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High-Frequency rTMS can Improve Depressive Symptoms by Promoting Mitochondrial Fusion
Jingmei Song1, Yaru Wang1, Simeng Li2
1School of Basic Medicine, Zhejiang Chinese Medical University, 310053 Hangzhou, Zhejiang, China.
Actas Espanolas De Psiquiatria
|December 24, 2025
Summary
Repetitive transcranial magnetic stimulation (rTMS) effectively treats depression by enhancing mitochondrial fusion and autophagy in mice. This study clarifies the therapeutic mechanisms of rTMS in depression.
Area of Science:
- Neuroscience
- Cell Biology
- Psychiatry
Background:
- Depression is a prevalent disabling mental disorder.
- Repetitive transcranial magnetic stimulation (rTMS) shows efficacy in improving depressive symptoms.
- Mitochondrial quality control (MQC) is implicated in psychiatric disorders, but its link to rTMS mechanisms is unclear.
Purpose of the Study:
- To evaluate the therapeutic effect of rTMS on depression.
- To investigate the relationship between rTMS and mitochondrial quality control.
Main Methods:
- A mouse model of depression was induced using chronic unpredictable mild stress (CUMS).
- Mice were treated with 10 Hz rTMS daily for 4 weeks.
- Depression-like behaviors were assessed using open field, tail suspension, sucrose preference, and forced swimming tests.
- Immunohistochemistry and transmission electron microscopy were used to examine the prefrontal cortex and hippocampus, focusing on mitochondrial morphology and autophagy markers.
Main Results:
- rTMS treatment significantly improved depression-like behaviors in mice.
- Mitochondrial pre-autophagy (LC3 I/II, FIS1) and mitochondrial fusion (NeuN, c-Fos, MFN1) were enhanced in the hippocampus after rTMS treatment.
- These molecular changes correlated with behavioral improvements.
Conclusions:
- rTMS therapy effectively ameliorates depression-like behaviors in a mouse model.
- The therapeutic effects of rTMS are mediated by promoting mitochondrial fusion and enhancing autophagy.
- This study elucidates a key cellular mechanism underlying rTMS treatment for depression.

