Elliott Thomas, Liu Kathy Y, Hazan Jemma, Wilson Jack, Vallipuram Hemisha, Jones Katherine, Mahmood Jansher, Gitlin-Leigh Guy, Howard Robert
East London NHS Foundation Trust, London, UK.
Division of Psychiatry, University College London, London, UK.
Mol Psychiatry. 2025 Mar;30(3):1195-1206. doi: 10.1038/s41380-024-02815-y. Epub 2024 Nov 18.
It had long been considered that no new neurons are generated in the primate brain beyond birth, but recent studies have indicated that neurogenesis persists in various locations throughout the lifespan. The dentate gyrus of the hippocampus is of particular interest due to the postulated role played by neurogenesis in memory. However, studies investigating the presence of adult hippocampal neurogenesis (AHN) have reported contradictory findings, and no systematic review of the evidence has been conducted to date. We searched MEDLINE, Embase and PsycINFO on 27 June 2023 for studies on hippocampal neurogenesis in adult primates, excluding review papers. Screening, quality assessment and data extraction was done by independent co-raters. We synthesised evidence from 112 relevant papers. We found robust evidence, primarily supported by immunohistochemical examination of tissue samples and neuroimaging, for newly generated neurons, first detected in the subgranular zone of the dentate gyrus, that mature over time and migrate to the granule cell layer, where they become functionally integrated with surrounding neuronal networks. AHN has been repeatedly observed in both humans and other primates and gradually diminishes with age. Transient increases in AHN are observed following acute insults such as stroke and epileptic seizures, and following electroconvulsive therapy, and AHN is diminished in neurodegenerative conditions. Markers of AHN correlate positively with measures of learning and short-term memory, but associations with antidepressant use and mood states are weaker. Heterogeneous outcome measures limited quantitative syntheses. Further research should better characterise the neuropsychological function of neurogenesis in healthy subjects.
长期以来,人们一直认为灵长类动物大脑在出生后不会产生新的神经元,但最近的研究表明,神经发生在整个生命周期中都在不同位置持续存在。由于神经发生在记忆中所起的假定作用,海马体的齿状回尤其受到关注。然而,研究成年海马体神经发生(AHN)的存在的研究报告了相互矛盾的结果,并且迄今为止尚未对证据进行系统综述。我们于2023年6月27日在MEDLINE、Embase和PsycINFO上搜索了关于成年灵长类动物海马体神经发生的研究,不包括综述论文。筛选、质量评估和数据提取由独立的共同评估者完成。我们综合了112篇相关论文的证据。我们发现了有力的证据,主要得到组织样本免疫组化检查和神经影像学的支持,表明新生成的神经元首先在齿状回的颗粒下区被检测到,随着时间的推移成熟并迁移到颗粒细胞层,在那里它们与周围的神经网络功能整合。AHN在人类和其他灵长类动物中都被反复观察到,并随着年龄的增长逐渐减少。在中风和癫痫发作等急性损伤后以及电休克治疗后观察到AHN短暂增加,而在神经退行性疾病中AHN减少。AHN的标志物与学习和短期记忆的测量呈正相关,但与抗抑郁药使用和情绪状态的关联较弱。结果测量的异质性限制了定量综合分析。进一步的研究应该更好地描述健康受试者中神经发生的神经心理功能。