Becker Suzanna, Macqueen Glenda, Wojtowicz J Martin
Department of Psychology Neuroscience and Behaviour, McMaster University, Building 34, Room 312 1280 Main St. West Hamilton, ON L8S4K1, Canada.
Brain Res. 2009 Nov 24;1299:45-54. doi: 10.1016/j.brainres.2009.07.095. Epub 2009 Aug 3.
Prolonged stress causes dysregulation in the hypothalamic-pituitary-adrenal axis and may contribute to the pathogenesis of major depressive disorder (MDD). MDD is associated with pathological changes in several brain regions, particularly the prefrontal cortex and hippocampus. Evidence from animal research suggests that one of the earliest signs of pathological change after exposure to stress is a reduction in hippocampal neurogenesis. We therefore sought to test the prediction that people in the earliest stages of a first episode of depression would show selective memory deficits on neurogenesis-dependent tasks. Our computational model predicts that new neurons are important for representing distinct contexts; thus, when overlapping memories are learned over an interval of several days, during which time some neuronal turnover has taken place, the neurogenesis should reduce the potential for interference between the overlapping memories. At much shorter time scales, within the span of a single memory episode, rather than contributing to pattern separation, neurogenesis might play more of an integrative role in mediating contextual associative learning. Consistent with this, empirical evidence from animal studies suggests a role for the new neurons in forming complex event memories that bridge across time delays. This leads us to predict selective memory deficits on putative neurogenesis-dependent tasks in the earliest pre-clinical stages of a first episode of depression, before a clinical diagnosis has been made and prior to the development of more serious pathological brain changes. We present the results of new simulations with the model, lending further support to the prediction that neurogenesis reduces interference when memory events are separated by several days. We also report findings from an empirical study in which we tested a large number of undergraduates on a set of cognitive and memory tests from the CANTAB battery, and also administered neuropsychological inventories for stress, depression and anxiety. One of the subtests in the CANTAB battery, the delayed match to sample (DMS) task, was of particular interest as delayed non-match to sample has been found in animal studies to be dependent upon neurogenesis. Our empirical results indicate that as predicted, participants scoring high on the Beck Depression Inventory show a selective deficit on the DMS at long delays while performing on par with non-depressed participants on all other tasks. The potential to detect very early signs of major depression using simple neurogenesis-dependent cognitive tests could have important implications for the diagnosis and treatment of this debilitating and highly prevalent disorder.
长期应激会导致下丘脑 - 垂体 - 肾上腺轴功能失调,并可能促成重度抑郁症(MDD)的发病机制。MDD与多个脑区的病理变化有关,尤其是前额叶皮质和海马体。动物研究的证据表明,暴露于应激后最早出现的病理变化迹象之一是海马体神经发生减少。因此,我们试图验证这一预测:处于首次抑郁发作最早阶段的人在依赖神经发生的任务上会表现出选择性记忆缺陷。我们的计算模型预测,新神经元对于表征不同情境很重要;因此,当在几天的时间间隔内学习重叠记忆时,在此期间会发生一些神经元更替,神经发生应会降低重叠记忆之间的干扰可能性。在更短的时间尺度上,即在单个记忆事件的跨度内,神经发生可能在介导情境关联学习中发挥更多的整合作用,而不是有助于模式分离。与此一致的是,动物研究的实证证据表明新神经元在形成跨越时间延迟的复杂事件记忆中发挥作用。这使我们预测,在首次抑郁发作的最早临床前阶段,即在做出临床诊断之前且在更严重的病理性脑变化出现之前,在假定依赖神经发生的任务上会出现选择性记忆缺陷。我们展示了该模型新模拟的结果,进一步支持了神经发生在记忆事件相隔数天时减少干扰的预测。我们还报告了一项实证研究的结果,在该研究中,我们让大量本科生接受了来自剑桥神经心理测试自动化成套系统(CANTAB)的一系列认知和记忆测试,并进行了压力、抑郁和焦虑的神经心理学量表测试。CANTAB中的一个子测试,即延迟样本匹配(DMS)任务,特别受关注,因为在动物研究中发现延迟非样本匹配依赖于神经发生。我们的实证结果表明,正如预测的那样,在贝克抑郁量表上得分高的参与者在长延迟时的DMS任务上表现出选择性缺陷,而在所有其他任务上与非抑郁参与者表现相当。使用简单的依赖神经发生的认知测试来检测重度抑郁症非常早期迹象的可能性,可能对这种使人衰弱且高度普遍的疾病的诊断和治疗具有重要意义。