Both Santarelli et al. and Bessa et
al. present strong cases for the underlying mechanism through which
antidepressants function. Santarelli et al. argues that hippocampal
neurogenesis is required for antidepressants to have a behavioral effect. I
found that research to be rather compelling as they first demonstrated the
necessity of the 5-HT1A receptor for fluoxetine-induced
neurogenesis, and then used irradiation experiments to further support their
hypothesis. However, once I began reading the article of Bessa et al., which challenges
Santarelli et al. quite straightforwardly, I understood that the issue is much
more complex. Bessa et al. was able to indicate that the effects of
antidepressants may actually rely on neuronal remodeling rather than
neurogenesis.
Although Bessa et al. proposes a
different hypothesis, countering that of Santarelli et al., there is still a
clear lack of knowledge and further research that needs to be conducted in the
field. This indicates to me that I cannot immediately accept nor dismiss either
hypothesis, but rather perhaps there is a stronger connection there than what
Bessa et al. was able to see.
In addition, I found it interesting
that Santarelli et al. chose to use solely the novelty-suppressed feeding test
for the majority of their experiments, whereas Bessa et al. utilized a variety
of paradigms to test depression. Diseases such as depression, stress, and
anxiety may manifest differently in humans and animal models, and considering
how little we know about the mechanisms of these disorders, I would think that just
one NSF test may not be enough to test for depression. When Bessa et al.
incorporated the results from a wide variety of tests, I believe it made the
evidence more compelling and perhaps more applicable to humans. Another related
concern of mine was regarding the way depression was induced in the animal
models. Because stress, anxiety, and depression are all so closely related, it seems
difficult to differentiate, especially when it is being induced in animals. Although
Bessa et al. presented strong findings that antidepressants reversed structural
changes and other effects of the induced depression, I wonder how applicable it
would be to humans who are not induced with depression in the same manner.
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