PMID- 24312008 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140310 LR - 20211021 IS - 1662-5102 (Print) IS - 1662-5102 (Electronic) IS - 1662-5102 (Linking) VI - 7 DP - 2013 Nov 20 TI - Neuroplasticity and the next wave of antidepressant strategies. PG - 218 LID - 10.3389/fncel.2013.00218 [doi] LID - 218 AB - Depression is a common chronic psychiatric disorder that is also often co-morbid with numerous neurological and immune diseases. Accumulating evidence indicates that disturbances of neuroplasticity occur with depression, including reductions of hippocampal neurogenesis and cortical synaptogenesis. Improper trophic support stemming from stressor-induced reductions of growth factors, most notably brain derived neurotrophic factor (BDNF), likely drives such aberrant neuroplasticity. We posit that psychological and immune stressors can interact upon a vulnerable genetic background to promote depression by disturbing BDNF and neuroplastic processes. Furthermore, the chronic and commonly relapsing nature of depression is suggested to stem from "faulty wiring" of emotional circuits driven by neuroplastic aberrations. The present review considers depression in such terms and attempts to integrate the available evidence indicating that the efficacy of current and "next wave" antidepressant treatments, whether used alone or in combination, is at least partially tied to their ability to modulate neuroplasticity. We particularly focus on the N-methyl-D-aspartate (NMDA) antagonist, ketamine, which already has well documented rapid antidepressant effects, and the trophic cytokine, erythropoietin (EPO), which we propose as a potential adjunctive antidepressant agent. FAU - Hayley, Shawn AU - Hayley S AD - Department of Neuroscience, Carleton University Ottawa, ON, Canada. FAU - Litteljohn, Darcy AU - Litteljohn D LA - eng PT - Journal Article PT - Review DEP - 20131120 PL - Switzerland TA - Front Cell Neurosci JT - Frontiers in cellular neuroscience JID - 101477935 PMC - PMC3834236 OTO - NOTNLM OT - BDNF OT - combined treatment OT - depression OT - erythropoietin OT - ketamine OT - neurogenesis OT - relapse EDAT- 2013/12/07 06:00 MHDA- 2013/12/07 06:01 PMCR- 2013/01/01 CRDT- 2013/12/07 06:00 PHST- 2013/04/17 00:00 [received] PHST- 2013/10/29 00:00 [accepted] PHST- 2013/12/07 06:00 [entrez] PHST- 2013/12/07 06:00 [pubmed] PHST- 2013/12/07 06:01 [medline] PHST- 2013/01/01 00:00 [pmc-release] AID - 10.3389/fncel.2013.00218 [doi] PST - epublish SO - Front Cell Neurosci. 2013 Nov 20;7:218. doi: 10.3389/fncel.2013.00218.