Bdnf val66met impairs fluoxetine-induced enhancement of adult hippocampus plasticity
Neuropsychopharmacology (2012), 1–8& 2012 American College of Neuropsychopharmacology. All rights reserved 0893-133X/12
BDNF Val66Met Impairs Fluoxetine-Induced Enhancementof Adult Hippocampus Plasticity
Kevin G Bath*,1,2, Deqiang Q Jing1, Iva Dincheva1, Christine C Neeb1, Siobhan S Pattwell1, Moses V Chao3,
Francis S Lee*,1,4 and Ipe Ninan*,5
Department of Psychiatry, Weill Medical College of Cornell, New York, NY, USA; 2Department of Neuroscience, Brown University, Providence, RI,
USA; 3Department of Cell Biology, Physiology and Neuroscience, and Psychiatry, The Helen L. and Martin S. Kimmel Center for Biology and
Medicine at the Skirball Institute for Biomolecular Medicine, New York University School of Medicine, New York, NY, USA; 4Department of
Pharmacology, Weill Medical College of Cornell, New York, NY, USA; 5Department of Psychiatry, New York University School of Medicine,
New York, NY, USA
Recently, a single-nucleotide polymorphism (SNP) in the brain-derived neurotrophic factor (BDNF) gene (BDNF Val66Met) has been linked
to the development of multiple forms of neuropsychiatric illness. This SNP, when genetically introduced into mice, recapitulates core
phenotypes identified in human BDNF Val66Met carriers. In mice, this SNP also leads to elevated expression of anxiety-like behaviors
that are not rescued with the prototypic selective serotonin reuptake inhibitor (SSRI), fluoxetine. A prominent hypothesis is that SSRI-
induced augmentation of BDNF protein expression and the beneficial trophic effects of BDNF on neural plasticity are critical components
for drug response. Thus, these mice represent a potential model to study the biological mechanism underlying treatment-resistant forms
of affective disorders. To test whether the BDNF Val66Met SNP alters SSRI-induced changes in neural plasticity, we used wild-type
(BDNFVal/Val) mice, and mice homozygous for the BDNF Val66Met SNP (BDNFMet/Met). We assessed hippocampal BDNF protein levels,
survival rates of adult born cells, and synaptic plasticity (long-term potentiation, LTP) in the dentate gyrus either with or without chronic
(28-day) fluoxetine treatment. BDNFMet/Met mice had decreased basal BDNF protein levels in the hippocampus that did not significantly
increase following fluoxetine treatment. BDNFMet/Met mice had impaired survival of newly born cells and LTP in the dentate gyrus; the
LTP effects remained blunted following fluoxetine treatment. The observed effects of the BDNF Val66Met SNP on hippocampal BDNF
expression and synaptic plasticity provide a possible mechanistic basis by which this common BDNF SNP may impair efficacy of SSRI drug
Neuropsychopharmacology advance online publication, 4 January 2012;
Keywords: BDNF Val66Met SNP; hippocampus; neurogenesis; plasticity; fluoxetine; LTP
In rodent models, nearly allantidepressant regimens tested to date increase BDNF
Brain-derived neurotrophic factor (BDNF) is a critical
within the adult hippocampus
regulator of activity-dependent plasticity in the adult brain
a brain region heavily implicated
in the expression of anxiety and depressive-like symptoms
Genetic or environmental factors that disrupt BDNF
. In rodents, the genetic ablation of
expression or signaling have been associated with the
BDNF leads to a blockade in the response to standard
development of a number of neuropsychiatric disorders,
antidepressant regimens ;
including major depression (
Furthermore, the infusion of BDNF proteininto the brains of rodents has antidepressant effects
*Correspondence: Dr FS Lee, Department of Psychiatry, Weill Medical
College of Cornell University, Weill Cornell Medical College, 1300
some to propose that augmentation of BDNF expression via
York Avenue (LC-905), Box 244, New York, NY 10021, USA, Tel: + 1
chronic antidepressant treatment, and the subsequent
212 746 5403, Fax: + 1 212 746 8529, E-mail:
trophic effects of BDNF on neural plasticity, may be one
or Dr I Ninan, Department of Psychiatry, New York University School
of the critical mechanisms underlying antidepressant
of Medicine, 540 1Ave, SKI 5-3, New York NY 10016, USA, Tel: + 1
347 535 0710, Fax: + 1 212 263 0723, E-mail:
The neurotrophic hypothesis of antidepressant response
or Dr KG Bath, Department of Neuroscience, Brown University, 185
has become particularly relevant given the recent discovery
Meeting Street, Providence, RI 02916, USA, Tel: + 1 401 863 1054,E-mail:
of a uniquely human single-nucleotide polymorphism
Received 5 August 2011; revised 28 October 2011; accepted 17
(SNP) in the BDNF gene (BDNF Val66Met;
This SNP leads to a nucleotide change from G to A at
BDNF Val66Met impairs SSRI-augmented plasticity
position 196 and subsequent amino acid change at position
MATERIALS AND METHODS
66 in the BDNF prodomain, from valine to methionine, andinterferes with the trafficking of BDNF mRNA
), as well as a selective impairment in the activity-
All mice used in these studies were adult males (3–4 months
dependent release of BDNF (
of age), housed in standard shoebox cages on a 12 : 12
Human carriers of this SNP have
reverse light/dark schedule. BDNF knockout mice as
impairments in hippocampus-dependent memories and
described in and TrkB knockout mice
the extinction of learned fear
as described in (along with wild-type
Male BDNF Val66Met carriers have been shown
littermate controls were also used for cell survival studies.
to be at increased risk to develop depression, an effect that
For the remainder of studies, BDNF Val66Met knock-in
has recently been confirmed by the largest meta-analysis to
mice (BDNFMet/Met) and wild-type (BDNFVal/Val) littermate
date ). In addition, carriers of the
controls as described in were used.
BDNF Val66Met SNP that develop depression often
All mouse lines were fully backcrossed (minimum of 10
demonstrate more severe symptoms than individuals who
generations) onto an inbred C57BL/6 background. Animal
are non-carriers (;
care was in accordance with Weill Medical College of
Cornell University IACUC and FDA standards.
these findings, significant questions remain regarding themechanisms underlying BDNF's contribution to the devel-opment of affective disorders and the potential role of this
Tissue Preparation and Immunohistochemistry
SNP in treatment response Animalmodels have provided a fruitful testing ground to address
Control and genetically modified lines of mice were deeply
such questions.
anesthetized with pentobarbital and transcardially perfused
We have generated a mouse model in which we knocked-
with a solution of 0.9% saline and 0.1% sodium nitrite
in the BDNF Val66Met SNP into the mouse bdnf gene,
followed by 4% paraformaldehyde in phosphate buffer.
replacing the endogenous BDNF. Mice homozygous for the
Brains were dissected out and postfixed in 4% paraforma-
BDNF Val66Met SNP (BDNFMet/Met) phenocopy human
dehyde for 1 h. Brains were then incubated in a 30% sucrose
SNP carriers (and
solution overnight at 41C. Coronal sections were serially cut
have elevated expression of anxiety-like behaviors that are
at 40 mm using a freezing microtome. Immunohistochem-
unresponsive to chronic treatment with the selective
istry was performed on floating sections. Briefly, sections
serotonin reuptake inhibitor (SSRI) fluoxetine. Thus, this
were first incubated in a blocking solution for 1 h and then
mouse may provide a model system to gain insights into the
transferred to the primary antibody solution for 48 h at 41C
mechanisms by which BDNF Val66Met suppresses the
before incubation with the corresponding fluorescent-
response of some individuals to SSRI treatment.
labeled (Invitrogen, Carlsbad, CA) or biotinylated second-
In animal models of depression, two of the potential
ary antibody (Vector Laboratories, Burlingame, CA).
targets of increased trophic support are through augmenta-
Antibodies and dilutions used included a rabbit polyclonal
tion of hippocampal neurogenesis
anti-pTrkB (1 : 500), anti-NeuN (Millipore; 1 : 1000), anti-
polysialylated neural cell adhesion molecule (PSA-NCAM;
Millipore; 1 : 400), anti-GFAP (Millipore; 1 : 1000), anti-
both processes are
BrdU (BD Biosciences; 1 : 200). BrdU-labeled sections were
impacted by altered BDNF levels
analyzed using a standard Nikon (Tokyo, Japan) upright
microscope, digital camera mount, and the MetaMorph
software package (Molecular Devices, Sunnyvale, CA). For
BDNFMet/Met mice had decreased basal levels of BDNF in the
co-labeling studies we performed confocal fluorescence
hippocampus, and unlike BDNFVal/Val mice, BDNF protein
microscopy using a Zeiss (Oberkochen, Germany) LSM510
levels did not increase following chronic fluoxetine treat-
microscope fitted with a Zeiss 63 1.4 numerical aperture
ment. We tested for alterations in the functional plasticity
objective with standard filter sets and a standard (1 Airy
disk) pinhole.
following chronic fluoxetine treatment in BDNFMet/Met andBDNFVal/Val mice. BDNFMet/Met mice also had fewer surviv-
ing newly born cells in the adult dentate gyrus (DG) of thehippocampus relative to BDNFVal/Val controls. Following
Fluoxetine was dissolved in water (160 mg/l, as described in
fluoxetine treatment, neurogenesis in BDNFMet/Met mice
(and administered in light-protected
normalized to untreated wildtype levels. Finally, we found
water bottles. Fluoxetine infused water was changed every
impairments in long-term potentiation (LTP) in the DG of
72 h to insure fresh and active drug. Inclusion of fluoxetine
BDNFMet/Met mice compared with BDNFVal/Val controls, an
led to no change in water consumption, and based on the
effect that was not rescued by chronic fluoxetine treatment.
average daily water intake of mice (3.1 ml per mouse, per
These studies are the first to identify impairments in BDNF
day with a range of 2.5–3.8 ml), this concentration led to an
protein expression, the incorporation of newly born cells,
average daily dose of 0.5 mg of fluoxetine per day (or
and synaptic plasticity in the DG of adult BDNFMet/Met mice.
B16 mg/kg). This dosing regimen has been shown to lead to
Furthermore, these studies provide a possible mechanistic
therapeutic levels in blood and to be highly effective in
framework through which the BDNF Val66Met SNP could
reducing anxiety-like symptoms in standard inbred mouse
impair SSRI response.
strains (Dulwala et al., 2004; Dulwala and Hen, 2005).
BDNF Val66Met impairs SSRI-augmented plasticityKG Bath et al
Digital stimulator PG4000A (Cygnus Technology, PA) andstimulus isolator A365 (World Precision Instruments,
To measure endogenous BDNF levels, a BDNF enzyme-
Sarasota, FL). MPP-DG pathway was confirmed by assessing
linked immunosorbent assay (ELISA) was used (BDNF
paired-pulse depression (PPD) at 50 ms inter-pulse interval
Emax Immunoassay System, Promega, Madison, WI) with
recombinant BDNF as a standard. This methodology
stable basal recording, input–output curves were generated.
demonstrates low cross-reactivity (o3%) with other
A 15-minute baseline was recorded every 20 s at an intensity
neurotrophic factors and is capable of detecting a minimum
that evoked a response approximately 35% of the maximum
of 15.6 pg/ml of BDNF. Briefly, control and fluoxetine
evoked response. LTP was induced using 100 Hz stimulation
treated BDNFVal/Val and BDNFMet/Met mice were killed by
(4 trains, 100 Hz for 1 min, separated by 20 s). Responses
cervical dislocation and then decapitation. Brains were
were recorded for 1 h after tetanization and measured fEPSP
collected on ice and total bilateral hippocampi were
slope expressed as percentage of baseline.
dissected and then lysed in 700 ml TNE lysis buffer (0.1 MTris HCl, 0.15 M NaCl, 0.001 M EDTA, 1% NP-40). Lysateswere centrifuged for 10 min at 41C and the clarified
supernatant was collected. Using the Bradford method,
For comparisons in which greater than two groups were
total levels of protein were quantified. Tissue and assay were
included, a one-way analysis of variance (ANOVA) was
prepared and run in accordance with the manufacturers
used. In the event of a significant main effect, post hoc
suggested protocol. BDNF levels were then corrected based
group comparisons were made using a least significant
on the total amount of protein loaded.
differences (LSD) approach, correcting for multiple tests.
In cases in which two-groups were compared, we used
BrdU Labeling, Detection, and Quantification
Student's t-test. For all statistics a-value was set at o0.05.
SPSS software (IBM) was used for all analyses.
BrdU labeling and immunohistochemcial detection wascarried out as described in To quantifythe density of BrdU positive cells in the sub-granular &
granule cell layer of the DG, a profile counting method wasused (described below). To estimate the rate of survival of
Chronic Fluoxetine Fails to Normalize Hippocampal
newly born cells, mice were given a single injection of BrdU
BDNF Levels in BDNFMet/Met Mice
(160 mg/kg) and allowed to survive for 4-weeks prior to
In rodent models, nearly all antidepressant regimens tested
sacrifice. To avoid double counting, every third serially
to date have been shown to increase BDNF protein levels in
obtained section (80 mm interval) and was counterstained
the hippocampus and other brain regions (
with Nissl to allow discrimination of individual cells that
an effect implicated in antidepressant
may be clustered. All BrdU-positive nuclei within the
efficacy. To test if the BDNF Val66Met polymorphism
granule cell layer of the DG were counted. The total number
affects basal or SSRI-related augmentation of hippocampal
of counted cells was then divided into the total volume
BDNF protein levels in mice, we used a BDNF ELISA. We
measured in order to obtain an estimate of the density of
found a significant main effect of group (ANOVA,
BrdU positive cells within this structure.
F(3,35) ¼ 6.058, po0.002). More specifically, we found thatBDNF protein levels in untreated BDNFMet/Met mice weresignificantly lower than that observed in untreated wild-
LTP and Basal Transmission in DG
type (BDNFVal/Val) mice (post hoc LSD, po0.01; Figure 1).
Control or fluoxetine treated mice were killed by decapita-
As anticipated, following 28-days of fluoxetine treatment,
tion after pentobarbital anesthesia. Brains were quicklyremoved and placed in ice-cold artificial cerebrospinal fluid(ACSF) consisting of (in mM): NaCl (118), KCl (4.4), CaCl2(2), MgCl2 (2), NaHCO3 (26), NaH2PO4 (1), D-glucose (10)aerated by 95% O2/ 5% CO2 (pH 7.4; ).
Hippocampi were quickly removed. Transverse hippocam-pal slices (400 mm) were cut and transferred to a slice pre-incubator (Scientific System Design, Canada) at roomtemperature for at least 1-h to allow for recovery. A singleslice was then transferred to an interface-recording chambermaintained at 32 1C (Scientific System Design, Canada). Thechamber was continuously perfused by ACSF at a constantrate of 2 ml/min. Recording electrodes were filled with 2 MNaCl solution and field excitatory postsynaptic potentials(fEPSPs) were recorded from the molecular layer of the DGwith IE-210 amplifier (Warner Instruments, USA) using
Bar graphs depicting BDNF protein levels (pg/mg of protein) in
Digidata 1440A and pClamp 10 software (Molecular
hippocampal lysates from adult wild-type (control n ¼ 11, fluox n ¼ 11;BDNFVal/Val) and BDNF Val66Met homozygous (control n ¼ 9, fluox
Devices, USA). The stimulating electrode (concentric
n ¼ 11; BDNFMet/Met) mice maintained for 28 days on water (Control) or
bipolar electrodes, FHC, Bowdoinham, ME) was placed in
160 mg/l fluoxetine (Fluox); * indicates significant difference, po0.05.
the medial perforant path (MPP) and stimulated using a
N.S., not significant difference.
BDNF Val66Met impairs SSRI-augmented plasticity
BDNFVal/Val mice showed a significant increase in BDNF
BDNF Val66Met SNP was genetically knocked-in, we found
protein levels compared with untreated BDNFVal/Val con-
a main effect of genotype (ANOVA, F(2,9) ¼ 2.939, po0.05;
trols (post hoc LSD, po0.01; Interestingly,
see Supplementary Figure 3); BDNFMet/Met mice had a
fluoxetine treatment did not increase BDNF protein
significant reduction in the density of surviving BrdU-
expression in BDNFMet/Met mice above levels observed in
labeled cells compared with BDNFVal/Val mice (Post Hoc
untreated BDNFMet/Met controls (post hoc LSD, p40.05) and
remained significantly lower than that observed in un-treated BDNFVal/Val mice (post hoc LSD, po0.05).
Impact of Chronic Fluoxetine on Cell Survival in the DG
Altered BDNF and TrkB Expression Decrease Basal
of BDNFMet/Met Mice
Rates of Cell Survival in the Adult DG
Chronic antidepressant treatment has been shown to
In previous reports, the genetic ablation of BDNF or TrkB in
augment the survival of newly born cells in the adult DG
mice leads to a selective loss of surviving newly born but not
(To test whether the BDNF Val66Met
proliferating cells of the DG ;
polymorphism altered the antidepressant-induced increase
in cell survival, we again used BrdU labeling to track cell
Furthermore, during neurogenesis, the BDNF receptor,
survival. We found a significant main effect of group
TrkB, is selectively expressed by postmitotic neuroblasts
(ANOVA, F(3,20) ¼ 6.257, po0.01; We noted a
and neurons The loss of BDNF alters
significant difference in basal rates of neurogenesis between
the neuronal fate of these cells and leads to decreased
BDNFVal/Val and BDNFMet/Met mice, with BDNFMet/Met mice
dendritic complexity of differentiated DG neurons (
having fewer surviving BrdU-positive cells (post hoc LSD,
Using immunohistochemical labeling for the
po0.05). Chronic fluoxetine led to a significant increase in
phosphorylated form of TrkB (pTrkB), we found pTrkB to
the survival of newly born cells in both BDNFVal/Val (post
be most highly expressed on immature (PSA-NCAM-
hoc LSD, po0.05) and BDNFMet/Met mice (post hoc LSD,
positive) neuroblasts (In the rostral
po0.05) compared with untreated control groups.
migratory stream pTrkB expression was not detectable onGFAP-positive or NeuN-positive cells These effects were identical to what we observed in the DG(Supplementary Figure 1). On the basis on these observa-tions, we focused our investigation of BDNF-mediatedeffects following fluoxetine treatment upon measures of cellsurvival within the DG.
We used BrdU labeling (Supplementary Figure 2) to test if
altered BDNF or TrkB expression impacts the survival ofnewly born cells of the adult DG. Consistent with previousreports the densityof BrdU-positive cells in the DG of heterozygous BDNFknock-out mice (BDNF + /) was significantly lower thanthat observed in wild-type littermate controls (BDNF + / + ;Student's t-test, t(6) ¼ 5.74, po0.01; Similarly,genetic ablation of one copy of the trkb gene (TrkB + /)
Bar graphs depicting BrdU cell density (cells/mm3) in the DG of
resulted in a significant reduction in the density of
adult mice 28 days following BrdU administration in the DG adult
surviving newly born granule cells in the DG (Student's t-
BDNFVal/Val (n ¼ 6 per group) and BDNFMet/Met (n ¼ 6 per group) mice
test, t(6) ¼ 2.44, po0.05; compared with wild-
maintained for 28 days on water (Control) or 160 mg/l fluoxetine (Fluox);
type littermate controls (TrkB + / + ). For mice in which the
* indicates significant difference, po0.05. N.S., not significant difference.
Bar graphs depicting BrdU cell density (cells/mm3) in the dentate gyrus of adult mice 28 days following BrdU injection in (a) BDNF wild-type
(n ¼ 4; BDNF + / + ) and BDNF heterozygous (n ¼ 4; BDNF + /) mice, (b) TrkB wild-type (n ¼ 4; TrkB + / + ) and TrkB heterozygous (n ¼ 4; TrkB + /) mice.
BrdU cell density (cells/mm3) (c) in BDNFVal/Val (n ¼ 5) and BDNFMet/Met (n ¼ 5) mice; * indicates significant difference, po0.05.
BDNF Val66Met impairs SSRI-augmented plasticityKG Bath et al
BDNFMet/Met Impairs Synaptic Plasticity Within the
might be independent of neurogenesis ().
However, the suppression of PPD in fluoxetine-treatedBDNFMet/Met did not reach statistical significance (ANOVA
Earlier studies have demonstrated that chronic fluoxetine
followed by post hoc comparison, p40.05). Input–output
treatment can enhance synaptic neurotransmission and
relationship analysis of fEPSP slope revealed no significant
plasticity in the DG We tested whether
differences in basal synaptic neurotransmission between
the BDNF Val66Met polymorphism interfered with the
untreated BDNFMet/Met and matched BDNFVal/Val mice
fluoxetine-induced enhancement of synaptic transmission
(Two-way ANOVA, p40.05, Although fluox-
(fEPSP) and synaptic plasticity (LTP) in the DG. We
etine treatment induced a robust enhancement of basal
analyzed PPD to confirm the MPP-DG pathway and to
synaptic neurotransmission in the BDNFVal/Val mice (Two-
determine whether this short-term plasticity was modified
way ANOVA, F(1,14) ¼ 14.5, po0.01, fluoxetine-
by the BDNF Val66Met polymorphism or fluoxetine
treated BDNFMet/Met mice revealed a slight but statistically
treatment . Although
nonsignificant enhancement of basal synaptic neurotrans-
we did not observe a difference in PPD between
mission compared with the untreated mice (p40.05,
BDNFMet/Met and BDNFVal/Val mice, fluoxetine treatment
As the long-lasting potentiation in the
decreased PPD in BDNFVal/Val mice (ANOVA followed by
MPP–DG pathway in the absence of GABA blockers is
post hoc comparison, po0.05, Our results are
sensitive to the incorporation of new cells into the
consistent with the earlier report that chronic fluoxetine
decreased PPD at the MPP-DG synapses and this effect
we hypothesized that impaired survival of newly
Effect of fluoxetine treatment on synaptic neurotransmission and plasticity in the DG. (a) PPD of fEPSPs in BDNFVal/Val (n ¼ 10), BDNFMet/Met
(n ¼ 8), fluoxetine + BDNFVal/Val (n ¼ 10) and fluoxetine + BDNFMet/Met groups (n ¼ 8). Fluoxetine treatment suppressed the PPD in BDNFVal/Val mice butnot in BDNFMet/Met mice. (b) Input–output curves of fEPSPs in BDNFVal/Val (n ¼ 10), BDNFMet/Met (n ¼ 8), fluoxetine + BDNFVal/Val (n ¼ 10) and fluoxetine
+ BDNFMet/Met groups (n ¼ 8). Fluoxetine treatment induced a robust enhancement of basal synaptic neurotransmission in the BDNFVal/Val mice but not in
BDNFMet/Met mice. (c) LTP in BDNFVal/Val (n ¼ 10), BDNFMet/Met (n ¼ 8), fluoxetine + BDNFVal/Val (n ¼ 10) and fluoxetine + BDNFMet/Met groups (n ¼ 8).
LTP was significantly impaired in the BDNFMet/Met mice. Fluoxetine selectively enhanced LTP in the BDNFVal/Val mice but not in the BDNFMet/Met mice.
BDNF Val66Met impairs SSRI-augmented plasticity
born cells in the BDNFMet/Met mice could interfere with
BDNFMet/Met mice had significantly fewer surviving newly
fluoxetine-induced enhancement of long-lasting potentiation
born cells in the DG compared with BDNFVal/Val mice.
in the MPP-DG pathway. Consistent with the earlier reports
Disruptions in neurogenesis have been reliably linked with
the development of anxiety-like behavior and antidepres-
application of a 100 Hz stimulus (4 trains, 100 Hz for 1 min,
sant response in animal models of anxiety and depressive-
separated by 20 s) induced long-lasting potentiation in the
like disorders (. Here we demonstrate
untreated BDNFVal/Val mice (. However, the
that cell survival is impaired in the DG of BDNFMet/Met mice,
long-lasting potentiation in the BDNFMet/Met mice was
an effect that is correlated with their development of
significantly lower than that observed in BDNFVal/Val mice
anxiety-like behaviors. We further show that SSRI's can
(Two-way ANOVA, F(1,16) ¼ 24.4, po0.01,
significantly potentiate the survival of cells in the DG of
Although fluoxetine treatment significantly enhanced long-
BDNFMet/Met mice. These data could suggest that SSRI-
lasting potentiation in the BDNFVal/Val mice (Two-way
induced augmentation in newly born cell survival may not
ANOVA, F(1,18) ¼ 8.6, po0.01, ), the BDNFMet/Met
be critical for the behavioral effects of antidepressants in
mice did not show any significant improvement in long-
BDNFMet/Met mice. Alternatively, animals that have had a
lasting potentiation after fluoxetine treatment compared
chronic blunting in the survival of adult born cells
with untreated BDNFMet/Met controls (Two-way ANOVA,
throughout life may simply not benefit from the modest
yet significant increase in cell survival (eg the degree towhich cell survival increased may have been simplyinsufficient).
We have shown that the BDNF Val66Met SNP leads to
decreased trafficking of BDNF into secretory granules and thus a reduction in the activity-
In this report, we provide the first mechanistic links
dependent release of BDNF (
between the BDNF Val66Met polymorphism and SSRI drug
In BDNF Val66Met mice, we anticipate that the
resistance. We found that BDNFMet/Met mice had decreased
reduced activity-dependent release of BDNF onto immature
basal levels of hippocampal BDNF and did not show
cells and thus a decrease in critical trophic support during
antidepressant-induced augmentation of BDNF protein
the process of cellular differentiation is the critical under-
levels. BDNFMet/Met mice had impairments in the survival
lying factor leading to decreased survival of newly born
of newly born cells in the DG, an effect that was normalized
cells. Such findings are consistent with previously published
to control wild-type levels by SSRI treatment. Finally, we
reports demonstrating that the genetic or pharmacological
observed a blunting of synaptic plasticity within the DG of
ablation of BDNF results in decreased adult neurogenesis
BDNFMet/Met mice, an effect that could not be rescued with
within the hippocampus
the SSRI fluoxetine. These studies identify several potential
; , with specific effects on the
mechanisms underlying blunted treatment response in mice
maturation and survival of newly born neurons and the
that are homozygous for the BDNF Val66Met SNP, and may
selective expression and activation of the BDNF receptor
have implications for understanding mechanisms under-
TrkB on postmitotic neuroblasts.
lying treatment non-responsiveness in human populations.
We uncovered significant impairments in synaptic
Under baseline conditions, BDNFMet/Met mice had sig-
plasticity in the dentate gyrus of BDNFMet/Met mice, under
nificantly lower BDNF protein levels in the hippocampus
both basal conditions and following chronic fluoxetine
compared with control BDNFVal/Val mice. In previous
treatment. We have recently described significant effects of
reports, we have shown that the BDNF Val66Met SNP does
this SNP on synaptic transmission and plasticity at the
not lead to a reduction in total BDNF levels in the whole
CA3–CA1 synapse ). To our knowledge,
brain of BDNFMet/Met mice, cultured cortical neurons from
these are the first studies to identify impairments in
BDNFMet/Met mice ), or cortical tissues
synaptic plasticity resulting from the BDNF Val66Met SNP
(This SNP does lead to a decrease in the
in the DG. On the basis of our observations, SSRI-induced
trafficking of BDNF to secretory vesicles and the subsequent
augmentations in LTP were completely blocked in
activity-dependent release of BDNF (
BDNFMet/Met mice an effect that parallels the failure of these
As the hippocampus is target of many
mice to show behavioral benefits of antidepressant treat-
cortical and subcortical projections, the decreased levels of
ment. Despite the rescue of neurogenesis to control levels,
BDNF could in part be due to decreased BDNF secretion
from afferent inputs to the hippocampus. In recent reports,
BDNFMet/Met mice. These results suggest that fluoxetine
the BDNF Val66Met SNP has also been shown to impact
affects plasticity by mechanisms other than neurogenesis.
trafficking of BDNF mRNA to dendritic processes where it
The lack of effect of fluoxetine on BDNF levels or a potential
can be locally transcribed ). Reduced
alteration of synaptic function might be responsible for
transport and local translation of BDNF mRNA in
fluoxetine-resistant LTP impairment in BDNFMet/Met mice
BDNFMet/Met mice may also contribute to the lower protein
expression observed in the hippocampus. Such effects may
reliably been shown to be a significant promoter of synaptic
contribute to previously described alterations in dendritic
excitability and LTP within the hippocampus (
complexity of hippocampal neurons of BDNFMet/Met mice
) and the loss of TrkB from newborn neurons in this
(. However, further studies are required to
region significantly impact LTP
fully understand the basis of this marked decrease in basal
We hypothesize that the observed effects of BDNFMet/Met
hippocampal BDNF protein levels.
on synaptic functions are in large part due to a general
BDNF Val66Met impairs SSRI-augmented plasticityKG Bath et al
decrease in the availability of BDNF in BDNFMet/Met mice as
Chao MV (2003). Neurotrophins and their receptors: a conver-
a result of impairments in activity dependent BDNF
gence point for many signalling pathways. Nat Rev Neurosci 4:
secretion. However, given the potential impact of this SNP
on trafficking of BDNF mRNA to dendrites, we cannot rule
Chen ZY, Ieraci A, Teng H, Dall H, Meng CX, Herrera DG et al.
out the potential role of alterations in postsynaptic BDNF
(2005). Sortilin controls intracellular sorting of brain-derived
expression as a contributing factor to this effect.
neurotrophic factor to the regulated secretory pathway.
In conclusion, these findings provide some of the first
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peace of mind with medication™ the newsletter of Manrex Pty ltd – weBsterCare • issue no. 104 • feBruary 2008 • © weBsterCare 2008 Q&a with Gerard StevenS part 3 More answers to questions What is happening in the rest of Benefits Scheme. The problem the world? is that it is designed for simply
Acta Haematol 2003;109:163–168 Received: June 28, 2002Accepted after revision: November 21, 2002 DOI: 10.1159/000070964 Monitoring Hyperhydration duringHigh-Dose Chemotherapy: Body Weightor Fluid Balance? A. Manka A. Semin-Goossensb,c J. v.d. Leliea P. Bakkera R. Vosc aDepartment of Oncology/Haematology, bCentre for Clinical Practice Guidelines, and cDepartment ofClinical Epidemiology and Biostatistics, Academic Medical Centre, Amsterdam, The Netherlands