Evidence map›Paper›PMID 39821016›Full record

ArticleBrain : a journal of neurology2025

N-methyl-d-aspartate receptor hypofunction causes recurrent and transient failures of perceptual inference.

Veith Weilnhammer, Marcus Rothkirch, Deniz Yilmaz, Merve Fritsch, Lena Esther Ptasczynski, Katrin Reichenbach, Lukas Roediger, Philip Corlett, Philipp Sterzer

Abstract readControlled Clinical Trial
In one paragraph

Article in Brain : a journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

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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

9 authors.

Veith WeilnhammerDepartment of Psychiatry and Neurosciences, Charité-Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin 10117, Germany.ORCID 0000-0002-3332-0006
Marcus RothkirchDepartment of Psychiatry and Neurosciences, Charité-Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin 10117, Germany.ORCID 0000-0001-7545-3432
Deniz YilmazDepartment of Psychiatry and Neurosciences, Charité-Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin 10117, Germany.ORCID 0009-0007-7992-6496
Merve FritschDepartment of Psychiatry and Neurosciences, Charité-Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin 10117, Germany.ORCID 0000-0002-2855-0755
Lena Esther PtasczynskiDepartment of Psychiatry and Neurosciences, Charité-Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin 10117, Germany.ORCID 0000-0002-8267-7239
Katrin ReichenbachDepartment of Psychiatry and Neurosciences, Charité-Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin 10117, Germany.ORCID 0000-0003-4345-0127
Lukas RoedigerDepartment of Psychiatry and Neurosciences, Charité-Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin 10117, Germany.ORCID 0000-0002-1179-6054
Philip CorlettDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA.ORCID 0000-0002-5368-1992
Philipp SterzerDepartment of Psychiatry (UPK), University of Basel, Basel 4001, Switzerland.ORCID 0000-0003-4687-2317

Funding

Berlin Institute of HealthGerman Ministry for Research and Education 01EW2007AGerman Research FoundationLeopoldina Academy of Sciences LDPS2022-16
6 · The paper itself

Abstract

Perception integrates external sensory signals with internal predictions that reflect prior knowledge about the world. Previous research suggests that this integration is governed by slow alternations between an external mode, driven by sensory signals, and an internal mode, shaped by prior knowledge. Using a double-blind, placebo-controlled, cross-over experiment in healthy human participants, we investigated the effects of the N-methyl-D-aspartate receptor (NMDAR) antagonist S-ketamine on the balance between external and internal modes. We found that S-ketamine causes a shift of perception towards the external mode. A case-control study revealed that individuals with paranoid schizophrenia, a disorder repeatedly associated with NMDAR hypofunction, spend more time in the external mode. This NMDAR-dependent increase in the external mode suggests that the symptoms of schizophrenia are caused by recurring dissociations of perception from prior knowledge about the world.

Indexed as

PerceptionReceptors, N-Methyl-D-AspartateSchizophrenia, ParanoidAdultCase-Control StudiesCross-Over StudiesDouble-Blind MethodExcitatory Amino Acid AntagonistsFemaleHumansKetamineMaleMiddle AgedYoung AdultExcitatory Amino Acid AntagonistsKetamineReceptors, N-Methyl-D-Aspartatebistable perceptionketaminepredictive processingpsychosisschizophreniavisual perception

Identifiers

PMID39821016
PMCPMC12073972

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.