Ketamine modulates subgenual cingulate connectivity with the memory-related neural circuit—a mechanism of relevance to resistant depression?

Background. Ketamine has been reported to have efficacy as an antidepressant in several studies of treatment-resistant depression. In this study, we investigate whether an acute administration of ketamine leads to reductions in the functional connectivity of subgenual anterior cingulate cortex (sgAC...

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Main Authors: Jing J. Wong, Owen O’Daly, Mitul A. Mehta, Allan H. Young, James M. Stone
Format: Article
Language:English
Published: PeerJ Inc. 2016-02-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/1710.pdf
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author Jing J. Wong
Owen O’Daly
Mitul A. Mehta
Allan H. Young
James M. Stone
author_facet Jing J. Wong
Owen O’Daly
Mitul A. Mehta
Allan H. Young
James M. Stone
author_sort Jing J. Wong
collection DOAJ
description Background. Ketamine has been reported to have efficacy as an antidepressant in several studies of treatment-resistant depression. In this study, we investigate whether an acute administration of ketamine leads to reductions in the functional connectivity of subgenual anterior cingulate cortex (sgACC) with other brain regions. Methods. Thirteen right-handed healthy male subjects underwent a 15 min resting state fMRI with an infusion of intravenous ketamine (target blood level = 150 ng/ml) starting at 5 min. We used a seed region centred on the sgACC and assessed functional connectivity before and during ketamine administration. Results. Before ketamine administration, positive coupling with the sgACC seed region was observed in a large cluster encompassing the anterior cingulate and negative coupling was observed with the anterior cerebellum. Following ketamine administration, sgACC activity became negatively correlated with the brainstem, hippocampus, parahippocampal gyrus, retrosplenial cortex, and thalamus. Discussion. Ketamine reduced functional connectivity of the sgACC with brain regions implicated in emotion, memory and mind wandering. It is possible the therapeutic effects of ketamine may be mediated via this mechanism, although further work is required to test this hypothesis.
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spelling doaj.art-1df33d1c34854ce087a51642a73c782a2023-12-03T09:46:54ZengPeerJ Inc.PeerJ2167-83592016-02-014e171010.7717/peerj.1710Ketamine modulates subgenual cingulate connectivity with the memory-related neural circuit—a mechanism of relevance to resistant depression?Jing J. Wong0Owen O’Daly1Mitul A. Mehta2Allan H. Young3James M. Stone4Institute of Psychiatry, Psychology and Neuroscience, King’s College London, University of London, London, United KingdomInstitute of Psychiatry, Psychology and Neuroscience, King’s College London, University of London, London, United KingdomInstitute of Psychiatry, Psychology and Neuroscience, King’s College London, University of London, London, United KingdomInstitute of Psychiatry, Psychology and Neuroscience, King’s College London, University of London, London, United KingdomInstitute of Psychiatry, Psychology and Neuroscience, King’s College London, University of London, London, United KingdomBackground. Ketamine has been reported to have efficacy as an antidepressant in several studies of treatment-resistant depression. In this study, we investigate whether an acute administration of ketamine leads to reductions in the functional connectivity of subgenual anterior cingulate cortex (sgACC) with other brain regions. Methods. Thirteen right-handed healthy male subjects underwent a 15 min resting state fMRI with an infusion of intravenous ketamine (target blood level = 150 ng/ml) starting at 5 min. We used a seed region centred on the sgACC and assessed functional connectivity before and during ketamine administration. Results. Before ketamine administration, positive coupling with the sgACC seed region was observed in a large cluster encompassing the anterior cingulate and negative coupling was observed with the anterior cerebellum. Following ketamine administration, sgACC activity became negatively correlated with the brainstem, hippocampus, parahippocampal gyrus, retrosplenial cortex, and thalamus. Discussion. Ketamine reduced functional connectivity of the sgACC with brain regions implicated in emotion, memory and mind wandering. It is possible the therapeutic effects of ketamine may be mediated via this mechanism, although further work is required to test this hypothesis.https://peerj.com/articles/1710.pdfKetamineDepressionAnterior cingulateAntidepressantMRI
spellingShingle Jing J. Wong
Owen O’Daly
Mitul A. Mehta
Allan H. Young
James M. Stone
Ketamine modulates subgenual cingulate connectivity with the memory-related neural circuit—a mechanism of relevance to resistant depression?
PeerJ
Ketamine
Depression
Anterior cingulate
Antidepressant
MRI
title Ketamine modulates subgenual cingulate connectivity with the memory-related neural circuit—a mechanism of relevance to resistant depression?
title_full Ketamine modulates subgenual cingulate connectivity with the memory-related neural circuit—a mechanism of relevance to resistant depression?
title_fullStr Ketamine modulates subgenual cingulate connectivity with the memory-related neural circuit—a mechanism of relevance to resistant depression?
title_full_unstemmed Ketamine modulates subgenual cingulate connectivity with the memory-related neural circuit—a mechanism of relevance to resistant depression?
title_short Ketamine modulates subgenual cingulate connectivity with the memory-related neural circuit—a mechanism of relevance to resistant depression?
title_sort ketamine modulates subgenual cingulate connectivity with the memory related neural circuit a mechanism of relevance to resistant depression
topic Ketamine
Depression
Anterior cingulate
Antidepressant
MRI
url https://peerj.com/articles/1710.pdf
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