Evidence map›Paper›PMID 40112815›Full record

ArticleNeuron2025

Ketamine rescues anhedonia by cell-type- and input-specific adaptations in the nucleus accumbens.

Federica Lucantonio, Jacob Roeglin, Shuwen Li, Jaden Lu, Aleesha Shi, Katherine Czerpaniak, Francesca R Fiocchi, Leonardo Bontempi, Brenda C Shields, Carlos A Zarate and 2 more

Abstract read
In one paragraph

Article in Neuron, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Review
  2. Treatment-resistant Depression in the Post-ketamine Era: Unmet Needs beyond Rapid Response.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Cue-Dependent Fear Learning Drives Nucleus Accumbens Spine Plasticity.bioRxiv : the preprint server for biology · 2026
    Article
  11. Review
  12. Cortical Mechanisms Contributing to Ketamine-Induced Dissociation.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2026
    Review
  13. Therapeutic Potentials of Anesthetics.Current neuropharmacology · 2026
    Article
  14. Review
  15. Review
  16. Ventral striatal astrocytes contribute to reinforcement learning.bioRxiv : the preprint server for biology · 2025
    Article
  17. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Federica LucantonioDepartment of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO, USA; Taylor Family Institute for Innovative Psychiatric Research, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Jacob RoeglinDepartment of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Shuwen LiDepartment of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Jaden LuDepartment of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Aleesha ShiDepartment of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Katherine CzerpaniakDepartment of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Francesca R FiocchiDepartment of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Leonardo BontempiIstituto Italiano di Tecnologia, Genova, Italy.
Brenda C ShieldsDepartment of Biomedical Engineering, Duke University, Durham, NC, USA.
Carlos A ZarateExperimental Therapeutics and Pathophysiology Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA.
Michael R TadrossDepartment of Biomedical Engineering, Duke University, Durham, NC, USA.
Marco PignatelliDepartment of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, MO, USA; Taylor Family Institute for Innovative Psychiatric Research, Washington University in St. Louis School of Medicine, St. Louis, MO, USA. Electronic address: marco.pignatelli@wustl.edu.

Funding

Neuroscience Training Program at Washington UniversityT32NS121881 · NINDS · WASHINGTON UNIVERSITY · PI Martha W Bagnall, Daniel Kerschensteiner · 2021 to 2026
$3.1M
A synaptic substrate for ketamine-mediated amelioration of stress-induced anhedoniaR01MH130610 · NIMH · WASHINGTON UNIVERSITY · PI Marco Pignatelli · 2022 to 2026
$1.9M
NIMH NIH HHS R01 MH130610NINDS NIH HHS T32 NS121881
6 · The paper itself

Abstract

Ketamine is recognized as a rapid and sustained antidepressant, particularly for major depression unresponsive to conventional treatments. Anhedonia is a common symptom of depression for which ketamine is highly efficacious, but the underlying circuits and synaptic changes are not well understood. Here, we show that the nucleus accumbens (NAc) is essential for ketamine's effect in rescuing anhedonia in mice subjected to chronic stress. Specifically, a single exposure to ketamine rescues stress-induced decreased strength of excitatory synapses on NAc-D1 dopamine receptor-expressing medium spiny neurons (D1-MSNs). Using a cell-specific pharmacology method, we establish the necessity of this synaptic restoration for the sustained therapeutic effects of ketamine on anhedonia. Examining causal sufficiency, artificially increasing excitatory synaptic strength onto D1-MSNs recapitulates the behavioral amelioration induced by ketamine. Finally, we used opto- and chemogenetic approaches to determine the presynaptic origin of the relevant synapses, implicating monosynaptic inputs from the medial prefrontal cortex and ventral hippocampus.

Indexed as

AnhedoniaKetamineNeuronsNucleus AccumbensAnimalsMaleMiceMice, Inbred C57BLMice, TransgenicPrefrontal CortexReceptors, Dopamine D1Stress, PsychologicalSynapsesKetamineReceptors, Dopamine D1AMPA receptorsanhedoniaD1 MSNsketaminenucleus accumbensprefrontal cortexstresssustained antidepressant responsesynaptic plasticityventral hippocampus

Identifiers

PMID40112815
PMCPMC12064382

What OpenQuestion holds

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Registered trials

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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.