Evidence map›Paper›PMID 33458556›Full record

ArticleChronic stress (Thousand Oaks, Calif.)

Pretreatment Brain Connectome Fingerprint Predicts Treatment Response in Major Depressive Disorder.

Siyan Fan, Samaneh Nemati, Teddy J Akiki, Jeremy Roscoe, Christopher L Averill, Samar Fouda, Lynnette A Averill, Chadi G Abdallah

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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Connectome-based fingerprinting: reproducibility, precision, and behavioral prediction.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
  7. Breakthroughs and challenges for generating brain network-based biomarkers of treatment response in depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
  8. Therapeutic potential of transient receptor potential (TRP) channels in psychiatric disorders.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
  9. Article
  10. Article
  11. Review
  12. Article
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.

Siyan FanNational Center for PTSD-Clinical Neuroscience Division, US Department of Veterans Affairs, West Haven, Connecticut.ORCID https://orcid.org/0000-0002-8331-0738
Samaneh NematiNational Center for PTSD-Clinical Neuroscience Division, US Department of Veterans Affairs, West Haven, Connecticut.
Teddy J AkikiNational Center for PTSD-Clinical Neuroscience Division, US Department of Veterans Affairs, West Haven, Connecticut.ORCID https://orcid.org/0000-0003-1988-9201
Jeremy RoscoeNational Center for PTSD-Clinical Neuroscience Division, US Department of Veterans Affairs, West Haven, Connecticut.
Christopher L AverillMichael E. DeBakey, VA Medical Center, Houston, Texas.
Samar FoudaNational Center for PTSD-Clinical Neuroscience Division, US Department of Veterans Affairs, West Haven, Connecticut.
Lynnette A AverillNational Center for PTSD-Clinical Neuroscience Division, US Department of Veterans Affairs, West Haven, Connecticut.ORCID https://orcid.org/0000-0002-8985-9975
Chadi G AbdallahNational Center for PTSD-Clinical Neuroscience Division, US Department of Veterans Affairs, West Haven, Connecticut.ORCID https://orcid.org/0000-0001-5783-6181
United States Department of Veterans Affairs · USMichael E. DeBakey VA Medical Center · USCleveland Clinic · US

Funding

Examining The Effect Of Ketamine On Glutamate/Glutamine CyclingK23MH101498 · NIMH · YALE UNIVERSITY · PI ABDALLAH, CHADI · 2013 to 2017
$879k
Structural and functional neural alterations in suicidality among Veterans with PTSDIK2CX001873 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI AVERILL, LYNNETTE ASTRID · 2019 to 2023
–
CSRD VA IK2 CX001873NIMH NIH HHS K23 MH101498
6 · The paper itself

Abstract

backgroundMajor depressive disorder (MDD) treatment is characterized by low remission rate and often involves weeks to months of treatment. Identification of pretreatment biomarkers of response may play a critical role in novel drug development, in enhanced prognostic predictions, and perhaps in providing more personalized medicine. Using a network restricted strength predictive modeling (NRS-PM) approach, the goal of the current study was to identify pretreatment functional connectome fingerprints (CFPs) that (1) predict symptom improvement regardless of treatment modality and (2) predict treatment specific improvement.

methodsFunctional magnetic resonance imaging and behavioral data from unmedicated patients with MDD (n = 200) were investigated. Participants were randomized to daily treatment of sertraline or placebo for 8 weeks. NRS-PM with 1000 iterations of 10 cross-validation were implemented to identify brain connectivity signatures that predict percent improvement in depression severity at week-8.

resultsThe study identified a pretreatment CFP that significantly predicts symptom improvement independent of treatment modality but failed to identify a treatment specific CFP. Regardless of treatment modality, improved antidepressant response was predicted by high pretreatment connectivity between modules in the default mode network and the rest of the brain, but low external connectivity in the executive network. Moreover, high pretreatment internal nodal connectivity in the bilateral caudate predicted better response.

conclusionsThe identified CFP may contribute to drug development and ultimately to enhanced prognostic predictions. However, the results do not assist with providing personalized medicine, as pretreatment functional connectivity failed to predict treatment specific response.

Indexed as

antidepressantsbrain architectureintrinsic connectivity networksmachine learningmajor depressive disorders

Identifiers

PMID33458556
PMCPMC7783890
OpenAlexW3117498268

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.