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Nan Wang

Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

4 papers in the library · 25 citations · publishing 2012-2025

Papers

Adenosine signalling drives antidepressant actions of ketamine and ECT

Nature November 5, 2025 Chenyu Yue, Nan Wang, Haojiang Zhai et al. 22 citations

Adenosine signaling is identified as the central mechanism underlying the rapid antidepressant effects of ketamine and electroconvulsive therapy (ECT). Experiments in mice using genetically encoded adenosine sensors and real-time optical recordings show that both therapies cause strong adenosine surges in mood-regulatory brain regions such as the medial prefrontal cortex and hippocampus. Disrupting A1 and A2A adenosine receptors genetically or pharmacologically abolishes the therapeutic effects, establishing adenosine's essential role. Ketamine increases adenosine by modulating cellular metabolism without causing neuronal hyperactivity. Newly developed ketamine derivatives that enhance adenosine signaling show improved antidepressant efficacy with fewer side effects. Acute intermittent hypoxia, a non-pharmacological intervention, also increases brain adenosine and produces antidepressant effects, paralleling ketamine and ECT.

Evaluation of pressure-induced pain in patients with disorders of consciousness based on functional near infrared spectroscopy.

Frontiers in neurology January 1, 2025 Tan Zhang, Nan Wang, Xiaoke Chai et al. 2 citations

In patients with disorders of consciousness, acute pressure pain stimulation did not produce significant changes in oxygenated or deoxygenated hemoglobin concentrations across multiple brain regions, indicating minimal activation of pain-related areas. However, functional connectivity between the primary somatosensory cortex, primary motor cortex, and dorsolateral prefrontal cortex significantly increased during stimulation, with correlation coefficients exceeding 0.9. This enhanced coordination among sensory, motor, and cognitive regions suggests that the brain continues to process pain information through altered network connectivity even when regional activation is absent. The findings underscore the potential of functional connectivity measures for evaluating pain processing in patients with disorders of consciousness.

Analysis of independent risk factors for postpartum depression in elderly primiparas and the effects of mindfulness-based psychological intervention.

American journal of translational research January 1, 2024 Baihong Wu, Nan Wang, Lili Hu et al. 1 citation

Advanced maternal age, higher education level, pregnancy complications, and a lower newborn Apgar score are independent risk factors for postpartum depression in elderly primiparas. A retrospective analysis of 75 women with postpartum depression found that those who received mindfulness-based psychological intervention, in addition to routine care, showed significantly greater improvements in self-efficacy, reductions in depression and anxiety scores, and better sleep quality compared to those receiving routine care alone. Progesterone levels also decreased more in the intervention group. The findings suggest that mindfulness-based intervention benefits emotional well-being and sleep quality in this population.

Role of L-arginine/nitric oxide pathway in the antidepressant effects of ketamine

Zhonghua xingwei yixue yu naokexue zazhi September 20, 2012 Guang-Fen Zhang, Nan Wang, Jinyun Shi et al.

In rats subjected to the forced swimming test, ketamine at 10 mg/kg reduced immobility time, an indicator of antidepressant-like effect, and lowered hippocampal nitric oxide (NO) levels. The NO precursor L-arginine increased NO and blocked ketamine's behavioral effect, while the NO synthase inhibitor L-NAME enhanced the effect of a low ketamine dose (3 mg/kg) and also reduced NO. These findings suggest that ketamine's antidepressant action involves suppression of the L-arginine/nitric oxide pathway.