Reading these articles in light of one another clearly demonstrated
the complexity of how scientific knowledge evolves over time. Santarelli
asked the question of whether an increase in neurogenesis is
mechanistically required for antidepressants to take action, and therefore
proceeded to experimentally test the efficacy of antidepressants under
manipulation of neurogenic capacity. Six
years later Bessa explored the
context that neurogenesis is not critical to antidepressant efficacy, and that
synaptic remodeling and neuronal plasticity underlie such ramifying behavioral
effects. Across both studies it is
agreed that pharmacological intervention has direct physiological effects in
the hippocampus, and causes the reversal of symptomatic depression. Santarelli
concludes that antidepressant induced behavioral remediation will not be obtained
in the absence of proliferating progenitor cells, which is backed by
irradiation experimentation in the hippocampus.
Bessa provided evidence in
favor of antidepressant efficacy in coadministration with the antiproliferation
agent MAM, to block neurogenesis, and shift focus to how synaptic plasticity is
the critical factor at play. Bessa was successful in discrediting the
claims made in the Santarelli article,
providing clearly contrasting data, and after reading the two I felt this
needed to be done. However, being that
neurogenesis and synaptic plasticity are self conceived processes regarding
similar cognitive function, I wonder why instead of discrediting neurogenesis
in terms of causation, one wouldn’t focus on neurogenesis for all its
correlations to the mechanisms at hand.
For example, Bessa
demonstrated that the increased latency times to feed resulting from exposure
to CMS was reversed by antidepressant drugs, but also demonstrated that the
efficacy was increased when given in co-administration with MAM. Why the observed increase? Also Bessa
claimed that neurons produced in response to antidepressant help modulate
anxiety by growing into pre-established neuronal networks controlling behavior. I wonder if the growth of neurons produced by
antidepressant induced neurogenesis is conditioned by the environment they are
born into, and does synaptic plasticity vary based on the age of the
neuron? These facts indicate to me that
neurogenesis is a specialized process that should be explored as a key function
in the fight against depressive disorders in definitive conjunction to neuronal
plasticity. Previous studies should be examined
from more collaborative than competitive standpoints!
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