Abstract
The chemical hypothesis of depression suggests that mood disorders are caused by a chemical imbalance in the brain, which can be corrected by antidepressant drugs. However, recent evidence indicates that problems in information processing within neural networks, rather than changes in chemical balance, might underlie depression, and that antidepressant drugs induce plastic changes in neuronal connectivity, which gradually lead to improvements in neuronal information processing and recovery of mood.
This is a preview of subscription content, access via your institution
Relevant articles
Open Access articles citing this article.
-
Self-immolative nanocapsules precisely regulate depressive neuronal microenvironment for synergistic antidepression therapy
Journal of Nanobiotechnology Open Access 17 August 2023
-
Psychedelics promote plasticity by directly binding to BDNF receptor TrkB
Nature Neuroscience Open Access 05 June 2023
-
Rapid neuroplasticity changes and response to intravenous ketamine: a randomized controlled trial in treatment-resistant depression
Translational Psychiatry Open Access 09 May 2023
Access options
Subscribe to this journal
Receive 12 print issues and online access
$189.00 per year
only $15.75 per issue
Rent or buy this article
Prices vary by article type
from$1.95
to$39.95
Prices may be subject to local taxes which are calculated during checkout




References
Bunney, W. E. Jr & Davis, J. M. Norepinephrine in depressive reactions. A review. Arch. Gen. Psychiatry 13, 483–494 (1965).
Coppen, A. The biochemistry of affective disorders. Br. J. Psychiatry 113, 1237–1264 (1967).
Schildkraut, J. J. The catecholamine hypothesis of affective disorders: a review of supporting evidence. Am. J. Psychiatry 122, 509–522 (1965).
Wong, M. L. & Licinio, J. From monoamines to genomic targets: a paradigm shift for drug discovery in depression. Nature Rev. Drug Disc. 3, 136–150 (2004).
Nestler, E. J. et al. Neurobiology of depression. Neuron 34, 13–25 (2002).
Manji, H. K., Drevets, W. C. & Charney, D. S. The cellular neurobiology of depression. Nature Med. 7, 541–547 (2001).
Coyle, J. T. & Duman, R. S. Finding the intracellular signaling pathways affected by mood disorder treatments. Neuron 38, 157–160 (2003).
Kennedy, J. L., Farrer, L. A., Andreasen, N. C., Mayeux, R. & George-Hyslop, P. The genetics of adult-onset neuropsychiatric disease: complexities and conundra? Science 302, 822–826 (2003).
Healy, D. The Antidepressant Era (Harvard Univ. Press, Cambridge, Massachusetts, 1997).
Duman, R. S. & Vaidya, V. A. Molecular and cellular actions of chronic electroconvulsive seizures. J. ECT 14, 181–193 (1998).
Nestler, E. J. Antidepressant treatments in the 21st century. Biol. Psychiatry 44, 526–533 (1998).
Delgado, P. L. How antidepressants help depression: mechanisms of action and clinical response. J. Clin. Psychiatry 65 Suppl. 4, 25–30 (2004).
Booij, L., Van der Does, A. J. & Riedel, W. J. Monoamine depletion in psychiatric and healthy populations: review. Mol. Psychiatry 8, 951–973 (2003).
Sulser, F., Vetulani, J. & Mobley, P. L. Mode of action of antidepressant drugs. Biochem. Pharmacol. 27, 257–261 (1978).
Duman, R. S., Heninger, G. R. & Nestler, E. J. A molecular and cellular theory of depression. Arch. Gen. Psychiatry 54, 597–606 (1997).
Knuuttila, J. E., Toronen, P. & Castrén, E. Effects of antidepressant drug imipramine on gene expression in rat prefrontal cortex. Neurochem. Res. 29, 1235–1244 (2004).
Newton, S. S. et al. Gene profile of electroconvulsive seizures: induction of neurotrophic and angiogenic factors. J. Neurosci. 23, 10841–10851 (2003).
Carlsson, A. A half-century of neurotransmitter research: impact on neurology and psychiatry. Nobel lecture. Nobelprize.org, <http://www.nobel.se/medicine/laureates/2000/carlsson-lecture.pdf> (2000).
Buzsaki, G. Large-scale recording of neuronal ensembles. Nature Neurosci. 7, 446–451 (2004).
Hua, J. Y. & Smith, S. J. Neural activity and the dynamics of central nervous system development. Nature Neurosci. 7, 327–332 (2004).
Katz, L. C. & Shatz, C. J. Synaptic activity and the construction of cortical circuits. Science 274, 1133–1138 (1996).
Varela, F., Lachaux, J. P., Rodriguez, E. & Martinerie, J. The brainweb: phase synchronization and large-scale integration. Nature Rev. Neurosci. 2, 229–239 (2001).
Gaspar, P., Cases, O. & Maroteaux, L. The developmental role of serotonin: news from mouse molecular genetics. Nature Rev. Neurosci. 4, 1002–1012 (2003).
Gross, C. et al. Serotonin1A receptor acts during development to establish normal anxiety-like behaviour in the adult. Nature 416, 396–400 (2002).
Brunner, H. G., Nelen, M., Breakefield, X. O., Ropers, H. H. & van Oost, B. A. Abnormal behavior associated with a point mutation in the structural gene for monoamine oxidase A. Science 262, 578–580 (1993).
Cases, O. et al. Aggressive behavior and altered amounts of brain serotonin and norepinephrine in mice lacking MAOA. Science 268, 1763–1766 (1995).
Cases, O. et al. Lack of barrels in the somatosensory cortex of monoamine oxidase A-deficient mice: role of a serotonin excess during the critical period. Neuron 16, 297–307 (1996).
Xu, Y., Sari, Y. & Zhou, F. C. Selective serotonin reuptake inhibitor disrupts organization of thalamocortical somatosensory barrels during development. Dev. Brain Res. 150, 151–161 (2004).
Ansorge, M. S., Zhou, M., Lira, A., Hen, R. & Gingrich, J. A. Early-life blockade of the 5-HT transporter alters emotional behavior in adult mice. Science 306, 879–881 (2004).
Feng, P., Ma, Y. & Vogel, G. W. The critical window of brain development from susceptive to insusceptive. Effects of clomipramine neonatal treatment on sexual behavior. Brain Res. Dev. Brain Res. 129, 107–110 (2001).
Berardi, N., Pizzorusso, T. & Maffei, L. Critical periods during sensory development. Curr. Opin. Neurobiol. 10, 138–145 (2000).
Bremner, J. D. et al. Reduced volume of orbitofrontal cortex in major depression. Biol. Psychiatry 51, 273–279 (2002).
Botteron, K. N., Raichle, M. E., Drevets, W. C., Heath, A. C. & Todd, R. D. Volumetric reduction in left subgenual prefrontal cortex in early onset depression. Biol. Psychiatry 51, 342–344 (2002).
Drevets, W. C. Neuroimaging and neuropathological studies of depression: implications for the cognitive–emotional features of mood disorders. Curr. Opin. Neurobiol. 11, 240–249 (2001).
MacQueen, G. M. et al. Course of illness, hippocampal function, and hippocampal volume in major depression. Proc. Natl Acad. Sci. USA 100, 1387–1392 (2003).
Sheline, Y. I., Gado, M. H. & Kraemer, H. C. Untreated depression and hippocampal volume loss. Am. J. Psychiatry 160, 1516–1518 (2003).
Sheline, Y. I. Neuroimaging studies of mood disorder effects on the brain. Biol. Psychiatry 54, 338–352 (2003).
Frodl, T. et al. Hippocampal changes in patients with a first episode of major depression. Am. J. Psychiatry 159, 1112–1118 (2002).
Mervaala, E. et al. Quantitative MRI of the hippocampus and amygdala in severe depression. Psychol. Med. 30, 117–125 (2000).
Drevets, W. C., Bogers, W. & Raichle, M. E. Functional anatomical correlates of antidepressant drug treatment assessed using PET measures of regional glucose metabolism. Eur. Neuropsychopharmacol. 12, 527–544 (2002).
Vythilingam, M. et al. Childhood trauma associated with smaller hippocampal volume in women with major depression. Am. J. Psychiatry 159, 2072–2080 (2002).
Malberg, J. E., Eisch, A. J., Nestler, E. J. & Duman, R. S. Chronic antidepressant treatment increases neurogenesis in adult rat hippocampus. J. Neurosci. 20, 9104–9110 (2000).
Santarelli, L. et al. Requirement of hippocampal neurogenesis for the behavioral effects of antidepressants. Science 301, 805–809 (2003).
van Praag, H. et al. Functional neurogenesis in the adult hippocampus. Nature 415, 1030–1034 (2002).
Sairanen, M., Lucas, G., Ernfors, P., Castrén, M. & Castrén, E. BDNF and antidepressant drugs have different but coordinated effects on neuronal turnover, proliferation and survival in the adult dentate gyrus. J. Neurosci. 25, 1089–1094 (2005).
Vaidya, V. A., Siuciak, J. A., Du, F. & Duman, R. S. Hippocampal mossy fiber sprouting induced by chronic electroconvulsive seizures. Neuroscience 89, 157–166 (1999).
Fujioka, T., Fujioka, A. & Duman, R. S. Activation of cAMP signaling facilitates the morphological maturation of newborn neurons in adult hippocampus. J. Neurosci. 24, 319–328 (2004).
Altar, C. A. Neurotrophins and depression. Trends Pharmacol. Sci. 20, 59–61 (1999).
Castrén, E. Neurotrophic effects of antidepressant drugs. Curr. Opin. Pharmacol. 4, 58–64 (2004).
Thoenen, H. Neurotrophins and neuronal plasticity. Science 270, 593–598 (1995).
Poo, M. M. Neurotrophins as synaptic modulators. Nature Rev. Neurosci. 2, 24–32 (2001).
Nibuya, M., Morinobu, S. & Duman, R. S. Regulation of BDNF and trkB mRNA in rat brain by chronic electroconvulsive seizure and antidepressant drug treatments. J. Neurosci. 15, 7539–7547 (1995).
Russo-Neustadt, A. A., Beard, R. C., Huang, Y. M. & Cotman, C. W. Physical activity and antidepressant treatment potentiate the expression of specific brain-derived neurotrophic factor transcripts in the rat hippocampus. Neuroscience 101, 305–312 (2000).
Saarelainen, T. et al. Activation of the TrkB neurotrophin receptor is induced by antidepressant drugs and is required for antidepressant-induced behavioral effects. J. Neurosci. 23, 349–357 (2003).
Shirayama, Y., Chen, A. C., Nakagawa, S., Russell, D. S. & Duman, R. S. Brain-derived neurotrophic factor produces antidepressant effects in behavioral models of depression. J. Neurosci. 22, 3251–3261 (2002).
Siuciak, J. A., Lewis, D. R., Wiegand, S. J. & Lindsay, R. M. Antidepressant-like effect of brain-derived neurotrophic factor (BDNF). Pharmacol. Biochem. Behav. 56, 131–137 (1997).
Van der Does, A. J. W. The effects of tryptophan depletion on mood and psychiatric symptoms. J. Affect. Disord. 64, 107–119 (2001).
Wirz-Justice, A. & Van den Hoofdakker, R. H. Sleep deprivation in depression: what do we know, where do we go? Biol. Psychiatry 46, 445–453 (1999).
Treatment for Adolescents With Depression Study Team. Fluoxetine, cognitive-behavioral therapy, and their combination for adolescents with depression: Treatment for Adolescents With Depression Study (TADS) randomized controlled trial. JAMA 292, 807–820 (2004).
Wolpaw, J. R. & Tennissen, A. M. Activity-dependent spinal cord plasticity in health and disease. Annu. Rev. Neurosci. 24, 807–843 (2001).
Levi-Montalcini, R. The nerve growth factor: thirty-five years later. EMBO J. 6, 1145–1154 (1987).
Barde, Y. -A. Trophic factors and neuronal survival. Neuron 2, 1525–1534 (1989).
Huang, E. J. & Reichardt, L. F. Neurotrophins: roles in neuronal development and function. Annu. Rev. Neurosci. 24, 677–736 (2001).
Cohen-Cory, S. The developing synapse: construction and modulation of synaptic structures and circuits. Science 298, 770–776 (2002).
Acknowledgements
I would like to thank H. Rauvala, M. Saarma, M. Castrén and R. Galuske for their comments to the manuscript, and the Sigrid Jusélius Foundation, Sohlberg Foundation and the Academy of Finland and for support.
Author information
Authors and Affiliations
Ethics declarations
Competing interests
The author declares no competing financial interests.
Related links
Rights and permissions
About this article
Cite this article
Castrén, E. Is mood chemistry?. Nat Rev Neurosci 6, 241–246 (2005). https://doi.org/10.1038/nrn1629
Issue Date:
DOI: https://doi.org/10.1038/nrn1629
This article is cited by
-
Self-immolative nanocapsules precisely regulate depressive neuronal microenvironment for synergistic antidepression therapy
Journal of Nanobiotechnology (2023)
-
Rapid neuroplasticity changes and response to intravenous ketamine: a randomized controlled trial in treatment-resistant depression
Translational Psychiatry (2023)
-
Activation of TrkB in Parvalbumin interneurons is required for the promotion of reversal learning in spatial and fear memory by antidepressants
Neuropsychopharmacology (2023)
-
Psychedelics promote plasticity by directly binding to BDNF receptor TrkB
Nature Neuroscience (2023)
-
Correlation of catecholamine content and clinical influencing factors in depression among psoriasis patients: a case-control study
BioPsychoSocial Medicine (2022)