Evidence map›Paper›PMID 38011560›Full record

ReviewProceedings of the National Academy of Sciences of the United States of America2023

Ketamine and the neurobiology of depression: Toward next-generation rapid-acting antidepressant treatments.

John H Krystal, Alfred P Kaye, Sarah Jefferson, Matthew J Girgenti, Samuel T Wilkinson, Gerard Sanacora, Irina Esterlis

Abstract readReview
In one paragraph

Review in Proceedings of the National Academy of Sciences of the United States of America, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Treatment-resistant Depression in the Post-ketamine Era: Unmet Needs beyond Rapid Response.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2026
    Review
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  11. A Time-Sensitive Plasticity Distinguishes the Rapid and Sustained Synaptic Actions of Ketamine from Its (2The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
    Article
  12. Article
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  15. Advancing past ketamine: emerging glutamatergic compounds for the treatment of depression.European archives of psychiatry and clinical neuroscience · 2025
    Review
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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

7 authors.

John H KrystalDepartment of Psychiatry, Yale School of Medicine, New Haven, CT 06511.ORCID 0000-0001-6952-1726
Alfred P KayeDepartment of Psychiatry, Yale School of Medicine, New Haven, CT 06511.
Sarah JeffersonDepartment of Psychiatry, Yale School of Medicine, New Haven, CT 06511.
Matthew J GirgentiDepartment of Psychiatry, Yale School of Medicine, New Haven, CT 06511.
Samuel T WilkinsonDepartment of Psychiatry, Yale School of Medicine, New Haven, CT 06511.
Gerard SanacoraDepartment of Psychiatry, Yale School of Medicine, New Haven, CT 06511.
Irina EsterlisDepartment of Psychiatry, Yale School of Medicine, New Haven, CT 06511.ORCID 0000-0001-6293-1458

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
AMPA Receptor Components of the Antidepressant Response to Ketamine in HumansR01MH129371 · NIMH · YALE UNIVERSITY · PI NAOMI R DRIESEN, Dewan Syed Fahmeed Hyder · 2023 to 2026
$3.3M
NCATS NIH HHS UL1 TR001863NIMH NIH HHS R01 MH129371
6 · The paper itself

Abstract

Ketamine has emerged as a transformative and mechanistically novel pharmacotherapy for depression. Its rapid onset of action, efficacy for treatment-resistant symptoms, and protection against relapse distinguish it from prior antidepressants. Its discovery emerged from a reconceptualization of the neurobiology of depression and, in turn, insights from the elaboration of its mechanisms of action inform studies of the pathophysiology of depression and related disorders. It has been 25 y since we first presented our ketamine findings in depression. Thus, it is timely for this review to consider what we have learned from studies of ketamine and to suggest future directions for the optimization of rapid-acting antidepressant treatment.

Indexed as

KetamineAntidepressive AgentsDepressionAntidepressive AgentsKetamineantidepressantdepressionketamineneuroplasticitystress

Identifiers

PMID38011560
PMCPMC10710048

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.