Evidence map›Paper›PMID 34423498›Full record

ReviewJournal of neuroendocrinology2022

Physiological markers of rapid antidepressant effects of allopregnanolone.

Peter M Lambert, Xinguo Lu, Charles F Zorumski, Steven Mennerick

Open access · greenAbstract readReview
In one paragraph

Review in Journal of neuroendocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. New directions in neurosteroid therapeutics in neuropsychiatry.Neuroscience and biobehavioral reviews · 2025
    Review
  2. Article
  3. Neurosteroids: mechanistic considerations and clinical prospects.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
  4. The PrLiScience · 2023
    Article
  5. 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

4 authors at 1 institution in 1 country.

Peter M LambertDepartment of Psychiatry, Washington University in St Louis School of Medicine, St Louis, MO, USA.ORCID 0000-0001-9427-638X
Xinguo LuDepartment of Psychiatry, Washington University in St Louis School of Medicine, St Louis, MO, USA.ORCID 0000-0001-8452-7608
Charles F ZorumskiDepartment of Psychiatry, Washington University in St Louis School of Medicine, St Louis, MO, USA.ORCID 0000-0002-9704-5154
Steven MennerickDepartment of Psychiatry, Washington University in St Louis School of Medicine, St Louis, MO, USA.ORCID 0000-0003-0868-0664
Washington University in St. Louis · US

Funding

Neuroactive steroids as novel psychiatric treatments: mechanistic studiesP50MH122379 · NIMH · WASHINGTON UNIVERSITY · PI MAGUIRE, JAMIE LYNN · 2021 to 2025
$12.2M
GABAA RECEPTOR POPULATIONS IN HIPPOCAMPUS AND THALAMUSR01MH123748 · NIMH · WASHINGTON UNIVERSITY · PI MENNERICK, STEVEN J · 2021 to 2025
$2.4M
Hippocampal circuit mechanisms of neurosteroidsF30MH126548 · NIMH · WASHINGTON UNIVERSITY · PI LAMBERT, PETER MICHAEL · 2021 to 2024
$171k
NIMH NIH HHS F30 MH126548NIMH NIH HHS P50 MH122379NIMH NIH HHS R01 MH123748
6 · The paper itself

Abstract

The rise of ketamine and brexanolone as rapid antidepressant treatments raises the question of common mechanisms. Both drugs act without the long onset time of traditional antidepressants such as selective serotonin reuptake inhibitors. The drugs also share the interesting feature of benefit that persists beyond the initial drug lifetime. Here, we briefly review literature on functional changes that may mark the triggering mechanism of rapid antidepressant actions. Because ketamine has a longer history of study as a rapid antidepressant, we use this literature as a template to guide hypotheses about common action. Brexanolone has the complication of being a formulation of a naturally occurring neurosteroid; thus, endogenous levels need to be considered when studying the impact of exogenous administration. We conclude that network disinhibition and increased high-frequency oscillations are candidates to mediate acute triggering effects of rapid antidepressants.

Indexed as

KetamineNeurosteroidsAntidepressive AgentsPregnanoloneAntidepressive AgentsKetamineNeurosteroidsPregnanoloneallopregnanolonedisinhibitionGABAneuroactive steroidsoscillationssteroids

Identifiers

PMID34423498
PMCPMC8807818
OpenAlexW3195940551

What OpenQuestion holds

Textmetadata
LicenceTDM
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.