Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Children's Hospital of Philadelphia Research Institute, Philadelphia, PA, USA.
Nat Med. 2018 May;24(5):658-666. doi: 10.1038/s41591-018-0002-1. Epub 2018 Apr 16.
Major depressive disorder (MDD) is considered a 'circuitopathy', and brain stimulation therapies hold promise for ameliorating MDD symptoms, including hippocampal dysfunction. It is unknown whether stimulation of upstream hippocampal circuitry, such as the entorhinal cortex (Ent), is antidepressive, although Ent stimulation improves learning and memory in mice and humans. Here we show that molecular targeting (Ent-specific knockdown of a psychosocial stress-induced protein) and chemogenetic stimulation of Ent neurons induce antidepressive-like effects in mice. Mechanistically, we show that Ent-stimulation-induced antidepressive-like behavior relies on the generation of new hippocampal neurons. Thus, controlled stimulation of Ent hippocampal afferents is antidepressive via increased hippocampal neurogenesis. These findings emphasize the power and potential of Ent glutamatergic afferent stimulation-previously well-known for its ability to influence learning and memory-for MDD treatment.
重度抑郁症(MDD)被认为是一种“回路病”,脑刺激疗法有望改善 MDD 症状,包括海马功能障碍。虽然海马前回路(Ent)的刺激可改善小鼠和人类的学习和记忆,但尚不清楚刺激 Ent 等上游海马回路是否具有抗抑郁作用。在这里,我们证明了分子靶向(Ent 特异性敲低一种社会心理应激诱导的蛋白)和 Ent 神经元的化学遗传刺激可在小鼠中诱导抗抑郁样作用。从机制上讲,我们发现 Ent 刺激诱导的抗抑郁样行为依赖于新的海马神经元的产生。因此,通过增加海马神经发生,对 Ent 海马传入的控制性刺激具有抗抑郁作用。这些发现强调了 Ent 谷氨酸能传入刺激的强大潜力和潜力-以前因其影响学习和记忆的能力而闻名-可用于治疗 MDD。