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Study M342

Study name

Li M 2017

Title

Temporal dynamics of antidepressant ketamine effects on glutamine cycling follow regional fingerprints of AMPA and NMDA receptor densities

Overall design

To elucidate ketamine's mechanism of action, this study tested whether the clinical time course of the improvement is mirrored by the change of glutamine/glutamate ratio and if such effects show a regional and temporal specificity in two distinct subdivisions of anterior cingulate cortex (ACC) with differentalpha-amino-3-hydroxyl-5-methyl-4-isoxazole-propionate (AMPA)/N-methyl-D-aspartate receptor profiles. In a double-blind, placebo-controlled intravenous infusion study of ketamine, glutamate and glutamine were measured in the pregenual ACC (pgACC) and the anterior midcingulate cortex at 1 and 24H post infusion with magnetic resonance spectroscopy at 7T. A total of 12 subjects in the ketamine group (ketamine group, ketamine 0.5 mg/kg continuously infusion over 40 min) and 14 subjects in the placebo group were included in the primary analysis. The glutamine/glutamate ratio change in the pgACC caused by ketamine at 24 h post infusion was reproduced in an enlarged sample (placebo group, n = 24; ketamine group, n = 20). Metabolite quantification was reported relative to brain water concentration.

Study Type

Type3;

Data available

Unavailable

Organism

Human;

Categories of depression

Healthy individuals; Healthy individuals; Healthy individuals;

Criteria for depression

Not reported

Sample size

26

Tissue

Central; Brain; Anterior midcingulate cortex;

Central; Brain; Pregenual anterior cingulate cortex;

Platform

MRS; MRS: 7 T MR scanner (Siemens Healthcare, Erlangen, Germany);

PMID

27604568

DOI

10.1038/npp.2016.184

Citation

Li M, Demenescu LR, Colic L, et al. Temporal dynamics of antidepressant ketamine effects on glutamine cycling follow regional fingerprints of AMPA and NMDA receptor densities. Neuropsychopharmacology 2017;42(6):1201-9.

Metabolite

Glutamine/Glutamate ratio;