Evidence map›Paper›PMID 41074959›Full record

ArticlePsychopharmacology2026

Electroconvulsive therapy (ECT) increases serum hypoxia‑inducible factor‑1 alpha (HIF- 1α) in depressed patients.

Esra Aslan, Bahadır Demir, Hasan Ulusal

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Article in Psychopharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 authors.

Esra AslanDepartment of Psychiatry, Faculty of Medicine, Aksaray University, Aksaray, Türkiye. esraaslannn.ea@gmail.com.ORCID http://orcid.org/0000-0002-1000-8837
Bahadır DemirDepartment of Psychiatry, Faculty of Medicine, Gaziantep University, Gaziantep, Türkiye.
Hasan UlusalDepartment of Biochemistry, Faculty of Medicine, Gaziantep Islam Science and Technology University, Gaziantep, Türkiye.

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No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHypoxia has been shown to cause disturbances in neurohormonal regulation in the brain and may play an important role in the pathophysiology of depression. Hence, this study aimed to evaluate the relationship between electroconvulsive therapy (ECT) and hypoxia-inducible factor-1 alpha (HIF-1α) activation and propose a perspective on the potential role of HIF-1α in the treatment of major depressive disorder (MDD).

methodsTwenty patients diagnosed with MDD who underwent ECT and 25 healthy controls who did not undergo any treatment were included in the study. Serum HIF-1α levels in peripheral blood samples taken from the patients both before ECT (pre-test) and after (post-test) were compared with those in the control group. The Hamilton Depression Rating Scale (HDRS), Clinical Global Impression-Severity (CGI-S) scale, and sociodemographic data form were administered to all the patients.

resultsThe HIF-1α values in the patient group pre-test were significantly lower than in the control group (p = 0.008). The HIF-1α levels in the patient group post-test were significantly higher than pre-test (p < 0.001). There was no difference between the HIF-1α levels in the patient group post-test and the control group (p > 0.05).

conclusionTo our knowledge, this is the first research to investigate serum HIF-1α changes in MDD patients undergoing ECT. The study demonstrated that ECT treatment in MDD patients leads to an increase in HIF-1α levels and suggests that HIF-1α may contribute to the antidepressant mechanism of ECT.

Indexed as

Electroconvulsive TherapyHypoxia-Inducible Factor 1, alpha SubunitMajor Depressive DisorderAdultCase-Control StudiesFemaleHumansMaleMiddle AgedPsychiatric Status Rating ScalesHIF1A protein, humanHypoxia-Inducible Factor 1, alpha SubunitElectroconvulsive therapy (ECT)HypoxiaHypoxia inducible factor-1 alpha (HIF-1α)Major depressive disorder (MDD)

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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.