PMID- 22626951 OWN - NLM STAT- MEDLINE DCOM- 20121130 LR - 20120704 IS - 1532-2777 (Electronic) IS - 0306-9877 (Linking) VI - 79 IP - 2 DP - 2012 Aug TI - Intranasal insulin-like growth factor I (IGF-I) as a plausible future treatment of depression. PG - 222-5 LID - 10.1016/j.mehy.2012.04.045 [doi] AB - Depression remains a highly prevalent and mostly recurrent disorder causing an increased need to optimize and broaden the current therapy options. An enormous body of evidence links the regulation of specific neurotrophic proteins, like the brain-derived neurotrophic factor (BDNF), to depression and it may be assumed that the behavioral effects of antidepressants require functional BDNF signaling in the brain. Another neurotrophin, insulin-like growth factor-I (IGF-I), also produces antidepressant-like behavioral effects. Data have shown that BDNF plus IGF-I are more effective than either neurotrophin alone in activating neurotrophic cascades and promoting survival of hippocampal neurons. In fact, it has been suggested that the increase in hippocampal BDNF following antidepressant treatment or physical exercise in animal models is IGF-I-dependent and that antidepressant treatment increases IGF-I in human cerebrospinal fluid (CSF). Thus, BDNF and IGF-I seem to act synergistically in the same cascade of transmission and neuroplasticity. In order to avoid the pitfalls of systemic application (e.g. possible peripheral side effects) while directly targeting central nervous circuitries, the clinical intranasal administration of IGF-I appears to be a plausible and promising treatment option of depression. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Paslakis, G AU - Paslakis G AD - Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany. Georgios.Paslakis@zi-mannheim.de FAU - Blum, W F AU - Blum WF FAU - Deuschle, M AU - Deuschle M LA - eng PT - Journal Article DEP - 20120523 PL - United States TA - Med Hypotheses JT - Medical hypotheses JID - 7505668 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Neuroprotective Agents) RN - 67763-96-6 (Insulin-Like Growth Factor I) SB - IM MH - Administration, Intranasal MH - Brain/drug effects/*physiopathology MH - Brain-Derived Neurotrophic Factor/*metabolism MH - Depression/*drug therapy/*physiopathology MH - Humans MH - Insulin-Like Growth Factor I/*administration & dosage MH - *Models, Neurological MH - Neuroprotective Agents/administration & dosage EDAT- 2012/05/26 06:00 MHDA- 2012/12/10 06:00 CRDT- 2012/05/26 06:00 PHST- 2012/01/04 00:00 [received] PHST- 2012/03/27 00:00 [revised] PHST- 2012/04/27 00:00 [accepted] PHST- 2012/05/26 06:00 [entrez] PHST- 2012/05/26 06:00 [pubmed] PHST- 2012/12/10 06:00 [medline] AID - S0306-9877(12)00210-1 [pii] AID - 10.1016/j.mehy.2012.04.045 [doi] PST - ppublish SO - Med Hypotheses. 2012 Aug;79(2):222-5. doi: 10.1016/j.mehy.2012.04.045. Epub 2012 May 23.