Peripheral BDNF Produces Antidepressant-Like Effects in Cellular and Behavioral Models

Recent clinical studies demonstrate that serum levels of brain-derived neurotrophic factor (BDNF) are significantly decreased in patients with major depressive disorder (MDD) and that antidepressant treatments reverse this effect, indicating that serum BDNF is a biomarker of MDD. These findings raise the possibility that serum BDNF may also have effects on neuronal activity and behavior, but the functional significance of altered serum BDNF is unknown. To address this issue, we determined the influence of peripheral BDNF administration on depressionand anxiety-like behavior, including the forced swim test (FST), chronic unpredictable stress (CUS)/anhedonia, noveltyinduced hypophagia (NIH) test, and elevated-plus maze (EPM). Furthermore, we examined adult hippocampal neurogenesis as well as hippocampal and striatal expression of BDNF, extracellular signal-regulated kinase (ERK) and cAMP response element-binding protein (CREB), in order to determine whether peripherally administered BDNF produces antidepressant-like cellular responses in the brain. Peripheral BDNF administration increased mobility in the FST, attenuated the effects of CUS on sucrose consumption, decreased latency in the NIH test, and increased time spent in the open arms of an EPM. Moreover, adult hippocampal neurogenesis was increased after chronic, peripheral BDNF administration. We also found that BDNF levels as well as expression of pCREB and pERK were elevated in the hippocampus of adult mice receiving peripheral BDNF. Taken together, these results indicate that peripheral/serum BDNF may not only represent a biomarker of MDD, but also have functional consequences on molecular signaling substrates, neurogenesis, and behavior. Neuropsychopharmacology (2010) 35, 2378–2391; doi:10.1038/npp.2010.114; published online 4 August 2010

[1]  I. Lucki,et al.  Central administration of IGF-I and BDNF leads to long-lasting antidepressant-like effects , 2005, Brain Research.

[2]  J. Virchow,et al.  Neurotrophins in murine viscera: a dynamic pattern from birth to adulthood , 2005, International Journal of Developmental Neuroscience.

[3]  R. Duman,et al.  Localization of Phosphorylated cAMP Response Element-Binding Protein in Immature Neurons of Adult Hippocampus , 2002, Journal of Neuroscience.

[4]  S. Radka,et al.  Presence of brain-derived neurotrophic factor in brain and human and rat but not mouse serum detected by a sensitive and specific immunoassay , 1996, Brain Research.

[5]  E. Domenici,et al.  Chronic Social Stress Inhibits Cell Proliferation in the Adult Medial Prefrontal Cortex: Hemispheric Asymmetry and Reversal by Fluoxetine Treatment , 2007, Neuropsychopharmacology.

[6]  M. Papp,et al.  Decreased hedonic responsiveness following chronic mild stress is not secondary to loss of body weight , 1996, Physiology & Behavior.

[7]  R. Neve,et al.  Expression of the cAMP response element binding protein (CREB) in hippocampus produces an antidepressant effect , 2001, Biological Psychiatry.

[8]  E. Nestler,et al.  Regulation of Neurogenesis in Adult Mouse Hippocampus by cAMP and the cAMP Response Element-Binding Protein , 2002, The Journal of Neuroscience.

[9]  W. Pardridge,et al.  Combined Use of Carboxyl-Directed Protein Pegylation and Vector-Mediated Blood-Brain Barrier Drug Delivery System Optimizes Brain Uptake of Brain-Derived Neurotrophic Factor Following Intravenous Administration , 1998, Pharmaceutical Research.

[10]  Chien-Te Lee,et al.  Serum brain-derived neurotrophic factor levels in patients with major depression: effects of antidepressants. , 2008, Journal of psychiatric research.

[11]  B. Roth,et al.  Morphometric evidence for neuronal and glial prefrontal cell pathology in major depression∗ ∗ See accompanying Editorial, in this issue. , 1999, Biological Psychiatry.

[12]  E. Nestler,et al.  The many faces of CREB , 2005, Trends in Neurosciences.

[13]  M. Barrot,et al.  Essential role of brain-derived neurotrophic factor in adult hippocampal function. , 2004, Proceedings of the National Academy of Sciences of the United States of America.

[14]  M. Egan,et al.  The BDNF val66met Polymorphism Affects Activity-Dependent Secretion of BDNF and Human Memory and Hippocampal Function , 2003, Cell.

[15]  G. Lewin,et al.  Cellular sources of enhanced brain-derived neurotrophic factor production in a mouse model of allergic inflammation. , 1999, American journal of respiratory cell and molecular biology.

[16]  T. Olsson,et al.  Increased Brain‐Derived Neurotrophic Factor Expression in White Blood Cells of Relapsing–Remitting Multiple Sclerosis Patients , 2003, Scandinavian journal of immunology.

[17]  Deanna L. Wallace,et al.  CREB regulation of nucleus accumbens excitability mediates social isolation–induced behavioral deficits , 2009, Nature Neuroscience.

[18]  D. Dunner,et al.  Comorbidity of Mood and Anxiety Disorders. , 1991, The American journal of psychiatry.

[19]  M. Saarma,et al.  Multiple promoters direct tissue-specific expression of the rat BDNF gene , 1993, Neuron.

[20]  W. Luttmann,et al.  The Neurotrophins Nerve Growth Factor, Brain-derived Neurotrophic Factor, Neurotrophin-3, and Neurotrophin-4 Are Survival and Activation Factors for Eosinophils in Patients with Allergic Bronchial Asthma , 2003, The Journal of experimental medicine.

[21]  Yogesh K. Dwivedi,et al.  Altered gene expression of brain-derived neurotrophic factor and receptor tyrosine kinase B in postmortem brain of suicide subjects. , 2003, Archives of general psychiatry.

[22]  M. Picciotto,et al.  Sex differences in response to oral amitriptyline in three animal models of depression in C57BL/6J mice , 2003, Psychopharmacology.

[23]  Danielle L. Graham,et al.  Essential Role of BDNF in the Mesolimbic Dopamine Pathway in Social Defeat Stress , 2006, Science.

[24]  P. Pasqualetti,et al.  Electroconvulsive Therapy (ECT) increases serum Brain Derived Neurotrophic Factor (BDNF) in drug resistant depressed patients , 2006, European Neuropsychopharmacology.

[25]  H. Cameron,et al.  Adult neurogenesis is regulated by adrenal steroids in the dentate gyrus , 1994, Neuroscience.

[26]  J. Flint,et al.  Chronic fluoxetine treatment alters behavior, but not adult hippocampal neurogenesis, in BALB/cJ mice , 2008, Molecular Psychiatry.

[27]  R. Duman,et al.  Peripheral insulin-like growth factor-I produces antidepressant-like behavior and contributes to the effect of exercise , 2009, Behavioural Brain Research.

[28]  JaneR . Taylor,et al.  Acute Hippocampal Brain-Derived Neurotrophic Factor Restores Motivational and Forced Swim Performance After Corticosterone , 2008, Biological Psychiatry.

[29]  J. Aubry,et al.  Decreased serum brain-derived neurotrophic factor levels in major depressed patients , 2002, Psychiatry Research.

[30]  R. Duman,et al.  Chronic olanzapine or fluoxetine administration increases cell proliferation in hippocampus and prefrontal cortex of adult rat , 2004, Biological Psychiatry.

[31]  G. Sobue,et al.  Expression of mRNAs for neurotrophic factors (NGF, BDNF, NT-3, and GDNF) and their receptors (p75ngfr, TrkA, TrkB, and TrkC) in the adult human peripheral nervous system and nonneural tissues , 1996, Neurochemical Research.

[32]  M. Schwald,et al.  Neurotrophin levels in postmortem brains of suicide victims and the effects of antemortem diagnosis and psychotropic drugs. , 2005, Brain research. Molecular brain research.

[33]  R. Hen,et al.  Drug-Dependent Requirement of Hippocampal Neurogenesis in a Model of Depression and of Antidepressant Reversal , 2008, Biological Psychiatry.

[34]  G. Chrousos,et al.  Organization of the stress system and its dysregulation in melancholic and atypical depression: high vs low CRH/NE states , 2002, Molecular Psychiatry.

[35]  Felipe Fregni,et al.  A systematic review and meta-analysis of clinical studies on major depression and BDNF levels: implications for the role of neuroplasticity in depression. , 2008, The international journal of neuropsychopharmacology.

[36]  Flavia Chiarotti,et al.  Intrahippocampal administration of BDNF in adult rats affects short‐term behavioral plasticity in the Morris water maze and performance in the elevated plus‐maze , 2004, Hippocampus.

[37]  E. Castrén,et al.  Transgenic mice overexpressing the full-length neurotrophin receptor trkB exhibit increased activation of the trkB–PLCγ pathway, reduced anxiety, and facilitated learning , 2004, Molecular and Cellular Neuroscience.

[38]  P. Eriksson,et al.  Peripheral Infusion of IGF-I Selectively Induces Neurogenesis in the Adult Rat Hippocampus , 2000, The Journal of Neuroscience.

[39]  H. Schmidt,et al.  Future Antidepressant Targets: Neurotrophic Factors and Related Signaling Cascades. , 2008, Drug discovery today. Therapeutic strategies.

[40]  Ronald S Duman,et al.  Electroconvulsive Seizure Treatment Increases Cell Proliferation in Rat Frontal Cortex , 2005, Neuropsychopharmacology.

[41]  N. Matsuoka,et al.  Advances in small molecules promoting neurotrophic function. , 2007, Pharmacology & therapeutics.

[42]  G. MacQueen,et al.  Increased hippocampal bdnf immunoreactivity in subjects treated with antidepressant medication , 2001, Biological Psychiatry.

[43]  S. File,et al.  Validation of open : closed arm entries in an elevated plus-maze as a measure of anxiety in the rat , 1985, Journal of Neuroscience Methods.

[44]  N. Gervasoni,et al.  Partial Normalization of Serum Brain-Derived Neurotrophic Factor in Remitted Patients after a Major Depressive Episode , 2005, Neuropsychobiology.

[45]  T. Uzbay,et al.  Brain-derived neurotrophic factor (BDNF) changes in the serum of depressed women , 2006, Progress in Neuro-Psychopharmacology and Biological Psychiatry.

[46]  Sabine Landau,et al.  Reduced neuronal size and glial cell density in area 9 of the dorsolateral prefrontal cortex in subjects with major depressive disorder. , 2002, Cerebral cortex.

[47]  F. Taneli,et al.  The effect of chronic antidepressant treatment on serum brain-derived neurotrophic factor levels in depressed patients: a preliminary study , 2005, Progress in Neuro-Psychopharmacology and Biological Psychiatry.

[48]  R. Duman,et al.  A Role for MAP Kinase Signaling in Behavioral Models of Depression and Antidepressant Treatment , 2007, Biological Psychiatry.

[49]  E. Castrén,et al.  Activation of the TrkB Neurotrophin Receptor Is Induced by Antidepressant Drugs and Is Required for Antidepressant-Induced Behavioral Effects , 2003, The Journal of Neuroscience.

[50]  J. Siuciak,et al.  Antidepressant-Like Effect of Brain-derived Neurotrophic Factor (BDNF) , 1997, Pharmacology Biochemistry and Behavior.

[51]  Sun-Hwa Park,et al.  Decreased plasma BDNF level in depressive patients. , 2007, Journal of affective disorders.

[52]  K. Kendler,et al.  Causal relationship between stressful life events and the onset of major depression. , 1999, The American journal of psychiatry.

[53]  R. Duman,et al.  Serum Brain-Derived Neurotrophic Factor, Depression, and Antidepressant Medications: Meta-Analyses and Implications , 2008, Biological Psychiatry.

[54]  M. Banasr,et al.  Regulation of neurogenesis and gliogenesis by stress and antidepressant treatment. , 2007, CNS & neurological disorders drug targets.

[55]  R A Bryant,et al.  Interactions between BDNF Val66Met polymorphism and early life stress predict brain and arousal pathways to syndromal depression and anxiety , 2009, Molecular Psychiatry.

[56]  Mikko Sairanen,et al.  Brain-Derived Neurotrophic Factor and Antidepressant Drugs Have Different But Coordinated Effects on Neuronal Turnover, Proliferation, and Survival in the Adult Dentate Gyrus , 2005, The Journal of Neuroscience.

[57]  F. Taneli,et al.  Effect of treatment on serum brain–derived neurotrophic factor levels in depressed patients , 2005, European Archives of Psychiatry and Clinical Neuroscience.

[58]  Jess Li,et al.  Vascular endothelial cells synthesize and secrete brain‐derived neurotrophic factor , 2000, FEBS letters.

[59]  R. Duman,et al.  Brain-Derived Neurotrophic Factor Produces Antidepressant Effects in Behavioral Models of Depression , 2002, The Journal of Neuroscience.

[60]  J. Gorman Comorbid depression and anxiety spectrum disorders , 1996, Depression and anxiety.

[61]  P. Rossini,et al.  Effect of repetitive transcranial magnetic stimulation on serum brain derived neurotrophic factor in drug resistant depressed patients. , 2006, Journal of affective disorders.

[62]  R. Lister The use of a plus-maze to measure anxiety in the mouse , 2004, Psychopharmacology.

[63]  R. Hen,et al.  Behavioral Effects of Chronic Fluoxetine in BALB/cJ Mice Do Not Require Adult Hippocampal Neurogenesis or the Serotonin 1A Receptor , 2008, Neuropsychopharmacology.

[64]  E. Jones,et al.  Coexpression of mRNAs for NGF, BDNF, and NT-3 in the cardiovascular system of the pre- and postnatal rat , 1993, The Journal of neuroscience : the official journal of the Society for Neuroscience.

[65]  P. Willner Validity, reliability and utility of the chronic mild stress model of depression: a 10-year review and evaluation , 1997, Psychopharmacology.

[66]  R. Kerwin,et al.  Reduced glial cell density and neuronal size in the anterior cingulate cortex in major depressive disorder. , 2001, Archives of general psychiatry.

[67]  JaneR . Taylor,et al.  Chronic Unpredictable Stress Decreases Cell Proliferation in the Cerebral Cortex of the Adult Rat , 2007, Biological Psychiatry.

[68]  M. Banasr,et al.  Glial Loss in the Prefrontal Cortex Is Sufficient to Induce Depressive-like Behaviors , 2008, Biological Psychiatry.

[69]  Kenji F. Tanaka,et al.  Synergistic neurochemical and behavioural effects of acute intrahippocampal injection of brain-derived neurotrophic factor and antidepressants in adult mice. , 2009, The international journal of neuropsychopharmacology.

[70]  S. Tonegawa,et al.  Transgenic brain-derived neurotrophic factor expression causes both anxiogenic and antidepressant effects , 2006, Proceedings of the National Academy of Sciences.

[71]  H. Schmidt,et al.  The role of neurotrophic factors in adult hippocampal neurogenesis, antidepressant treatments and animal models of depressive-like behavior , 2007, Behavioural pharmacology.

[72]  Eric J. Nestler,et al.  Inhibition of cAMP Response Element-Binding Protein or Dynorphin in the Nucleus Accumbens Produces an Antidepressant-Like Effect , 2002, The Journal of Neuroscience.

[73]  C. Siao,et al.  Genetic Variant BDNF (Val66Met) Polymorphism Alters Anxiety-Related Behavior , 2006, Science.

[74]  R. Duman,et al.  A Neurotrophic Model for Stress-Related Mood Disorders , 2006, Biological Psychiatry.

[75]  P. Willner Chronic Mild Stress (CMS) Revisited: Consistency and Behavioural-Neurobiological Concordance in the Effects of CMS , 2005, Neuropsychobiology.

[76]  C. Belzung,et al.  Mouse strain differences in the unpredictable chronic mild stress: a four-antidepressant survey , 2008, Behavioural Brain Research.

[77]  JaneR . Taylor,et al.  Regionally Specific Regulation of ERK MAP Kinase in a Model of Antidepressant-Sensitive Chronic Depression , 2008, Biological Psychiatry.

[78]  George Paxinos,et al.  The Mouse Brain in Stereotaxic Coordinates , 2001 .

[79]  N. Uranova,et al.  Oligodendroglial density in the prefrontal cortex in schizophrenia and mood disorders: a study from the Stanley Neuropathology Consortium , 2004, Schizophrenia Research.

[80]  I. Lucki,et al.  Differential behavioral effects of the antidepressants reboxetine, fluoxetine, and moclobemide in a modified forced swim test following chronic treatment , 2005, Psychopharmacology.

[81]  E. Alleva,et al.  Early social enrichment augments adult hippocampal BDNF levels and survival of BrdU‐positive cells while increasing anxiety‐ and “depression”‐like behavior , 2006, Journal of neuroscience research.

[82]  R. Penn,et al.  Intrastriatal and intraventricular infusion of brain-derived neurotrophic factor in the cynomologous monkey: Distribution, retrograde transport and co-localization with substantia nigra dopamine-containing neurons , 1996, Neuroscience.

[83]  N. Gervasoni,et al.  Low Brain-Derived Neurotrophic Factor (BDNF) levels in serum of depressed patients probably results from lowered platelet BDNF release unrelated to platelet reactivity , 2005, Biological Psychiatry.

[84]  R. Hen,et al.  Chronic Fluoxetine Stimulates Maturation and Synaptic Plasticity of Adult-Born Hippocampal Granule Cells , 2008, The Journal of Neuroscience.

[85]  Y. Li,et al.  A neurotrophin axis in myeloma: TrkB and BDNF promote tumor-cell survival. , 2005, Blood.

[86]  E. Nestler,et al.  The Mesolimbic Dopamine Reward Circuit in Depression , 2006, Biological Psychiatry.

[87]  R. Duman,et al.  VEGF is an essential mediator of the neurogenic and behavioral actions of antidepressants , 2007, Proceedings of the National Academy of Sciences.

[88]  G. L. Curran,et al.  Permeability at the blood-brain and blood-nerve barriers of the neurotrophic factors: NGF, CNTF, NT-3, BDNF. , 1996, Brain research. Molecular brain research.

[89]  E. Nestler,et al.  Altered Responsiveness to Cocaine and Increased Immobility in the Forced Swim Test Associated with Elevated cAMP Response Element-Binding Protein Expression in Nucleus Accumbens , 2001, The Journal of Neuroscience.

[90]  J. Virchow,et al.  Platelet and plasma BDNF in lower respiratory tract infections of the adult. , 2007, Respiratory medicine.

[91]  T. Isono,et al.  Expression of neurotrophin messenger RNAs during rat urinary bladder development , 2002, Neuroscience Letters.

[92]  A. Baiker,et al.  VEGF is necessary for exercise‐induced adult hippocampal neurogenesis , 2003, The European journal of neuroscience.

[93]  Brigitta B. Gundersen,et al.  Effects of Chronic Fluoxetine in Animal Models of Anxiety and Depression , 2004, Neuropsychopharmacology.

[94]  R. Hen,et al.  Recent advances in animal models of chronic antidepressant effects: The novelty-induced hypophagia test , 2005, Neuroscience & Biobehavioral Reviews.

[95]  William A Banks,et al.  Transport of brain-derived neurotrophic factor across the blood–brain barrier , 1998, Neuropharmacology.

[96]  R. Yoshimura,et al.  Effects of paroxetine or milnacipran on serum brain-derived neurotrophic factor in depressed patients , 2007, Progress in Neuro-Psychopharmacology and Biological Psychiatry.

[97]  R. Yoshimura,et al.  Efficacy of electroconvulsive therapy is associated with changing blood levels of homovanillic acid and brain-derived neurotrophic factor (BDNF) in refractory depressed patients: A pilot study , 2008, Progress in Neuro-Psychopharmacology and Biological Psychiatry.

[98]  S. Wiegand,et al.  Brain-derived neurotrophic factor augments rotational behavior and nigrostriatal dopamine turnover in vivo. , 1992, Proceedings of the National Academy of Sciences of the United States of America.

[99]  R. Hen,et al.  Requirement of Hippocampal Neurogenesis for the Behavioral Effects of Antidepressants , 2003, Science.

[100]  E. Castrén,et al.  Role of neurotrophic factors in depression. , 2007, Current opinion in pharmacology.

[101]  K. Hashimoto,et al.  Alterations of serum levels of brain-derived neurotrophic factor (BDNF) in depressed patients with or without antidepressants , 2003, Biological Psychiatry.

[102]  Changsu Han,et al.  Low plasma BDNF is associated with suicidal behavior in major depression , 2007, Progress in Neuro-Psychopharmacology and Biological Psychiatry.

[103]  R. Penn,et al.  Intrastriatal Infusions of Brain-Derived Neurotrophic Factor: Retrograde Transport and Colocalization with Dopamine Containing Substantia Nigra Neurons in Rat , 1994, Experimental Neurology.

[104]  M. Barrot,et al.  Brain-derived neurotrophic factor in the ventral midbrain–nucleus accumbens pathway: a role in depression , 2003, Biological Psychiatry.

[105]  Hans Lassmann,et al.  Activated Human T Cells, B Cells, and Monocytes Produce Brain-derived Neurotrophic Factor In Vitro and in Inflammatory Brain Lesions: A Neuroprotective Role of Inflammation? , 1999, The Journal of experimental medicine.

[106]  W. Pardridge,et al.  Conjugation of brain-derived neurotrophic factor to a blood–brain barrier drug targeting system enables neuroprotection in regional brain ischemia following intravenous injection of the neurotrophin , 2001, Brain Research.

[107]  R. Paus,et al.  Abundant production of brain-derived neurotrophic factor by adult visceral epithelia. Implications for paracrine and target-derived Neurotrophic functions. , 1999, The American journal of pathology.