S-Ketamine's Effect Changes the Cortical Electrophysiological Activity Related to Semantic Affective Dimension of Pain: A Placebo- Controlled Study in Healthy Male Individuals.

ERPs P300 ketamine oddball pain

Journal

Frontiers in neuroscience
ISSN: 1662-4548
Titre abrégé: Front Neurosci
Pays: Switzerland
ID NLM: 101478481

Informations de publication

Date de publication:
2019
Historique:
received: 26 05 2019
accepted: 26 08 2019
entrez: 16 10 2019
pubmed: 16 10 2019
medline: 16 10 2019
Statut: epublish

Résumé

Previous studies using the electroencephalogram (EEG) technique pointed out that ketamine decreases the amplitude of cortical electrophysiological signal during cognitive tasks, although its effects on the perception and emotional-valence judgment of stimuli are still unknown. We evaluated the effect of S-ketamine on affective dimension of pain using EEG and behavioral measures. The hypothesis was that S-ketamine would be more effective than placebo, both within and between groups, to attenuate the EEG signal elicited by target and non-target words. This double-blind parallel placebo-controlled study enrolled 24 healthy male volunteers between 19 and 40 years old. They were randomized to receive intravenous S-ketamine ( S-ketamine produced substantial difference (delta) in the AUC of grand average ERP components N200 ( Our findings suggest that S-ketamine actively changed the semantic processing of written words. There was an increase in electrophysiological response for pain-related stimuli and a decrease for standard stimuli, as evidenced by the increased delta of AUCs. Behaviorally, S-ketamine seems to have produced an emotional and discrimination blunting effect for pain-related words. www.ClinicalTrials.gov, identifier NCT03915938.

Sections du résumé

BACKGROUND BACKGROUND
Previous studies using the electroencephalogram (EEG) technique pointed out that ketamine decreases the amplitude of cortical electrophysiological signal during cognitive tasks, although its effects on the perception and emotional-valence judgment of stimuli are still unknown.
OBJECTIVE OBJECTIVE
We evaluated the effect of S-ketamine on affective dimension of pain using EEG and behavioral measures. The hypothesis was that S-ketamine would be more effective than placebo, both within and between groups, to attenuate the EEG signal elicited by target and non-target words.
METHODS METHODS
This double-blind parallel placebo-controlled study enrolled 24 healthy male volunteers between 19 and 40 years old. They were randomized to receive intravenous S-ketamine (
RESULTS RESULTS
S-ketamine produced substantial difference (delta) in the AUC of grand average ERP components N200 (
CONCLUSION CONCLUSIONS
Our findings suggest that S-ketamine actively changed the semantic processing of written words. There was an increase in electrophysiological response for pain-related stimuli and a decrease for standard stimuli, as evidenced by the increased delta of AUCs. Behaviorally, S-ketamine seems to have produced an emotional and discrimination blunting effect for pain-related words.
CLINICAL TRIAL REGISTRATION BACKGROUND
www.ClinicalTrials.gov, identifier NCT03915938.

Identifiants

pubmed: 31611759
doi: 10.3389/fnins.2019.00959
pmc: PMC6753200
doi:

Banques de données

ClinicalTrials.gov
['NCT03915938']

Types de publication

Journal Article

Langues

eng

Pagination

959

Informations de copyright

Copyright © 2019 Schwertner, Zortea, Torres, Ramalho, Alves, Lannig, Torres, Fregni, Gauer and Caumo.

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Auteurs

André Schwertner (A)

Post-graduation Program in Medicine: Medical Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Laboratory of Pain and Neuromodulation, Clinical Hospital of Porto Alegre, Porto Alegre, Brazil.

Maxciel Zortea (M)

Post-graduation Program in Medicine: Medical Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Laboratory of Pain and Neuromodulation, Clinical Hospital of Porto Alegre, Porto Alegre, Brazil.

Felipe Vasconcelos Torres (FV)

Post-graduation Program in Medicine: Medical Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Laboratory of Pain and Neuromodulation, Clinical Hospital of Porto Alegre, Porto Alegre, Brazil.

Leticia Ramalho (L)

Post-graduation Program in Medicine: Medical Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Laboratory of Pain and Neuromodulation, Clinical Hospital of Porto Alegre, Porto Alegre, Brazil.

Camila Fernanda da Silveira Alves (CFDS)

Post-graduation Program in Medicine: Medical Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Laboratory of Pain and Neuromodulation, Clinical Hospital of Porto Alegre, Porto Alegre, Brazil.

Guilherme Lannig (G)

Clinical Research Center, Clinical Hospital of Porto Alegre, Porto Alegre, Brazil.

Iraci L S Torres (ILS)

Post-graduation Program in Biological Sciences: Physiology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Pharmacology of Pain and Neuromodulation: Pre-clinical Investigations, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.

Felipe Fregni (F)

Neuromodulation Center, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA, United States.

Gustavo Gauer (G)

Post-graduation Program in Psychology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.

Wolnei Caumo (W)

Post-graduation Program in Medicine: Medical Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Laboratory of Pain and Neuromodulation, Clinical Hospital of Porto Alegre, Porto Alegre, Brazil.

Classifications MeSH