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Low-intensity focused ultrasound stimulation on the hippocampus improved CSDS-induced neuroinflammation through the Notch1 signaling pathway

Yi Luo, Kaixuan Luo, Xiaofan Zhang, Xiangjun Feng, Lei Lei, Shu Cheng, Fanyuan Meng, Xuan Xu, Moxian Chen, Lijuan Ao

Journal of Affective Disorders 2025 · 10.1016/j.jad.2025.119793

rodentdepressionbehaviourhistology molecular

Abstract

Exploring compensations for the limitations of current depression treatments holds significant social and clinical value. Low-intensity focused ultrasound (LIFU) is a promising emerging non-invasive therapy for the treatment of depression. Chronic social defeat stress (CSDS) is a validated rodent model of depression. In this study, we investigated the therapeutic effects of seven consecutive days of LIFU stimulation on the right hippocampus of CSDS mice. We observed that LIFU intervention significantly improved the behavioral performance of male CSDS mice in both the forced swim test and open field test, indicating alleviation of depression-like and anxiety-like behaviors. Mechanistically, this behavioral improvement was accompanied by a notable promotion of neurogenesis in the dentate gyrus (DG) of the hippocampus-a brain region critical for emotional regulation and stress response. Concurrently, in vivo experiments revealed that LIFU intervention induced a marked reduction in the protein levels of key components of the Notch1 signaling pathway (Notch1, Jagged1, and Hes1), as well as downstream pro-inflammatory mediators nuclear factor-κB (NF-κB) and interleukin-6 (IL-6). These findings suggest that LIFU suppresses neuroinflammation through inhibition of the Notch1 pathway, which may subsequently facilitate neurogenesis and drive behavioral recovery. Collectively, our results establish a mechanistic framework linking hippocampus-targeted LIFU stimulation, neuroinflammatory modulation, and neurogenesis, providing strong preclinical evidence for its translational potential as a novel therapeutic modality for mood disorders.

Abstract via europepmc.

Speciesmouse (C57BL/6J)
Subjects3, 10swept animals
Sessions per subject7
Randomisedyes
Blindingnot reported
Sham / controlinactive transducer
Auditory controlnot reported
Readout timingoffline
Anaesthesianot reported
Readoutsbehaviour, histology molecular — forced swim test; open field test; social interaction test; c-Fos and EdU immunofluorescence; Western blot (Notch1, Jagged1, Hes1, NF-kB, IL-6); H&E and Nissl staining
Direction of effectmixed or unclearLIFU improved forced swim and open field behaviour in CSDS mice, increased c-Fos positive cells and EdU+ cells in the right dentate gyrus, and reduced Notch1 pathway proteins, NF-kB and IL-6.
Adverse eventsnone observedH&E and Nissl staining showed no haemorrhage and preserved neuronal architecture after seven days of LIFU.

Exposures

Exposure 1: LIFU, right hippocampus

Target: hippocampus — “right hippocampus”
Device: not reported

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)1,000✓✓✓
Pulse duration (ms)0.125✓✓✓
Pulse repetition frequency (Hz)800✓✓✓
Duty cycle (%)10pulse duration × PRF gives 10%✓✓✓
Sonication duration (s)1✓✓✓
Pressure and intensity, by domain
Free-field pressure (kPa)not reported
Free-field Isppa (W/cm²)not reported
Free-field Ispta (W/cm²)not reported
In-situ estimatenot reported
In-situ pressure (kPa)not reported
In-situ Isppa (W/cm²)not reported
In-situ Ispta (W/cm²)not reported
Pressure, domain unspecified (kPa)134✓✓✓⚑
Protocol, in the paper’s words

Daily 15 min sessions for 7 consecutive days; 1 s sonication, 4 s inter-stimulus interval, 1 MHz, PRF 800 Hz, DC 10 %, tone burst duration 0.125 ms, acoustic pressure 0.134 MPa.

Flags from extraction

  • n_subjects — Main CSDS+LIFU group n = 10; a prophase c-Fos experiment also had a LIFU group of n = 3 (text lists Sham group n = 3 twice), so total exposed may be 13. Figure 4 legend gives CSDS + LIFU n = 9.
  • exposures[0].unspecified_domain.pressure_kpa — Pressure given as acoustic pressure 0.134 MPa; hydrophone calibration mentioned but domain not stated.
  • exposures[0].device — No transducer maker or model named (signal generator, amplifier and hydrophone are named).
  • anaesthesia — Anaesthesia state during sonication not stated.
  • direction_of_effect — Mixed readouts: c-Fos increased, depression-like behaviour and inflammatory markers reduced.