Evidence map›Paper›PMID 33657450›Full record

Trial reportNeuroImage2021

Effects of SSRI treatment on GABA and glutamate levels in an associative relearning paradigm.

B Spurny, T Vanicek, R Seiger, M B Reed, M Klöbl, V Ritter, J Unterholzner, G M Godbersen, L R Silberbauer, D Pacher and 6 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in NeuroImage, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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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

16 authors at 2 institutions in 1 country.

B SpurnyDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
T VanicekDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
R SeigerDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
M B ReedDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
M KlöblDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
V RitterDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
J UnterholznerDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
G M GodbersenDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
L R SilberbauerDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
D PacherDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
S KlugDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
M E KonaduDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
G GryglewskiDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
S TrattnigDepartment of Biomedical Imaging and Image-guided Therapy, High Field MR Centre, Medical University of Vienna, Austria; Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria.
W BognerDepartment of Biomedical Imaging and Image-guided Therapy, High Field MR Centre, Medical University of Vienna, Austria.
R LanzenbergerDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Austria. Electronic address: rupert.lanzenberger@meduniwien.ac.at.
Medical University of Vienna · ATChristian Doppler Laboratory for Thermoelectricity · AT

Funding

Austrian Science Fund FWF KLI 516Austrian Science Fund FWF KLI 679
6 · The paper itself

Abstract

Impaired cognitive flexibility represents a widespread symptom in psychiatric disorders, including major depressive disorder (MDD), a disease, characterized by an imbalance of neurotransmitter concentrations. While memory formation is mostly associated with glutamate, also gamma-Aminobutyric acid (GABA) and serotonin show attributions in a complex interplay between neurotransmitter systems. Treatment with selective serotonin reuptake inhibitors (SSRIs) does not solely affect the serotonergic system but shows downstream effects on GABA- and glutamatergic neurotransmission, potentially helping to restore cognitive function via neuroplastic effects. Hence, this study aims to elaborate the effects of associative relearning and SSRI treatment on GABAergic and glutamatergic function within and between five brain regions using magnetic resonance spectroscopy imaging (MRSI). In this study, healthy subjects were randomized into four groups which underwent three weeks of an associative relearning paradigm, with or without emotional connotation, under SSRI (10mg escitalopram) or placebo administration. MRSI measurements, using a spiral-encoded, 3D-GABA-edited MEGA-LASER sequence at 3T, were performed on the first and last day of relearning. Mean GABA+/tCr (GABA+ = GABA + macromolecules; tCr = total creatine) and Glx/tCr (Glx = glutamate + glutamine) ratios were quantified in a ROI-based approach for the hippocampus, insula, putamen, pallidum and thalamus, using LCModel. A total of 66 subjects ((37 female, mean age ± SD = 25.4±4.7) for Glx/tCr and 58 subjects (32 female, mean age ± SD = 25.1±4.7) for GABA+/tCr were included in the final analysis. A significant measurement by region and treatment (SSRI vs placebo) interaction on Glx/tCr ratios was found (p

Indexed as

AdultAssociation LearningBrainDouble-Blind MethodFemalegamma-Aminobutyric AcidGlutamic AcidHumansLongitudinal StudiesMagnetic Resonance ImagingMagnetic Resonance SpectroscopyMalePhotic StimulationSelective Serotonin Reuptake InhibitorsYoung Adultgamma-Aminobutyric AcidGlutamic AcidSelective Serotonin Reuptake InhibitorsGABAGlutamateHippocampusLearningMRSISSRI

Identifiers

PMID33657450
PMCPMC7610796
OpenAlexW3133534692

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.