Pub Date : 2026-01-14DOI: 10.1016/j.pnpbp.2026.111609
Ornella Valenti, Karin Mueller, Jae-Won Yang, Hilal Bulut, Katarzyna Anna Rekawek, Stefan Boehm
Despite decades of research, antidepressant therapies are ineffective in many patients, and the rewiring of neuronal networks during depression has remained largely unexplored. Emerging evidence indicates that unbalanced inhibition/ excitation and dysregulations of ventral tegmental area (VTA) dopamine (DA) neuron activity are correlated with depression. Recently, caffeine and adenosine receptor antagonists were found to modulate VTA DA neuron activity, and investigations in both, humans and rodents, indicate that these receptors might serve as targets to treat depression. We employed a system-oriented approach and electrophysiology measurements to explore the impact of the adenosine A1 receptor antagonist DPCPX on the ventral hippocampus (vHPC)-VTA circuit and its ability to affect behavioral responses in forced swim and elevated plus maze tests. A single exposure to DPCPX reduced VTA DA neuron activity at doses known to elicit anxiety. With repeated exposure, a lower dose of DPCPX sufficed to stabilize DA neuron firing via vHPC and to prevent an influence of tetrahydrodeoxycorticosterone or forced swim task (FST), but not of elevated plus maze (EPM), on VTA DA neuron activity. Vice versa, repeated DPCPX enhanced active stress coping behavior in FST, but failed to exert an action in EPM. Our data indicate that repeated A1R antagonism in vHPC can rewire the vHPC - NAc - VTA circuitry to enhance stress resilience by orchestrating VTA DA neuron activity. As reinforced stress resilience may boost antidepressant therapy, A1 receptor antagonism may prove to be a promising strategy in the fight against major depressive disorder.
{"title":"Repeated adenosine A1 receptor antagonism rewires ventral hippocampus-ventral tegmental area transmission and enhances stress-coping responses.","authors":"Ornella Valenti, Karin Mueller, Jae-Won Yang, Hilal Bulut, Katarzyna Anna Rekawek, Stefan Boehm","doi":"10.1016/j.pnpbp.2026.111609","DOIUrl":"https://doi.org/10.1016/j.pnpbp.2026.111609","url":null,"abstract":"<p><p>Despite decades of research, antidepressant therapies are ineffective in many patients, and the rewiring of neuronal networks during depression has remained largely unexplored. Emerging evidence indicates that unbalanced inhibition/ excitation and dysregulations of ventral tegmental area (VTA) dopamine (DA) neuron activity are correlated with depression. Recently, caffeine and adenosine receptor antagonists were found to modulate VTA DA neuron activity, and investigations in both, humans and rodents, indicate that these receptors might serve as targets to treat depression. We employed a system-oriented approach and electrophysiology measurements to explore the impact of the adenosine A1 receptor antagonist DPCPX on the ventral hippocampus (vHPC)-VTA circuit and its ability to affect behavioral responses in forced swim and elevated plus maze tests. A single exposure to DPCPX reduced VTA DA neuron activity at doses known to elicit anxiety. With repeated exposure, a lower dose of DPCPX sufficed to stabilize DA neuron firing via vHPC and to prevent an influence of tetrahydrodeoxycorticosterone or forced swim task (FST), but not of elevated plus maze (EPM), on VTA DA neuron activity. Vice versa, repeated DPCPX enhanced active stress coping behavior in FST, but failed to exert an action in EPM. Our data indicate that repeated A1R antagonism in vHPC can rewire the vHPC - NAc - VTA circuitry to enhance stress resilience by orchestrating VTA DA neuron activity. As reinforced stress resilience may boost antidepressant therapy, A1 receptor antagonism may prove to be a promising strategy in the fight against major depressive disorder.</p>","PeriodicalId":54549,"journal":{"name":"Progress in Neuro-Psychopharmacology & Biological Psychiatry","volume":" ","pages":"111609"},"PeriodicalIF":3.9,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-13DOI: 10.1016/j.pnpbp.2026.111612
Romério de Oliveira Lima Filho, Ricardo Gabriel de Lima Bisneto, Beatriz Silva do Nascimento, Heloysa Araujo Silva, Silvia Regina Batistuzzo de Medeiros, Eduardo Pacheco Rico, Ana Carolina Luchiari
This study explores the long-term effects of embryonic ethanol exposure on cognitive functions and gene expression in zebrafish (Danio rerio). We hypothesized that ethanol exposure during a critical developmental stage would lead to deficits in executive functions, such as working memory and behavioral flexibility, as well as alterations in neurodevelopmental gene expression. Zebrafish embryos were exposed to ethanol for 2 h at 24 hpf, and behavior was assessed at the fry (15 days post-fertilization), juvenile (45 dpf), and adult (90 dpf) stages. The Y-FMP behavioral test revealed impairments in behavioral flexibility and working memory, indicated by increased repetitive strategy in the juvenile phase and reduced alternation strategy in adult individuals. Molecular analyses showed downregulation of genes responsible for neurodevelopment and also dopaminergic signaling, suggesting that ethanol exposure disrupts critical developmental pathways. Despite partial recovery of gene expression in the juvenile stage, cognitive deficits persisted, highlighting the long-term impact of embryonic ethanol exposure. This study underscores the need for early diagnostic and intervention strategies for individuals affected by Fetal Alcohol Spectrum Disorders (FASD) and calls for further research on biomarkers to distinguish FASD from other neurodevelopmental disorders. In conclusion, our findings demonstrate that embryonic ethanol exposure significantly impacts cognitive functions and gene expression pattern in zebrafish, mirroring the challenges faced by individuals with FASD. These results contribute to the understanding of the neurodevelopmental consequences of prenatal ethanol exposure and reinforce the importance of preventing ethanol consumption during pregnancy.
{"title":"Long-term impact of embryonic ethanol exposure on gene expression and executive functions in zebrafish.","authors":"Romério de Oliveira Lima Filho, Ricardo Gabriel de Lima Bisneto, Beatriz Silva do Nascimento, Heloysa Araujo Silva, Silvia Regina Batistuzzo de Medeiros, Eduardo Pacheco Rico, Ana Carolina Luchiari","doi":"10.1016/j.pnpbp.2026.111612","DOIUrl":"https://doi.org/10.1016/j.pnpbp.2026.111612","url":null,"abstract":"<p><p>This study explores the long-term effects of embryonic ethanol exposure on cognitive functions and gene expression in zebrafish (Danio rerio). We hypothesized that ethanol exposure during a critical developmental stage would lead to deficits in executive functions, such as working memory and behavioral flexibility, as well as alterations in neurodevelopmental gene expression. Zebrafish embryos were exposed to ethanol for 2 h at 24 hpf, and behavior was assessed at the fry (15 days post-fertilization), juvenile (45 dpf), and adult (90 dpf) stages. The Y-FMP behavioral test revealed impairments in behavioral flexibility and working memory, indicated by increased repetitive strategy in the juvenile phase and reduced alternation strategy in adult individuals. Molecular analyses showed downregulation of genes responsible for neurodevelopment and also dopaminergic signaling, suggesting that ethanol exposure disrupts critical developmental pathways. Despite partial recovery of gene expression in the juvenile stage, cognitive deficits persisted, highlighting the long-term impact of embryonic ethanol exposure. This study underscores the need for early diagnostic and intervention strategies for individuals affected by Fetal Alcohol Spectrum Disorders (FASD) and calls for further research on biomarkers to distinguish FASD from other neurodevelopmental disorders. In conclusion, our findings demonstrate that embryonic ethanol exposure significantly impacts cognitive functions and gene expression pattern in zebrafish, mirroring the challenges faced by individuals with FASD. These results contribute to the understanding of the neurodevelopmental consequences of prenatal ethanol exposure and reinforce the importance of preventing ethanol consumption during pregnancy.</p>","PeriodicalId":54549,"journal":{"name":"Progress in Neuro-Psychopharmacology & Biological Psychiatry","volume":" ","pages":"111612"},"PeriodicalIF":3.9,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-11DOI: 10.1016/j.pnpbp.2026.111611
Claire Leconte, Virginie Beray-Berthat, Fanny Saulnier, Derin Reha Ulusoy, Amanda Patricia Sales, Matilde Donzelli, Laura Marques, Isabelle Nondier, Corinne Canestrelli, Florence Noble, Raymond Mongeau
Post-traumatic stress disorders (PTSD) can lead to substance use disorders (SUD), and in particular opioid dependence. Although preclinical models of the literature focused on traumatic stress-induced potentiation of opioid dependence acquisition, none studied the effect of fear memories during opioid withdrawal. The goal of this study was thus to develop and describe a preclinical model of the PTSD/SUD comorbidity during this critical period in adult male mice. Classically, the traumatic-like memory was acquired by fear conditioning and was followed by morphine-conditioned place preference (CPP) to acquire the associative memory linked to the drug-reinforcing effect. Departing from this approach, we evaluated the effect of a stress on drug-induced CPP using regular re-exposures to a conditioned fear stimulus recall (FR), immediately followed by CPP tests, several days after the last morphine injection (from the 5th to the 21st day). Our data indicated that FR sessions induce a persistent morphine CPP, that is absent in morphine withdrawn mice not subjected to FR. This effect was prevented when antalarmin, a corticotropin-releasing factor receptor 1 antagonist, was administered during morphine withdrawal before each FR. Persistent morphine-induced CPP was concomitant with a FR-induced kappa opioid receptor mRNA upregulation in the prefrontal cortex, while mu opioid receptor mRNA expression was enhanced in control morphine withdrawn mice, an effect absent, however, in withdrawn mice subjected to FR. Surprisingly, in the amygdala, endogenous opioid-related mRNA expression changes in relation with the long-term persistence of drug-induced CPP were few, but next generation sequencing revealed differential expression of numerous microRNAs in that brain area between morphine-control vs morphine-FR mice. The present study thus proposes an innovative behavioral model of the PTSD/SUD-like comorbidity with biological modulations in both the prefrontal cortex and the amygdala, paving the way to develop adapted treatments for this comorbidity in clinics.
{"title":"Traumatic-like fear memory recall causes persistent morphine conditioned place preference in drug withdrawn male mice.","authors":"Claire Leconte, Virginie Beray-Berthat, Fanny Saulnier, Derin Reha Ulusoy, Amanda Patricia Sales, Matilde Donzelli, Laura Marques, Isabelle Nondier, Corinne Canestrelli, Florence Noble, Raymond Mongeau","doi":"10.1016/j.pnpbp.2026.111611","DOIUrl":"https://doi.org/10.1016/j.pnpbp.2026.111611","url":null,"abstract":"<p><p>Post-traumatic stress disorders (PTSD) can lead to substance use disorders (SUD), and in particular opioid dependence. Although preclinical models of the literature focused on traumatic stress-induced potentiation of opioid dependence acquisition, none studied the effect of fear memories during opioid withdrawal. The goal of this study was thus to develop and describe a preclinical model of the PTSD/SUD comorbidity during this critical period in adult male mice. Classically, the traumatic-like memory was acquired by fear conditioning and was followed by morphine-conditioned place preference (CPP) to acquire the associative memory linked to the drug-reinforcing effect. Departing from this approach, we evaluated the effect of a stress on drug-induced CPP using regular re-exposures to a conditioned fear stimulus recall (FR), immediately followed by CPP tests, several days after the last morphine injection (from the 5th to the 21st day). Our data indicated that FR sessions induce a persistent morphine CPP, that is absent in morphine withdrawn mice not subjected to FR. This effect was prevented when antalarmin, a corticotropin-releasing factor receptor 1 antagonist, was administered during morphine withdrawal before each FR. Persistent morphine-induced CPP was concomitant with a FR-induced kappa opioid receptor mRNA upregulation in the prefrontal cortex, while mu opioid receptor mRNA expression was enhanced in control morphine withdrawn mice, an effect absent, however, in withdrawn mice subjected to FR. Surprisingly, in the amygdala, endogenous opioid-related mRNA expression changes in relation with the long-term persistence of drug-induced CPP were few, but next generation sequencing revealed differential expression of numerous microRNAs in that brain area between morphine-control vs morphine-FR mice. The present study thus proposes an innovative behavioral model of the PTSD/SUD-like comorbidity with biological modulations in both the prefrontal cortex and the amygdala, paving the way to develop adapted treatments for this comorbidity in clinics.</p>","PeriodicalId":54549,"journal":{"name":"Progress in Neuro-Psychopharmacology & Biological Psychiatry","volume":" ","pages":"111611"},"PeriodicalIF":3.9,"publicationDate":"2026-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-02DOI: 10.1016/j.pnpbp.2026.111606
Wiebke Struckmann , Magdalena Wlad , Jörgen Rosén , David Fällmar , Robert Bodén , Jonas Persson , Malin Gingnell
Background
Depression is characterized by disturbed emotion processing. Repetitive transcranial magnetic stimulation, and its development intermittent theta- burst stimulation (iTBS), induces brain network changes and is an emerging treatment alternative for depression. In this sham- controlled study, we aimed at studying the effects of iTBS on emotion anticipation and processing in depression.
Methods
42 patients with depression were allocated to receive active or sham iTBS treatment. Before treatment (baseline) and four weeks after baseline (follow- up), participants underwent functional magnetic resonance imaging (fMRI) scanning with simultaneous recordings of skin conductance responses (SCR). During scanning, participants were presented to an emotion anticipation and processing paradigm. Behavioral data (symptom ratings and ratings of emotional stimuli) were also collected.
Results
There were no differences in behavioral, skin conductance or neural activity after active, compared with sham, treatment. However, across groups, SCRs to positive anticipation increased and SCRs to negative processing decreased at follow- up. Additionally, amygdala and right insula reactivity to negative processing, and right amygdala reactivity to positive processing, decreased at follow- up. Increased ACC activity after active treatment to positive anticipation and processing was correlated with decreased anhedonia symptoms.
Conclusions
Active, compared with sham, iTBS treatment does not affect behavioral, skin conductance or neural activity to emotion anticipation and processing in depression. However, across treatment groups, changes occur with time, perhaps reflecting normalization processes or partial treatment effect of sham iTBS. The ACC seems to be involved in the treatment mechanism of iTBS.
{"title":"Effects of intermittent theta- burst stimulation on emotion anticipation and processing in depression- investigating behavioral, electrodermal and neural activity","authors":"Wiebke Struckmann , Magdalena Wlad , Jörgen Rosén , David Fällmar , Robert Bodén , Jonas Persson , Malin Gingnell","doi":"10.1016/j.pnpbp.2026.111606","DOIUrl":"10.1016/j.pnpbp.2026.111606","url":null,"abstract":"<div><h3>Background</h3><div>Depression is characterized by disturbed emotion processing. Repetitive transcranial magnetic stimulation, and its development intermittent theta- burst stimulation (iTBS), induces brain network changes and is an emerging treatment alternative for depression. In this sham- controlled study, we aimed at studying the effects of iTBS on emotion anticipation and processing in depression.</div></div><div><h3>Methods</h3><div>42 patients with depression were allocated to receive active or sham iTBS treatment. Before treatment (baseline) and four weeks after baseline (follow- up), participants underwent functional magnetic resonance imaging (fMRI) scanning with simultaneous recordings of skin conductance responses (SCR). During scanning, participants were presented to an emotion anticipation and processing paradigm. Behavioral data (symptom ratings and ratings of emotional stimuli) were also collected.</div></div><div><h3>Results</h3><div>There were no differences in behavioral, skin conductance or neural activity after active, compared with sham, treatment. However, across groups, SCRs to positive anticipation increased and SCRs to negative processing decreased at follow- up. Additionally, amygdala and right insula reactivity to negative processing, and right amygdala reactivity to positive processing, decreased at follow- up. Increased ACC activity after active treatment to positive anticipation and processing was correlated with decreased anhedonia symptoms.</div></div><div><h3>Conclusions</h3><div>Active, compared with sham, iTBS treatment does not affect behavioral, skin conductance or neural activity to emotion anticipation and processing in depression. However, across treatment groups, changes occur with time, perhaps reflecting normalization processes or partial treatment effect of sham iTBS. The ACC seems to be involved in the treatment mechanism of iTBS.</div></div>","PeriodicalId":54549,"journal":{"name":"Progress in Neuro-Psychopharmacology & Biological Psychiatry","volume":"144 ","pages":"Article 111606"},"PeriodicalIF":3.9,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145907274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The association between post-traumatic stress disorder (PTSD) and subsequent obesity is well-established in humans, however, whether obesity exacerbates vulnerability to PTSD remains underexplored. To investigate this, we employed a rat model fed either a high-fat diet (HFD; 60 % kcal from fat) or a control diet (CD). After confirming significant body mass index differences between HFD and CD groups, rats were exposed to predator scent stress (PSS) or a sham-PSS control. Behavioral phenotyping was conducted using the elevated plus maze (EPM) and acoustic startle response (ASR) to classify stress response profiles, supplemented by the forced swim test to assess depressive-like behavior and the Morris water maze to evaluate spatial learning and memory. Neural cytoarchitecture and molecular mechanisms were examined via Golgi-Cox staining and immunohistochemistry, targeting shared modulators of the orexigenic and anxiolytic systems in the hippocampus and hypothalamus. Our findings reveal that HFD-induced obesity promotes a PTSD-like phenotype, exacerbates depressive-like behavior, and impairs spatial learning and memory acquisition. Morphological alterations in the hippocampus and amygdala of HFD-fed rats resembled those in PSS-exposed CD-fed rats, regardless of stress exposure, suggesting common neurostructural changes. Furthermore, HFD-induced obesity modulated region-specific expression of neuropeptide Y (NPY), NPY-Y1 receptor, and glucocorticoid receptor immunoreactivity in hippocampal and hypothalamic nuclei. These results underscore a bidirectional interplay between diet-induced obesity and stress-related disorders, highlighting the critical role of the orexigenic and anxiolytic systems and their neurobiological underpinnings in mediating these effects.
{"title":"High-fat diet-induced obesity enhances stress vulnerability and promotes a PTSD-like phenotype in rats","authors":"Carmit Cohen , Joseph Zohar , Doron Todder , Hagit Cohen","doi":"10.1016/j.pnpbp.2025.111596","DOIUrl":"10.1016/j.pnpbp.2025.111596","url":null,"abstract":"<div><div>The association between post-traumatic stress disorder (PTSD) and subsequent obesity is well-established in humans, however, whether obesity exacerbates vulnerability to PTSD remains underexplored. To investigate this, we employed a rat model fed either a high-fat diet (HFD; 60 % kcal from fat) or a control diet (CD). After confirming significant body mass index differences between HFD and CD groups, rats were exposed to predator scent stress (PSS) or a sham-PSS control. Behavioral phenotyping was conducted using the elevated plus maze (EPM) and acoustic startle response (ASR) to classify stress response profiles, supplemented by the forced swim test to assess depressive-like behavior and the Morris water maze to evaluate spatial learning and memory. Neural cytoarchitecture and molecular mechanisms were examined via Golgi-Cox staining and immunohistochemistry, targeting shared modulators of the orexigenic and anxiolytic systems in the hippocampus and hypothalamus. Our findings reveal that HFD-induced obesity promotes a PTSD-like phenotype, exacerbates depressive-like behavior, and impairs spatial learning and memory acquisition. Morphological alterations in the hippocampus and amygdala of HFD-fed rats resembled those in PSS-exposed CD-fed rats, regardless of stress exposure, suggesting common neurostructural changes. Furthermore, HFD-induced obesity modulated region-specific expression of neuropeptide Y (NPY), NPY-Y1 receptor, and glucocorticoid receptor immunoreactivity in hippocampal and hypothalamic nuclei. These results underscore a bidirectional interplay between diet-induced obesity and stress-related disorders, highlighting the critical role of the orexigenic and anxiolytic systems and their neurobiological underpinnings in mediating these effects.</div></div>","PeriodicalId":54549,"journal":{"name":"Progress in Neuro-Psychopharmacology & Biological Psychiatry","volume":"144 ","pages":"Article 111596"},"PeriodicalIF":3.9,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-02DOI: 10.1016/j.pnpbp.2025.111600
Gerrit Burkhardt , Stephan Goerigk , Lucia Bulubas , Esther Dechantsreiter , Daniel Keeser , Ulrike Vogelmann , Katharina von Wartensleben , Johannes Wolf , Christian Plewnia , Andreas Fallgatter , Berthold Langguth , Claus Normann , Lukas Frase , Peter Zwanzger , Thomas Kammer , Carlos Schönfeldt-Lecuona , Daniel Kamp , Malek Bajbouj , Nikolaos Koutsouleris , Andre R. Brunoni , Frank Padberg
Machine-learning (ML) classification may offer a promising approach for treatment response prediction in patients with major depressive disorder (MDD) undergoing non-invasive brain stimulation. This analysis aims to develop and validate such classification models based on easily attainable sociodemographic and clinical information across two randomized controlled trials on transcranial direct-current stimulation (tDCS) in MDD. Using data from 246 patients with MDD from the randomized-controlled DepressionDC and ELECT-TDCS trials, we employed an ensemble machine learning strategy to predict treatment response to either active tDCS or sham tDCS/placebo, defined as ≥50 % reduction in the Montgomery-Åsberg Depression Rating Scale at 6 weeks. Separate models for active tDCS and sham/placebo were developed in each trial and evaluated for external validity across trials and for treatment specificity across modalities. In the DepressionDC trial, models achieved a balanced accuracy of 63.5 % for active tDCS and 62.5 % for sham tDCS in predicting treatment responders. Baseline self-rated depression was consistently ranked as the most informative feature. However, response prediction in the ELECT-TDCS trial and across trials was not successful. Our findings suggest that ML models based on easily attainable sociodemographic and clinical variables can yield modest improvements in predicting individual tDCS response, but performance remains insufficient for clinical application and will require refinement and external validation in larger, more comprehensively phenotyped cohorts.
{"title":"Cross-trial prediction of treatment response to transcranial direct current stimulation in patients with major depressive disorder","authors":"Gerrit Burkhardt , Stephan Goerigk , Lucia Bulubas , Esther Dechantsreiter , Daniel Keeser , Ulrike Vogelmann , Katharina von Wartensleben , Johannes Wolf , Christian Plewnia , Andreas Fallgatter , Berthold Langguth , Claus Normann , Lukas Frase , Peter Zwanzger , Thomas Kammer , Carlos Schönfeldt-Lecuona , Daniel Kamp , Malek Bajbouj , Nikolaos Koutsouleris , Andre R. Brunoni , Frank Padberg","doi":"10.1016/j.pnpbp.2025.111600","DOIUrl":"10.1016/j.pnpbp.2025.111600","url":null,"abstract":"<div><div>Machine-learning (ML) classification may offer a promising approach for treatment response prediction in patients with major depressive disorder (MDD) undergoing non-invasive brain stimulation. This analysis aims to develop and validate such classification models based on easily attainable sociodemographic and clinical information across two randomized controlled trials on transcranial direct-current stimulation (tDCS) in MDD. Using data from 246 patients with MDD from the randomized-controlled DepressionDC and ELECT-TDCS trials, we employed an ensemble machine learning strategy to predict treatment response to either active tDCS or sham tDCS/placebo, defined as ≥50 % reduction in the Montgomery-Åsberg Depression Rating Scale at 6 weeks. Separate models for active tDCS and sham/placebo were developed in each trial and evaluated for external validity across trials and for treatment specificity across modalities. In the DepressionDC trial, models achieved a balanced accuracy of 63.5 % for active tDCS and 62.5 % for sham tDCS in predicting treatment responders. Baseline self-rated depression was consistently ranked as the most informative feature. However, response prediction in the ELECT-TDCS trial and across trials was not successful. Our findings suggest that ML models based on easily attainable sociodemographic and clinical variables can yield modest improvements in predicting individual tDCS response, but performance remains insufficient for clinical application and will require refinement and external validation in larger, more comprehensively phenotyped cohorts.</div></div>","PeriodicalId":54549,"journal":{"name":"Progress in Neuro-Psychopharmacology & Biological Psychiatry","volume":"144 ","pages":"Article 111600"},"PeriodicalIF":3.9,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-02DOI: 10.1016/j.pnpbp.2026.111610
Madeline A. Jarvis , Allison Matthews , Ken Chia Min Hsu , Emma Nicholson , Khalisa Amir Hamzah , Natalie Turner , Daniel V. Zuj , David Nichols , Kim Felmingham , Luke J. Ney
The endocannabinoid system has been shown to be involved in posttraumatic stress disorder-like behaviours in animal and human subjects. However, to date no studies have tested the relationship between blood markers of endocannabinoid signalling and intrusive memory development in humans. Across two studies, we tested the relationship between endocannabinoid genotypes, blood markers of endocannabinoids AEA and 2-AG, and intrusive memories of violent imagery and film clips. In study 1, we found a significant effect of rs324420 genotype on explicit memory recall, with A allele carriers (indicative of higher AEA) recalling fewer negative memories. Post-task AEA was negatively associated with explicit recall but not intrusive memories, though post-task AEA and 2-AG did interact with rs324420 to predict intrusive memory frequency. In study 2, stress induced changes in AEA but not 2-AG were negatively associated with intrusive memory frequency. In summary, we found evidence that AEA is involved in explicit and intrusive memories of negative stimuli. Evidence from both studies suggests that lower AEA is associated with higher explicit and intrusive memories. These findings support animal literature and have implications for targeted treatments for negative memory symptomology in posttraumatic stress disorder.
{"title":"Complex relationship between endocannabinoids, fatty acid amide hydrolase, and stress reactivity in human intrusive memories of analogue trauma","authors":"Madeline A. Jarvis , Allison Matthews , Ken Chia Min Hsu , Emma Nicholson , Khalisa Amir Hamzah , Natalie Turner , Daniel V. Zuj , David Nichols , Kim Felmingham , Luke J. Ney","doi":"10.1016/j.pnpbp.2026.111610","DOIUrl":"10.1016/j.pnpbp.2026.111610","url":null,"abstract":"<div><div>The endocannabinoid system has been shown to be involved in posttraumatic stress disorder-like behaviours in animal and human subjects. However, to date no studies have tested the relationship between blood markers of endocannabinoid signalling and intrusive memory development in humans. Across two studies, we tested the relationship between endocannabinoid genotypes, blood markers of endocannabinoids AEA and 2-AG, and intrusive memories of violent imagery and film clips. In study 1, we found a significant effect of rs324420 genotype on explicit memory recall, with A allele carriers (indicative of higher AEA) recalling fewer negative memories. Post-task AEA was negatively associated with explicit recall but not intrusive memories, though post-task AEA and 2-AG did interact with rs324420 to predict intrusive memory frequency. In study 2, stress induced changes in AEA but not 2-AG were negatively associated with intrusive memory frequency. In summary, we found evidence that AEA is involved in explicit and intrusive memories of negative stimuli. Evidence from both studies suggests that lower AEA is associated with higher explicit and intrusive memories. These findings support animal literature and have implications for targeted treatments for negative memory symptomology in posttraumatic stress disorder.</div></div>","PeriodicalId":54549,"journal":{"name":"Progress in Neuro-Psychopharmacology & Biological Psychiatry","volume":"144 ","pages":"Article 111610"},"PeriodicalIF":3.9,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In recent years, the increasing use of opioids has raised significant concerns about their potential long-term effects on cognitive health, particularly in elderly and vulnerable populations. While opioids are widely prescribed for chronic pain management, evidence suggests that prolonged use may accelerate cognitive decline.
Objective
This systematic review and meta-analysis aimed to investigate the association between opioid use and the risk of dementia.
Methods
To identify relevant studies published, a comprehensive search was conducted across multiple databases, including PubMed, Scopus, and the Web of Science. Studies examining opioid exposure and subsequent dementia diagnosis were included. Two independent reviewers performed data extraction and quality assessment. Meta-analyses were conducted to assess pooled risk estimates.
Results
Nine observational cohort studies were included. The random-effects model was applied. The pooled analysis showed a significant association between opioid use and an increased risk of dementia (HR = 1.35, 95 % CI = 1.21–1.50, P = ≤0.0001). Subgroup analyses by geographical region showed consistent associations, with no significant differences between regions (P = 0.70). The P-value for Egger's test was 0.11, indicating no publication bias.
Conclusion
These findings suggest that regular opioid use may be associated with a higher risk of dementia across the included studies; however, this finding should not be interpreted as evidence of causality. Clinicians should be aware of these potential risks when prescribing opioids, especially for older adults or those at higher risk of cognitive decline. Further research is needed to clarify underlying mechanisms and establish safe prescribing guidelines.
近年来,阿片类药物使用的增加引起了人们对其对认知健康,特别是老年人和弱势群体的潜在长期影响的严重关切。虽然阿片类药物被广泛用于慢性疼痛治疗,但有证据表明,长期使用阿片类药物可能会加速认知能力下降。目的:本系统综述和荟萃分析旨在调查阿片类药物使用与痴呆风险之间的关系。方法:在PubMed、Scopus和Web of Science等多个数据库中进行综合检索,以确定已发表的相关研究。研究包括阿片类药物暴露和随后的痴呆诊断。两名独立审稿人进行数据提取和质量评估。进行荟萃分析以评估综合风险估计。结果:纳入9项观察性队列研究。采用随机效应模型。合并分析显示阿片类药物使用与痴呆风险增加之间存在显著关联(HR = 1.35,95% % CI = 1.21-1.50,P ≤0.0001)。按地理区域进行的亚组分析显示出一致的相关性,区域间无显著差异(P = 0.70)。Egger检验的p值为0.11,无发表偏倚。结论:这些发现表明,在纳入的研究中,经常使用阿片类药物可能与痴呆的高风险相关;然而,这一发现不应被解释为因果关系的证据。临床医生在开阿片类药物处方时应该意识到这些潜在的风险,尤其是对老年人或认知能力下降风险较高的人。需要进一步的研究来阐明潜在的机制并建立安全的处方指南。
{"title":"The association between long-term opioid use and dementia risk: A systematic review and meta-analysis","authors":"Diana Marisol Abrego-Guandique , Saverio Nucera , Sara Ilari , Lucia Carmela Passacatini , Rosamaria Caminiti , Valeria Mazza , Jessica Maiuolo , Erika Cione , Vincenzo Mollace , Maria Cristina Caroleo , Carolina Muscoli","doi":"10.1016/j.pnpbp.2025.111595","DOIUrl":"10.1016/j.pnpbp.2025.111595","url":null,"abstract":"<div><h3>Introduction</h3><div>In recent years, the increasing use of opioids has raised significant concerns about their potential long-term effects on cognitive health, particularly in elderly and vulnerable populations. While opioids are widely prescribed for chronic pain management, evidence suggests that prolonged use may accelerate cognitive decline.</div></div><div><h3>Objective</h3><div>This systematic review and meta-analysis aimed to investigate the association between opioid use and the risk of dementia.</div></div><div><h3>Methods</h3><div>To identify relevant studies published, a comprehensive search was conducted across multiple databases, including PubMed, Scopus, and the Web of Science. Studies examining opioid exposure and subsequent dementia diagnosis were included. Two independent reviewers performed data extraction and quality assessment. Meta-analyses were conducted to assess pooled risk estimates.</div></div><div><h3>Results</h3><div>Nine observational cohort studies were included. The random-effects model was applied. The pooled analysis showed a significant association between opioid use and an increased risk of dementia (HR = 1.35, 95 % CI = 1.21–1.50, <em>P</em> = ≤0.0001). Subgroup analyses by geographical region showed consistent associations, with no significant differences between regions (<em>P</em> = 0.70). The <em>P</em>-value for Egger's test was 0.11, indicating no publication bias.</div></div><div><h3>Conclusion</h3><div>These findings suggest that regular opioid use may be associated with a higher risk of dementia across the included studies; however, this finding should not be interpreted as evidence of causality. Clinicians should be aware of these potential risks when prescribing opioids, especially for older adults or those at higher risk of cognitive decline. Further research is needed to clarify underlying mechanisms and establish safe prescribing guidelines.</div></div>","PeriodicalId":54549,"journal":{"name":"Progress in Neuro-Psychopharmacology & Biological Psychiatry","volume":"144 ","pages":"Article 111595"},"PeriodicalIF":3.9,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-02DOI: 10.1016/j.pnpbp.2025.111602
Kexu Zhang , Xiong Jiao , Yanli Zhang , Ningning Zeng , Min Wang , Kun Li , Ziliang Wang , Junfeng Sun , Jijun Wang , Qiang Hu
Background
Recent studies have identified the orbitofrontal cortex (OFC) as a potential target for alleviating negative symptoms in schizophrenia. However, the neurobiological mechanisms underlying repetitive transcranial magnetic stimulation (rTMS) delivered to the OFC remain unclear.
Methods
In this randomized controlled trial, seventy first-episode, drug-naïve patients with schizophrenia were assigned to receive either 20 sessions of active 1 Hz rTMS over the right lateral OFC (N = 36) or sham stimulation (N = 34). Clinical outcomes were measured using the Positive and Negative Syndrome Scale (PANSS). Resting-state functional MRI data were collected before and after treatment to assess changes in regional brain activity and functional connectivity, using fractional amplitude of low-frequency fluctuations (fALFF), regional homogeneity (ReHo), and seed-based connectivity analyses.
Results
Compared to sham stimulation, active OFC-rTMS led to significantly greater reductions in PANSS scores (total: 22.7 vs. 14.3, p = 0.003, Cohen's d = 0.733; negative: 6.2 vs. 4.0, p = 0.037, Cohen's d = 0.510). Neuroimaging analyses revealed increased spontaneous activity (fALFF and ReHo) in the right OFC and bilateral inferior parietal lobule (IPL), along with enhanced functional connectivity between the OFC and IPL in the active rTMS group. Importantly, IPL-related functional reorganization was significantly associated with symptom improvement, particularly in negative and general domains.
Conclusions
These findings suggest that rTMS targeting the OFC exerts therapeutic effects in schizophrenia by modulating IPL function and OFC–IPL connectivity. The IPL may serve as a critical downstream node mediating the clinical benefits of OFC-rTMS, offering novel insights into network-based neuromodulation strategies for negative symptoms.
背景:最近的研究已经确定眶额皮质(OFC)是缓解精神分裂症阴性症状的潜在靶点。然而,OFC重复性经颅磁刺激(rTMS)的神经生物学机制尚不清楚。方法:在这项随机对照试验中,70名首发drug-naïve精神分裂症患者被分配到接受20次活动1 Hz rTMS的右侧OFC (N = 36)或假刺激(N = 34)。临床结果采用阳性和阴性综合征量表(PANSS)进行测量。在治疗前后收集静息状态功能MRI数据,使用低频波动分数幅值(fALFF)、区域均匀性(ReHo)和基于种子的连通性分析来评估区域大脑活动和功能连通性的变化。结果:与假性刺激相比,活跃OFC-rTMS导致PANSS评分显著降低(total: 22.7 vs. 14.3, p = 0.003,Cohen's d = 0.733;阴性:6.2 vs. 4.0, p = 0.037,Cohen's d = 0.510)。神经影像学分析显示,在活跃的rTMS组中,右侧OFC和双侧下顶叶(IPL)的自发活动(fALFF和ReHo)增加,同时OFC和IPL之间的功能连接增强。重要的是,ipl相关的功能重组与症状改善显著相关,特别是在阴性和一般领域。结论:这些研究结果表明,针对OFC的rTMS通过调节IPL功能和OFC-IPL连通性来治疗精神分裂症。IPL可能是介导OFC-rTMS临床益处的关键下游节点,为阴性症状的基于网络的神经调节策略提供了新的见解。
{"title":"Orbitofrontal rTMS modulates inferior parietal lobule functional reorganization to alleviate negative symptoms in first-episode, drug-naïve patients with schizophrenia","authors":"Kexu Zhang , Xiong Jiao , Yanli Zhang , Ningning Zeng , Min Wang , Kun Li , Ziliang Wang , Junfeng Sun , Jijun Wang , Qiang Hu","doi":"10.1016/j.pnpbp.2025.111602","DOIUrl":"10.1016/j.pnpbp.2025.111602","url":null,"abstract":"<div><h3>Background</h3><div>Recent studies have identified the orbitofrontal cortex (OFC) as a potential target for alleviating negative symptoms in schizophrenia. However, the neurobiological mechanisms underlying repetitive transcranial magnetic stimulation (rTMS) delivered to the OFC remain unclear.</div></div><div><h3>Methods</h3><div>In this randomized controlled trial, seventy first-episode, drug-naïve patients with schizophrenia were assigned to receive either 20 sessions of active 1 Hz rTMS over the right lateral OFC (<em>N</em> = 36) or sham stimulation (<em>N</em> = 34). Clinical outcomes were measured using the Positive and Negative Syndrome Scale (PANSS). Resting-state functional MRI data were collected before and after treatment to assess changes in regional brain activity and functional connectivity, using fractional amplitude of low-frequency fluctuations (fALFF), regional homogeneity (ReHo), and seed-based connectivity analyses.</div></div><div><h3>Results</h3><div>Compared to sham stimulation, active OFC-rTMS led to significantly greater reductions in PANSS scores (total: 22.7 vs. 14.3, <em>p</em> = 0.003, Cohen's d = 0.733; negative: 6.2 vs. 4.0, <em>p</em> = 0.037, Cohen's d = 0.510). Neuroimaging analyses revealed increased spontaneous activity (fALFF and ReHo) in the right OFC and bilateral inferior parietal lobule (IPL), along with enhanced functional connectivity between the OFC and IPL in the active rTMS group. Importantly, IPL-related functional reorganization was significantly associated with symptom improvement, particularly in negative and general domains.</div></div><div><h3>Conclusions</h3><div>These findings suggest that rTMS targeting the OFC exerts therapeutic effects in schizophrenia by modulating IPL function and OFC–IPL connectivity. The IPL may serve as a critical downstream node mediating the clinical benefits of OFC-rTMS, offering novel insights into network-based neuromodulation strategies for negative symptoms.</div></div>","PeriodicalId":54549,"journal":{"name":"Progress in Neuro-Psychopharmacology & Biological Psychiatry","volume":"144 ","pages":"Article 111602"},"PeriodicalIF":3.9,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-02DOI: 10.1016/j.pnpbp.2025.111594
Yidan Wang , Xinyue Hu , Lianqing Zhang , Hailong Li , Yingxue Gao , Mengyue Tang , Zilin Zhou , Shuangwei Chai , Liqiong Liu , Weihong Kuang , Qiyong Gong , Xiaoqi Huang
Background
The thalamus is a crucial subcortical structure in etiological models of major depressive disorder (MDD). Given the well-documented sex differences in MDD prevalence and clinical manifestations, it remains unclear whether these differences are linked to structural characteristics of thalamus. This study aimed to investigate the divergent sex effects on thalamus nuclei in drug-naive patients with MDD.
Methods
High-resolution 3D T1-weighted and diffusion tensor imaging images were obtained for 174 drug-naive patients with MDD and 118 age-, sex-, education years- and handedness-matched healthy controls (HCs). The thalamus was segmented into 22 nuclei using FreeSurfer. A general linear model (GLM) was used to test sex-by-diagnosis interactions for volumes of whole thalamus and individual nuclei between groups. We also performed a graph theory analysis of the structural covariance network (SCN) of thalamic nuclei in females and males with MDD, compared to their sex-matched HCs, respectively.
Results
There were no significant sex-by-diagnosis interactions in whole thalamus or nuclei volumes. The disruptions of SCN were observed in females with MDD, including lower nodal degree in left lateral posterior (LP) nucleus, lower betweenness centrality across several nuclei in the left intralaminar and bilateral antero-lateral nuclei group, and higher betweenness and closeness centrality in right pulvinar lateral nucleus, compared to female HCs. Males with MDD displayed lower nodal degree in left ventral anterior magnocellular and right medial ventral reuniens nuclei and higher betweenness centrality in left mediodorsal lateral parvocellular nucleus relative to male HCs. Moreover, male HCs exhibited higher closeness centrality in the right LP nucleus than female HCs.
Conclusion
These findings represent the first evidence of sex-specific alterations in the topological properties rather than the volumes of thalamic nuclei in early untreated patients with MDD, indicating the structural reorganization of SCN of thalamic nuclei may represent a potential neuro-mechanism underlying sex differences in MDD.
{"title":"Topologic but not volumetric differences diversify sex effects on thalamic nuclei in drug-naive patients with major depressive disorder","authors":"Yidan Wang , Xinyue Hu , Lianqing Zhang , Hailong Li , Yingxue Gao , Mengyue Tang , Zilin Zhou , Shuangwei Chai , Liqiong Liu , Weihong Kuang , Qiyong Gong , Xiaoqi Huang","doi":"10.1016/j.pnpbp.2025.111594","DOIUrl":"10.1016/j.pnpbp.2025.111594","url":null,"abstract":"<div><h3>Background</h3><div>The thalamus is a crucial subcortical structure in etiological models of major depressive disorder (MDD). Given the well-documented sex differences in MDD prevalence and clinical manifestations, it remains unclear whether these differences are linked to structural characteristics of thalamus. This study aimed to investigate the divergent sex effects on thalamus nuclei in drug-naive patients with MDD.</div></div><div><h3>Methods</h3><div>High-resolution 3D T1-weighted and diffusion tensor imaging images were obtained for 174 drug-naive patients with MDD and 118 age-, sex-, education years- and handedness-matched healthy controls (HCs). The thalamus was segmented into 22 nuclei using FreeSurfer. A general linear model (GLM) was used to test sex-by-diagnosis interactions for volumes of whole thalamus and individual nuclei between groups. We also performed a graph theory analysis of the structural covariance network (SCN) of thalamic nuclei in females and males with MDD, compared to their sex-matched HCs, respectively.</div></div><div><h3>Results</h3><div>There were no significant sex-by-diagnosis interactions in whole thalamus or nuclei volumes. The disruptions of SCN were observed in females with MDD, including lower nodal degree in left lateral posterior (LP) nucleus, lower betweenness centrality across several nuclei in the left intralaminar and bilateral antero-lateral nuclei group, and higher betweenness and closeness centrality in right pulvinar lateral nucleus, compared to female HCs. Males with MDD displayed lower nodal degree in left ventral anterior magnocellular and right medial ventral reuniens nuclei and higher betweenness centrality in left mediodorsal lateral parvocellular nucleus relative to male HCs. Moreover, male HCs exhibited higher closeness centrality in the right LP nucleus than female HCs.</div></div><div><h3>Conclusion</h3><div>These findings represent the first evidence of sex-specific alterations in the topological properties rather than the volumes of thalamic nuclei in early untreated patients with MDD, indicating the structural reorganization of SCN of thalamic nuclei may represent a potential neuro-mechanism underlying sex differences in MDD.</div></div>","PeriodicalId":54549,"journal":{"name":"Progress in Neuro-Psychopharmacology & Biological Psychiatry","volume":"144 ","pages":"Article 111594"},"PeriodicalIF":3.9,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}