Evidence map›Paper›PMID 31275559›Full record

ReviewF1000Research2019

Brexanolone, a neurosteroid antidepressant, vindicates the GABAergic deficit hypothesis of depression and may foster resilience.

Bernhard Lüscher, Hanns Möhler

Open access · goldAbstract readReview
In one paragraph

Review in F1000Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 pooled it
8.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 2 syntheses or guidelines pooled it, 116 citations in OpenAlex.

  1. Pooled it
  2. Zuranolone for postpartum depression: a systematic review and meta-analysis of two randomized studies.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2024
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Emerging Therapeutic Interventions for Treatment‑Resistant Depression.Advances in experimental medicine and biology · 2026
    Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. New directions in neurosteroid therapeutics in neuropsychiatry.Neuroscience and biobehavioral reviews · 2025
    Review
  14. Article
  15. Article
  16. Neurosteroids: a lifelong impact on brain health.Frontiers in behavioral neuroscience · 2025
    Review
  17. Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 4 countries.

Bernhard LüscherDepartment of Biology and Department of Biochemistry and Molecular Biology, Pennsylvania State University, University Park, PA, 16802, USA.ORCID 0000-0003-1375-1906
Hanns MöhlerInstitute of Pharmacology and Neuroscience Center, University of Zurich, Zurich, 8057, Switzerland.
Pennsylvania State University · USUniversity of Zurich · CH

Funding

GABAergic Control of Depression Related Brain StatesR01MH099851 · NIMH · PENNSYLVANIA STATE UNIVERSITY, THE · PI LUSCHER, BERNHARD · 2013 to 2019
$3.2M
Clustering and Synaptic Targeting of GABA-A ReceptorsR01MH062391 · NIMH · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI LUSCHER, BERNHARD · 2002 to 2006
$1.5M
NIMH NIH HHS R01 MH062391NIMH NIH HHS R01 MH099851
6 · The paper itself

Abstract

The GABAergic deficit hypothesis of depression states that a deficit of GABAergic transmission in defined neural circuits is causal for depression. Conversely, an enhancement of GABA transmission, including that triggered by selective serotonin reuptake inhibitors or ketamine, has antidepressant effects. Brexanolone, an intravenous formulation of the endogenous neurosteroid allopregnanolone, showed clinically significant antidepressant activity in postpartum depression. By allosterically enhancing GABA

Indexed as

Antidepressive Agentsbeta-CyclodextrinsDepressionDepression, PostpartumDrug CombinationsFemaleGABA ModulatorsHumansNeurosteroidsPregnanoloneReceptors, GABA-AAntidepressive Agentsbeta-CyclodextrinsbrexanoloneDrug CombinationsGABA ModulatorsNeurosteroidsPregnanoloneReceptors, GABA-AallopregnanoloneanxietyGABA receptorMajor depressive disorderneurosteroidpostpartum depressionrapid acting antidepressant

Identifiers

PMID31275559
PMCPMC6544078
OpenAlexW2947531822

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.