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MRI-guided dmPFC-rTMS as a Treatment for Treatment-resistant Major Depressive Disorder
Published on: August 11, 2015
Switching of the Microglial Activation Phenotype Is a Possible Treatment for Depression Disorder
Lijuan Zhang1, Jinqiang Zhang1, Zili You1
1Center for Informational Biology, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.
Abstract:
Major depressive disorder (MDD) is a common emotional cognitive disorder that seriously affects people's physical and mental health and their quality of life. Due to its clinical and etiological heterogeneity, the molecular mechanisms underpinning MDD are complex and they are not fully understood. In addition, the effects of traditional drug therapy are not ideal. However, postmortem and animal studies have shown that overactivated microglia can inhibit neurogenesis in the hippocampus and induce depressive-like behaviors. Nonetheless, the molecular mechanisms by which microglia regulate nerve regeneration and determine depressive-like behaviors remain unclear. As the immune cells of the central nervous system (CNS), microglia could influence neurogenesis through the M1 and M2 subtypes, and these may promote depressive-like behaviors. Microglia may be divided into four main states or phenotypes. Under stress, microglial cells are induced into the M1 type, releasing inflammatory factors and causing neuroinflammatory responses. After the inflammation fades away, microglia shift into the alternative activated M2 phenotypes that play a role in neuroprotection. These activated M2 subtypes consist of M2a, M2b and M2c and their functions are different in the CNS. In this article, we mainly introduce the relationship between microglia and MDD. Importantly, this article elucidates a plausible mechanism by which microglia regulate inflammation and neurogenesis in ameliorating MDD. This could provide a reliable basis for the treatment of MDD in the future.
Insights
Microglia, the brain's immune cells, play a key role in major depressive disorder (MDD) by influencing neurogenesis and inflammation. Understanding these microglial mechanisms offers new therapeutic avenues for MDD.
Area of Science:
- Neuroscience
- Immunology
- Psychiatry
Background:
- Major depressive disorder (MDD) is a complex condition with unclear molecular mechanisms and suboptimal traditional treatments.
- Overactivated microglia in the hippocampus are implicated in inhibiting neurogenesis and inducing depressive behaviors.
- The precise roles of microglia in regulating nerve regeneration and MDD pathogenesis require further elucidation.
Purpose of the Study:
- To explore the intricate relationship between microglia and major depressive disorder (MDD).
- To elucidate the molecular mechanisms by which microglia influence neuroinflammation and neurogenesis in the context of MDD.
- To identify potential therapeutic targets for MDD based on microglial function.
Main Methods:
- Review of postmortem and animal studies on microglia and MDD.
- Analysis of microglial phenotypes (M1 and M2 subtypes) and their roles in neuroinflammation and neurogenesis.
- Examination of the impact of microglial activation states on depressive-like behaviors.
Main Results:
- Microglia, as CNS immune cells, exhibit distinct phenotypes (M1 and M2) influencing neurogenesis.
- M1 microglia release inflammatory factors, exacerbating neuroinflammation and potentially contributing to MDD.
- M2 microglia subtypes (M2a, M2b, M2c) are involved in neuroprotection, with varied functions in the CNS.
Conclusions:
- Microglia significantly impact neurogenesis and neuroinflammation, contributing to the development of MDD.
- Understanding microglial phenotypes and their regulatory mechanisms provides a basis for novel MDD treatments.
- Targeting microglial pathways offers a promising strategy for ameliorating MDD.
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