  14. 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

8 authors at 3 institutions in 1 country.

Dan DaiDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.ORCID https://orcid.org/0000-0001-8527-3232
Cheryl M LacadieDepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Connecticut.
Sophie E HolmesDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Ryan CoolDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.ORCID https://orcid.org/0000-0003-0655-0006
Alan AnticevicDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Chris AverillDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.ORCID https://orcid.org/0000-0001-7575-6142
Chadi AbdallahDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.ORCID https://orcid.org/0000-0001-5783-6181
Irina EsterlisDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Yale University · USUnited States Department of Veterans Affairs · USMichael E. DeBakey VA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKetamine is a novel fast-acting antidepressant. Acute ketamine treatment can reverse microstructure deficits and normalize functional alterations in the brain, but little is known about the impacts of ketamine on brain volumes in individuals with depression.

methodsWe used 3 T magnetic resonance imaging (MRI) and tensorbased morphological methods to investigate the regional volume differences for 29 healthy control (HC) subjects and 21 subjects with major depressive disorder (MDD), including 10 subjects with comorbid post-traumatic stress disorder (PTSD). All the subjects participated in MRI scanning before and 24 h post intravenous ketamine infusion. The effects of acute ketamine administration on HC, MDD, and MDD/PTSD groups were examined separately by whole-brain voxel-wise t-tests.

resultsOur data showed smaller volume of inferior frontal gyrus (IFG, opercular part) in MDD and MDD/PTSD subjects compared to HC, and a significant correlation between opercular IFG volume and depressive severity in MDD subjects only. Ketamine administration normalized the structural alterations of opercular IFG in both MDD and MDD/PTSD groups, and significantly improved depressive and PTSD symptoms. Twenty-four hours after a single ketamine infusion, there were two clusters of voxels with volume changes in MDD subjects, including significantly increased volumes of opercular IFG. No significant structural alterations were found in the MDD/PTSD or HC groups.

conclusionThese findings provide direct evidence that acute ketamine administration can normalize structural alterations associated with depression and highlight the importance of IFG in the guidance of future therapeutic targets.

Indexed as

brain volumesdepressioninferior frontal gyrusketaminemagnetic resonance imagingmajor depressive disorderpost-traumatic stress disorderstructural alterations

Identifiers

PMID33426409
PMCPMC7758564
OpenAlexW3115496309

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.