In the two research papers by Santarelli et al (2003) and
Bessa et al (2009), the mechanisms behind the action of antidepressants were
observed using a variety of experiments. Both of the papers focus on the
effects of antidepressants on the behavior of animal models, however there is a
significant difference of opinion regarding how the antidepressants themselves
actually function.
Santarelli et al (2003) suggest
that neurogenesis is the necessary component of antidepressant efficacy. The
generation of new neurons in the dentate gyrus of the hippocampus was recorded
and tracked using BrdU. Upon administering different antidepressants to mice
showing depressive symptoms, there was a significant increase in neurogenesis
as seen with the BrdU tracker. Using x-irradiation of the hippocampus to stop
neurogenesis, Santarelli et al (2003) found that the antidepressants had little
to no effect on the animal subjects displaying depressive symptoms. However,
irradiation of the brain regions could have had other unknown effects on the
mechanisms of antidepressants, which could have caused the lack of response to
the medications. In contrast to Santarelli et al (2003), Bessa et al (2009) suggested
that neurogenesis is important in order to alleviate depressive symptoms,
however, the experiments they conducted showed that neurogenesis is not
necessary in order for antidepressants to be effective. Bessa et al (2009)
instead suggested that neuronal plasticity and dendritic remodeling are keys to
antidepressant activity. MAM was used to stop neurogenesis in order to see if
it was required for effective treatment of depression. It was found that the
behavioral symptoms of depression were still alleviated without neurogenesis
occurring. In addition, in the Bessa et al (2009) paper, chronic mild stress
exposure reduced the volume of the hippocampus and the prefrontal cortex. After
antidepressant treatment, the volumes of these brain regions were restored to
normal, and there was significantly more dendritic arborization in these regions.
This suggests that the reorganizing of neural circuits may be the main reason
for increased plasticity and decreased symptoms in antidepressant treated
subjects, with neurogenesis helping to contribute to these effects.
I believe that Santarelli et al
(2003) were on the right track with their investigation of neurogenesis as the
main mechanism behind antidepressant action in animal models. However, it is
evident based on Bessa et al’s (2009) experiments that there are more
significant processes involved in the response to antidepressants, such as
neuronal remodeling and plasticity.
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