Evidence map›Paper›PMID 42919836›Full record

ArticleMolecular psychiatry2026

Multimodal associations between posterior hippocampus glutamate metabolism, visual cortex connectivity, and intrusive trauma reexperiencing symptoms.

Kevin J Clancy, Xi Chen, Xiaopeng Song, Tao Song, Shuqin Zhou, Eylül Akman, Caroline Ostrand, Boyu Ren, Fei Du, Isabelle M Rosso

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Article in Molecular psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Kevin J ClancyDivision of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA, USA. kclancy@mclean.harvard.edu.ORCID http://orcid.org/0000-0001-6581-357X
Xi ChenDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-6003-6473
Xiaopeng SongDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA.
Tao SongDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-6454-2456
Shuqin ZhouDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA.
Eylül AkmanDivision of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA, USA.
Caroline OstrandDivision of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA, USA.
Boyu RenDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA.
Fei DuDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-9549-4255
Isabelle M RossoDivision of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA, USA. irosso@mclean.harvard.edu.ORCID http://orcid.org/0000-0001-6988-3858

Funding

Multimodal imaging of hippocampal-cortical networks and mechanisms of trauma-related intrusionsR01MH120400 · NIMH · MCLEAN HOSPITAL · PI ROSSO, ISABELLE M · 2019 to 2023
$3.3M
Progressive social withdrawal in trauma-exposed older adolescents and young adults: neurocircuitry predictorsR01MH125852 · NIMH · MCLEAN HOSPITAL · PI ROSSO, ISABELLE M · 2021 to 2025
$2.4M
A Multilevel Characterization of Sensory Cortical Disinhibition in Post-Traumatic IntrusionsK23MH137459 · NIMH · MCLEAN HOSPITAL · PI Kevin Clancy · 2024 to 2026
$537k
U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) K23MH137459U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH120400U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH125852
6 · The paper itself

Abstract

Hippocampal dysfunction is implicated in posttraumatic stress disorder (PTSD), particularly intrusive reexperiencing symptoms, and may be mediated by glutamatergic excitotoxicity. Markers of glutamate dysfunction (higher glutamate to N-acetyl aspartate levels; Glu/NAA) in the hippocampus (HPC) have been linked to reexperiencing symptoms. However, the HPC demonstrates heterogeneity along its anterior-posterior axis, with different functional connectivity patterns and PTSD symptom associations, motivating investigations into glutamate metabolism in anterior and posterior HPC subregions (a/pHPC). To this end, 121 symptomatic trauma-exposed adults with current trauma reexperiencing symptoms completed magnetic resonance spectroscopy and resting-state functional magnetic resonance imaging to examine the regional specificity of HPC Glu/NAA associations with reexperiencing symptoms and the link to a/pHPC functional connectivity. PTSD symptoms were assessed with the Clinician-Administered PTSD Scale for DSM-5. Reexperiencing symptom severity was associated with greater Glu/NAA in the pHPC, but not aHPC. pHPC Glu/NAA was further linked to stronger functional connectivity between the pHPC and visual cortex (VC), which in turn correlated with more severe reexperiencing symptoms. This strengthened pHPC-VC connectivity explained the shared variance between pHPC Glu/NAA and reexperiencing severity, suggesting dysregulated glutamate metabolism in the pHPC may contribute to reexperiencing symptoms through functional connectivity with the VC. These findings replicate prior work linking HPC Glu/NAA to trauma reexperiencing symptoms and provide novel evidence of this association in the pHPC, but not aHPC, which is mediated by its functional connectivity with the VC. This multimodal investigation supports translational models of glutamatergic dysfunction in trauma-related disorders and highlights new targets for pharmacological and neuromodulatory interventions.

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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.