Evidence map›Paper›PMID 33462446›Full record

ArticleNature medicine2021

State-dependent responses to intracranial brain stimulation in a patient with depression.

Katherine W Scangos, Ghassan S Makhoul, Leo P Sugrue, Edward F Chang, Andrew D Krystal

Erratum issued Registry-linked trialOpen access · greenAbstract readCase Reports
In one paragraph

Article in Nature medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06347978 (A Double-Blinded, Randomized, Crossover Trial of Stereoencephalography- Guided Four-Lead Personalized Deep Brain Stimulation for Treatment-Refractory Obsessive Compulsive Disorder), which is not on this map. Cited by 120 papers.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed
19.8field-weighted citation impact, top 1% 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.

NCT06347978 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

A Double-Blinded, Randomized, Crossover Trial of Stereoencephalography- Guided Four-Lead Personalized Deep Brain Stimulation for Treatment-Refractory Obsessive Compulsive Disorder (SEEG-Guided DBS for OCD)

TypeinterventionalSponsorAndrew Moses Lee, MD, PhDRan2024 to 2028Enrolled10ConditionsObsessive-Compulsive Disorder, OCDArmsDeep Brain Stimulation
3 · Its place in the literature

Who cites it

120 citing papers in PubMed, 226 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. A guide to neuromodulation in drug-resistant epilepsy.Epileptic disorders : international epilepsy journal with videotape · 2026
    Review
  7. Article
  8. Review
  9. NAcLat-DBS reduces GABANeurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Integration of learned artificial sensation with vision during freely moving navigation.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  17. Article
  18. Article
  19. Article
  20. Article

60 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Katherine W Scangos *Department of Psychiatry, University of California, San Francisco, San Francisco, CA, USA. katherine.scangos@ucsf.edu.ORCID http://orcid.org/0000-0001-7983-7767
Ghassan S MakhoulDepartment of Psychiatry, University of California, San Francisco, San Francisco, CA, USA.
Leo P SugrueDepartment of Neurosurgery, University of California, San Francisco, San Francisco, CA, USA.
Edward F Chang *Department of Radiology, University of California, San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0003-2480-4700
Andrew D Krystal *Department of Psychiatry, University of California, San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-6702-781X
University of California, San Francisco · US

Funding

TDP-43 Loss-of-Function: Biology to BiomarkersP01AG019724 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Jennifer Merrilees · 2002 to 2026
$67.2M
ABCD-USA Consortium: Data Analysis, Informatics and Resource CenterU24DA041123 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ANDERS M DALE · 2015 to 2026
$51.5M
Clinical Features and Neuropathological Basis of Sleep Wake Behavior in Alzheimer's and PSPR01AG060477 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Lea Tenenholz Grinberg, Thomas C Neylan · 2019 to 2026
$8.2M
Multisite adaptive brain stimulation for multidimensional treatment of refractory chronic painUH3NS115631 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SHIRVALKAR, PRASAD · 2019 to 2023
$6.9M
Foundations of MRI Corticography for mesoscale organization and neuronal circuitryR01MH111444 · NIMH · UNIVERSITY OF CALIFORNIA BERKELEY · PI FEINBERG, DAVID ALAN · 2016 to 2020
$5.1M
Tissue-Specific Insulin Resistance in Obstructive Sleep Apnea: Role of HypoxiaR01DK117953 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KRYSTAL, ANDREW D, SCHWARZ, JEAN-MARC · 2018 to 2023
$4.0M
Reward processing in genetic frontotemporal dementia and mood disordersR01AG059794 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PERRY, DAVID C · 2019 to 2023
$4.0M
Systems Genetics Approach to Intracranial AneurysmsR01NS105675 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI DU, ROSE · 2019 to 2023
$3.7M
Examining the reciprocal effects of racial discrimination and sleep on cardiovascular functioning: An experimental approachR01HL142051 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PRATHER, ARIC ANDREW · 2018 to 2022
$3.5M
Functional Architecture of Speech Motor CortexU01NS098971 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHANG, EDWARD · 2016 to 2018
$3.5M
Technology development for closed-loop deep brain stimulation to treat refractory neuropathic painUH3NS109556 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHANG, EDWARD, STARR, PHILIP ANDREW · 2019 to 2023
$3.0M
Neural Systems in Auditory and Speech CategorizationR01DC015504 · NIDCD · UNIVERSITY OF TEXAS AT AUSTIN · PI CHANDRASEKARAN, BHARATH · 2017 to 2021
$2.3M
NHLBI NIH HHS R01 HL142051NIA NIH HHS P01 AG019724NIA NIH HHS R01 AG059794NIA NIH HHS R01 AG060477NIDA NIH HHS U24 DA041123NIDCD NIH HHS R01 DC012377NIDCD NIH HHS R01 DC015504NIDDK NIH HHS R01 DK117953NIMH NIH HHS R01 MH111444NIMH NIH HHS R01 MH114860NINDS NIH HHS K23 NS110962NINDS NIH HHS R01 NS105675NINDS NIH HHS U01 NS098971NINDS NIH HHS UH3 NS109556NINDS NIH HHS UH3 NS115631U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) K23NS110962
6 · The paper itself

Abstract

Deep brain stimulation is a promising treatment for severe depression, but lack of efficacy in randomized trials raises questions regarding anatomical targeting. We implanted multi-site intracranial electrodes in a severely depressed patient and systematically assessed the acute response to focal electrical neuromodulation. We found an elaborate repertoire of distinctive emotional responses that were rapid in onset, reproducible, and context and state dependent. Results provide proof of concept for personalized, circuit-specific medicine in psychiatry.

Indexed as

AdultBrainBrain MappingDeep Brain StimulationElectric StimulationElectrodesFemaleHumansMajor Depressive Disorder

Identifiers

PMID33462446
PMCPMC8284979
OpenAlexW3122210758

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.