The antidepressant effect of running is associated with increased hippocampal cell proliferation
A R T IC L E
International Journal of Neuropsychopharmacology (2005), 8, 357–368. Copyright f 2005 CINP doi :10.1017/S1461145705005122
Astrid Bjørnebekk1, Aleksander A. Mathe´2 and Stefan Brene´1,2 1 2
Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden Division of Psychiatry, Neurotec Department, Karolinska University Hospital, Huddinge, Stockholm, Sweden
Abstract A common trait of antidepressant drugs, electroconvulsive treatment and physical exercise is that they relieve depression and up-regulate neurotrophic factors as well as cell proliferation and neurogenesis in the hippocampus. In order to identify possible biological underpinnings of depression and the antidepressant effect of running, we analysed cell proliferation, the level of the neurotrophic factor BDNF in hippocampus and dynorphin in striatum/accumbens in ‘depressed’ Flinders Sensitive Line rats (FSL) and Flinders Resistant Line (FRL) rats with and without access to running-wheels. The FRL strain exhibited a higher daily running activity than the FSL strain. Wheel-running had an antidepressant effect in the ‘depressed’ FSL rats, as indicated by the forced swim test. In the hippocampus, cell proliferation was lower in the ‘depressed’ rats compared to the control FRL rats but there was no difference in BDNF or dynorphin levels in striatum/accumbens. After 5 wk of running, cell proliferation increased in FSL but not in FRL rats. BDNF and dynorphin mRNA levels were increased in FRL but not to the same extent in the in FSL rats ; thus, increased BDNF and dynorphin levels were correlated to the running activity but not to the antidepressant effect of running. The only parameter that was associated to basal level of ‘depression’ and to the antidepressant effect was cell proliferation in the hippocampus. Thus, suppression of cell proliferation in the hippocampus could constitute one of the mechanisms that underlie depression, and physical activity might be an efficient antidepressant. Received 8 June 2004 ; Reviewed 20 October 2004 ; Revised 22 October 2004 ; Accepted 1 November 2004 Key words : Depression, Flinders Sensitive Line rats, hippocampus, neurogenesis, neurotrophic factors.
Introduction Imaging studies have demonstrated structural brain changes associated with early onset depression in the hippocampus, amygdala, striatum and frontal cortex ; areas that are all extensively interconnected. Most consistent are the findings of volume loss in the hippocampal formation (Bremner et al., 2000 ; Sheline et al., 1996, 1999). Factors that might contribute to the hippocampal volume loss in depression are possible suppression of hippocampal neurogenesis or the loss of neurotrophic support. Until recently the dogma was that there was no neurogenesis in the adult mammalian brain even though there were early reports to the contrary (Altman, 1963, 1969 ; Kaplan and Hinds, 1977). Currently it is widely accepted that neurogenesis Address for correspondence : Dr S. Brene´, Department of Neuroscience, Karolinska Institutet, S-171 77 Stockholm, Sweden. Tel. : 46-8-52487451 Fax : 46-8-323742 E-mail : stefan.brene@neuro.ki.se
occurs in the subgranular zone of the dentate gyrus and in the subventricular zone. Although the physiological role of neurogenesis is still controversial, a number of factors shown to regulate neurogenesis in the dentate gyrus have been identified. Interestingly stress, a key factor implicated in the cellular pathology of depression, down-regulates neurogenesis (Gould et al., 1997) and the brain-derived neurotrophic factor (BDNF) (Smith et al., 1995). In contrast, treatments which have an antidepressant effect in patients, e.g. antidepressant drugs, (Malberg et al., 2000), electroconvulsive treatment (Hellsten et al., 2002 ; Nibuya et al., 1995) and physical exercise (Neeper et al., 1996 ; van Praag et al., 1999b) increase both hippocampal neurogenesis and the levels of BDNF. Exercise promotes physical health and has an antidepressant effect in patients similar to conventional antidepressant treatment and psychotherapy. Follow-up studies of patients reveal that continued exercise is more efficient in preventing depressive