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Unfolding the Role of BDNF as a Biomarker for Treatment of Depression

Abstract

Depression is a well-known disabling mental illness characterized by sadness, loss of interest in activities, and decreased energy. The symptoms of depression are usually recurrent in vulnerable individuals, and persistence of symptoms significantly impairs individuals’ quality of life. The exact pathophysiology of depression remains ambiguous, though many hypotheses have been proposed. Brain-derived neurotrophic factor (BDNF) has recently been reported to play a vital role in the pathophysiology of depression. BDNF is an important neurotrophic factor found in the human brain and is involved in neuronal growth and proliferation, synaptic neurotransmission, and neuroplasticity. The neurotrophic theory of depression proposes that depression results from reduced BDNF levels in the brain, which can be treated with antidepressants to alleviate depressive behavior and increase BDNF levels. The aim of this review is to provide broad insight into the role of BDNF in the pathogenesis of depression and in antidepressant therapy. The studies mentioned in this review article greatly support the role of BDNF in the pathogenesis of depression and treatment of this disorder with antidepressants. Since abnormalities in BDNF levels lead to the production of diverse insults that amplify the development or progression of depression, it is important to study and explore BDNF impairment in relation to depression, neuroplasticity, and neurogenesis, and increasing BDNF levels through antidepressant therapy, showing positive response in the management of depression.

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References

  • Abel JL, Rissman EF (2013) Running-induced epigenetic and gene expression changes in the adolescent brain. Int J Dev Neurosci 31:382–390

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Aboul-Fotouh S (2013) Chronic treatment with coenzyme Q10 reverses restraint stress-induced anhedonia and enhances brain mitochondrial respiratory chain and creatinine kinase activities in rats. Behav Pharmacol 24:552–560

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Adachi M, Autry AE, Mahgoub M, Suzuki K, Monteggia LM (2017) TrkB signaling in dorsal raphe nucleus is essential for antidepressant efficacy and normal aggression behavior. Neuropsychopharmacology 42:886–894

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Ahlskog JE, Geda YE, Graff-Radford NR, Petersen RC (2011) Physical exercise as a preventive or disease-modifying treatment of dementia and brain aging. Mayo Clin Proc 86:876–884

    PubMed  PubMed Central  Article  Google Scholar 

  • Almeida RD, Manadas BJ, Melo CV, Gomes JR, Mendes CS, Graos MM et al (2005) Neuroprotection by BDNF against glutamate-induced apoptotic cell death is mediated by ERK and PI3-kinase pathways. Cell Death Differ 12:1329–1343

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Altar CA (1999) Neurotrophins and depression. Trends Pharmacol Sci 20:59–61

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Altman J, Das GD (1965) Autoradiographic and histological evidence ofpostnatal hippocampal neurogenesis in rats. J Comp Neurol 124:319–335

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Angelucci F, Brene S, Mathe AA (2005) BDNF in schizophrenia, depression and corresponding animal models. Mol Psychiatry 10:345–352

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Autry AE, Monteggia LM (2012) Brain-derived neurotrophic factor and neuropsychiatric disorders. Pharmacol Rev 64:238–258

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Berton O, McClung CA, Dileone RJ, Krishnan V, Renthal W, Russo SJ et al (2006) Essential role of BDNF in the mesolimbic dopamine pathway in social defeat stress. Science 311:864–868

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Berton O, Nestler EJ (2006) New approaches to antidepressant drug discovery: beyond monoamines. Nat Rev Neurosci 7:137–151

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Beumer W, Gibney S, Drexhage R, Pont-Lezica L, Doorduin J, Klein HC et al (2012) The immune theory of psychiatric diseases: A key role for activated microglia and circulating monocytes. J Leukoc Biol 92:959–975

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Binder DK, Croll SD, Gall CM, Scharfman HE (2001) BDNF and epilepsy: too much of a good thing? Trends Neurosci 24:47–53. https://doi.org/10.1016/S0166-2236(00)01682-9

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Birkenhager TK, Geldermans, Van den Broek WW, van Beveren N, Fekkes D (2012) Serum brain-derived neurotrophic factor level in relation to illness severity and episode duration in patients with major depression. J Psychiatr Res 46:285–289

    PubMed  Article  PubMed Central  Google Scholar 

  • Brevet M, Kojima H, Asakawa A, Atsuchi K, Ushikai M, Ataka K et al (2010) Chronic foot-shock stress potentiates the influx of bone marrow-derived microglia into hippocampus. J Neurosci Res 88:1890–1897

    CAS  PubMed  PubMed Central  Google Scholar 

  • Brunoni AR, Baeken C, Machado-Vieira R, Gattaz WF, Vanderhasselt MA (2014) BDNF blood levels after electroconvulsive therapy in patients with mood disorders: a systematic review and meta-analysis. The World Journal of Biological Psychiatry 15:411–418

    PubMed  Article  PubMed Central  Google Scholar 

  • Buchman AS, Yu L, Boyle PA et al (2016) Higher brain BDNF gene expression is associated with slower cognitive decline in older adults. Neurology 86:735–741. https://doi.org/10.1212/WNL.0000000000002387

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Burnouf S, Martire A, Derisbourg M, Laurent C, Belarbi K, Leboucher A et al (2013) NMDA receptor dysfunction contributes to impaired brain derived neurotrophic factor-induced facilitation of hippocampal synaptic transmission in a Tau transgenic model. Aging Cell 12:11–23

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Cardoner N, Soria V, Gratacòs M et al (2013) Val66Met BDNF genotypes in melancholic depression: effects on brain structure and treatment outcome. Depression and Anxiety 30:225–233

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Castren E, Kojima M (2017) Brain-derived neurotrophic factor in mood disorders and antidepressant treatments. Neurobiol Dis 97:119

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Castren E, Voikar V, Rantamaki T (2007) Role of neurotrophic factors in depression. Curr Opin Pharmacol 7:18–21

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Cowansage KK, LeDoux JE, Monfils MH (2010) Brainderived neurotrophic factor: a dynamic gatekeeper of neural plasticity. Current Molecular Pharmacology 3:12–29

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Cui R (2015) Editorial: A systematic review of depression. Curr Neuropharmacol 13:480.

  • Cunha C, Brambilla R, Thomas KL (2010) A simple role for BDNF in learning and memory? Frontiers in Molecular Neuroscience 3:1

    PubMed  PubMed Central  Google Scholar 

  • Curtis R, Adryan KM, Stark JL et al (1995) Differential role of the low affinity neurotrophin receptor (p75) in retrograde axonal transport of the neurotrophins. Neuron 14:1201–1211

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • de Souza Bernardino TC, Teixeira AL, Miranda AS et al (2015) Wistar Audiogenic Rats (WAR) exhibit altered levels of cytokines and brain-derived neurotrophic factor following audiogenic seizures. Neurosci Lett 597:154–158. https://doi.org/10.1016/j.neulet.2015.04.046

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Deinhardt K, Chao MV (2014) Shaping neurons: long and short range effects of mature and proBDNF signalling upon neuronal structure. Neuropharmacology 76:603–609

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Dranovsky A, Hen R (2006) Hippocampal neurogenesis: regulation bystress and antidepressants. Biol Psychiatry 59:1136–1143

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Duclot F, Kabbaj M (2015) Epigenetic mechanisms underlying the role of brain-derived neurotrophic factor in depression and response to antidepressants. The Journal of Experimental Biology 218:21–31

    PubMed  PubMed Central  Article  Google Scholar 

  • Duman RS (2002) Pathophysiology of depression: the concept of synaptic plasticity. Eur Psychiatry 17:306–310

    PubMed  Article  PubMed Central  Google Scholar 

  • Duman RS (2004) Depression: a case of neuronal life and death? BiolPsychiatry 56:140–145

    Google Scholar 

  • Duman RS (2014) Pathophysiology of depression and innovative treatments: remodeling glutamatergic synaptic connections. Dialogues in Clinical Neuroscience 16:11–27

    PubMed  PubMed Central  Article  Google Scholar 

  • Duman RS, Aghajanian GK, Sanacora G, Krystal JH (2016) Synaptic plasticity and depression: new insights from stress and rapid-acting antidepressants. Nat Med 22:238–249

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Duman RS, Malberg J, Nakagawa S, D’Sa C (2000) Neuronal plasticity and survival in mood disorders. Biol Psychiatry 48:732–739

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Duman RS, Monteggia LM (2006) A neurotrophic model for stress-related mood disorders. Biol Psychiat 59:1116–1127

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Duncan WC, Sarasso S, Ferrarelli F, Selter J, Riedner BA, Hejazi NS et al (2013) Concomitant BDNF and sleep slow wave changes indicate ketamine-induced plasticity in major depressive disorder. Int J Neuropsychopharmacol 16:301–311

    CAS  PubMed  Article  Google Scholar 

  • Durany N, Michel T, Zochling R et al (2001) Brain-derived neurotrophic factor and neurotrophin 3 in schizophrenic psychoses. Schizophr Res 52:79–86. https://doi.org/10.1016/S0920-9964(00)00084-0

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Emon MPZ, Das R, Nishuty NL, Shalahuddin Qusar MMA, Bhuiyan MA, Islam MR (2020) Reduced serum BDNF levels are associated with the increased risk for developing MDD: a case-control study with or without antidepressant therapy. BMC Res Notes 13:83

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Fangmann P, Assion HJ, Juckel G, Gonzalez CA, Lopez-Munoz F (2008) Half a century of antidepressant drugs: on the clinical introduction of monoamine oxidase inhibitors, tricyclics, and tetracyclics. Part II: tricyclics and tetracyclics. J Clin Psychopharmacol 28:1–4

    PubMed  Article  PubMed Central  Google Scholar 

  • Fava M, Kendler KS (2000) Major depressive disorder. Neuron 28:335–341

    CAS  PubMed  Article  Google Scholar 

  • Fernandes BS, Gama CS, Maria Ceresér K et al (2011) Brain derived neurotrophic factor as a state-marker of mood episodes in bipolar disorders: a systematic review and meta-regression analysis. J Psychiatr Res 45:995–1004. https://doi.org/10.1016/j.jpsychires.2011.03.002

    Article  PubMed  Google Scholar 

  • Fernandes BS, Molendijk ML, Kohler CA et al (2015) Peripheral brain-derived neurotrophic factor (BDNF) as a biomarker in bipolar disorder: a meta-analysis of 52 studies. BMC Med 13:289. https://doi.org/10.1186/s12916-015-0529-7

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Ferrari AJ, Charlson FJ, Norman RE, Flaxman AD, Patten SB, Vos T, Whiteford HA (2013) The epidemiological modelling of major depressive disorder: application for the Global Burden of Disease Study 2010. PLoS ONE 8:e69637

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Filho CB, Jesse CR, Donato F, Giacomeli R, Del Fabbro L, da Silva AM et al (2015) Chronic unpredictable mild stress decreases BDNF and NGF levels and Na (+), K (+)-ATPase activity in the hippocampus and prefrontal cortex of mice: antidepressant effect of chrysin. Neuroscience 289:367–380

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Fischer DL, Auinger P, Goudreau JL, Paumier KL, Cole-Strauss A, Kemp CJ et al (2018) BDNF variant is associated with milder motor symptom severity in early-stage Parkinson’s disease. Parkinsonism Relat Disord 53:70–75

    PubMed  Article  Google Scholar 

  • Fossati P, Radtchenko A, Boyer P (2004) Neuroplasticity: from MRI to depressive symptoms. Eur Neuropsychopharmacol 14:S503–S510

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Freire TF, Rocha NS, Fleck MP (2016) Combining ECT with pharmacological treatment of depressed inpatients in a naturalistic study is not associated with serum BDNF level increase. J Psychiatr Res 76:30–37

    PubMed  Article  PubMed Central  Google Scholar 

  • Gan KJ, Silverman MA (2015) Dendritic and axonal mechanisms of Ca2+ elevation impair BDNF transport in a oligomer-treated hippocampal neurons. Mol Biol Cell 26:1058–1071. https://doi.org/10.1091/mbc.E14-12-1612

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Gardner A, Boles RG (2011) Beyond the serotonin hypothesis: mitochondria, inflammation and neurodegeneration in major depression and affective spectrum disorders. Prog Neuropsychopharmacol Biol Psychiatry 35:730–743

    CAS  PubMed  Article  Google Scholar 

  • Gezen-Ak D, Dursun E, Hanağası H et al (2013) BDNF, TNFα, HSP90, CFH, and IL-10 serum levels in patients with early or late onset Alzheimer’s disease or mild cognitive impairment. J Alzheimer’s Dis 37:185–195. https://doi.org/10.3233/JAD-130497

    CAS  Article  Google Scholar 

  • Ghasemi M, Phillips C, Trillo L, Miguel ZD, Das D, Salehi A (2014) The role of NMDA receptors in the pathophysiology and treatment of mood disorders. Neurosci Biobehav Rev 47:336–358

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Giralt A, Friedman HC, Caneda-Ferrón B et al (2010) BDNF regulation under GFAP promoter provides engineered astrocytes as a new approach for long-term protection in Huntington’s disease. Gene Ther 17:1294–1308

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Gonul AS, Akdeniz F, Taneli F, Donat O, Eker C, Vahip S (2005) Effect of treatment on serum brain-derived neurotrophic factor levels in depressed patients. Eur Arch Psychiatry Clin Neurosci 255:381–386

    PubMed  Article  PubMed Central  Google Scholar 

  • Green MJ, Matheson SL, Shepherd A et al (2011) Brain-derived neurotrophic factor levels in schizophrenia: a systematic review with meta-analysis. Mol Psychiatry 16:960–972. https://doi.org/10.1038/mp.2010.88

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Greenberg PE (2017) The Growing Economic Burden of Depression in the U.S. Scientific America.

  • Gross CG (2000) Neurogenesis in the adult brain: death of a dogma. Nat Rev Neurosci 1:67–73

    CAS  PubMed  Article  Google Scholar 

  • Groves JO (2007) Is it time to reassess the BDNF hypothesis of depression? Mol Psychiatry 12:1079–1088

    CAS  PubMed  Article  Google Scholar 

  • Heise C, Gardoni F, Culotta L, di Luca M, Verpelli C, Sala C (2014) Elongation factor-2 phosphorylation in dendrites and the regulation of dendritic mRNA translation in neurons. Frontiers in Cellular Neuroscience 8:35

    PubMed  PubMed Central  Article  CAS  Google Scholar 

  • Hidaka BH (2012) Depression as a disease of modernity: explanations for increasing prevalence. J Affect Disord 140:205–214

    PubMed  PubMed Central  Article  Google Scholar 

  • Hosang GM, Shiles C, Tansey KE, McGuffin P, Uher R (2014) Interaction between stress and the BDNF Val66Met polymorphism in depression: a systematic review and meta-analysis. BMC Medicine 12:7

    PubMed  PubMed Central  Article  CAS  Google Scholar 

  • Howells DWW, Porritt MJJ, Wong JYFY et al (2000) Reduced BDNF mRNA expression in the Parkinson’s disease substantia nigra. Exp Neurol 166:127–135. https://doi.org/10.1006/exnr.2000.7483

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Huang EJ, Reichardt LF (2003) Trk receptors: roles in neuronal signal transduction. Annu Rev Biochem 72:609–642

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Ibanez CF (1995) Neurotrophic factors: from structure–function studies to designing effective therapeutics. Trends Biotechnol 13:217–227

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Iritani S, Niizato K, Nawa H et al (2003) Immunohistochemical study of brain-derived neurotrophic factor and its receptor, TrkB, in the hippocampal formation of schizophrenic brains. Prog Neuropsychopharmacol Biol Psychiatry 27:801–807. https://doi.org/10.1016/S0278-5846(03)00112-x

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Islam F, Mulsant BH, Voineskos AN, Rajji TK (2017) Brain-derived neurotrophic factor expression in individuals with schizophrenia and healthy aging: testing the accelerated aging hypothesis of schizophrenia. Curr Psychiatry Rep 19:36

    PubMed  Article  PubMed Central  Google Scholar 

  • Janakiraman U, Manivasagam T, Justin Thenmozhi A et al (2017) Chronic mild stress augments MPTP induced neurotoxicity in a murine model of Parkinson’s disease. Physiol Behav 173:132–143. https://doi.org/10.1016/j.physbeh.2017.01.046

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Kang HJ, Bae KY, Kim SW, Shin IS, Hong YJ, Ahn Y et al (2016) BDNF val66met polymorphism and depressive disorders in patients with acute coronary syndrome. J Affect Disord 194:1–8

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Kito S, Hasegawa T, Koga Y (2012) Cerebral blood flow ratio of the dorsolateral prefrontal cortex to the ventromedial prefrontal cortex as a potential predictor of treatment response to transcranial magnetic stimulation in depression. Brain Stimulation 5:547–553

    PubMed  Article  PubMed Central  Google Scholar 

  • Kohler CA, Freitas TH, Stubbs B, Maes M, Solmi M, Veronese N et al (2018) Peripheral alterations in cytokine and chemokine levels after antidepressant drug treatment for major depressive disorder: systematic review and meta-analysis. Mol Neurobiol 55:4195–4206

    CAS  PubMed  PubMed Central  Google Scholar 

  • Kozisek ME, Middlemas D, Bylund DB (2008) Brain-derived neurotrophic factor and its receptor tropomyosin-related kinase B in the mechanism of action of antidepressant therapies. Pharmacol Ther 117:30–51

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Kreinin A, Lisson S, Nesher E, Schneider J, Bergman J, Farhat K et al (2015) Blood BDNF level is gender specific in severe depression. PLoS ONE 10:e0127643

    PubMed  PubMed Central  Article  CAS  Google Scholar 

  • Kreisel T, Frank M, Licht T, Reshef R, Baratta MV, Maieret SF et al (2014) Dynamic microglial alterations underlie stress-induced depressive-like behavior and suppressed neurogenesis. Mol Psychiatry 19:699–709

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Kubera M, Obuchowicz E, Goehler L, Brzeszcz J, Maes M (2011) In animal models, psychosocial stress-induced (neuro) inflammation, apoptosis and reduced neurogenesis are associated to the onset of depression. Prog Neuropsychopharmacol Biol Psychiatry 35:744–759

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Laje G, Lally N, Mathews D et al (2012) Brain-derived neurotrophic factor Val66Met polymorphism and antidepressant efficacy of ketamine in depressed patients. Biol Psychiat 72:e27–e28

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Laske C, Stellos K, Hoffmann N et al (2011) Higher BDNF serum levels predict slower cognitive decline in Alzheimer’s disease patients. Int J Neuropsychopharmacol 14:399–404. https://doi.org/10.1017/S1461145710001008

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Leal G, Afonso PM, Salazar IL, Duarte CB (2015) Regulation of hippocampal synaptic plasticity by BDNF. Brain Res 1621:82–101

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Lee BH, Kim YK (2010) The roles of BDNF in the pathophysiology of major depression and in antidepressant treatment. Psychiatry Investigation 7:231–235

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Lee JY, Choi DC, Oh TH, Yune TY (2013) Analgesic effect of acupuncture is mediated via inhibition of JNK activation in astrocytes after spinal cord injury. PLoS ONE 8:e73948

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Legge RM, Sendi S, Cole JH et al (2015) Modulatory effects of brain-derived neurotrophic factor Val66Met polymorphism on prefrontal regions in major depressive disorder. The British Journal of Psychiatry 206:379–384

    PubMed  PubMed Central  Article  Google Scholar 

  • Leggio GM, Salomone S, Bucolo C, Platania C, Micale V, Caraci F et al (2013) Dopamine D (3) receptor as a new pharmacological target for the treatment of depression. Eur J Pharmacol 719:25–33

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Lepack AE, Fuchikami M, Dwyer JM, Banasr M, Duman RS (2014) BDNF release is required for the behavioral actions of ketamine. Int J Neuropsychopharmacol 18:pyu033.

  • Liddelow S, Barres B (2015) SnapShot: Astrocytes in health and disease. Cell 162:1170

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Lima Giacobbo B, Doorduin J, Klein HC et al (2019) Brain-derived neurotrophic factor in brain disorders: focus on neuroinflammation. Mol Neurobiol 56:3295–3312

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Lin YT, Ro LS, Wang HL, Chen JC (2011) Up-regulation of dorsal root ganglia BDNF and TrkB receptor in inflammatory pain: an in vivo and in vitro study. J Neuroinflammation 8:126

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Lopez-Munoz F, Alamo C, Juckel G, Assion HJ (2007) Half a century of antidepressant drugs: on the clinical introduction of monoamine oxidase inhibitors, tricyclics, and tetracyclics. Part I: monoamine oxidase inhibitors. J Clin Psychopharmacol 27:555–559

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Lu Y, Ho CS, McIntyre RS, Wang W, Ho RC (2018) Agomelatine-induced modulation of brain-derived neurotrophic factor (BDNF) in the rat hippocampus. Life Sci 210:177–184

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Maes M, Fisar Z, Medina M, Scapagnini G, Nowak G, Berk M (2012) New drug targets in depression: inflammatory, cell-mediated immune, oxidative and nitrosative stress, mitochondrial, antioxidant, and neuroprogressive pathways. And new drug candidates–Nrf2 activators and GSK-3 inhibitors. Inflammopharmacology 20:127–150

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Marosi K, Mattson MP (2014) BDNF mediates adaptive brain and body responses to energetic challenges. Trends Endocrinol Metab 25:89–98

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Martinez-Levy GA, Rocha L, Lubin FD et al (2016) Increased expression of BDNF transcript with exon VI in hippocampi of patients with pharmaco-resistant temporal lobe epilepsy. Neuroscience 314:12–21. https://doi.org/10.1016/j.neuroscience.2015.11.046

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Martinez-Levy GA, Rocha L, Rodriguez-Pineda F et al (2017) Increased expression of brain-derived neurotrophic factor transcripts I and VI, cAMP response element binding, and glucocorticoid receptor in the cortex of patients with temporal lobe epilepsy. Mol Neurobiol 55(5):3698–3708. https://doi.org/10.1007/s12035-017-0597-0

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Martinotti G, Pettorruso M, De Berardis D, et al (2016) Agomelatine increases BDNF serum levels in depressed patients in correlation with the improvement of depressive symptoms. Int J Neuropsychopharmacol 19: pyw003

  • Martinowich K, Lu B (2008) Interaction between BDNF and serotonin: role in mood disorders. Neuropsychopharmacology 33:73–83

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Martinowich K, Manji H, Lu B (2007) New insights into BDNF function in depression and anxiety. Nat Neurosci 10:1089–1093

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Martocchia A, Curto M, Scaccianoce S, Comite F, Xenos D, Nasca C, Falaschi GM, Ferracuti S, Girardi P, Nicoletti F, Falaschi P (2014) Effects of escitalopram on serum BDNF levels in elderly patients with depression: a preliminary report. Aging Clin Exp Res 26:461–464

    PubMed  Article  PubMed Central  Google Scholar 

  • Masdeu JC (2011) Neuroimaging in psychiatric disorders. Neurotherapeutics 8:93–102

    PubMed  PubMed Central  Article  Google Scholar 

  • Massart R, Mongeau R, Lanfumey L (2012) Beyond the monoaminergic hypothesis: neuroplasticity and epigenetic changes in a transgenic mouse model of depression. Philos Trans R Soc Lond B Biol Sci 367:2485–2494

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Matrisciano F, Bonaccorso S, Ricciardi A, Scaccianoce S, Panaccione I, Wang L et al (2009) Changes in BDNF serum levels in patients with major depression disorder (MDD) after 6 months treatment with sertraline, escitalopram, or venlafaxine. J Psychiatr Res 43:247–254

    PubMed  Article  PubMed Central  Google Scholar 

  • McEwen BS (2000) The neurobiology of stress: from serendipity to clinical relevance. Brain Res 886:172–189

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Merighi A, Salio C, Ghirri A et al (2008) BDNF as a pain modulator. Prog Neurobiol 85:297–317

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Molendijk ML, Spinhoven P, Polak M, Bus BA, Penninx BW, Elzinga BM (2014) Serum BDNF concentrations as peripheral manifestations of depression: evidence from a systematic review and meta-analyses on 179 associations (N=9484). Molecular Psychiatry 19:791–800

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Moon J, Roh D, Yoon S et al (2014) σ1 receptors activate astrocytes via p38 MAPK phosphorylation leading to the development of mechanical allodynia in a mouse model of neuropathic pain. Br J Pharmacol 171:5881–5897

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Morilak DA, Frazer A (2004) Antidepressants and brain monoaminergic systems: a dimensional approach to understanding their behavioural effects in depression and anxiety disorders. Int J Neuropsychopharmacol 7:193–218

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Munkholm K, Vinberg M, Kessing LV (2016) Peripheral blood brain-derived neurotrophic factor in bipolar disorder: a comprehensive systematic review and meta-analysis. Mol Psychiatry 21:216–228. https://doi.org/10.1038/mp.2015.54

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Nakagawara A, Liu XG, Ikegaki N, White PS, Yamashiro DJ, Nycum LM et al (1995) Cloning and chromosomal localization of the human TRK-B tyrosine kinase receptor gene (NTRK2). Genomics 25:538–546. https://doi.org/10.1016/0888-7543(95)80055-q

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Nagafusa Y, Okamoto N, Sakamoto K et al (2012) Assessment of cerebral blood flow findings using 99mTc-ECD single-photon emission computed tomography in patients diagnosed with major depressive disorder”. J Affect Disord 140:296–299

    PubMed  Article  PubMed Central  Google Scholar 

  • Nagata T, Kobayashi N, Shinagawa S, Yamada H, Kondo K, Nakayama K (2014) Plasma BDNF levels are correlated with aggressiveness in patients with amnestic mild cognitive impairment or Alzheimer disease. J Neural Transm 121:433–441

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Nemcsik J, Laszlo A, Lenart L, Eorsi D, Torzsa P, Korosi B et al (2016) Hyperthymic affective temperament and hypertension are independent determinants of serum brain-derived neurotrophic factor level. Ann Gen Psychiatry 15:17

    PubMed  PubMed Central  Article  Google Scholar 

  • Nemcsik J, Tabak A, Batta D, Cseprekal O, Egresits J, Tisler A (2018) Integrated central blood pressure-aortic stiffness risk score for cardiovascular risk stratification in chronic kidney disease. Physiol Int. 105:335-346

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Nestler EJ, Barrot M, DiLeone RJ, Eisch AJ, Gold SJ, Monteggia LM (2002) Neurobiology of depression. Neuron 34:13–25

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Norden DM, Trojanowski PJ, Villanueva E, Navarro E, Godbout JP (2016) Sequential activation of microglia and astrocyte cytokine expression precedes increased Iba-1 or GFAP immunoreactivity following systemic immune challenge. Glia 64:300–316

    PubMed  Article  PubMed Central  Google Scholar 

  • Nuernberg GL, Aguiar B, Bristot G, Fleck MP, Rocha NS (2016) Brain-derived neurotrophic factor increase during treatment in severe mental illness inpatients. Transl Psychiatry 6:e985

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Numakawa T, Suzuki S, Kumamaru E, Adachi N, Richards M, Kunugi H (2010) BDNF function and intracellular signaling in neurons. Histol Histopathol 25:237–258

    CAS  PubMed  PubMed Central  Google Scholar 

  • Ogłodek E, Szota A, Just M, Mos D, Araszkiewicz A (2014) The role of the neuroendocrine and immune systems in the pathogenesis of depression. Pharmacol Rep 66:776–781

    PubMed  Article  CAS  PubMed Central  Google Scholar 

  • Otsuka S, Ohkido T, Itakura M et al (2016) Dual mechanisms of rapid expression of anxiety-related behavior in pilocarpine-treated epileptic mice. Epilepsy Res 123:55–67. https://doi.org/10.1016/j.eplepsyres.2016.04.007

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Park H, Poo MM (2013) Neurotrophin regulation of neural circuit development and function. Nat Rev Neurosci 14:7–23. https://doi.org/10.1038/nrn3379

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Pittenger C, Duman RS (2008) Stress, depression, and neuroplasticity: a convergence of mechanisms. Neuropsychopharmacology 33:88–109

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Polyakova M, Stuke K, Schuemberg K, Mueller K, Schoenknecht P, Schroeter ML (2015) BDNF as a biomarker for successful treatment of mood disorders: a systematic & quantitative meta-analysis. J Affect Disord 174:432–440

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Porritt MJ, Batchelor PE, Howells DW (2005) Inhibiting BDNF expression by antisense oligonucleotide infusion causes loss of nigral dopaminergic neurons. Exp Neurol 192:226–234. https://doi.org/10.1016/j.expneurol.2004.11.030

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Price JL, Drevets WC (2012) Neural circuits underlying the pathophysiology of mood disorders. Trends in Cognitive Sciences 16:61–71

    PubMed  Article  PubMed Central  Google Scholar 

  • Prickaerts J, De Vry J, Boere J et al (2012) Differential BDNF responses of triple versus dual reuptake inhibition in neuronal and astrocytoma cells as well as in rat hippocampus and prefrontal cortex. J Mol Neurosci 48:167–175

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Radhu N, Dominguez LG, Farzan F et al (2015) Evidence for inhibitory deficits in the prefrontal cortex in schizophrenia. Brain 138:483–497. https://doi.org/10.1093/brain/awu360,113

    Article  PubMed  PubMed Central  Google Scholar 

  • Rial D, Lemos C, Pinheiro H et al (2015) Depression as a glial based synaptic dysfunction. Frontiers in Cellular Neuroscience 9:521

    PubMed  PubMed Central  Google Scholar 

  • Ristevska-Dimitrovska G, Shishkov R, Gerazova VP, Vujovik V, Stefanovski B, Novotni A et al (2013) Different serum BDNF levels in depression: results from BDNF studies in FYR Macedonia and Bulgaria. Psychiatr Danub 25:123–127

    CAS  PubMed  PubMed Central  Google Scholar 

  • Rocha RB, Dondossola ER, Grande AJ, Colonetti T, Ceretta LB, Passos IC et al (2016) Increased BDNF levels after electroconvulsive therapy in patients with major depressive disorder: a meta-analysis study. J Psychiatr Res 83:47–53

    PubMed  Article  PubMed Central  Google Scholar 

  • Rodrigues MF, Nardi AE, Levitan M (2017) Mindfulness in mood and anxiety disorders: a review of the literature. Trends Psychiatry Psychother 39:207–215

    PubMed  Article  PubMed Central  Google Scholar 

  • Russo-Neustadt AA, Chen MJ (2005) Brain-derived neurotrophic factor and antidepressant activity. Curr Pharm Des 11:1495–1510

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Saijo K, Winner B, Carson CT, Collier JG, Boyer L, Rosenfeld MG, Glass CK (2009) A Nurr1/CoREST pathway in microglia and astrocytes protects dopaminergic neurons from inflammation-induced death. Cell 137:47–59

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Sapolsky RM (1996) Stress, glucocorticoids, and damage to the nervous system: the current state of confusion. Stress 1:1–19

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Satomura E, Baba H, Nakano Y, Maeshima H, Suzuki T, Arai H (2011) Correlations between brain-derived neurotrophic factor and clinical symptoms in medicated patients with major depression. J Affect Disord 135:332–335

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Scalzo P, Kümmer A, Bretas TL et al (2010) Serum levels of brain-derived neurotrophic factor correlate with motor impairment in Parkinson’s disease. J Neurol 257:540–545. https://doi.org/10.1007/s00415-009-5357-2

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Schramm PJ, Poland RE, Rao U (2014) Bupropion response on sleep quality in patients with depression: implications for increased cardiovascular disease risk. Eur Neuropsychopharmacol 24:207–214

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Segal ZV, Dinh-Williams LA (2016) Mindfulness-based cognitive therapy for relapse prophylaxis in mood disorders. World Psychiatry 15:289–291

    PubMed  PubMed Central  Article  Google Scholar 

  • Sen S, Duman R, Sanacora G (2008) Serum Brain-Derived Neurotrophic Factor, Depression, and Antidepressant Medications: Meta-Analyses and Implications. Biol Psychiat 64:527–532

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Shabbir F, Patel A, Mattison C, Bose S, Krishnamohan R, Sweeney E et al (2013) Effect of diet on serotonergic neurotransmission in depression. Neurochem Int 62:324–329

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Shen X, Qian M, Yuan Y, Sun J, Zhong H, Yang J et al (2014) Research on association of BDNF gene Val66Met polymorphism with efficacy of antidepressants and plasma BDNF level. Zhonghua Yi Xue Yi Chuan Xue Za Zhi 31:196–200

    CAS  PubMed  PubMed Central  Google Scholar 

  • Smith K (2014) Mental health: a world of depression. Nature 515:181

    PubMed  PubMed Central  Google Scholar 

  • Song JH, Yu JT, Tan L (2015) Brain-derived neurotrophic factor in Alzheimer’s disease: risk, mechanisms, and therapy. Mol Neurobiol 52:1477–1493

    CAS  PubMed  Article  Google Scholar 

  • Song X, Liu B, Cui L, Zhou B, Liu W, Xu F et al (2017) Silibinin ameliorates anxiety/depression-like behaviors in amyloid b-treated rats by upregulating BDNF/TrkB pathway and attenuating autophagy in hippocampus. Physiol Behav 179:487–493

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Takahashi M, Shirakawa O, Toyooka K et al (2000) Abnormal expression of brain-derived neurotrophic factor and its receptor in the corticolimbic system of schizophrenic patients. Mol Psychiatry 5:293–300. https://doi.org/10.1038/sj.mp.4000718

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Takano K, Yamasaki H, Kawabe K, Moriyama M, Nakamura Y (2012) Imipramine induces brain derived neurotrophic factor mRNA expression in cultured astrocytes. J Pharmacol Sci 120:176–186

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Teixeira AL, Barbosa IG, Diniz BS, Kummer A (2010) Circulating levels of brain-derived neurotrophic factor: correlation with mood, cognition and motor function. Biomarkers in Medicine 4:871–887

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Tejeda GS, Diaz-Guerra M (2017) Integral characterization of defective BDNF/TrkB Signalling in neurological and psychiatric disorders leads the way to new therapies. Int J Mol Sci 18:268. https://doi.org/10.3390/ijms18020268

    CAS  Article  PubMed Central  Google Scholar 

  • Thompson Ray M, Weickert CS, Wyatt E, Webster MJ (2011) Decreased BDNF, trkB-TK+ and GAD67 mRNA expression in the hippocampus of individuals with schizophrenia and mood disorders. J Psychiatry Neurosci 36:195–203

    PubMed  Article  PubMed Central  Google Scholar 

  • Tunca Z, Ozerdem A, Ceylan D et al (2014) Alterations in BDNF (brain derived neurotrophic factor) and GDNF (glial cell line-derived neurotrophic factor) serum levels in bipolar disorder: the role of lithium. J Affect Disord 166:193–200. https://doi.org/10.1016/j.jad.2014.05.012

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Tynan R, Naicker S, Hinwood M, Nalivaiko E, Buller KM, Pow DV et al (2010) Chronic stress alters the density and morphology of microglia in a subset of stress-responsive brain regions. Brain Behav Immun 24:1058–1068

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Unsain N, Montroull LE, Mascó DH (2009) Brain-derived neurotrophic factor facilitates TrkB down-regulation and neuronal injury after status epilepticus in the rat hippocampus. J Neurochem 111:428–440. https://doi.org/10.1111/j.1471-4159.2009.06342.x

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • van der Meij A, Comijs HC, Dols A, Janzing JG, Oude Voshaar RC (2014) BDNF in late-life depression: effect of SSRI usage and interaction with childhood abuse. Psychoneuroendocrinology 43:81–89

    PubMed  Article  CAS  PubMed Central  Google Scholar 

  • Ventriglia M, Zanardini R, Bonomini C et al (2013) Serum brain-derived neurotrophic factor levels in different neurological diseases. Biomed Res Int 2013:901082. https://doi.org/10.1155/2013/901082

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Verhagen M, van der Meij A, van Deurzen PA et al (2010) Meta-analysis of the BDNF Val66Met polymorphism in major depressive disorder: effects of gender and ethnicity. Molecular Psychiatry 15:260–271

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Villanueva R (2013) Neurobiology of major depressive disorder. Neural Plasticity 2013:873278

    PubMed  PubMed Central  Article  Google Scholar 

  • Wang HY, Crupi D, Liu J, Stucky A, Cruciata G, Di Rocco A et al (2011) Repetitive transcranial magnetic stimulation enhances BDNFTrkB signaling in both brain and lymphocyte. J Neurosci 31:11044–11054

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Wang W, Liu X, Liu J, Cai E, Zhao Y, Li H et al (2018) Sesquiterpenoids from the root of Panax ginseng attenuates lipopolysaccharide-induced depressive-like behavior through the brain-derived neurotrophic factor/tropomyosin-related kinase B and sirtuin type 1/nuclear factor-kB signaling pathways. J Agric Food Chem 66:265–271

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Wang X, Zheng X, Ma C, Zhao L (2015) Role of TRIF small interference RNA (siRNA) in chronic Experimental Allergic Encephalomyelitis (EAE). Med Sci Monit 21:2583–2587

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Wang Y, Wang B, Lu J, Shi H, Gong S, Wang Y et al (2017) Fisetin provides antidepressant effects by activating the tropomyosin receptor kinase B signal pathway in mice. J Neurochem 143:561–568

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Weickert CS, Hyde TM, Lipska BK et al (2003) Reduced brain-derived neurotrophic factor in prefrontal cortex of patients with schizophrenia. Mol Psychiatry 8:592–610. https://doi.org/10.1038/sj.mp.4001308

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Wetsel WC, Rodriguiz RM, Guillemot J et al (2013) Disruption of the expression of the proprotein convertase PC7 reduces BDNF production and affects learning and memory in mice. Proc Natl Acad Sci USA 110:17362–17367

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Wiener CD, de Mello FS, Pedrotti Moreira F, Bittencourt G, de Oliveira JF, Lopez Molina M et al (2015) Serum levels of nerve growth factor (NGF) in patients with major depression disorder and suicide risk. J Affect Disord 184:245–248

    CAS  PubMed  Article  Google Scholar 

  • Willeumier K, Taylor DV, Amen DG (2011) Decreased cerebral blood flow in the limbic and prefrontal cortex using SPECT imaging in a cohort of completed suicides. Translational Psychiatry 1:e28

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Wook Koo J, Labonté B, Engmann O, Calipari ES, Juarez B, Lorsch Z et al (2016) Essential role of mesolimbic brain-derived neurotrophic factor in chronic social stress-induced depressive behaviors. Biol Psychiatry 80:469–478

    PubMed  Article  CAS  Google Scholar 

  • Yan T, Wang L, Kuang W et al (2014) Brain-derived neurotrophic factor Val66Met polymorphism association with antidepressant efficacy: a systematic review and meta-analysis. Asia Pacific Psychiatry 6:241–251

    PubMed  Article  Google Scholar 

  • Yang QQ, Zhou JW (2019) Neuroinflammation in the central nervous system: Symphony of glial cells. Glia 67:1017–1035

    PubMed  Article  Google Scholar 

  • Yirmiya R, Rimmerman N, Reshef R (2015) Depression as a microglial disease. Trends Neurosci 38:637–658

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Yoshida T, Ishikawa M, Niitsu T, Nakazato M, Watanabe H, Shiraishi T et al (2012) Decreased serum levels of mature brain-derived neurotrophic factor (BDNF), but not its precursor proBDNF, in patients with major depressive disorder. PLoS ONE 7:e42676

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Yoshimura R, Mitoma M, Sugita A, Hori H, Okamoto T, Umene W et al (2007) Effects of paroxetine or milnacipran on serum brain-derived neurotrophic factor in depressed patients. Prog Neuropsychopharmacol Biol Psychiatry 31:1034–1037

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Yu H, Chen ZY (2011) The role of BDNF in depression on the basis of its location in the neural circuitry. Acta Pharmacol Sin 32:3–11

    CAS  PubMed  Article  Google Scholar 

  • Yuan J, Yankner BA (2000) Apoptosis in the nervous system. Nature 407:802–809

    CAS  PubMed  Article  PubMed Central  Google Scholar 

  • Zarate C, Duman RS, Liu G, Sartori S, Quiroz J, Murck H (2013) New paradigms for treatment-resistant depression. Ann N Y Acad Sci 1292:21–31

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Zhang JC, Yao W, Ren Q, Yang C, Dong C, Ma M et al (2016) Depression-like phenotype by deletion of a7 nicotinic acetylcholine receptor: role of BDNFTrkB in nucleus accumbens. Sci Rep 6:36705

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Zhao G, Zhang C, Chen J et al (2016) Ratio of mBDNF to proBDNF for differential diagnosis of major depressive disorder and bipolar depression. Mol Neurobiol 54:5573–5582

    PubMed  Article  CAS  PubMed Central  Google Scholar 

  • Zhao X, Sun L, Sun YH, Ren C, Chen J, Wu ZQ et al (2014) Association of HTR2A T102C and A-1438G polymorphisms with susceptibility to major depressive disorder: a meta-analysis. Neurol Sci 35:1857–1866

    PubMed  Article  Google Scholar 

  • Zhou C, Zhong J, Zou B, Fang L, Chen J, Deng X et al (2017) Meta analyses of comparative efficacy of antidepressant medications on peripheral BDNF concentration in patients with depression. PLoS ONE 12:e0172270

    PubMed  PubMed Central  Article  CAS  Google Scholar 

  • Zhou LJ, Yang T, Wei X et al (2011) Brain-derived neurotrophic factor contributes to spinal long-term potentiation and mechanical hypersensitivity by activation of spinal microglia in rat. Brain Behav Immun 25:322–334

    CAS  PubMed  Article  PubMed Central  Google Scholar 

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Acknowledgments

The authors would like to thank Chitkara University, Punjab, India for providing the basic facilities for completion of the current article.

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TR and TB: Conceived the idea and wrote the first draft. AS: Figure work. PS: Data compilation. SB: Proofreading.

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Correspondence to Tapan Behl.

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Rana, T., Behl, T., Sehgal, A. et al. Unfolding the Role of BDNF as a Biomarker for Treatment of Depression. J Mol Neurosci 71, 2008–2021 (2021). https://doi.org/10.1007/s12031-020-01754-x

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Keywords

  • Depression
  • Brain-derived neurotrophic factor
  • Mental illness
  • Neuroplasticity
  • Neurogenesis
  • Antidepressant