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Updated: Feb 7, 2026

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
Published on: April 11, 2019
Brain serotonin critically contributes to the biological effects of electroconvulsive seizures
Golo Kronenberg1,2,3, Markus Petermann3,4, Christof Dormann5
1Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsmedizin Rostock, 18147, Rostock, Germany.
Abstract:
Compounds targeting serotonin (5-HT) are widely used as antidepressants. However, the role of 5-HT in mediating the effects of electroconvulsive seizure (ECS) therapy remains undefined. Using Tph2-/- mice depleted of brain 5-HT, we studied the effects of ECS on behavior and neurobiology. ECS significantly prolonged the start latency in the elevated O-Maze test, an effect that was abolished in Tph2-/- mice. Furthermore, in the absence of 5-HT, the ECS-induced increase in adult neurogenesis and in brain-derived neurotrophic factor signaling in the hippocampus were significantly reduced. Our results indicate that brain 5-HT critically contributes to the neurobiological responses to ECS.
Insights
Brain serotonin (5-HT) is crucial for electroconvulsive seizure (ECS) therapy
Area of Science:
- Neuroscience
- Pharmacology
- Genetics
Background:
- Serotonin (5-HT) compounds are common antidepressants.
- The role of 5-HT in electroconvulsive seizure (ECS) therapy is unknown.
Purpose of the Study:
- To investigate the role of 5-HT in mediating ECS effects.
- To understand the neurobiological impact of ECS in the absence of 5-HT.
Main Methods:
- Utilized Tph2 knockout mice lacking brain 5-HT.
- Administered ECS and assessed behavioral changes using the elevated O-Maze test.
- Measured adult neurogenesis and brain-derived neurotrophic factor (BDNF) signaling.
Main Results:
- ECS prolonged start latency in the elevated O-Maze test, an effect abolished in Tph2 knockout mice.
- ECS-induced increases in hippocampal neurogenesis and BDNF signaling were reduced in the absence of 5-HT.
- Brain 5-HT is essential for ECS-mediated behavioral and neurobiological effects.
Conclusions:
- Brain serotonin is critical for mediating the therapeutic effects of electroconvulsive seizure therapy.
- These findings highlight 5-HT's role in ECS-induced neuroplasticity and behavioral outcomes.
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