Functional activity and connectivity signatures of ketamine and lamotrigine during negative emotional processing: a double-blind randomized controlled fMRI study

Study Overview

This study examines how ketamine and lamotrigine affect brain activity during negative emotional processing. It was conducted as a double-blind, randomized controlled trial using fMRI technology.

Key Findings

  • Ketamine’s Role: Ketamine is an effective antidepressant that influences brain circuits related to negative emotions.
  • Lamotrigine’s Impact: Lamotrigine, which reduces glutamate release, can alter the effects of ketamine on the brain.
  • Study Design: 75 healthy participants were given either ketamine, lamotrigine before ketamine, or a placebo. They performed an emotional face viewing task during and after the treatment.

Results

  • Immediate Effects: Ketamine reduced activity in the hippocampus and Default Mode Network (DMN) while enhancing connections in brain areas related to emotions.
  • Lamotrigine’s Influence: Lamotrigine blocked the increase in brain connectivity caused by ketamine but did not affect immediate brain activity.
  • Sustained Effects: 24 hours after treatment, ketamine showed reduced activity in the posterior DMN, which was also blocked by lamotrigine.

Conclusion

The study suggests that ketamine’s effects on brain connectivity and activity are influenced by glutamate transmission, highlighting the complex interaction between these two drugs.

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