Evidence map›Paper›PMID 33933839›Full record

ArticlePsychiatry research2021

A preliminary study of the association of increased anterior cingulate gamma-aminobutyric acid with remission of depression after ketamine administration.

Balwinder Singh, John D Port, Jennifer L Vande Voort, Brandon J Coombes, Jennifer R Geske, Ian R Lanza, Robert J Morgan, Mark A Frye

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Psychiatry research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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.

NCT03573349 early_phase1active not recruitingnot on this map

Central Versus Peripheral GABA and Glutamate Biomarkers for Treatment Response During Two Infusions of Intravenous Ketamine for Treatment-Resistant Depression

TypeinterventionalSponsorMayo ClinicRan2019 to 2026Enrolled18ConditionsMajor Depressive Disorder, Treatment Resistant Depression, Bipolar DepressionArmsKetamine
NCT06668571 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Central and Peripheral GABA and Glutamate Modulation With Intravenous Ketamine for Treatment-Resistant Depression (G2K): A Randomized, Double-Blind, Placebo-Controlled Study

TypeinterventionalSponsorMayo ClinicRan2025 to 2027Enrolled30ConditionsDepressive Disorder, Treatment-Resistant, Treatment Resistant Depression (TRD)ArmsKetamine, Normal Saline
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Modulation of GABA and glutamate by ketamine in depression: A systematic review and meta-analysis of magnetic resonance spectroscopy studies.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  3. Metabolomic correlates of intravenous racemic ketamine in treatment-resistant major depressive disorder: the Bio-K/NNDC multicenter trial.The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry · 2026
    Article
  4. Article
  5. Effects of ketamine on GABAergic and glutamatergic activity in the mPFC: biphasic recruitment of GABA function in antidepressant-like responses.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  6. Article
  7. Article
  8. M1 acetylcholine receptors in somatostatin interneurons contribute to GABAergic and glutamatergic plasticity in the mPFC and antidepressant-like responses.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
    Article
  9. Review
  10. 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 2 institutions in 1 country.

Balwinder SinghDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: Singh.Balwinder@mayo.edu.
John D PortDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA; Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: Port.John@mayo.edu.
Jennifer L Vande VoortDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: VandeVoort.Jennifer@mayo.edu.
Brandon J CoombesDepartment of Quantitative Health Services, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: Coombes.Brandon@mayo.edu.
Jennifer R GeskeDepartment of Quantitative Health Services, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: Geske.Jennifer@mayo.edu.
Ian R LanzaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: Lanza.Ian@mayo.edu.
Robert J MorganDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: Morgan.Robert@mayo.edu.
Mark A FryeDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: MFrye@mayo.edu.
Mayo Clinic · USMayo Clinic in Arizona · US

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
NCATS NIH HHS UL1 TR002377
6 · The paper itself

Abstract

Gamma-aminobutyric acid (GABA) and glutamate neurotransmission have been implicated in the pathophysiology of depression and mechanistically linked to ketamine's antidepressant response. Seven patients with treatment-resistant depression enrolled in an open-label, feasibility trial of a single IV 40-min ketamine infusion during a functional MR spectroscopy (fMRS) scan utilizing a novel frequency adjusting MEGA-PRESS sequence. Next-day treatment remission and reduction in the MADRS scores correlated with anterior cingulate cortex peak GABA levels. These novel findings provide further insights into the underlying neurobiological mechanisms of ketamine and, if confirmed in larger studies, would be encouraging for further development of GABAergic biomarker associated with ketamine response.

Indexed as

Depressive Disorder, Treatment-ResistantKetamineDepressiongamma-Aminobutyric AcidGlutamic AcidGyrus CinguliHumansgamma-Aminobutyric AcidGlutamic AcidKetamineAnterior cingulate cortexGABATreatment-resistant depression

Identifiers

PMID33933839
PMCPMC11798341
OpenAlexW3155513187

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.