Modulation of the functional connectome in major depressive disorder by ketamine therapy.
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| Title: | Modulation of the functional connectome in major depressive disorder by ketamine therapy. |
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| Authors: | Sahib, Ashish K., Loureiro, Joana R., Vasavada, Megha, Anderson, Cole, Kubicki, Antoni, Wade, Benjamin, Joshi, Shantanu H., Woods, Roger P., Congdon, Eliza, Espinoza, Randall, Narr, Katherine L. |
| Source: | Psychological Medicine. Oct2022, Vol. 52 Issue 13, p2596-2605. 10p. |
| Subjects: | Brain physiology, Cerebellum physiology, Brain, Intravenous therapy, Basal ganglia, Functional connectivity, Health outcome assessment, Magnetic resonance imaging, Neuroplasticity, Mental depression, Ketamine, Descriptive statistics |
| Abstract: | Background: Subanesthetic ketamine infusion therapy can produce fast-acting antidepressant effects in patients with major depression. How single and repeated ketamine treatment modulates the whole-brain functional connectome to affect clinical outcomes remains uncharacterized. Methods: Data-driven whole brain functional connectivity (FC) analysis was used to identify the functional connections modified by ketamine treatment in patients with major depressive disorder (MDD). MDD patients (N = 61, mean age = 38, 19 women) completed baseline resting-state (RS) functional magnetic resonance imaging and depression symptom scales. Of these patients, n = 48 and n = 51, completed the same assessments 24 h after receiving one and four 0.5 mg/kg intravenous ketamine infusions. Healthy controls (HC) (n = 40, 24 women) completed baseline assessments with no intervention. Analysis of RS FC addressed effects of diagnosis, time, and remitter status. Results: Significant differences (p < 0.05, corrected) in RS FC were observed between HC and MDD at baseline in the somatomotor network and between association and default mode networks. These disruptions in FC in MDD patients trended toward control patterns with ketamine treatment. Furthermore, following serial ketamine infusions, significant decreases in FC were observed between the cerebellum and salience network (SN) (p < 0.05, corrected). Patient remitters showed increased FC between the cerebellum and the striatum prior to treatment that decreased following treatment, whereas non-remitters showed the opposite pattern. Conclusion: Results support that ketamine treatment leads to neurofunctional plasticity between distinct neural networks that are shown as disrupted in MDD patients. Cortico-striatal-cerebellar loops that encompass the SN could be a potential biomarker for ketamine treatment. [ABSTRACT FROM AUTHOR] |
| Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 160151729 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Modulation of the functional connectome in major depressive disorder by ketamine therapy. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Sahib%2C+Ashish+K%2E%22">Sahib, Ashish K.</searchLink><br /><searchLink fieldCode="AR" term="%22Loureiro%2C+Joana+R%2E%22">Loureiro, Joana R.</searchLink><br /><searchLink fieldCode="AR" term="%22Vasavada%2C+Megha%22">Vasavada, Megha</searchLink><br /><searchLink fieldCode="AR" term="%22Anderson%2C+Cole%22">Anderson, Cole</searchLink><br /><searchLink fieldCode="AR" term="%22Kubicki%2C+Antoni%22">Kubicki, Antoni</searchLink><br /><searchLink fieldCode="AR" term="%22Wade%2C+Benjamin%22">Wade, Benjamin</searchLink><br /><searchLink fieldCode="AR" term="%22Joshi%2C+Shantanu+H%2E%22">Joshi, Shantanu H.</searchLink><br /><searchLink fieldCode="AR" term="%22Woods%2C+Roger+P%2E%22">Woods, Roger P.</searchLink><br /><searchLink fieldCode="AR" term="%22Congdon%2C+Eliza%22">Congdon, Eliza</searchLink><br /><searchLink fieldCode="AR" term="%22Espinoza%2C+Randall%22">Espinoza, Randall</searchLink><br /><searchLink fieldCode="AR" term="%22Narr%2C+Katherine+L%2E%22">Narr, Katherine L.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Psychological+Medicine%22">Psychological Medicine</searchLink>. Oct2022, Vol. 52 Issue 13, p2596-2605. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Brain+physiology%22">Brain physiology</searchLink><br /><searchLink fieldCode="DE" term="%22Cerebellum+physiology%22">Cerebellum physiology</searchLink><br /><searchLink fieldCode="DE" term="%22Brain%22">Brain</searchLink><br /><searchLink fieldCode="DE" term="%22Intravenous+therapy%22">Intravenous therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Basal+ganglia%22">Basal ganglia</searchLink><br /><searchLink fieldCode="DE" term="%22Functional+connectivity%22">Functional connectivity</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Magnetic+resonance+imaging%22">Magnetic resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Neuroplasticity%22">Neuroplasticity</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Ketamine%22">Ketamine</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Subanesthetic ketamine infusion therapy can produce fast-acting antidepressant effects in patients with major depression. How single and repeated ketamine treatment modulates the whole-brain functional connectome to affect clinical outcomes remains uncharacterized. Methods: Data-driven whole brain functional connectivity (FC) analysis was used to identify the functional connections modified by ketamine treatment in patients with major depressive disorder (MDD). MDD patients (N = 61, mean age = 38, 19 women) completed baseline resting-state (RS) functional magnetic resonance imaging and depression symptom scales. Of these patients, n = 48 and n = 51, completed the same assessments 24 h after receiving one and four 0.5 mg/kg intravenous ketamine infusions. Healthy controls (HC) (n = 40, 24 women) completed baseline assessments with no intervention. Analysis of RS FC addressed effects of diagnosis, time, and remitter status. Results: Significant differences (p < 0.05, corrected) in RS FC were observed between HC and MDD at baseline in the somatomotor network and between association and default mode networks. These disruptions in FC in MDD patients trended toward control patterns with ketamine treatment. Furthermore, following serial ketamine infusions, significant decreases in FC were observed between the cerebellum and salience network (SN) (p < 0.05, corrected). Patient remitters showed increased FC between the cerebellum and the striatum prior to treatment that decreased following treatment, whereas non-remitters showed the opposite pattern. Conclusion: Results support that ketamine treatment leads to neurofunctional plasticity between distinct neural networks that are shown as disrupted in MDD patients. Cortico-striatal-cerebellar loops that encompass the SN could be a potential biomarker for ketamine treatment. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1017/S0033291720004560 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 2596 Subjects: – SubjectFull: Brain physiology Type: general – SubjectFull: Cerebellum physiology Type: general – SubjectFull: Brain Type: general – SubjectFull: Intravenous therapy Type: general – SubjectFull: Basal ganglia Type: general – SubjectFull: Functional connectivity Type: general – SubjectFull: Health outcome assessment Type: general – SubjectFull: Magnetic resonance imaging Type: general – SubjectFull: Neuroplasticity Type: general – SubjectFull: Mental depression Type: general – SubjectFull: Ketamine Type: general – SubjectFull: Descriptive statistics Type: general Titles: – TitleFull: Modulation of the functional connectome in major depressive disorder by ketamine therapy. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Sahib, Ashish K. – PersonEntity: Name: NameFull: Loureiro, Joana R. – PersonEntity: Name: NameFull: Vasavada, Megha – PersonEntity: Name: NameFull: Anderson, Cole – PersonEntity: Name: NameFull: Kubicki, Antoni – PersonEntity: Name: NameFull: Wade, Benjamin – PersonEntity: Name: NameFull: Joshi, Shantanu H. – PersonEntity: Name: NameFull: Woods, Roger P. – PersonEntity: Name: NameFull: Congdon, Eliza – PersonEntity: Name: NameFull: Espinoza, Randall – PersonEntity: Name: NameFull: Narr, Katherine L. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2022 Type: published Y: 2022 Identifiers: – Type: issn-print Value: 00332917 Numbering: – Type: volume Value: 52 – Type: issue Value: 13 Titles: – TitleFull: Psychological Medicine Type: main |
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