Evidence map›Paper›PMID 38902928›Full record

Trial reportJournal of psychopharmacology (Oxford, England)2024

Effects of stress-related neuromodulators on amygdala and hippocampus resting state functional connectivity.

Catarina Rosada, Renée Lipka, Sophie Metz, Christian Otte, Hauke Heekeren, Katja Wingenfeld

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of psychopharmacology (Oxford, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04359147 (The Role of Stress Neuromodulators in Decision Making Under Risk), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT04359147 nacompletednot on this map

The Role of Stress Neuromodulators in Decision Making Under Risk

TypeinterventionalSponsorCharite University, Berlin, GermanyRan2019 to 2021Enrolled167ConditionsYohimbine, Hydrocortisone, Yohimbine + Hydrocortisone, PlaceboArms"Yohimbine", "Hydrocortisone", "Yohimbine + Hydrocortisone", "Placebo"
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

Catarina RosadaDepartment of Psychiatry, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.ORCID 0000-0003-1977-0307
Renée LipkaDepartment of Psychiatry, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.
Sophie MetzDepartment of Psychiatry, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.ORCID 0000-0003-3646-6665
Christian OtteDepartment of Psychiatry, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.
Hauke HeekerenUniversität Hamburg, Hamburg, Germany.
Katja WingenfeldDepartment of Psychiatry, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe human stress response is characterized by increases in neuromodulators, including norepinephrine (NE) and cortisol. Both neuromodulators can enter the brain and affect neurofunctional responses. Two brain areas associated with stress are the amygdala and the hippocampus. The precise influence of NE and cortisol on the amygdala and hippocampal resting state functional connectivity (RSFC) is poorly understood.

aimsTo investigate the influence of NE and cortisol on the amygdala and hippocampal RSFC.

methodsWe recruited 165 participants who received 10 mg yohimbine and/or 10 mg hydrocortisone in a randomized, placebo-controlled design. With seed-based analyses, we compared RSFC of the hippocampus and amygdala separately between the three groups that received medication versus placebo.

resultsWe found no differences between yohimbine and placebo condition or between hydrocortisone and placebo condition regarding amygdala or hippocampal FC. Compared with placebo, the yohimbine/hydrocortisone condition showed increased amygdala and hippocampal RSFC with the cerebellum. Also, they had increased hippocampal RSFC with the amygdala and cerebral white matter. DISCUSSION: The group with elevated NE and cortisol showed significantly increased RSFC between the amygdala, hippocampus, and cerebellum compared to placebo. These three brain areas are involved in associative learning and emotional memory, suggesting a critical role for this network in the human stress response. Our results show that NE and cortisol together may influence the strength of this association. Compared to placebo, we found no differences in the groups receiving only one medication, suggesting that increasing one neuromodulator alone may not induce differences in neurofunctional responses. The study procedure has been registered at clinicaltrials.gov (ID: NCT04359147).

Indexed as

AmygdalaHippocampusHydrocortisoneNerve NetNorepinephrineRestStress, PsychologicalAdultDouble-Blind MethodFemaleHumansMagnetic Resonance ImagingMaleYohimbineYoung AdultHydrocortisoneNorepinephrineYohimbineamygdalahippocampushydrocortisoneresting state functional connectivityStressyohimbine

Identifiers

PMID38902928
PMCPMC11290027

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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.