Center for Depression, Anxiety and Stress Research, McLean Hospital/Harvard Medical School, 115 Mill Street, Belmont, MA 02478, USA.
Center for Depression, Anxiety and Stress Research, McLean Hospital/Harvard Medical School, 115 Mill Street, Belmont, MA 02478, USA.
Trends Neurosci. 2018 Mar;41(3):137-149. doi: 10.1016/j.tins.2017.12.006. Epub 2018 Jan 10.
Depressed individuals typically show poor memory for positive events, potentiated memory for negative events, and impaired recollection. These phenomena are clinically important but poorly understood. Compelling links between stress and depression suggest promising candidate mechanisms. Stress can suppress hippocampal neurogenesis, inhibit dopamine neurons, and sensitize the amygdala. We argue that these phenomena may impair pattern separation, disrupt the encoding of positive experiences, and bias retrieval toward negative events, respectively, thus recapitulating core aspects of memory disruption in depression. Encouragingly, optogenetic reactivation of cells engaged during the encoding of positive memories rapidly reduces depressive behavior in preclinical models. Thus, many memory deficits in depression appear to be downstream consequences of chronic stress, and addressing memory disruption can have therapeutic value.
抑郁个体通常表现出对正性事件记忆差、对负性事件记忆增强和回忆障碍。这些现象具有重要的临床意义,但尚未被充分理解。应激与抑郁之间的紧密关联提示了有希望的候选机制。应激可以抑制海马神经发生、抑制多巴胺神经元并使杏仁核敏感化。我们认为,这些现象可能分别损害模式分离、破坏正性体验的编码并使检索偏向负性事件,从而再现抑郁中记忆障碍的核心方面。令人鼓舞的是,对正性记忆编码期间被激活的细胞进行光遗传学再激活,可迅速减少临床前模型中的抑郁行为。因此,抑郁中的许多记忆缺陷似乎是慢性应激的下游后果,而解决记忆障碍具有治疗价值。