Evidence map›Paper›PMID 41315234›Full record

SynthesisTranslational psychiatry2025

Contemporary in vivo rodent electroconvulsive therapy (ECT) models in translational depression research: a systematic review.

Evangelos Kokolakis, Michael G Gottschalk, Sarah Kläffgen, Jan M Deussing, Angelika Erhardt, Julius C Pape, Iven-Alex von Mücke-Heim

Abstract readSystematic Review
In one paragraph

Synthesis in Translational psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Evangelos Kokolakis *Max Planck Institute of Psychiatry, Research Clinic and Outpatient Department, Kraepelinstraße 2-10, 80804, Munich, Germany.
Michael G Gottschalk *Max Planck Institute of Psychiatry, Research Clinic and Outpatient Department, Kraepelinstraße 2-10, 80804, Munich, Germany.ORCID http://orcid.org/0000-0002-2386-3701
Sarah KläffgenMax Planck Institute of Psychiatry, Molecular Neurogenetics, Kraepelinstraße 2-10, 80804, Munich, Germany.
Jan M DeussingMax Planck Institute of Psychiatry, Molecular Neurogenetics, Kraepelinstraße 2-10, 80804, Munich, Germany.ORCID http://orcid.org/0000-0002-9329-5252
Angelika ErhardtMax Planck Institute of Psychiatry, Research Clinic and Outpatient Department, Kraepelinstraße 2-10, 80804, Munich, Germany.
Julius C PapeMax Planck Institute of Psychiatry, Research Clinic and Outpatient Department, Kraepelinstraße 2-10, 80804, Munich, Germany.
Iven-Alex von Mücke-HeimMax Planck Institute of Psychiatry, Research Clinic and Outpatient Department, Kraepelinstraße 2-10, 80804, Munich, Germany. iven_muecke-heim@psych.mpg.de.ORCID http://orcid.org/0000-0002-5021-9495

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Electroconvulsive therapy (ECT) has been established as an efficacious and safe treatment for severe and/or treatment-resistant depression. However, despite decades of research, the exact biological signature of the mechanism of action of ECT has yet to be elucidated. As a translational tool, electroconvulsive stimulation (ECS), the preclinical rodent equivalent of ECT, offers the unique opportunity for further knowledge under controlled laboratory conditions. Here, for the first time, a systematic review following the PRISMA 2020 statement is presented, covering mouse and rat studies investigating the biobehavioral effects of ECS in chronic stress-based depression models. For this purpose, the PubMed and Web of Science databases (period: 01.01.2000 to 05.10.2023) were screened for different key word combinations (search terms: depression, chronic stress, electroconvulsive shock, rats, mice). The search yielded a total of 1455 records. After filtering, a total of 48 studies were included in this review (n = 7 mice, n = 41 rats). Across the reviewed studies, the most common experimental conditions were 4 weeks of chronic unpredictable mild stress (CUMS) in adult male rats treated with bilateral ear clip ECS for 1 week (parameters: bidirectional square wave, 1.5 ms pulse width with 800 mA at 125 Hz, 1.2 sec stimulation duration, 120 mC charge) using no, propofol, or isoflurane anesthesia. The outcome measures were centered around anhedonia-related behaviors and hippocampal protein levels. Summary odds across different behavioral domains revealed antidepressive effects of ECS on anhedonia (14.5), locomotion (6.0), despair (4.5), and anxiety (2.0), accompanied by memory impairments (0.1). Risk of bias assessment suggested considerable risk, primarily due to unreported information on missing data and blinding. Based on our analysis of the evidence, methodological suggestions for future studies were developed. This review will help to further unlock the translational potential of the ECS to generate much needed insights into the molecular correlates of ECT, with special regard to treatment response and prognosis for depression patients.

Indexed as

DepressionDisease Models, AnimalElectroconvulsive TherapyTranslational Research, BiomedicalAnimalsMiceRatsStress, Psychological

Identifiers

PMID41315234
PMCPMC12669789

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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.