Evidence map›Paper›PMID 40925922›Full record

ArticleNature communications2025

Local activity alterations in individuals with autism correlate with neurotransmitter properties and ketamine-induced brain changes.

Pascal Grumbach, Jan Kasper, Joerg F Hipp, Anna Forsyth, Sofie L Valk, Suresh Muthukumaraswamy, Simon B Eickhoff, Leonhard Schilbach, Juergen Dukart

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

9 authors.

Pascal GrumbachInstitute of Neurosciences and Medicine, Brain & Behaviour (INM-7), Research Centre Juelich; Wilhelm-Johnen-Straße 1, Juelich, Germany.ORCID http://orcid.org/0009-0004-5774-9706
Jan KasperInstitute of Neurosciences and Medicine, Brain & Behaviour (INM-7), Research Centre Juelich; Wilhelm-Johnen-Straße 1, Juelich, Germany.
Joerg F HippRoche Pharma Research and Early Development, Neuroscience and Rare Diseases, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd., Basel, Switzerland.ORCID http://orcid.org/0000-0002-7875-2988
Anna ForsythSchool of Pharmacy, Faculty of Medical and Health Sciences, University of Auckland; 85 Park Road, Grafton, Auckland, New Zealand.
Sofie L ValkInstitute of Neurosciences and Medicine, Brain & Behaviour (INM-7), Research Centre Juelich; Wilhelm-Johnen-Straße 1, Juelich, Germany.ORCID http://orcid.org/0000-0003-2998-6849
Suresh MuthukumaraswamySchool of Pharmacy, Faculty of Medical and Health Sciences, University of Auckland; 85 Park Road, Grafton, Auckland, New Zealand.ORCID http://orcid.org/0000-0001-7042-3920
Simon B EickhoffInstitute of Neurosciences and Medicine, Brain & Behaviour (INM-7), Research Centre Juelich; Wilhelm-Johnen-Straße 1, Juelich, Germany.
Leonhard SchilbachDepartment of General Psychiatry 2, LVR-Klinikum Duesseldorf, Heinrich Heine University Duesseldorf; Bergische Landstraße 2, Duesseldorf, Germany.ORCID http://orcid.org/0000-0001-5547-8309
Juergen DukartInstitute of Neurosciences and Medicine, Brain & Behaviour (INM-7), Research Centre Juelich; Wilhelm-Johnen-Straße 1, Juelich, Germany. j.dukart@fz-juelich.de.ORCID http://orcid.org/0000-0003-0492-5644

Funding

Translational Developmental Neuroscience of AutismK23MH087770 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DI MARTINO, ADRIANA · 2010 to 2013
$644k
Enhancing the Autism Brain Imaging Data Exchange to Define the Autism ConnectomeR21MH107045 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DI MARTINO, ADRIANA · 2015 to 2016
$479k
Enhancement of the 1000 Functional Connectome ProjectR03MH096321 · NIMH · NATHAN S. KLINE INSTITUTE FOR PSYCH RES · PI BISWAL, BHARAT BHUSAN, MILHAM, MICHAEL PETER · 2012 to 2013
$158k
NIMH NIH HHS K23 MH087770NIMH NIH HHS R03 MH096321NIMH NIH HHS R21 MH107045
6 · The paper itself

Abstract

Autism is a neurodevelopmental condition associated with altered resting-state brain function. An increased excitation-inhibition ratio is discussed as a pathomechanism but in-vivo evidence of disturbed neurotransmission underlying functional alterations remains scarce. We compare local resting-state brain activity and neurotransmitter co-localizations between autism (N = 405, N = 395) and neurotypical controls (N = 473, N = 474) in two independent cohorts and correlate them with excitation-inhibition changes induced by glutamatergic (ketamine) and GABAergic (midazolam) medication. Autistic individuals exhibit consistent reductions in local activity, particularly in default mode network regions. The whole-brain differences spatially overlap with glutamatergic and GABAergic, as well as dopaminergic and cholinergic neurotransmission. Functional changes induced by NMDA-antagonist ketamine resemble the spatial pattern observed in autism. Our findings suggest that consistent local activity alterations in autism reflect widespread disruptions in neurotransmission and may be resembled by pharmacological modulation of the excitation-inhibition balance. These findings advance understanding of the neurophysiological basis of autism. Trial registration number: ACTRN12616000281493.

Indexed as

Autistic DisorderBrainKetamineNeurotransmitter AgentsAdolescentAdultBrain MappingChildFemaleHumansMagnetic Resonance ImagingMaleMidazolamSynaptic TransmissionYoung AdultKetamineMidazolamNeurotransmitter Agents

Identifiers

PMID40925922
PMCPMC12420803

What OpenQuestion holds

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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.