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Abstract #0655

Ketamine Administration Reduces Limbic Reactivity During Emotional Stimulation an FMRI Study in Healthy Subjects

MAGNA25Milan Scheidegger1, Simone Grimm2, Martin Walter3, Heinz Boeker2, Peter Boesiger1, Erich Seifritz2, Anke Henning1

1Institute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland; 2Clinic of Affective Disorders and General Psychiatry, University Hospital of Psychiatry Zurich, Zurich, Switzerland; 3Department of Psychiatry, Otto-von-Guericke University, Magdeburg, Germany

Many neuroimaging findings are compatible with the hypothesis that limbic hyperactivity during evaluation of emotional stimuli, combined with prefrontal hypoactivity, might cause negative emotional biases in patients suffering from major depressive disorder (MDD) and that this imbalance can be reversed by antidepressant drug treatment. Our findings show that in healthy subjects an antidepressant intravenous dose of ketamine reduces limbic reactivity in the amygdalo-hippocampal complex during an emotional processing task, which is in support of the hypothesis that pharmacologically modulating limbic neurocircuits might be an important therapeutic strategy to restore parts of the disrupted neurobehavioural homeostasis in MDD.

Keywords

acquisition action activation acute administered administration affective alternating analyzed antidepressant antidepressants asked biomedical blocked blocks bold bolus brain carriers challenge coil combined compatible complex compound condition conditions context continuous control controls cortex cortical cortices cross decreased depressed depression depressive determined dimensional directly disorders disrupted dose drug elevated emotional environmental equipped evaluation extracted findings fitted fixation formation functional general healthy homeostasis hyperactivity hypothesis important infusion inhibition inhibitory insular interpolated intervention intravenous investigation involved judge lack larger library limbic linked males many medication might mood negative neurological neutral nevertheless normalization novel paired parts patients pattern periods peter pharmacological pharmacologically photographs pictures placed polymorphic positive post posterior previous processing protocol psych psychiatry psychotherapy rather reactivity reduced reduces reduction reflecting regard regulation remains reported reports respectively response responses review risk sense sensitivity separate sessions shot since stimulation stimuli stress structural structures studies subjects system target task therapeutic tool toolbox trace transporter treatment uncorrected valence whole