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Anti-depressants 'stimulate cells'

Sunday, 17 December, 2000, 00:05 GMT - Continued use of anti-depressants
appears to stimulate new cell growth in an area of the brain known to
suffer cell death as a result of depression and stress, say scientists.

Depression is estimated to affect up to 17% of the population at some point
during their lifetime.

Anti-depressant drugs are commonly prescribed for depression and other
related disorders.

However, until now their impact on the cells of the brain has not been
clearly understood.

Researchers at Yale University believe they may have gone some way to
solving this mystery.

They have discovered that long-term use of anti-depressants is linked to
the development of new cells - or neurons - in an area of the brain known
as the hippocampus.

The hippocampus plays a role in learning, memory, mood and emotion.

It is one of only a few regions of the brain where new brain cells are
created into adulthood.

Several studies have shown that stressful experiences, both physical and
psychological, lead to the loss of brain cells in the hippocampus.

Other studies have indicated that use of anti-depressants can block this loss.

A team led by Professor Ronald Duman, and expert in psychiatry and
pharmacology, tested the impact of several different classes of
anti-depressant drugs, as well as electroconvulsive seizure therapy (ECS)
and an anti-psychotic medication.

ECS is clinically the most effective treatment for cases of depression that
are resistant to available drug treatments.

As expected, repeated ECS administration increased the number of neurons in
the hippocampus by 50%.

The chemical anti-depressants tested increased the number of neurons in the
same area by up to 40%.

No significant effect was measured when the drugs were administered for
five days or less.

The number of neurons only increased when the drugs were administered for
14-28 days.

Professor Duman said: "The results of our study demonstrate that
anti-depressants can reverse or block further loss of neurons in the
hippocampus by increasing new cell growth.

"This could explain in part how anti-depressants produce their therapeutic
response."


Related to this story: Depression (13 Oct 99 | Health)
'Brain link' to manic depression (02 Oct 00 | Health)
Biological clue to depression (15 Sep 00 | Health)
Four-year-olds 'suffer depression' (08 Mar 00 | Health)
Herb 'as effective as antidepressants' (31 Aug 00 | Health)

Internet links:
Depression.com
MIND - the mental health charity
Yale University

BBC News Online: Health
http://news.bbc.co.uk/low/english/health/newsid_1072000/1072301.stm

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