Suppr超能文献

静息态连接性研究作为亚麻醉剂量氯胺酮给药对健康个体和抑郁症患者急性及延迟效应的标志物:一项系统综述

Resting-state connectivity studies as a marker of the acute and delayed effects of subanaesthetic ketamine administration in healthy and depressed individuals: A systematic review.

作者信息

Kotoula Vasileia, Webster Toby, Stone James, Mehta Mitul A

机构信息

Centre for Neuroimaging Sciences, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

GKT School of Medical Education, London, UK.

出版信息

Brain Neurosci Adv. 2021 Nov 15;5:23982128211055426. doi: 10.1177/23982128211055426. eCollection 2021 Jan-Dec.

Abstract

Acute ketamine administration has been widely used in neuroimaging research to mimic psychosis-like symptoms. Within the last two decades, ketamine has also emerged as a potent, fast-acting antidepressant. The delayed effects of the drug, observed 2-48 h after a single infusion, are associated with marked improvements in depressive symptoms. At the systems' level, several studies have investigated the acute ketamine effects on brain activity and connectivity; however, several questions remain unanswered around the brain changes that accompany the drug's antidepressant effects and how these changes relate to the brain areas that appear with altered function and connectivity in depression. This review aims to address some of these questions by focusing on resting-state brain connectivity. We summarise the studies that have examined connectivity changes in treatment-naïve, depressed individuals and those studies that have looked at the acute and delayed effects of ketamine in healthy and depressed volunteers. We conclude that brain areas that are important for emotional regulation and reward processing appear with altered connectivity in depression whereas the default mode network presents with increased connectivity in depressed individuals compared to healthy controls. This finding, however, is not as prominent as the literature often assumes. Acute ketamine administration causes an increase in brain connectivity in healthy volunteers. The delayed effects of ketamine on brain connectivity vary in direction and appear to be consistent with the drug normalising the changes observed in depression. The limited number of studies however, as well as the different approaches for resting-state connectivity analysis make it very difficult to draw firm conclusions and highlight the importance of data sharing and larger future studies.

摘要

急性给予氯胺酮已广泛应用于神经影像学研究,以模拟类似精神病的症状。在过去二十年中,氯胺酮还成为一种强效、速效的抗抑郁药。单次输注后2 - 48小时观察到的药物延迟效应与抑郁症状的显著改善相关。在系统层面,多项研究调查了氯胺酮对大脑活动和连通性的急性影响;然而,围绕药物抗抑郁作用伴随的大脑变化以及这些变化如何与抑郁症中功能和连通性改变的脑区相关等问题,仍有几个未得到解答。本综述旨在通过关注静息态脑连通性来解决其中一些问题。我们总结了那些研究初治抑郁症患者连通性变化的研究,以及那些研究氯胺酮对健康和抑郁症志愿者急性和延迟效应的研究。我们得出结论,对情绪调节和奖赏处理重要的脑区在抑郁症中连通性发生改变,而与健康对照相比,默认模式网络在抑郁症患者中连通性增加。然而,这一发现并不像文献中经常假设的那么突出。急性给予氯胺酮会使健康志愿者的脑连通性增加。氯胺酮对脑连通性的延迟效应在方向上有所不同,似乎与药物使抑郁症中观察到的变化正常化一致。然而,研究数量有限,以及静息态连通性分析的不同方法使得很难得出确凿结论,并凸显了数据共享和未来更大规模研究的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a557/8597064/558d4c0ba4ea/10.1177_23982128211055426-fig1.jpg

相似文献

2
Ketamine-induced changes in resting state connectivity, 2 h after the drug administration in patients with remitted depression.
J Psychopharmacol. 2023 Aug;37(8):784-794. doi: 10.1177/02698811231189432. Epub 2023 Jul 25.
6
Preliminary differences in resting state MEG functional connectivity pre- and post-ketamine in major depressive disorder.
Psychiatry Res Neuroimaging. 2016 Aug 30;254:56-66. doi: 10.1016/j.pscychresns.2016.06.006. Epub 2016 Jun 23.
7
Default mode network connectivity change corresponds to ketamine's delayed glutamatergic effects.
Eur Arch Psychiatry Clin Neurosci. 2020 Mar;270(2):207-216. doi: 10.1007/s00406-018-0942-y. Epub 2018 Oct 23.
9
The Effect of Ketamine on Electrophysiological Connectivity in Major Depressive Disorder.
Front Psychiatry. 2020 Jun 10;11:519. doi: 10.3389/fpsyt.2020.00519. eCollection 2020.

引用本文的文献

2
Oral ketamine effects on dynamics of functional network connectivity in patients treated for chronic suicidality.
Eur Arch Psychiatry Clin Neurosci. 2024 May 21. doi: 10.1007/s00406-024-01831-x.
3
Brain-based correlates of antidepressant response to ketamine: a comprehensive systematic review of neuroimaging studies.
Lancet Psychiatry. 2023 Oct;10(10):790-800. doi: 10.1016/S2215-0366(23)00183-9. Epub 2023 Aug 22.
5
Functional ultrasound detects frequency-specific acute and delayed S-ketamine effects in the healthy mouse brain.
Front Neurosci. 2023 May 17;17:1177428. doi: 10.3389/fnins.2023.1177428. eCollection 2023.
6
Neuroimaging-Derived Biomarkers of the Antidepressant Effects of Ketamine.
Biol Psychiatry Cogn Neurosci Neuroimaging. 2023 Apr;8(4):361-386. doi: 10.1016/j.bpsc.2022.11.005. Epub 2022 Nov 26.
7
Shared and Unique Changes in Brain Connectivity Among Depressed Patients After Remission With Pharmacotherapy Versus Psychotherapy.
Am J Psychiatry. 2023 Mar 1;180(3):218-229. doi: 10.1176/appi.ajp.21070727. Epub 2023 Jan 18.
8
Intrinsic Connectivity Networks of Glutamate-Mediated Antidepressant Response: A Neuroimaging Review.
Front Psychiatry. 2022 May 26;13:864902. doi: 10.3389/fpsyt.2022.864902. eCollection 2022.

本文引用的文献

1
The role of dissociation in ketamine's antidepressant effects.
Nat Commun. 2020 Dec 22;11(1):6431. doi: 10.1038/s41467-020-20190-4.
2
Ketamine modulates fronto-striatal circuitry in depressed and healthy individuals.
Mol Psychiatry. 2021 Jul;26(7):3292-3301. doi: 10.1038/s41380-020-00878-1. Epub 2020 Sep 14.
3
Effects of Serial Ketamine Infusions on Corticolimbic Functional Connectivity in Major Depression.
Biol Psychiatry Cogn Neurosci Neuroimaging. 2021 Jul;6(7):735-744. doi: 10.1016/j.bpsc.2020.06.015. Epub 2020 Jul 3.
4
Targeting Homeostatic Synaptic Plasticity for Treatment of Mood Disorders.
Neuron. 2020 Jun 3;106(5):715-726. doi: 10.1016/j.neuron.2020.05.015.
6
Synaptic Plasticity Shapes Brain Connectivity: Implications for Network Topology.
Int J Mol Sci. 2019 Dec 8;20(24):6193. doi: 10.3390/ijms20246193.
9
Ketamine induced changes in regional cerebral blood flow, interregional connectivity patterns, and glutamate metabolism.
J Psychiatr Res. 2019 Oct;117:108-115. doi: 10.1016/j.jpsychires.2019.07.008. Epub 2019 Jul 27.
10
Reduced default mode network functional connectivity in patients with recurrent major depressive disorder.
Proc Natl Acad Sci U S A. 2019 Apr 30;116(18):9078-9083. doi: 10.1073/pnas.1900390116. Epub 2019 Apr 12.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验