The effects of ketamine on the mismatch negativity (MMN) in humans - A meta-analysis

Abstract

Objective: To investigate whether effects of the glutamatergic N-methyl-d-aspartate (NMDA) receptor antagonist ketamine on the mismatch negativity (MMN) vary between duration and frequency deviants, as suggested by clinical studies on schizophrenia patients.

Methods: Our meta-analysis included previous studies that used ketamine in order to induce psychotic experiences in healthy participants and that recorded the MMN either by electroencephalography or magnetoencephalography.

Results: The analysis revealed systematic MMN amplitude decreases and, with a lower effect size, latency increases after ketamine administration. However, the observed amplitude and latency effects did not vary between duration and frequency deviants.

Conclusion: Across studies, there is no evidence that ketamine effects on the MMN are larger for duration than frequency deviants.

Significance: Our findings tentatively suggest that, in addition to an NMDA receptor hypofunction, other factors might contribute to the sometimes observed pattern of impaired MMN responses to duration deviants, but unimpaired MMN responses to frequency deviants in schizophrenia.

Keywords: Animal model; Auditory discrimination; Event-related potentials; Glutamate; Meta-analysis; Mismatch negativity (MMN); Schizophrenia.