Evidence map›Paper›PMID 41117366›Full record

ArticleCNS spectrums2025

Rebuilding the atrophied brain: 6-month nasal esketamine therapy expands key frontal and hippocampal regions and reduces serum neurofilament levels in patients with major depressive disorder. A proof-of-concept study of the depTesk (DEPression treatment with ESKetamine) study.

Ana Rodríguez Lorente, María Pilar Campos-Navarro, Ángela Gil Montoya, Celia Marín Pérez, María Luisa Maso Navarro, Tomás Orgaz Morales, Nuria López Ramirez, Juan Antonio García-Carmona

Abstract read
In one paragraph

Article in CNS spectrums, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Ana Rodríguez LorenteDepartment of Psychiatry, Santa Lucía University Hospital, Cartagena, Murcia, Spain.
María Pilar Campos-NavarroDepartment of Psychiatry, Santa Lucía University Hospital, Cartagena, Murcia, Spain.
Ángela Gil MontoyaDepartment of Laboratory Medicine, Santa Lucía University Hospital, Cartagena, Murcia, Spain.
Celia Marín PérezDepartment of Neuroradiology, Santa Lucía University Hospital, Cartagena, Murcia, Spain.
María Luisa Maso NavarroDepartment of Neuroradiology, Santa Lucía University Hospital, Cartagena, Murcia, Spain.
Tomás Orgaz MoralesDepartment of Laboratory Medicine, Santa Lucía University Hospital, Cartagena, Murcia, Spain.
Nuria López RamirezDepartment of Neuroradiology, Santa Lucía University Hospital, Cartagena, Murcia, Spain.
Juan Antonio García-CarmonaGroup of Clinical and Experimental Pharmacology, Institute for Biomedical Research of Murcia (IMIB), Murcia, Spain.ORCID 0000-0003-3938-7698

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis proof-of-concept study aimed to assess the impact of intranasal esketamine (ESK-IN) in brain volume and neurofilament light chain (sNfL) over 6-months in patients with treatment resistant depression (TDR).

methodsSeven TRD patients received ESK-IN while continuing oral antidepressants. Clinical evaluations were conducted at baseline, 1, 3, and 6 months, with MRI scans and blood samples taken at baseline and 6 months. Brain volume was assessed using VolBrain2 and DSI studio.

resultsCompared to controls, TRD patients initially showed lower volumes (mm

conclusionsESK-IN may promote structural changes in regions associated with mood regulation and neuroplasticity, while also reducing neuronal damage in TRD patients.

Indexed as

Antidepressive AgentsBrainDepressive Disorder, Treatment-ResistantHippocampusKetamineMajor Depressive DisorderNeurofilament ProteinsAdministration, IntranasalAdultAtrophyFemaleFrontal LobeHumansMagnetic Resonance ImagingMaleMiddle AgedAntidepressive AgentsEsketamineKetamineneurofilament protein LNeurofilament Proteinsbrain volumeEsketamine intranasalfractional anisotropymajor depressionmean diffusivityneurofilamentstractography

Identifiers

PMID41117366
PMCPMC13064687

What Socratic holds

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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.