Lecture Grandjean Flashcards
Learning goals
- the student can put the monoamine hypothesis for depression into a historical context
- the student can discuss imaging-based approaches to study depression and associated symptoms
- the student can discuss the relevance of animal models for stress disorders
- the student can propose strategies to study stress in animal models
where do antidepressants come from
tuberculosis drug which was found to have positive mood enhancing side effects.
this is because its molecular compositionn looks very similar like dopamine noradrenaline and serotonine
enzime monoamine oxidase, switches NH2 (amine) with OH (carboxilic group)
What i the recurrent target for antidepressants?
The monoamine oxidase (MOA) is the recurrent target for antidepressants
What did the rise of serotonine hypothesis in the1990s lead to
selective serotonin reuptake inhibitors ssris, e.g. prozac
What did geneticists find out in the 1990s?
that there was a common polymorphism in its upstream from the serotonin transporter gene, and people with this polymorphism have a greater susceptibility for depression and anxiety
fall of serotonine hypothesis 2020s
- collaborative meta-analysis finds no evidence of a strong interaction between stress and 5-HTTLPR genotype contributing to the development of depression
- systematic review - the serotonin theory of depression: a systematic umbrella review of the evidence
BUT
not completely dead, but only 15% of the case relative to placebo
Analysis of >230 clinical trial with >70K participants
What is depression?
Inducing factors:
- chronic stress
- trauma
- substance abuse
- inflammation
vulnerabilitie:
- genetic predesposition
- environmental predisposition
Comorbidities:
- Anxiety disorders
- dementia
- type 2 diabetes
- coronary artery disease
- parkinson’s disease
- epilepsy
- pain
- cancers
- aging
- osteoporosis
- irritable bowel syndrome
What are the symptoms of depression?
- reduced mood
- anhedonia
- anergia
- irritability
- diffiulty concentrating
- disrupted sleep
- disrupted appetite
- disrupted cognition
- suicidal thoughts
how is sickness behavior related to depression
if you are sick you will not propagate sickness if you keep to yourself - inflammation.
sickness behaviour as evolutionary explanation for depression
sickness symptoms overlap with those of depression. Could they have the same underpinnings?
Imaging methods for human brain
Magnetic resonance for the human brain
- structural imaging (anatomy)
- diffusion imaging (white matter)
- functional imaging (rest)
- functional imaging (task)
Nuclear imaging (SPECT/PET)
- metabolism
- dopamine transporter
- dopamine receptor D2
Depression is associated with reduced blood flow in the subgenual cingulate
first PET (radioactive water was injected), water goes where blood goes
depression vs healthy participants
Lesion study for association with depression
Lesions in insula and dorsolateral prefrontal cortex are associated with depression
Neuroquery
Quick meta-analysis for ‘depression’ - literature erichment clusters in the cingulate and insula areas
the human brain is organized into distributed networks that co-activates at rest and during tasks
- Visual network
- Auditory network
- Posterior default-mode network
- Central executive network
- anterior default-mode network
What is the triple-network model of psychopathology
on average across disorders, it tends to always be 3 big main networks: Salience (SN), Central Executive (CEN) and Default-Mode Networks (DMN)
usually you either have CE (external stimuli) or you have inner thoughts - DMN (default-mode networks) and then the Salience network integrates integration, decides if information is relevant and decides whether CE or DMN is activated
Depression - rumination - correlated with DMN
Serotonin and dopamine are thought to exert opposite effects on brain networks
manic state
depressive state
psychotic s
Some neural ensembles of the human brain are derived from old structures
zebrafish - 3-8 neurons are thought to release serotonin
chicken/xenopus - ca 8 neurons are thought to release dopamine
C. elegans (worm) - has 302 neurons out of 1000 somatic cells
How do you replicate depressive symptoms in animal models?
- social stress
- chronic mild stress
- maternal separation
- genetic models
A variety of models can be used to study depressive symptoms in animals. There are either due to
- behavioural induction (social stress, chronic stress, maternal separation),
- genetic models such as selective breeds (Winstar-Kyoto) and transgenics (SERT-KO), or
- interventions (lipopolysaccharide)
How to assess depressive symptoms in animal models
- water maze
- forced swim test
- open field
- elevated + maze
- sucrose preference test
- rotarod
A variety of test are commonly used to assess
- memory (water maze),
- negative mood (force swim test), - anxiety (open field, elevated + maze),
- anhedonia (sucrose preference test),
- fatigue (rotarod).
Modulation depression targets with deep brain stimulation
Works very well for parkinsons disease
Atlas Target
Pre-op MRI Target Localization
Post-op MRI Electrode Location