Article(id=1304388230615421619, tenantId=1146029695717560320, journalId=1302319053441957962, issueId=1304388157621948709, articleNumber=null, orderNo=null, doi=10.7501/j.issn.0253-2670.2026.15.030, pmid=null, cstr=null, oa=null, hot=0, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1773504000000, receivedDateStr=2026-03-15, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1788919988540, onlineDateStr=2026-09-09, pubDate=null, pubDateStr=null, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1788919988540, onlineIssueDateStr=2026-09-09, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1788919988540, creator=13701087609, updateTime=1788919988540, updator=13701087609, issue=Issue{id=1304388157621948709, tenantId=1146029695717560320, journalId=1302319053441957962, year='2026', volume='57', issue='15', pageStart='5789', pageEnd='6208', issueExtLink='null', onlineDate='null', pubDate='1786464000000', pubDateStr='2026-08-12', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=1, specialIssue=null, createTime=1788919971137, creator='13701087609', updateTime=1788923514106, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1304403017982300207, tenantId=1146029695717560320, journalId=1302319053441957962, issueId=1304388157621948709, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1304403017982300208, tenantId=1146029695717560320, journalId=1302319053441957962, issueId=1304388157621948709, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=6151, endPage=6159, ext={EN=ArticleExt(id=1304388232096010934, articleId=1304388230615421619, tenantId=1146029695717560320, journalId=1302319053441957962, language=EN, title=Research progress on application of transfer learning effects and mechanisms of antidepressants, columnId=null, journalTitle=Chinese Traditional and Herbal Drugs, columnName=null, runingTitle=null, highlight=null, articleAbstract=With the booming development of artificial intelligence (AI), machine learning, deep learning and transfer learning have gained growing applications in healthcare, bringing new perspectives and strategies to antidepressant research. Existing antidepressants present slow onset, low efficacy and marked inter-individual variability, with their underlying mechanisms yet to be fully clarified. Traditional research is hampered by small sample sizes, substantial data heterogeneity and poor cross-modal integration capacity. As a pivotal AI technology, transfer learning realizes cross-domain, cross-task and cross-modal knowledge transfer, and mitigates issues such as small-sample modeling, data distribution discrepancy and the curse of dimensionality. This review systematically elaborates the current status and future trends of transfer learning in antidepressant efficacy evaluation and the exploration of their action mechanisms. We analyze the characteristics and performance of transfer learning models construction strategies and application paradigms, and discuss the challenges, technical limitations and clinical translation barriers in practical application. This study provides novel ideas for exploring depression pathogenesis and optimizing clinical antidepressant use, and further promotes the innovative and standardized application of AI in clinical medicine., authors=HE Ye, JIA Chongning, XIE Jiamei, ZHAO Yunhao, YU Lei, TIAN Junsheng, authorsList=HE Ye, JIA Chongning, XIE Jiamei, ZHAO Yunhao, YU Lei, TIAN Junsheng, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1304388232020513461, articleId=1304388230615421619, tenantId=1146029695717560320, journalId=1302319053441957962, language=CN, 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Machine learning-based prediction of sertraline concentration in patients with depression through therapeutic drug monitoring [J]. Front Pharmacol, 2024, 15: 1289673. de Filippis R, Al Foysal A. Cross-population transfer learning for antidepressant treatment response prediction: A SHAP-based explainability approach using synthetic multi-ethnic data [J]. OALib, 2026, 13(1): 1-16. Acharya U R, Oh S L, Hagiwara Y, et al. Automated EEG-based screening of depression using deep convolutional neural network [J]. Comput Meth Programs Biomed, 2018, 161: 103-113. Khodayari-Rostamabad A, Reilly J P, Hasey G M, et al. A machine learning approach using EEG data to predict response to SSRI treatment for major depressive disorder [J]. Clin Neurophysiol, 2013, 124(10): 1975-1985. Sadat Shahabi M, Shalbaf A, Maghsoudi A. Prediction of drug response in major depressive disorder using ensemble of transfer learning with convolutional neural network based on EEG [J]. Biocybern Biomed Eng, 2021, 41(3): 946-959. Binnie H, Griffiths K, Gordon E, et al. Task independent transfer learning in EEG deep-learning classification tasks: Sex classification and anti-depressant response prediction [J]. Brain Stimul, 2021, 14(6): 1736. Kaiser R H, Andrews-Hanna J R, Wager T D, et al. Large-scale network dysfunction in major depressive disorder: A Meta-analysis of resting-state functional connectivity [J]. JAMA Psychiatry, 2015, 72(6): 603. 赵鹏, 史家波, 姚志剑. 磁共振成像在抑郁症疗效预测中的作用[J]. 中华行为医学与脑科学杂志, 2017, 26(7): 661-665. DePass M, Falaki A, Quessy S, et al. A machine learning approach to characterize sequential movement-related states in premotor and motor cortices [J]. J Neurophysiol, 2022, 127(5): 1348-1362. 邵慧林, 沈宗霖, 许秀峰, 等. 抗抑郁药治疗抑郁症前后脑影像学的改变及对疗效预测的研究进展[J]. 国际精神病学杂志, 2019, 46(4): 601-603. Friedman L, Stern H, Brown G G, et al. Test-retest and between-site reliability in a multicenter fMRI study [J]. Hum Brain Mapp, 2008, 29(8): 958-972. Yu M C, Linn K A, Cook P A, et al. Statistical harmonization corrects site effects in functional connectivity measurements from multi-site fMRI data [J]. Hum Brain Mapp, 2018, 39(11): 4213-4227. Moyer D, Ver Steeg G, Tax C M W, et al. Scanner invariant representations for diffusion MRI harmonization [J]. Magn Reson Med, 2020, 84(4): 2174-2189. De Martino F, Valente G, Staeren N, et al. Combining multivariate voxel selection and support vector machines for mapping and classification of fMRI spatial patterns [J]. NeuroImage, 2008, 43(1): 44-58. Su J P, Qin J, Shen H, et al. Multi-site transfer classification of major depressive disorder: An fMRI study in 3335 subjects [J]. Adv Sci, 2026, 13(19): e02817. Klooster D, Voetterl H, Baeken C, et al. Evaluating robustness of brain stimulation biomarkers for depression: A systematic review of magnetic resonance imaging and electroencephalography studies [J]. Biol Psychiatry, 2024, 95(6): 553-563. Logothetis N K. What we can do and what we cannot do with fMRI [J]. Nature, 2008, 453(7192):869-876. Cohen M X. Where does EEG come from and what does it mean? [J]. Trends Neurosci, 2017, 40(4): 208-218. Jiao Y, Zhao K H, Wei X X, et al. Deep graph learning of multimodal brain networks defines treatment-predictive signatures in major depression [J]. Mol Psychiatry, 2025, 30(9): 3963-3974. Pereira L P, Köhler C A, Stubbs B, et al. Imaging genetics paradigms in depression research: Systematic review and Meta-analysis [J]. Prog Neuro Psychopharmacol Biol Psychiatry, 2018, 86: 102-113. Lin E, Lin C H, Lane H Y. Precision psychiatry applications with pharmacogenomics: Artificial intelligence and machine learning approaches [J]. Int J Mol Sci, 2020, 21(3): 969. Kalinin A A, Higgins G A, Reamaroon N, et al. Deep learning in pharmacogenomics: From gene regulation to patient stratification [J]. Pharmacogenomics, 2018, 19(7): 629-650. Cheng Y S, Zhai S, Zhong W J, et al. Improving polygenic risk score-based drug response prediction using transfer learning [J]. NPJ Genom Med, 2025, 10:74. Bang D M, Koo B, Kim S. Transfer learning of condition-specific perturbation in gene interactions improves drug response prediction [J]. Bioinformatics, 2024, 40(Suppl1): i130-i139. Wang B Y, Pan B Y, Zhang T Y, et al. Transfer learning and permutation-invariance improving predicting genome-wide, cell-specific and directional interventions effects of complex systems [J]. Adv Sci, 2025, 12(46): e09456. Lin W J, Wang P, Zhang Y S, et al. AI-driven transfer learning and generative model (TransGenGRU) enables the drug discovery of novel natural guaianolide sesquiterpene derivatives as potent NLRP3 inhibitors [J]. J Med Chem, 2025, 68(20): 21534-21559.)
With the booming development of artificial intelligence (AI), machine learning, deep learning and transfer learning have gained growing applications in healthcare, bringing new perspectives and strategies to antidepressant research. Existing antidepressants present slow onset, low efficacy and marked inter-individual variability, with their underlying mechanisms yet to be fully clarified. Traditional research is hampered by small sample sizes, substantial data heterogeneity and poor cross-modal integration capacity. As a pivotal AI technology, transfer learning realizes cross-domain, cross-task and cross-modal knowledge transfer, and mitigates issues such as small-sample modeling, data distribution discrepancy and the curse of dimensionality. This review systematically elaborates the current status and future trends of transfer learning in antidepressant efficacy evaluation and the exploration of their action mechanisms. We analyze the characteristics and performance of transfer learning models construction strategies and application paradigms, and discuss the challenges, technical limitations and clinical translation barriers in practical application. This study provides novel ideas for exploring depression pathogenesis and optimizing clinical antidepressant use, and further promotes the innovative and standardized application of AI in clinical medicine.
Key words
transfer learning
/
depression
/
artificial intelligence
/
drug evaluation
/
functional magnetic resonance imaging
/
pharmacogenomics
HE Ye, JIA Chongning, XIE Jiamei, ZHAO Yunhao, YU Lei, TIAN Junsheng.
Research progress on application of transfer learning effects and mechanisms of antidepressants[J].
Chinese Traditional and Herbal Drugs,
2026
, 57
(15)
: 6151
-6159
.
DOI: 10.7501/j.issn.0253-2670.2026.15.030
Rong J, Wang X Q, Cheng P, et al. Global, regional and national burden of depressive disorders and attributable risk factors, from 1990 to 2021: Results from the 2021 Global Burden of Disease study [J]. Br J Psychiatry, 2025, 227(4): 688-697. McIntyre R S, Alsuwaidan M, Baune B T, et al. Treatment-resistant depression: Definition, prevalence, detection, management, and investigational interventions [J]. World Psychiatry, 2023, 22(3): 394-412. Yuan Z W, Quan J, Cui Y T, et al. A circuit-based framework for depression: Reshaping the pathological attractor [J]. Neuron, 2026, doi: 10.1016/j.neuron.2026. 04.009. Maes M, Almulla A F, You Z L, et al. Neuroimmune, metabolic and oxidative stress pathways in major depressive disorder [J]. Nat Rev Neurol, 2025, 21(9): 473-489. 张卫健. 同位素稀释UPLC-MS/MS同时测定大鼠体内17种性激素的方法及柴归颗粒的干预作用研究[D]. 太原: 山西大学, 2025. Zhao Y H, Wang Q, Wu Z N, et al. Modified Xiaoyaosan rescues depression-like behavior via remodeling gut microbiota and leucine metabolism [J]. Phytomedicine, 2025, 147: 157241. Zhukovsky P, Trivedi M H, Weissman M, et al. Generalizability of treatment outcome prediction across antidepressant treatment trials in depression [J]. JAMA Netw Open, 2025, 8(3): e251310. Koppe G, Meyer-Lindenberg A, Durstewitz D. Deep learning for small and big data in psychiatry [J]. Neuropsychopharmacology, 2021, 46(1): 176-190. Pan S J, Yang Q. A survey on transfer learning [J]. IEEE Trans Knowl Data Eng, 2010, 22(10): 1345-1359. Weiss K, Khoshgoftaar T M, Wang D D. A survey of transfer learning [J]. J Big Data, 2016, 3(1): 9. Thrun S, Pratt L. Learning to learn: Introduction and overview [A] // Learning to Learn [M]. Boston, Springer US, 1998: 3-17. Guo W B, Dong Y W, Hao G F. Transfer learning empowers accurate pharmacokinetics prediction of small samples [J]. Drug Discov Today, 2024, 29(4): 103946. 果伟, 张玲, 王刚.《中国精神科治疗药物监测临床应用专家共识(2022年版)》解读与展望[J]. 临床药物治疗杂志, 2024, 22(11): 13-18. 詹世鹏, 马攀, 刘芳. 机器学习在治疗药物监测与个体化用药中的应用[J]. 中国药房, 2023, 34(1): 117-121. Fu R, Hao X, Yu J, et al. Machine learning-based prediction of sertraline concentration in patients with depression through therapeutic drug monitoring [J]. Front Pharmacol, 2024, 15: 1289673. de Filippis R, Al Foysal A. Cross-population transfer learning for antidepressant treatment response prediction: A SHAP-based explainability approach using synthetic multi-ethnic data [J]. OALib, 2026, 13(1): 1-16. Acharya U R, Oh S L, Hagiwara Y, et al. Automated EEG-based screening of depression using deep convolutional neural network [J]. Comput Meth Programs Biomed, 2018, 161: 103-113. Khodayari-Rostamabad A, Reilly J P, Hasey G M, et al. A machine learning approach using EEG data to predict response to SSRI treatment for major depressive disorder [J]. Clin Neurophysiol, 2013, 124(10): 1975-1985. Sadat Shahabi M, Shalbaf A, Maghsoudi A. Prediction of drug response in major depressive disorder using ensemble of transfer learning with convolutional neural network based on EEG [J]. Biocybern Biomed Eng, 2021, 41(3): 946-959. Binnie H, Griffiths K, Gordon E, et al. Task independent transfer learning in EEG deep-learning classification tasks: Sex classification and anti-depressant response prediction [J]. Brain Stimul, 2021, 14(6): 1736. Kaiser R H, Andrews-Hanna J R, Wager T D, et al. Large-scale network dysfunction in major depressive disorder: A Meta-analysis of resting-state functional connectivity [J]. JAMA Psychiatry, 2015, 72(6): 603. 赵鹏, 史家波, 姚志剑. 磁共振成像在抑郁症疗效预测中的作用[J]. 中华行为医学与脑科学杂志, 2017, 26(7): 661-665. DePass M, Falaki A, Quessy S, et al. A machine learning approach to characterize sequential movement-related states in premotor and motor cortices [J]. J Neurophysiol, 2022, 127(5): 1348-1362. 邵慧林, 沈宗霖, 许秀峰, 等. 抗抑郁药治疗抑郁症前后脑影像学的改变及对疗效预测的研究进展[J]. 国际精神病学杂志, 2019, 46(4): 601-603. Friedman L, Stern H, Brown G G, et al. Test-retest and between-site reliability in a multicenter fMRI study [J]. Hum Brain Mapp, 2008, 29(8): 958-972. Yu M C, Linn K A, Cook P A, et al. Statistical harmonization corrects site effects in functional connectivity measurements from multi-site fMRI data [J]. Hum Brain Mapp, 2018, 39(11): 4213-4227. Moyer D, Ver Steeg G, Tax C M W, et al. Scanner invariant representations for diffusion MRI harmonization [J]. Magn Reson Med, 2020, 84(4): 2174-2189. De Martino F, Valente G, Staeren N, et al. Combining multivariate voxel selection and support vector machines for mapping and classification of fMRI spatial patterns [J]. NeuroImage, 2008, 43(1): 44-58. Su J P, Qin J, Shen H, et al. Multi-site transfer classification of major depressive disorder: An fMRI study in 3335 subjects [J]. Adv Sci, 2026, 13(19): e02817. Klooster D, Voetterl H, Baeken C, et al. Evaluating robustness of brain stimulation biomarkers for depression: A systematic review of magnetic resonance imaging and electroencephalography studies [J]. Biol Psychiatry, 2024, 95(6): 553-563. Logothetis N K. What we can do and what we cannot do with fMRI [J]. Nature, 2008, 453(7192):869-876. Cohen M X. Where does EEG come from and what does it mean? [J]. Trends Neurosci, 2017, 40(4): 208-218. Jiao Y, Zhao K H, Wei X X, et al. Deep graph learning of multimodal brain networks defines treatment-predictive signatures in major depression [J]. Mol Psychiatry, 2025, 30(9): 3963-3974. Pereira L P, Köhler C A, Stubbs B, et al. Imaging genetics paradigms in depression research: Systematic review and Meta-analysis [J]. Prog Neuro Psychopharmacol Biol Psychiatry, 2018, 86: 102-113. Lin E, Lin C H, Lane H Y. Precision psychiatry applications with pharmacogenomics: Artificial intelligence and machine learning approaches [J]. Int J Mol Sci, 2020, 21(3): 969. Kalinin A A, Higgins G A, Reamaroon N, et al. Deep learning in pharmacogenomics: From gene regulation to patient stratification [J]. Pharmacogenomics, 2018, 19(7): 629-650. Cheng Y S, Zhai S, Zhong W J, et al. Improving polygenic risk score-based drug response prediction using transfer learning [J]. NPJ Genom Med, 2025, 10:74. Bang D M, Koo B, Kim S. Transfer learning of condition-specific perturbation in gene interactions improves drug response prediction [J]. Bioinformatics, 2024, 40(Suppl1): i130-i139. Wang B Y, Pan B Y, Zhang T Y, et al. Transfer learning and permutation-invariance improving predicting genome-wide, cell-specific and directional interventions effects of complex systems [J]. Adv Sci, 2025, 12(46): e09456. Lin W J, Wang P, Zhang Y S, et al. AI-driven transfer learning and generative model (TransGenGRU) enables the drug discovery of novel natural guaianolide sesquiterpene derivatives as potent NLRP3 inhibitors [J]. J Med Chem, 2025, 68(20): 21534-21559.