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Individualized rTMS Treatment for Depression using an fMRI-Based Targeting Method
Published on: August 2, 2021
Burst-firing patterns in the prefrontal cortex underlying the neuronal mechanisms of depression probed by
Fei Guo1, Qi Zhang, Bing Zhang
1Key Laboratory of Receptor Research, Shanghai Institute of Materia Medical, Chinese Academy of Sciences, Shanghai, 201203, China.
Abstract:
Major depressive disorder (MDD) is one of the leading causes of morbidity worldwide. Several antidepressants have been widely prescribed to treat patients with MDD. However, neuronal changes in brain function remain poorly understood. Based on the standard chronic mild stress (CMS) model of depression in mice, we investigated the neuronal mechanisms of the classic antidepressant, fluoxetine, and a new compound (termed YY-23 in this study) derived from furostanol saponin. The results showed that both fluoxetine and YY-23 normalized CMS-induced depressive-like behaviors. YY-23 caused antidepressant-like behaviors with a faster action than fluoxetine. In terms of in vivo neuronal activities, a CMS-induced decrease in spontaneous firing in burst of medial prefrontal cortex pyramidal neurons rather than ventral tegmental area (VTA) was reversed by the chronic administration of fluoxetine and YY-23. We also found that CMS-induced deficits in the expression of prefrontal brain-derived neurotrophic factor (BDNF) were also restored by chronically administering YY-23 and fluoxetine. In addition, chronic administration of fluoxetine rather than YY-23 resulted in an improvement of antidepressive-like behavior and a change of burst firing of VTA in control-housed animals, indicating that the pharmacological effects of YY-23 were specific to CMS-treated animals. Together, these data suggest that the burst-firing patterns of pyramidal cells may be a neural biomarker of depressive-like mice and antidepressant action. Furthermore, synaptic transmission and BDNF may contribute to the rapid antidepressant-like effects on depression.
Insights
Major depressive disorder (MDD) treatments are explored using fluoxetine and a new compound, YY-23. Both normalized depressive behaviors, with YY-23 acting faster, suggesting burst firing patterns as a biomarker for antidepressant effects.
Area of Science:
- Neuroscience
- Pharmacology
- Biochemistry
Background:
- Major depressive disorder (MDD) is a significant global health concern.
- Current antidepressant treatments offer relief, but underlying neuronal mechanisms require further elucidation.
- The chronic mild stress (CMS) model in mice is utilized to study depression-related neuronal changes.
Purpose of the Study:
- To investigate the neuronal mechanisms of fluoxetine and a novel furostanol saponin derivative (YY-23) in a mouse model of depression.
- To compare the efficacy and speed of action of YY-23 against fluoxetine.
- To identify potential neural biomarkers and molecular pathways involved in antidepressant action.
Main Methods:
- Utilized the chronic mild stress (CMS) model in mice to induce depressive-like behaviors.
- Administered fluoxetine and YY-23 chronically.
- Recorded in vivo neuronal activity, specifically burst firing patterns of medial prefrontal cortex (mPFC) pyramidal neurons and ventral tegmental area (VTA) neurons.
- Assessed the expression of brain-derived neurotrophic factor (BDNF) in the prefrontal cortex.
Main Results:
- Both fluoxetine and YY-23 normalized CMS-induced depressive-like behaviors.
- YY-23 demonstrated a faster onset of antidepressant-like effects compared to fluoxetine.
- CMS-induced decrease in mPFC pyramidal neuron burst firing was reversed by both compounds.
- CMS-induced deficits in prefrontal BDNF expression were restored by YY-23 and fluoxetine.
- YY-23's effects were specific to CMS-treated animals, unlike fluoxetine.
Conclusions:
- Burst-firing patterns of pyramidal cells may serve as a neural biomarker for depression and antidepressant efficacy.
- Synaptic transmission and BDNF are implicated in the rapid antidepressant effects observed.
- YY-23 presents a promising novel compound for depression treatment with a potentially faster action profile.
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