I started with the Bessa paper, and after working through
the weirdly worded second sentence, I found myself enjoying the experiments.
What I liked about this paper was that the authors clearly stated their goal,
and proposed one simple way to test their hypothesis: using MAM at a dose of 7
mg/kg per day to reduce neurogenesis and so prove that antidepressants can
function without neurogenesis. However, this led me to some questions. First, the
MAM treatment at this dose was said to reduce neurogenesis by 60% in the
dentate gyrus. Although I am not familiar with the amounts of neurogenesis
needed, I feel that the authors should have elaborated on why they believe this
60% reduction (in only the dentate gyrus?) is enough for them to claim that
hippocampal neurogenesis is no longer playing a role in the mechanism of the
antidepressants. In their discussion, the authors mention that the antidepressants
actually stimulated neurogenesis beyond the levels of controls. They then claim
that this may be coincidental or mediated through other mechanisms because
concomitant MAM treatment did not prevent the therapeutic effects of the
antidepressants. Although I think this sounds good, and I think the data
throughout the paper seems solid, I hesitate to think that a 60% reduction in
neurogenesis is enough to say that it has no contribution.
-- After reading the Santarelli paper, I now understand that
the dentate gyrus is the primary area of the hippocampus that allows
neurogenesis. So, it makes more sense that 60% reduction would have a
significant enough impact on neurogenesis.
Ok, now I have finished Santarelli and I have to say, I find
it more difficult to compare these two papers than I anticipated. First off,
the Santarelli experiments use wild-type mice treated with antidepressants to
show that the AD treatments increase neurogenesis. I would suspect that
treating WT mice with AD might have a different effect than treating depressed
mice with AD as was done in the Bessa paper. Santarelli et al also use a
different method of blocking neurogenesis, namely x-irradiation of the hippocampus,
which caused an 85% reduction in progenitor cells in the SGZ. I would be
curious to see an experiment set up like in Bessa et al (testing anhedonia,
learned helplessness, and anxiety) with a comparison of MAM treated and
x-irradiation effects on antidepressant treatments. Maybe this could clear up
the question of whether it is a difference of strength of the remaining
neurogenesis, or any disruption to neurogenesis itself, that affects the
mechanism or efficacy of antidepressant treatments. Lastly, I was disappointed that
the Santarelli paper only used the NSF test for depression, the way this was
approached in the Bessa paper seemed more logical and convincing to me,
although I wouldn’t say that I’ve been fully convinced of either paper.
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