My initial response to Santeralli et al.’s paper was, “Hmm...
I’m fairly convinced”. The central question they aimed to address was whether
or not an increase in neurogenesis is required for antidepressant action. I
liked how they conducted multiple simplistic experiments to tease apart the
role 5HTIA receptors play for fluoxetine induced, but not imipramine
induced neurogenesis. I also found their approach to narrow down the region of
the hippocampus susceptible to irradiation to be quite clever. On a side note,
(even though this may be a weird observation/question), I didn’t quite
understand what the sucrose application on the snouts of the mice had anything
to do with grooming behavior of the coat?
Having said that, my confidence in the paper quickly deteriorated
when I began reading Bessa et al.’s paper. I immediately noticed that their
approach was way more technical, descriptive and detail oriented, diving into
further intricacies that Santeralli et al. did not attempt to highlight at all.
Their methods employed for inducing and measuring stress (CMS model) were far
more convincing than the first paper. I’m starting to see why comparing papers
is insightful and beneficial, especially when it comes to believing scientific
claims. I was super excited with the finding that “antidepressants not only
reversed the anti-proliferative effects of CMS, but also stimulated
neurogenesis to levels above those found in controls”. It further emphasized on
the relation between neurogenesis and using antidepressants as treatments for
depression and anxiety disorders. But I wonder, what would happen with chronic
use of antidepressants? Could increased neurogenesis and the lack of
simultaneous pruning potentially pose a problem? I know from previous classes
that increased dependence on AD may lower baseline levels of those neurotransmitters
(for example side effects of SSRI’s, etc.) but if simply increased neurogenesis
leads to a permanent increase in the number of neurons, thereby reducing
negative symptoms, is it safe to say that AD use can be discontinued once
“normal” density is achieved?
No comments:
Post a Comment