Evidence map›Paper›PMID 40568237›Full record

ArticleNeuroimage. Reports2021

Acute gabapentin administration in healthy adults. A double-blind placebo-controlled study using transcranial magnetic stimulation and 7T

Katherine Dyke, Sophia E Pépés, Ben Babourina-Brooks, Chen Chen, Soyoung Kim, Hilmar P Sigurdsson, Amelia Draper, Masud Husain, Parashkev Nachev, Penny Gowland and 2 more

Erratum issuedAbstract read
In one paragraph

Article in Neuroimage. Reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Katherine DykeSchool of Psychology, University of Nottingham, UK.
Sophia E PépésSchool of Psychology, University of Nottingham, UK.
Ben Babourina-BrooksSir Peter Mansfield Imaging Centre, University of Nottingham, UK.
Chen ChenSir Peter Mansfield Imaging Centre, University of Nottingham, UK.
Soyoung KimSchool of Psychology, University of Nottingham, UK.
Hilmar P SigurdssonSchool of Psychology, University of Nottingham, UK.
Amelia DraperSchool of Psychology, University of Nottingham, UK.
Masud HusainNuffield Department of Clinical Neuroscience, University of Oxford, UK.
Parashkev NachevInstitute of Cognitive Neuroscience, University College London, UK.
Penny GowlandSir Peter Mansfield Imaging Centre, University of Nottingham, UK.
Peter G MorrisSir Peter Mansfield Imaging Centre, University of Nottingham, UK.
Stephen R JacksonSchool of Psychology, University of Nottingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gamma-aminobutyric acid (GABA) and glutamate are the primary neurotransmitters responsible for modulating excitatory and inhibitory signalling within the human brain. Dysfunctional GABAergic and glutamatergic signalling has been identified as a key factor in a range of neuropsychiatric conditions; hence measurement and modulation of these neurometabolites is important for improving our understanding of neuropsychiatric conditions and treatment options. Gabapentin (GBP) is one of several drugs developed to increase GABA levels and is routinely prescribed for conditions such as epilepsy and neuralgia. While animal and human studies indicate that GBP can elevate GABA levels, its exact mechanisms of action are not fully understood, although animal studies indicate that GBP does not have a direct effect upon GABAergic receptors. To investigate the impact of acute GBP administration in the human motor system we used two complimentary approaches - transcranial magnetic stimulation (TMS) and magnetic resonance spectroscopy (MRS). MRS and TMS measures of GABA have repeatedly been found to be uncorrelated and are likely to reflect different pools of synaptic and extra synaptic GABA, hence, measuring both within the same participants allows for an in-depth assessment of GBP effects. Despite significantly increased ratings of fatigue and tiredness within the GBP group, we failed to find any statistically significant changes in our MRS or TMS measures of GABA. Measures of MRS Glutamate (glu) and glutamine (gln) were also not affected by the administration of GBP. These findings are important as they run counter to previous work, and suggest that the effect of an acute dose of GBP is likely to be subject to substantial individual variation, with timing of measures particularly likely to impact observed effects. These findings have implications for the use of acute GBP dosing as a means to explore GABAergic function in health and disease.

Indexed as

Gabapentin (GBP)Gamma-aminobutyric acid (GABA)Glutamate (Glu)Glutamine (Gln)Intracortical facilitation (ICF)Magnetic resonance spectroscopy (MRS)Motor cortexShort interval intracortical inhibition (SICI)Transcranial magnetic stimulation (TMS)

Identifiers

PMID40568237
PMCPMC12172735

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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.