The neurobiological basis of cognitive side effects of electroconvulsive therapy
Decades of research have consistently demonstrated the efficacy of electroconvulsive therapy (ECT) for the treatment of major depressive disorder (MDD), but its clinical use remains somewhat restricted because of its cognitive side effects. The aim of this systematic review is to comprehensively sum...
| Autores: | , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2021 |
| País: | España |
| Institución: | Universitat Autònoma de Barcelona |
| Repositorio: | Dipòsit Digital de Documents de la UAB |
| Idioma: | inglés |
| OAI Identifier: | oai:ddd.uab.cat:252023 |
| Acceso en línea: | https://ddd.uab.cat/record/252023 https://dx.doi.org/urn:doi:10.3390/brainsci11101273 |
| Access Level: | acceso abierto |
| Palabra clave: | Electroconvulsive therapy ECT Memory Cognitive impairment Side effects MDD Biomarkers Hippocampus NSE S-100 |
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The neurobiological basis of cognitive side effects of electroconvulsive therapya systematic reviewBassa, AdrianaSagués, TeresaPorta-Casteràs, Daniel|||0000-0002-3921-3607Serra, PilarMartínez Amorós, Erika|||0000-0002-6718-7346Palao, Diego|||0000-0002-3323-6568Cano, Marta|||0000-0003-0675-9483Cardoner, Narcís|||0000-0001-9633-0888Electroconvulsive therapyECTMemoryCognitive impairmentSide effectsMDDBiomarkersHippocampusNSES-100Decades of research have consistently demonstrated the efficacy of electroconvulsive therapy (ECT) for the treatment of major depressive disorder (MDD), but its clinical use remains somewhat restricted because of its cognitive side effects. The aim of this systematic review is to comprehensively summarize current evidence assessing potential biomarkers of ECT-related cognitive side effects. Based on our systematic search of human studies indexed in PubMed, Scopus, and Web of Knowledge, a total of 29 studies evaluating patients with MDD undergoing ECT were reviewed. Molecular biomarkers studies did not consistently identify concentration changes in plasma S-100 protein, neuron-specific enolase (NSE), or Aβ peptides significantly associated with cognitive performance after ECT. Importantly, these findings suggest that ECT-related cognitive side effects cannot be explained by mechanisms of neural cell damage. Notwithstanding, S-100b protein and Aβ40 peptide concentrations, as well as brain-derived neurotrophic factor (BDNF) polymorphisms, have been suggested as potential predictive biomarkers of cognitive dysfunction after ECT. In addition, recent advances in brain imaging have allowed us to identify ECT-induced volumetric and functional changes in several brain structures closely related to memory performance such as the hippocampus. We provide a preliminary framework to further evaluate neurobiological cognitive vulnerability profiles of patients with MDD treated with ECT. 22021-01-0120212021-01-01Article de revisióhttp://purl.org/coar/resource_type/c_dcae04bcVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/252023https://dx.doi.org/urn:doi:10.3390/brainsci11101273reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengInstituto de Salud Carlos III https://doi.org/10.13039/501100004587 FI19/00251Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI18/00036open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2520232026-06-06T12:50:31Z |
| dc.title.none.fl_str_mv |
The neurobiological basis of cognitive side effects of electroconvulsive therapy a systematic review |
| title |
The neurobiological basis of cognitive side effects of electroconvulsive therapy |
| spellingShingle |
The neurobiological basis of cognitive side effects of electroconvulsive therapy Bassa, Adriana Electroconvulsive therapy ECT Memory Cognitive impairment Side effects MDD Biomarkers Hippocampus NSE S-100 |
| title_short |
The neurobiological basis of cognitive side effects of electroconvulsive therapy |
| title_full |
The neurobiological basis of cognitive side effects of electroconvulsive therapy |
| title_fullStr |
The neurobiological basis of cognitive side effects of electroconvulsive therapy |
| title_full_unstemmed |
The neurobiological basis of cognitive side effects of electroconvulsive therapy |
| title_sort |
The neurobiological basis of cognitive side effects of electroconvulsive therapy |
| dc.creator.none.fl_str_mv |
Bassa, Adriana Sagués, Teresa Porta-Casteràs, Daniel|||0000-0002-3921-3607 Serra, Pilar Martínez Amorós, Erika|||0000-0002-6718-7346 Palao, Diego|||0000-0002-3323-6568 Cano, Marta|||0000-0003-0675-9483 Cardoner, Narcís|||0000-0001-9633-0888 |
| author |
Bassa, Adriana |
| author_facet |
Bassa, Adriana Sagués, Teresa Porta-Casteràs, Daniel|||0000-0002-3921-3607 Serra, Pilar Martínez Amorós, Erika|||0000-0002-6718-7346 Palao, Diego|||0000-0002-3323-6568 Cano, Marta|||0000-0003-0675-9483 Cardoner, Narcís|||0000-0001-9633-0888 |
| author_role |
author |
| author2 |
Sagués, Teresa Porta-Casteràs, Daniel|||0000-0002-3921-3607 Serra, Pilar Martínez Amorós, Erika|||0000-0002-6718-7346 Palao, Diego|||0000-0002-3323-6568 Cano, Marta|||0000-0003-0675-9483 Cardoner, Narcís|||0000-0001-9633-0888 |
| author2_role |
author author author author author author author |
| dc.subject.none.fl_str_mv |
Electroconvulsive therapy ECT Memory Cognitive impairment Side effects MDD Biomarkers Hippocampus NSE S-100 |
| topic |
Electroconvulsive therapy ECT Memory Cognitive impairment Side effects MDD Biomarkers Hippocampus NSE S-100 |
| description |
Decades of research have consistently demonstrated the efficacy of electroconvulsive therapy (ECT) for the treatment of major depressive disorder (MDD), but its clinical use remains somewhat restricted because of its cognitive side effects. The aim of this systematic review is to comprehensively summarize current evidence assessing potential biomarkers of ECT-related cognitive side effects. Based on our systematic search of human studies indexed in PubMed, Scopus, and Web of Knowledge, a total of 29 studies evaluating patients with MDD undergoing ECT were reviewed. Molecular biomarkers studies did not consistently identify concentration changes in plasma S-100 protein, neuron-specific enolase (NSE), or Aβ peptides significantly associated with cognitive performance after ECT. Importantly, these findings suggest that ECT-related cognitive side effects cannot be explained by mechanisms of neural cell damage. Notwithstanding, S-100b protein and Aβ40 peptide concentrations, as well as brain-derived neurotrophic factor (BDNF) polymorphisms, have been suggested as potential predictive biomarkers of cognitive dysfunction after ECT. In addition, recent advances in brain imaging have allowed us to identify ECT-induced volumetric and functional changes in several brain structures closely related to memory performance such as the hippocampus. We provide a preliminary framework to further evaluate neurobiological cognitive vulnerability profiles of patients with MDD treated with ECT. |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2 2021-01-01 2021 2021-01-01 |
| dc.type.none.fl_str_mv |
Article de revisió http://purl.org/coar/resource_type/c_dcae04bc VoR http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
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article |
| dc.identifier.none.fl_str_mv |
https://ddd.uab.cat/record/252023 https://dx.doi.org/urn:doi:10.3390/brainsci11101273 |
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https://ddd.uab.cat/record/252023 https://dx.doi.org/urn:doi:10.3390/brainsci11101273 |
| dc.language.none.fl_str_mv |
Inglés eng |
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Inglés |
| language |
eng |
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Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 FI19/00251 Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI18/00036 |
| dc.rights.none.fl_str_mv |
open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/ |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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application/pdf |
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