Evidence map›Paper›PMID 40175334›Full record

ArticleTranslational psychiatry2025

Genetic and molecular basis of abnormal BOLD signaling variability in patients with major depressive disorder after electroconvulsive therapy.

Siyu Fan, Yulin Zhang, Rui Qian, Jie Hu, Hao Zheng, Wentao Dai, Yang Ji, Yue Wu, Xiaohui Xie, Si Xu and 3 more

Abstract read
In one paragraph

Article in Translational psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Molecular, Structural, and Functional Neuroimaging in Major Depression.Advances in experimental medicine and biology · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Siyu Fan *Department of Neurology, the Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Yulin Zhang *Department of Neurology, the Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Rui Qian *Department of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei, China.
Jie HuDepartment of Neurology, the Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Hao ZhengDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei, China.
Wentao DaiDepartment of Neurology, the Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Yang JiDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei, China.
Yue WuDepartment of Psychology and Sleep Medicine, the Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Xiaohui XieDepartment of Neurology, the Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Si XuDepartment of Neurology, the Second Affiliated Hospital of Anhui Medical University, Hefei, China. luckyxusi@163.com.
Gong-Jun JiDepartment of Psychology and Sleep Medicine, the Second Affiliated Hospital of Anhui Medical University, Hefei, China. jigongjun@163.com.ORCID http://orcid.org/0000-0002-7073-5534
Yanghua TianDepartment of Neurology, the Second Affiliated Hospital of Anhui Medical University, Hefei, China. ayfytyh@126.com.ORCID http://orcid.org/0000-0001-5038-0599
Kai WangDepartment of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei, China.ORCID http://orcid.org/0000-0002-6197-914X

Funding

National Natural Science Foundation of China (National Science Foundation of China) 32071054National Natural Science Foundation of China (National Science Foundation of China) 82093154021
6 · The paper itself

Abstract

Electroconvulsive therapy (ECT) is an effective and rapid neuromodulatory intervention for treatment-resistant major depressive disorders (MDD). However, the precise mechanisms underlying their efficacies remain unclear. Resting-state functional magnetic resonance imaging (fMRI) data were collected from 84 individuals with MDD and healthy controls before and after ECT, and coefficient of variation of the BOLD signal (CVBOLD) analysis was combined with region of interest (ROI) functional connectivity (FC) analysis. To assess the reliability of the antidepressant mechanism of ECT, we analyzed the changes in CVBOLD in a separate cohort consisting of 35 patients with MDD who underwent ECT. Moreover, transcriptomic and neurotransmitter receptor data were used to reveal the genetic and molecular bases of the changes in CVBOLD. Patients with MDD who underwent ECT demonstrated increased CVBOLD in the left angular cortex and left precuneus. Following ECT, an increase in FC between the left precuneus and right lingual lobes was associated with improvements in Hamilton Depression Rating Scale (HAMD) scores. validation analysis consistently demonstrated similar changes in CVBOLD in two independent cohorts of patients with MDD. Moreover, these changes in CVBOLD were closely associated with thyroid hormone synthesis, oxidative phosphorylation, endocytosis, and the insulin signaling pathway, and were significantly correlated with the receptor/transporter density of serotonin and dopamine. These findings suggest that ECT modulates abnormal functions in the left angular cortex and left precuneus, leading to widespread changes in functional connectivity and neuroplasticity, especially in the default mode network, and exerts an antidepressant effect.

Indexed as

Depressive Disorder, Treatment-ResistantElectroconvulsive TherapyMajor Depressive DisorderParietal LobeAdultConnectomeFemaleHumansMagnetic Resonance ImagingMaleMiddle Aged

Identifiers

PMID40175334
PMCPMC11965524

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.