Genetic and molecular basis of abnormal BOLD signaling variability in patients with major depressive disorder after electroconvulsive therapy
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 c...
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Nature Publishing Group
2025-04-01
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| Series: | Translational Psychiatry |
| Online Access: | https://doi.org/10.1038/s41398-025-03330-6 |
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| author | Siyu Fan Yulin Zhang Rui Qian Jie Hu Hao Zheng Wentao Dai Yang Ji Yue Wu Xiaohui Xie Si Xu Gong-Jun Ji Yanghua Tian Kai Wang |
| author_facet | Siyu Fan Yulin Zhang Rui Qian Jie Hu Hao Zheng Wentao Dai Yang Ji Yue Wu Xiaohui Xie Si Xu Gong-Jun Ji Yanghua Tian Kai Wang |
| author_sort | Siyu Fan |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-84405e7e8f784a75bb07c68a20ba2ac1 |
| institution | OA Journals |
| issn | 2158-3188 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Nature Publishing Group |
| record_format | Article |
| series | Translational Psychiatry |
| spelling | doaj-art-84405e7e8f784a75bb07c68a20ba2ac12025-08-20T02:25:41ZengNature Publishing GroupTranslational Psychiatry2158-31882025-04-011511910.1038/s41398-025-03330-6Genetic and molecular basis of abnormal BOLD signaling variability in patients with major depressive disorder after electroconvulsive therapySiyu Fan0Yulin Zhang1Rui Qian2Jie Hu3Hao Zheng4Wentao Dai5Yang Ji6Yue Wu7Xiaohui Xie8Si Xu9Gong-Jun Ji10Yanghua Tian11Kai Wang12Department of Neurology, the Second Affiliated Hospital of Anhui Medical UniversityDepartment of Neurology, the Second Affiliated Hospital of Anhui Medical UniversityDepartment of Neurology, the First Affiliated Hospital of Anhui Medical UniversityDepartment of Neurology, the Second Affiliated Hospital of Anhui Medical UniversityDepartment of Neurology, the First Affiliated Hospital of Anhui Medical UniversityDepartment of Neurology, the Second Affiliated Hospital of Anhui Medical UniversityDepartment of Neurology, the First Affiliated Hospital of Anhui Medical UniversityDepartment of Psychology and Sleep Medicine, the Second Affiliated Hospital of Anhui Medical UniversityDepartment of Neurology, the Second Affiliated Hospital of Anhui Medical UniversityDepartment of Neurology, the Second Affiliated Hospital of Anhui Medical UniversityDepartment of Psychology and Sleep Medicine, the Second Affiliated Hospital of Anhui Medical UniversityDepartment of Neurology, the Second Affiliated Hospital of Anhui Medical UniversityDepartment of Neurology, the First Affiliated Hospital of Anhui Medical UniversityAbstract 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.https://doi.org/10.1038/s41398-025-03330-6 |
| spellingShingle | Siyu Fan Yulin Zhang Rui Qian Jie Hu Hao Zheng Wentao Dai Yang Ji Yue Wu Xiaohui Xie Si Xu Gong-Jun Ji Yanghua Tian Kai Wang Genetic and molecular basis of abnormal BOLD signaling variability in patients with major depressive disorder after electroconvulsive therapy Translational Psychiatry |
| title | Genetic and molecular basis of abnormal BOLD signaling variability in patients with major depressive disorder after electroconvulsive therapy |
| title_full | Genetic and molecular basis of abnormal BOLD signaling variability in patients with major depressive disorder after electroconvulsive therapy |
| title_fullStr | Genetic and molecular basis of abnormal BOLD signaling variability in patients with major depressive disorder after electroconvulsive therapy |
| title_full_unstemmed | Genetic and molecular basis of abnormal BOLD signaling variability in patients with major depressive disorder after electroconvulsive therapy |
| title_short | Genetic and molecular basis of abnormal BOLD signaling variability in patients with major depressive disorder after electroconvulsive therapy |
| title_sort | genetic and molecular basis of abnormal bold signaling variability in patients with major depressive disorder after electroconvulsive therapy |
| url | https://doi.org/10.1038/s41398-025-03330-6 |
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