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Philip J. Cowen

8 papers in the library · 268 citations · publishing 1985-2026

Papers

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Ketamine attenuates habenula activity in response to aversive outcomes during Pavlovian learning

bioRxiv (Cold Spring Harbor Laboratory) February 10, 2026 Erdem Pulcu, Sara Costi, Pilar Artiach-Hortelano et al.

Abstract Ketamine is an NMDA receptor antagonist with rapid-antidepressant properties when administered at a sub-anesthetic dose. Preclinical models indicate that a direct injection of ketamine into lateral habenula (Hb), a small midbrain structure with an evolutionarily preserved role in aversive learning across mammals, can rapidly relieve depression-like behavior. However, there is limited...

Ketamine and other glutamate receptor modulators for depression in adults with bipolar disorder.

Cochrane Database of Systematic Reviews October 8, 2021 Rebecca L. Dean, Tahnee Marquardt, Claudia C. Hurducas et al. 41 citations

BACKGROUND Glutamergic system dysfunction has been implicated in the pathophysiology of bipolar depression. This is an update of the 2015 Cochrane Review for the use of glutamate receptor modulators for depression in bipolar disorder. OBJECTIVES 1. To assess the effects of ketamine and other glutamate receptor modulators in alleviating the acute symptoms of depression in people with bipolar...

Ketamine and other glutamate receptor modulators for depression in adults with unipolar major depressive disorder.

Cochrane Database of Systematic Reviews September 12, 2021 Rebecca L. Dean, Claudia C. Hurducas, Keith Hawton et al. 97 citations

BACKGROUND Many studies have recently been conducted to assess the antidepressant efficacy of glutamate modification in mood disorders. This is an update of a review first published in 2015 focusing on the use of glutamate receptor modulators in unipolar depression. OBJECTIVES To assess the effects - and review the acceptability and tolerability - of ketamine and other glutamate receptor...

Backing into the future: pharmacological approaches to the management of resistant depression

Psychological Medicine August 25, 2017 Philip J. Cowen 38 citations

Pragmatic studies indicate that a substantial number of depressed patients do not remit with current first-line antidepressant treatments and after two failed treatment steps the chance of remission with subsequent therapies is around 15%. This paper focuses on current evidence for pharmacological treatments in resistant depression as well as possible future developments. For patients who have...

Altered states: psilocybin for treatment-resistant depression

The Lancet Psychiatry May 17, 2016 Philip J. Cowen 13 citations

"Alice remained looking thoughtfully at the mushroom for a minute, trying to make out which were the two sides of it; and as it was perfectly round, she found this a very difficult question". To resolve the issue, Alice ate the mushroom; in more recent times, however, experimentation with psilocybin-containing magic mushrooms has been strongly discouraged. In the UK, in 2005, magic mushrooms...

Lack of effect of ketamine on cortical glutamate and glutamine in healthy volunteers: a proton magnetic resonance spectroscopy study.

Journal of psychopharmacology (Oxford, England) May 2012 Matthew J Taylor, Eleanor R Tiangga, Roísín Ní Mhuircheartaigh et al.

Ketamine is a N-methyl-D-aspartic acid (NMDA) antagonist that has been associated with temporary clinical improvement in patients with depression. Studies using magnetic resonance spectroscopy (MRS) have shown that major depression is associated with decreased levels of glutamate and glutamine (Glx) in the anterior cingulate cortex, which normalize with clinical recovery. The present study...

Brain serotonin transporter binding in former users of MDMA (‘ecstasy’)

The British Journal of Psychiatry March 31, 2009 Sudhakar Selvaraj, Rosa Hoshi, Zubin Bhagwagar et al. 59 citations

Background Animal experimental studies have prompted concerns that widespread use of 3,4-methylenedioxymethamphetamine (MDMA; ‘ecstasy’) by young people may pose a major public health problem in terms of persistent serotonin neurotoxicity. Aims To determine the status of brain serotonin neurons in a group of abstinent MDMA users. Method We assessed the integrity of brain serotonin neurons by...

Increased platelet membrane [3H]‐LSD binding in patients on chronic neuroleptic treatment.

British Journal of Clinical Pharmacology April 1, 1985 Michael Schächter, David P. Geaney, Dg Grahame‐smith et al. 20 citations

Using a [3H]‐lysergic acid diethylamide [(3H]‐LSD) binding technique, platelet 5‐hydroxytryptamine (5‐HT) receptor number and affinity were compared in schizophrenics treated with depot thioxanthenes and phenothiazines and controls. There was an approximately 30% increase in platelet receptor number (Bmax) in the patient group. There was a decrease in affinity (increase in Kd) of about 30% in...