Hippocampal PGC-1α-mediated positive effects on parvalbumin interneurons are required for the antidepressant effects of running exercise

Running exercise was shown to have a positive effect on depressive-like symptoms in many studies, but the underlying mechanism of running exercise in the treatment of depression has not been determined. Parvalbumin-positive interneurons (PV+ interneurons), a main subtype of GABA neurons, were shown to be decreased in the brain during the depression. PGC-1α, a molecule that is strongly related to running exercise, was shown to regulate PV+ interneurons. In the present study, we found that running exercise increased the expression of PGC-1α in the hippocampus of depressed mice. Adult male mice with PGC-1α gene silencing in the hippocampus ran on a treadmill for 4 weeks. Then, depression-like behavior was evaluated by the behavioral tests, and the PV+ interneurons in the hippocampus were investigated. We found that running exercise could not improve depressive-like symptoms or increase the gene expression of PV because of the lack of PGC-1α in the hippocampus. Moreover, a lack of PGC-1α in the hippocampus decreased the number and activity of PV+ interneurons in the CA3 subfield of the hippocampus, and running exercise could not reverse the pathological changes because of the lack of PGC-1α. The present study demonstrated that running exercise regulates PV+ interneurons through PGC-1α in the hippocampus of mice to reverse depressive-like behaviors. These data indicated that hippocampal PGC-1α-mediated positive effects on parvalbumin interneurons are required for the antidepressant actions of running exercise. Our results will help elucidate the antidepressant mechanism of running exercise and identify new targets for antidepressant treatment.


Introduction
Depression is a common mood disorder that has become a major threat to social stability and human development due to its high incidence, high recurrence rate, and high disability rate 1,2 . However, existing antidepressants have some obvious disadvantages. For example, fluoxetine, a classic antidepressant, has a slow onset and a low response rate 3 , and ketamine, a rapid antidepressant, is usually short-lasting and has a risk of abuse 4 . Running exercise is a simple and feasible behavioral intervention for the treatment of depression and has been proved to be an effective treatment for depression and has been widely accepted as an effective therapy 5 . Clinical studies have found that moderate and vigorous running exercise relieves depressive symptoms in major depressive disorder (MDD) 6 and undertaking regular leisure-time exercise was associated with reduced the risk of future depression in adults 7 . Animal studies also demonstrated that running exercise could improve depression-like symptoms of different depressed model rats and mice [8][9][10] . Although running exercise is effective in treating depression, the underlying mechanism is unknown.
Many studies have shown that stress can disrupt the function of GABA, which plays a major role in the potential inhibitory deficits of depression 11,12 . GABA interneurons can be divided into several subtypes, among which parvalbumin-positive interneurons (PV + interneurons) account for approximately 40% 13 . PV + interneurons represent a subgroup of GABAergic interneurons with high metabolism and high electrical activity, which are important markers of the central nervous inhibitory system 14 . The hippocampus is closely related to emotional regulation and is an important stresssusceptible area associated with depression 15,16 . PV + interneurons in the hippocampus are very sensitive to various types of damage, such as sustained chronic stress, ischemia and hypoxia, which lead to damage and dysfunction of PV + interneuron 17,18 . As PV + interneurons have a significant regulatory function in the hippocampus, they have been widely investigated in studies of depression. Several animal studies have reported that the number or density of PV + interneurons in the hippocampus is significantly decreased in various animal models of depression [19][20][21] , indicating that PV + interneurons are involved in the pathogenesis of depression. Running exercise has been proven to be beneficial to PV + interneurons in hippocampus. Arriaga et al. observed the CA1 subfield of the hippocampus in male and female mice by two-photon calcium imaging in vivo to characterize the relationship between interneuron activity and movement and found that the activity of most PV + interneurons was positively correlated with motor activity 22 . Nguyen et al. found that the numbers of PV + interneurons in the hippocampal CA1 and CA2-3 subfields were increased after 30 days of running exercise in adult male rats 23 . Gomes et al. found that the expression of PV protein in the hippocampus and the numbers of PV + interneurons in the CA1 and CA2-3 subfields of male rats were increased significantly after running exercise from 21 days to 60 days of age 24 . These animal studies indicated that physical exercise could have positive effects on PV + interneurons in the hippocampus. However, no studies have investigated whether running exercise relieves depressive-like behaviors by affecting PV + interneurons in the hippocampus.
If running exercise can relieve depression by affecting hippocampal PV + interneurons, what might be its molecular mechanism? Peroxisome proliferator-activated receptor γ coactivator 1α (PGC-1α) proteins are nuclear transcriptionassisted activators that play a key role in regulating the activities of multiple nuclear and non-nuclear receptors. The expression of PGC-1α is moderate in brain tissue, and this molecule is expressed in brain areas that are related to depression, such as the hippocampus 25 . Treadmill running was shown to increase both the mRNA expression and protein expression of PGC-1α in the hippocampus of healthy rodents 26,27 . In addition, some rodent studies demonstrated that running exercise could exert neuroprotective effects through PGC-1α in the hippocampus 28,29 . Therefore, we speculated that running exercise might improve depressive-like symptoms by affecting hippocampal PGC-1α, but no study has examined this hypothesis. Moreover, PGC-1α has an important regulatory effect on PV + interneurons. Previous studies have suggested that the expression of PGC-1α could affect the expression of PV protein and the function of PV + interneurons. The PV protein expression in PGC-1α+/− and PGC-1α−/− mouse brains was significantly decreased, which affected the function of PV + interneurons 30 , Furthermore, overexpression of PGC-1α in cell culture was sufficient to induce PV protein expression, demonstrating that PGC-1α is necessary for the expression of PV on neurons in the brain 30 . In addition, Lucas et al. found that the PV + interneuron-specific genes SYT2, CPLX1, and NEFH had a similar trend of expression as PGC-1α during development 31 . Under conditional deletion of PGC-1α in the mouse cortex, the transcriptional expression of these genes in PV + interneurons was significantly reduced 31 . Therefore, we speculated that running exercise might protect PV + interneurons through PGC-1α in the hippocampus to reverse depressive-like behaviors.
In the present study, C57BL/6 mice underwent PGC-1α gene silencing in the hippocampus, followed by treadmill running. Then, the effects of treadmill running on PV + interneurons in the hippocampus of the mice were investigated with stereological methods, immunohistochemistry, western blotting, and qRT-PCR. Our study found that silencing hippocampal PGC-1α could induce depressive-like behavior and a decrease in PV + interneurons in the hippocampus of mice, but running exercise could not reverse these changes when PGC-1α was knocked down in the hippocampus. Our results provide important evidence for the antidepressant mechanism of running exercise.

Animals
Six-to eight-week-old male C57BL/6 mice (Chongqing Medical University, Chongqing, China) were housed under a 12-h light/12-h dark cycle at a constant temperature (22°C) with free access to food and water for 2 weeks to habituate to the housing conditions. During the animal experiment, the animals in each group were treated by the investigators without blinding. No animals were excluded from the current study. All procedures of the experiment were conducted in accordance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals.

Chronic unpredictable stress (CUS)
Mice were randomly divided into the control group (n = 18) and the CUS group (n = 42). The CUS group mice exposed to CUS stimulation for 5 weeks. These CUS group mice were subjected to a sequence of 14 different stressors 32,33 . After 5 weeks of CUS stimulation, 42 mice in the CUS group were randomly divided into a CUS Standard group (n = 20) and a CUS + Running group (n = 22). The control group was not given any intervention during the establishment of the model for 5 weeks.
Stereotactic injection of adeno-associated virus (AAV) targeting PGC-1α Mice were randomly divided into the AAV-GFP group (n = 30) and AAV-PGC-1α group (n = 31). The mice in the AAV-GFP group were injected with HBAAV2/9-GFP (siRNA:TTCTCCGAACGTGTCACGTAA) and the mice in the AAV-PGC-1α group were injected with HBAAV2/9-m-Ppargc1a shRNA2-GFP (AAV-PGC-1α-shRNA) (siRNA: TAACTATGCAGACCTAGATAC) in the hippocampus with a stereotactic injection technique. The virus was generated to target the PGC-1α gene through a doxycyclineinducible shRNA. After 4 weeks of recovery, half of the mice in the AAV-GFP group and the AAV-PGC-1α group were randomly chosen to constitute the AAV-GFP + RN group (n = 15) and the AAV-PGC-1α + RN group (n = 16) to accept treadmill running for 4 weeks.

Treadmill running
The program of treadmill running based on previous research 34 was detailed described in the Supplementary.

Behavioral tests
After a series of interventions, depression-like behavior of mice was evaluated by behavioral tests such as sucrose preference test (SPT) 35 , forced swimming test (FST) 36 and tail suspension test (TST) 37 . The additional details are provided in the Supplementary.

Immunohistochemistry and stereological cell counting
During the following processes, all the experiments and data analyses were performed blind to treatment conditions. After the preparation of the hippocampus tissue (Supplement), sections were chosen and immunoreacted with anti-PV antibody for the stereologic analyses of the total numbers of PV + interneuron 38 and PV/cFos antibodies for the analyses of the activity PV + interneuron. Specific operations and quantification are available in Supplementary.
Quantitative real-time PCR, Western blotting, and enzymelinked immunosorbent assays (ELISAs) Specific operations and oligonucleotide primers specific for mouse are listed in the supplementary.

Statistical analyses
The statistical analyses were conducted using SPSS 23.0 statistical software and are described in detail in the Supplementary. The sample size of each experiment was selected based on previous experience, in order to detect at least p < 0.05 in different tests.

Running exercise alleviated anhedonia induced by CUS
At the beginning of CUS, the percentage of sucrose preference in the control group did not differ from that in the CUS group (p = 0.36). At the 5th week, the percentage of sucrose preference in the CUS group was significantly lower than that in the control group (p < 0.001) (Fig. 1A). Moreover, the immobility time in the FST (p < 0.001) and TST (p = 0.005) of the CUS group was significantly longer than that in the control group (Fig. 1B, C). After 2 weeks of running exercise, the percentage of sucrose preference in the CUS Standard group was significantly lower than that in the control group (p = 0.008) and the CUS + Running group (p = 0.045) (Fig. 1D).

Running exercise alleviated the decrease of PGC-1α induced by CUS
We detected the protein expression of PGC-1α in the hippocampus of the mice in the control group, the CUS Standard group and the CUS + Running group. The protein expression of PGC-1α in the CUS Standard group was significantly lower than that in the control group (p = 0.045). Moreover, the protein expression of PGC-1α in the CUS Standard group was significantly lower than that in the CUS + Running group after 2 weeks of running exercise (p < 0.001) (Fig. 1E).
Running exercise could not alleviate depressive-like symptoms of the hippocampal PGC-1α-silenced mice After the mice were injected with adeno-associated virus in the hippocampus with a stereotactic injection technique ( Fig. 2A), the intervention and behavioral tests were carried out according to the schedule (Fig. 2B). We detected the percentage of sucrose preference in the AAV-GFP group and AAV-PGC-1α group immediately after virus injection. The percentage of sucrose preference in the AAV-GFP group did not differ from that in the AAV-PGC-1α group (p = 0.753). After 4 weeks of viral transfection, the percentage of sucrose preference in the AAV-PGC-1α group was significantly lower than that in the AAV-GFP group (p < 0.001) (Fig. 2C). Furthermore, the immobility time in the FST (p = 0.024) and TST (p = 0.013) of the AAV-PGC-1α group was significantly longer than that of the AAV-GFP group (Fig. 2D, E). Then, the mice in the AAV-GFP + RN group and the AAV-PGC-1α + RN group underwent treadmill running for 4 weeks. The percentage of sucrose preference in the AAV-PGC-1α group was significantly lower than that in the AAV-GFP group (p = 0.038) and the percentage of sucrose preference in the AAV-PGC-1α + RN group was significantly lower than that in the AAV-GFP + RN group  (p = 0.012). However, there was no difference between the AAV-PGC-1α group and the AAV-PGC-1α + RN group in the percentage of sucrose preference (p = 0.982) (Fig. 2F). The immobility time in the FST of the AAV-PGC-1α group was significantly longer than that of the AAV-GFP group (p = 0.045) and the immobility time in the FST (p = 0.032) and TST (p = 0.028) in the AAV-PGC-1α + RN group was significantly longer than that of the AAV-GFP + RN group. However, there was no difference between the AAV-PGC-1α group and the AAV-PGC-1α + RN group in immobility time in the FST (p = 0.964) and TST (p = 0.999) (Fig. 2G, H).
Running exercise could not alleviate the decrease in the gene and protein expression of PV induced by hippocampal PGC-1α silencing To assess the effect of virus injection and running exercise after the virus injection on the gene and protein expression of PV, we used RT-PCR and western blotting to detect the expression of PV in the hippocampus in each group of mice. First, we detected the gene expression of PGC-1α at the 4th week after the virus injection, and PGC-1α expression in the AAV-PGC-1α group was significantly lower than that in the AAV-GFP group (p = 0.031) (Fig. 3A). After 4 weeks of running exercise, the gene expression of PV in the AAV-PGC-1α group was significantly lower than that in the AAV-GFP group (p = 0.01), and the gene expression of PV in the AAV-PGC-1α + RN group was significantly lower than that in the AAV-GFP + RN group (p = 0.007). However, there was no difference between the AAV-PGC-1α group and the AAV-PGC-1α + RN group in the gene expression of PV (p = 0.66) (Fig. 3B). In addition, the expression levels of genes related to GABA, such as GAD65 and GAD67, were not different among the four groups after running exercise (p > 0.05) (Fig. 3C, D). The western blotting results indicated that the protein expression levels of PV, GAD65 and GAD67 were not significantly changed among the 4 groups after virus injection and running exercise (p > 0.05) (Fig. 3E-J).
Running exercise could not alleviate the decrease of the activity of PV + interneurons induced by hippocampal PGC-1α silencing Silencing PGC-1α in the hippocampus may lead to functional changes in neurons, but whether functional changes are involved in the occurrence of depression or whether running exercise can protect against depressive symptoms after virus injection is unclear. CFos expression was evaluated as a measure of functional activity, and many studies demonstrated that increased neuronal activity could induce cFos expression 39 , and it has became the most widely used tool to delineate individual neurons 40 . We used double immunohistology to label the cFos/PV neurons so that we could determine whether the activity of PV + interneurons in the hippocampus of the mice changed after virus injection and running exercise. The results demonstrated that the cFos + /PV + cells in the CA1 (p < 0.001) and CA3 (p = 0.002) subfields of the hippocampus of mice in AAV-PGC-1α group were significantly decreased compared with those in the AAV-GFP group, and the cFos + /PV + cells in the CA1 (p = 0.011) and CA3 (p = 0.039) subfields in the AAV-PGC-1α + RN group were significantly decreased compared with those in the AAV-GFP + RN group. The cFos + /PV + cells in the CA1 subfield of hippocampus of mice in AAV-PGC-1α group were significantly decreased compared with those in the AAV-PGC-1α + RN group (p = 0.015). However, there was no difference between the AAV-PGC-1α group and the AAV-PGC-1α + RN group in the cFos + /PV + cells in CA3 subfield of hippocampus (p = 0.179). The cFos + /PV + cells in the DG subfield of hippocampus showed no significant change among the 4 groups after virus injection and running exercise (p > 0.05) (Fig. 4).

Running exercise could not alleviate the decrease in the number of PV + interneurons induced by PGC-1α silencing
Using the stereological method and immunohistochemic technique, we accurately estimated the total number of PV + interneurons in different subfields of the hippocampus of the mice in the four groups. The number of PV + interneurons in the CA1 (p = 0.001) and CA3 (p = 0.017) subfields of hippocampus of mice in AAV-PGC-1α group was significantly decreased compared with that in the AAV-GFP group, and the number of PV + interneurons in the CA1 (p = 0.004) and CA3 (p = 0.047) subfields in AAV-PGC-1α + RN group was significantly decreased compared with that in the AAV-GFP + RN group. However, there was no difference between the AAV-PGC-1α group and the AAV-PGC-1α + RN group in the number of PV + interneurons in the CA1 (p = 0.061) and CA3 (p = 0.827) subfields of hippocampus. The numbers of PV + interneurons in the DG subfield of hippocampus showed no significant change among the four groups after virus injection and running exercise (p > 0.05) (Fig. 5).

Discussion
The hippocampus is an important brain region related to depression 15,16 . PV + interneurons are an important class of inhibitory interneurons. Some studies have found that PV + interneurons in the hippocampus of individuals with depression have changed 19,20 . The hippocampal structure includes the hippocampal gyrus (CA1, CA3, etc.) and the dentate gyrus (DG). Different subfields of the hippocampus have different functions [41][42][43][44][45][46] . Filipović et al. found that the PV + interneurons in hippocampal CA1, CA3, and DG were significantly decreased in adult male rats after 21 days of social isolation 20 . Csabai et al. used CMS model rats and found that stress could reduce the density of PV + interneurons in CA1 subfield of hippocampus 21 . The above studies indicated that PV + interneurons were involved in the pathogenesis of depression in the hippocampus. What is the underlying molecular mechanism? In the present study, we found that the protein expression of PGC-1α in the CUS Standard group was significantly lower than that in the control group. We hypothesized that the decrease in PGC-1α induced PV + interneurons changes. To assess this hypothesis, we characterized PGC-1α expression in the hippocampus to study the changes in PV + interneurons in mice. Behavioral tests showed that mice presented a series of depressive-like symptoms after recombinant AAV injection. RT-PCR results indicated that the gene expression levels of PGC-1α and PV in the AAV-PGC-1α group were significantly lower than those in the AAV-GFP group. The results suggested that the lack of PGC-1α could cause depressive-like symptoms in mice and reduce the gene expression of PV in the hippocampus. Does the lack of PGC-1α in the hippocampus induce depressivelike behaviors by affecting PV + interneurons in the hippocampus? To explore this issue, we investigated the activity and number of PV + interneurons in the hippocampus of mice after PGC-1α silencing. We used threedimensional stereological methods to quantify the total number of PV + interneurons in different subfields of the hippocampus in the mice after PGC-1α silencing. In our study, the total numbers of PV + interneuronsin the CA1 and CA3 subfields in the hippocampus of the mice in the AAV-PGC-1α group were significantly decreased compared to those in the AAV-GFP group. The same trend was found in the activity of PV + interneurons in the CA1 and CA3 subfields of the hippocampus, which are represented by cFos + /PV + cells. Therefore, it is reasonable to believe that the cause of depressive-like symptoms in mice might be the change in PV + interneurons in the hippocampus induced by the lack of PGC-1α. Using the unbiased stereological method, we provided the first direct evidence that PGC-1α in the mouse hippocampus affects PV + interneurons in the hippocampus and induces depressive-like behaviors.
Running exercise is a simple and feasible behavioral intervention for depression, it has been proven to be an effective treatment for depression in clinical studies and rodent studies 7,10,47 but the exact underlying mechanism is unclear. Although many studies have affirmed the positive effects of running exercise on PV + interneurons in healthy animals, there remains a lack of evidence regarding running exercise improving depressive-like symptoms by protecting PV + interneurons and the mechanism of running exercise acting on PV + interneurons. In the current study, we found that 2 weeks of running exercise significantly reversed anhedonia and increased the protein expression of PGC-1α in the CUS standard group. Because PGC-1α is closely related to PV + interneurons, we hypothesized that running exercise regulates PV + interneurons through PGC-1α to improve depressive-like symptoms. To confirm this hypothesis, we conducted a 4-week running intervention in mice with hippocampal PGC-1α silencing. We found that running exercise could not reverse the decrease in the percentage of sucrose preference and the extension of immobility time in the TST and FST caused by PGC-1α silencing. After 4 weeks of running exercise, the gene expression of PV in the AAV-PGC-1α + RN group was significantly lower than that in the AAV-GFP + RN group. As expected, there was no difference between the AAV-PGC-1α group and the AAV-PGC-1α + RN group in the gene expression of PV. However, the protein expression of PV was not different among the four groups. These results indicated that the protein expression and mRNA expression of PV were not consistent. We considered the following reasons. First, mRNA expression could not represent protein expression totally. Schwanhüusser et al. determined that only approximately 40% of the variance in protein levels between different proteins could be explained by mRNA levels 48 . Second, the cellular mRNA concentration is substantially lower than the protein concentration 48,49 . The intracellular protein concentrations were controlled in a relatively stable range in mammalian cells, while the total mRNA level in a cell can vary significantly as a function of cellular state 50 . Therefore, it was easier to detect the change in PV gene expression than the change in PV protein expression. Third, the variation in protein synthesis rates was the major determinant of absolute protein number variation in mammalian cells. That is, post-transcriptional regulation contributes substantially more to protein level changes than immediate changes induced by mRNA 51 . Since the gene expression of PV can determine the function of PV + interneuron to some extent 52,53 , we confirmed that the lack of PGC-1α at the gene transcription level hindered the recovery of PV + interneurons by running exercise, which led to the failure of running exercise in the treatment of depressive-like symptoms.
In the present study, we detected the expression of GABA-related genes, such as GAD65 and GAD67 54 . The RT-PCR results in our study suggested that there was no difference among the four groups after running exercise or the western blotting result. The results suggested that a lack of PGC-1α induced depressive-like symptoms in mice and running exercise improved depressive-like symptoms through the PV, a subtype of GABA. Thus, our study found for the first time that running exercise can improve the depressive-like symptoms of mice by regulating gene expression of PV in hippocampus through PGC-1α, which provided new structural evidence for the antidepressant effects of running exercise.
Our current study indicated that running exercise could not restore the activity of PV + interneurons after silencing PGC-1α in the hippocampus of mice. Previous studies have shown that different stimuli can influence the expression of cFos, a functional marker of activated neurons 39,40,55,56 in different brain areas of mice after stress intervention 57,58 . However, these researchers did not detect the depressive-like symptoms in mice using behavioral tests, so their conclusions were not related to depression. In our study, counting was performed on the basis of a series of behavioral tests for depression to ensure that our results represented changes in the hippocampal PV activity of depressed mice. We found that the cFos + /PV + cells in the CA1 and CA3 subfields of the hippocampus of the mice in the AAV-PGC-1α group were significantly decreased compared with those in the AAV-GFP group, and the cFos + /PV + cells in the CA1 and CA3 subfields of the hippocampus of the mice in the AAV-PGC-1α + RN group were significantly decreased compared with those in the AAV-GFP + RN group. After silencing of PGC-1α in the hippocampus of mice, running exercise could not restore the activity of PV + interneurons in the CA3 subfield. In addition, the cFos + /PV + cells in the DG subfield of the hippocampus showed no significant change among the 4 groups after virus injection and running exercise. However, Schoenfeld et al. found that 6 weeks of running decreases the anxiety-like behavior of mice and increases the proportion of PV + / cFos + double-labeled cells in the ventral DG subfield but not in the granule cell layer (gcl) or hilus in the dorsal DG subfield 59 . This finding may explain why the DG subfield showed no change after virus injection in our study. We counted the total number of PV + /cFos + double-labeled cells in the whole DG subfield, which might be our limitation. The immunofluorescence result in our study firstly showed that the decrease in the activity of PV + interneurons in the CA3 subfield of hippocampus was due to the lack of PGC-1α, which inhibited the effect of running exercise, reversing the pathological changes of PV + interneurons. Therefore, we suggested that running exercise could regulate the activity of PV + interneuron through PGC-1α in hippocampus of the mice to reverse depressive-like behaviors.
Our results indicated that running exercise could not restore the numbers of PV + interneurons after silencing PGC-1α in hippocampus of mice. Previous studies have demonstrated that running exercise has positive effects on the number of PV + interneurons in hippocampus 23,60 . Therefore, is the increase in PV + interneurons in the hippocampus the structural basis of the antidepressant effect of running exercise? We used three-dimensional stereological methods to quantify the total number of PV + interneurons in the DG, CA1 and CA3 subfields of hippocampus of each group of mice after behavioral testing for depressive-like symptoms. The results showed that the numbers of PV + interneurons in the CA1 and CA3 subfields of hippocampus of the mice in the AAV-PGC-1α group were significantly decreased compared to those in the AAV-GFP group, and the numbers of PV + interneurons in the CA1 and CA3 subfields of hippocampus of mice in the AAV-PGC-1α + RN group was significantly decreased compared to those in the AAV-GFP + RN group, but no difference in the numbers of PV + interneurons in DG subfield of the hippocampus among the 4 groups of mice after virus injection and running exercise. We speculated that the reason why running exercise could not improve depressive-like symptoms after PGC-1α gene silencing was because the decrease of PV + interneurons in the CA1 and CA3 caused by the lack of PGC-1α. Therefore, PV + interneurons in hippocampus play an important role in the treatment of depression by running exercise. Combined with the previous results, our findings showed that running exercise could not increase the activity and number of PV + interneurons after PGC-1α silencing, which occurred in the CA3 subfield. Therefore, we speculated that the CA3 subfield is sensitive to the mechanism of running exercise, improving the depressive-like symptoms caused by the lack of PGC-1α. Furthermore, a previous study has indicated that antidepressants could also increase the number of PV + interneurons in all subfields of hippocampus of depressed rats 61 . Therefore, we believe that running exercise may have the same therapeutic target and efficacy as antidepressants to some extent, but running exercise can avoid some of the side effects of antidepressants, which is an advantage in treating depression. Thus, for the first time, we quantified the number of PV + interneurons in mice with regional PGC-1α silencing to explore the therapeutic mechanisms of running exercise on depressive-like symptoms. Our study found that the numbers of PV + interneurons in the hippocampus are closely related to depression and might be an indicator of the illness burdenand treatment response. We demonstrated that running exercise could regulate the activity and numbers of PV + interneurons in the CA3 subfield through PGC-1α in the hippocampus of the mice to reverse depressive-like behaviors, which provided direct support for our initial hypothesis and the antidepressant effects of running exercise.
Depression has become a common mental illness that results in a major burden on society due to its limited cure rate. Although running exercise can relieve depressivelike symptoms, the antidepressant mechanism is still unclear. Therefore, it is important to explore the mechanism of running exercise as a reasonable and effective preventive measure and treatment for depression. In our study, we found that a lack of PGC-1α led to depressive-like symptoms and a decrease in PV + interneurons. More importantly, we demonstrated for the first time that running exercise could regulate PV + interneurons through PGC-1α in the hippocampus of mice to reverse depressive-like behaviors. Our current results might contribute to the exploration of the antidepressant effects of running exercise and the identification of new targets for antidepressant treatment.