PMID- 11863403 OWN - NLM STAT- MEDLINE DCOM- 20020514 LR - 20061115 IS - 0306-9877 (Print) IS - 0306-9877 (Linking) VI - 58 IP - 1 DP - 2002 Jan TI - New antidepressant drugs that do not cross the blood-brain barrier. PG - 83-4 AB - Stimulation of neurogenesis in the adult brain (i.e. in the hippocampus) has recently been proposed as a putative mechanism of antidepressant action of drugs. This effect of antidepressants may not be achieved by their primary action on proliferating cells, but may involve the drug-triggered mobilization of trophic factors, such as brain-derived neurotrophic factor (BDNF), glia-derived protein S100 beta, or insulin-like growth factor I (IFG-I). Whereas BDNF and S100 beta are produced in the brain, IGF-I is primarily released from peripheral tissues. Administered peripherally, IGF-I increases hippocampal neurogenesis in the adult rat. Because synthesis and release of IGF-I appear to be stimulated by serotonergic mechanisms, we propose that antidepressants that affect serotonergic mechanisms might be rendered more effective by mobilizing IGF-I. Moreover, we suggest that new antidepressant drugs could be designed that would not enter into the brain but would stimulate peripheral mediators such as IGF-I. CI - Copyright 2002 Harcourt Publishers Ltd. FAU - Manev, H AU - Manev H AD - Psychiatric Institute, Department of Psychiatry, University of Illinois at Chicago, Chicago, 606912, USA. hmanev@psych.uic.edu FAU - Manev, R AU - Manev R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Med Hypotheses JT - Medical hypotheses JID - 7505668 RN - 0 (Antidepressive Agents) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 67763-96-6 (Insulin-Like Growth Factor I) SB - IM MH - Animals MH - Antidepressive Agents/*pharmacokinetics MH - Blood-Brain Barrier MH - Brain-Derived Neurotrophic Factor/metabolism MH - Insulin-Like Growth Factor I/metabolism MH - Rats EDAT- 2002/02/28 10:00 MHDA- 2002/05/15 10:01 CRDT- 2002/02/28 10:00 PHST- 2002/02/28 10:00 [pubmed] PHST- 2002/05/15 10:01 [medline] PHST- 2002/02/28 10:00 [entrez] AID - S0306987701914628 [pii] AID - 10.1054/mehy.2001.1462 [doi] PST - ppublish SO - Med Hypotheses. 2002 Jan;58(1):83-4. doi: 10.1054/mehy.2001.1462.