Evidence map›Paper›PMID 37263267›Full record

Trial reportCell reports. Medicine2023

Orbitofrontal cortex-hippocampus potentiation mediates relief for depression: A randomized double-blind trial and TMS-EEG study.

Sizhu Han, Xing-Xing Li, Shuochi Wei, Di Zhao, Jinjun Ding, Yongming Xu, Chang Yu, Zan Chen, Dong-Sheng Zhou, Ti-Fei Yuan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Cell reports. Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 3 pooled it
–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

78 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  18. Clinical utility and prospective of TMS-EEG: Updated review from an international expert group.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2026
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  20. Review

18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Sizhu HanDepartment of Psychiatry, Ningbo Kangning Hospital, Ningbo 315201, China; Shanghai Key Laboratory of Psychotic Disorders, Brain Health Institute, National Center for Mental Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai 200030, China.
Xing-Xing LiDepartment of Psychiatry, Ningbo Kangning Hospital, Ningbo 315201, China.
Shuochi WeiDepartment of Psychiatry, Ningbo Kangning Hospital, Ningbo 315201, China.
Di ZhaoShanghai Key Laboratory of Psychotic Disorders, Brain Health Institute, National Center for Mental Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai 200030, China.
Jinjun DingShanghai Key Laboratory of Psychotic Disorders, Brain Health Institute, National Center for Mental Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai 200030, China.
Yongming XuDepartment of Psychiatry, Ningbo Kangning Hospital, Ningbo 315201, China.
Chang YuDepartment of Psychiatry, Ningbo Kangning Hospital, Ningbo 315201, China.
Zan ChenDepartment of Psychiatry, Ningbo Kangning Hospital, Ningbo 315201, China.
Dong-Sheng ZhouDepartment of Psychiatry, Ningbo Kangning Hospital, Ningbo 315201, China. Electronic address: wyzhouds@sina.com.
Ti-Fei YuanShanghai Key Laboratory of Psychotic Disorders, Brain Health Institute, National Center for Mental Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai 200030, China; Co-innovation Center of Neuroregeneration, Nantong University, Nantong 226019, China. Electronic address: tifei.yuan@smhc.org.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It has been 15 years since repetitive transcranial magnetic stimulation (rTMS) targeting the dorsolateral prefrontal cortex (DLPFC) was approved by the FDA for clinical depression treatment. Yet, the underlying mechanisms for rTMS-induced depression relief are not fully elucidated. This study analyzes TMS-electroencephalogram (EEG) data from 64 healthy control (HC) subjects and 53 patients with major depressive disorder (MDD) before and after rTMS treatment. Prior to treatment, patients with MDD have lower activity in the DLPFC, the hippocampus (HPC), the orbitofrontal cortex (OFC), and DLPFC-OFC connectivity compared with HCs. Following active rTMS treatment, patients with MDD show a significant increase in the DLPFC, HPC, and OFC. Notably, the increase in HPC activity is specifically associated with amelioration of depressive symptoms but not anxiety or sleep quality. The orbitofrontal-hippocampal pathway plays a crucial role in mediating depression relief following rTMS treatment. These findings suggest potential alternative targets for brain stimulation therapy against depression (chictr.org.cn: ChiCTR2100052007).

Indexed as

Major Depressive DisorderDepressionElectroencephalographyHippocampusHumansPrefrontal CortexTranscranial Magnetic Stimulationbrain stimulationcircuitdepressionhippocampusorbital

Identifiers

PMID37263267
PMCPMC10313932

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.