Both
Santarelli et al. (2003) and Bessa et al. (2009) agree that neurogenesis is
reduced in animal models of depression, and that treatment with antidepressants
stimulates neurogenesis. What the two papers disagree on is the mechanism
behind this. Santarelli et al. argues that neurogenesis is required for the
behavioral effects of antidepressants to occur, while Bessa et al. states that
neurogenesis is not at all necessary, and rather that antidepressants work
through increasing neuronal remodeling and synaptic plasticity. I was very
fascinated by the two papers’ opposing views about the significance of
neurogenesis. Santarelli et al. used hippocampal irradiation to block
neurogenesis, and found that the effects of antidepressant treatment are not
seen in mice that were also exposed to irradiation. These results support the
authors’ hypothesis that neurogenesis is necessary for antidepressants to have
their effects, but it is important to recognize that there may be confounding
variables and other explanations for the results. Perhaps the hippocampal
irradiation had other consequences that may have lessened the effect of the
antidepressants. If there were deleterious effects of the irradiation that the
scientists were not aware of, then maybe it was these effects, rather than a
lack of neurogenesis, that caused the antidepressants to lose their effect. This
idea is supported Bessa et al. (2009) who demonstrated that neurogenesis is
not, in fact, necessary for antidepressants to have their effect. Rather than
using hippocampal irradiation to test the efficacy of antidepressant
medications in the absence of neurogenesis, Bessa et al. utilized MAM. Administration
of MAM in addition to the antidepressant medications did not affect performance
on any behavioral test compared to mice treated with antidepressants alone. The
results of this study demonstrate that, though antidepressants do stimulate
neurogenesis, this is not necessary for the medications to have an effect, contrary
to what Santarelli et al. proposed. I believe that it is likely that the
hippocampal irradiation negated the positive effects of the antidepressants due
to other reasons besides blocking neurogenesis. As a next step, I think it is
important to conduct further studies in order to gain more evidence that,
though neurogenesis is an effect of antidepressant treatment, it is not an
essential component. Furthermore, I believe that more tests should be done to
learn about additional effects of both hippocampal irradiation and MAM so we
can assure that all compounding variables and effects have been controlled for.
Future research will hopefully help us to more fully understand the mechanisms
behind antidepressant medications.
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