Clinical Neuroscience Research Group, Experimental and Clinical Research Center (ECRC), Department of Anesthesiology and Operative Intensive Care Medicine (CCM, CVK), Charité - Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Pharmaimage Biomarker Solutions GmbH, Berlin, Germany.
Hum Brain Mapp. 2020 Jan;41(1):107-119. doi: 10.1002/hbm.24791. Epub 2019 Sep 18.
In resting-state functional connectivity experiments, a steady state (of consciousness) is commonly supposed. However, recent research has shown that the resting state is a rather dynamic than a steady state. In particular, changes of vigilance appear to play a prominent role. Accordingly, it is critical to assess the state of vigilance when conducting pharmacodynamic studies with resting-state functional magnetic resonance imaging (fMRI) using drugs that are known to affect vigilance such as (subanesthetic) ketamine. In this study, we sought to clarify whether the previously described ketamine-induced prefrontal decrease of functional connectivity is related to diminished vigilance as assessed by electroencephalography (EEG). We conducted a randomized, double-blind, placebo-controlled crossover study with subanesthetic S-Ketamine in N = 24 healthy, young subjects by simultaneous acquisition of resting-state fMRI and EEG data. We conducted seed-based default mode network functional connectivity and EEG power spectrum analyses. After ketamine administration, decreased functional connectivity was found in medial prefrontal cortex whereas increased connectivities were observed in intraparietal cortices. In EEG, a shift of energy to slow (delta, theta) and fast (gamma) wave frequencies was seen in the ketamine condition. Frontal connectivity is negatively related to EEG gamma and theta activity while a positive relationship is found for parietal connectivity and EEG delta power. Our results suggest a direct relationship between ketamine-induced functional connectivity changes and the concomitant decrease of vigilance in EEG. The observed functional changes after ketamine administration may serve as surrogate end points and provide a neurophysiological framework, for example, for the antidepressant action of ketamine (trial name: 29JN1556, EudraCT Number: 2009-012399-28).
在静息态功能连接实验中,通常假设存在一个稳态(意识状态)。然而,最近的研究表明,静息态实际上是一个相当动态的状态,而不是稳态。特别是,警觉状态的变化似乎起着突出的作用。因此,当使用已知会影响警觉状态的药物(如(亚麻醉)氯胺酮)进行静息态功能磁共振成像(fMRI)的药效学研究时,评估警觉状态至关重要。在这项研究中,我们试图阐明以前描述的氯胺酮诱导的前额叶功能连接减少是否与脑电图(EEG)评估的警觉状态降低有关。我们对 24 名健康年轻受试者进行了一项随机、双盲、安慰剂对照的交叉研究,同时采集静息态 fMRI 和 EEG 数据。我们进行了基于种子的默认模式网络功能连接和 EEG 功率谱分析。在氯胺酮给药后,内侧前额叶皮质的功能连接减少,而顶叶内皮质的连接增加。在 EEG 中,在氯胺酮条件下观察到能量向慢(δ、θ)和快(γ)波频率的转移。额叶连接与 EEG γ 和 θ 活动呈负相关,而顶叶连接与 EEG δ 功率呈正相关。我们的结果表明,氯胺酮诱导的功能连接变化与 EEG 警觉度降低之间存在直接关系。氯胺酮给药后的观察到的功能变化可以作为替代终点,并提供神经生理学框架,例如氯胺酮的抗抑郁作用(试验名称:29JN1556,EudraCT 编号:2009-012399-28)。