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Page 1: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦
Page 2: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

Symptoms of DepressionSymptoms of DepressionCan’t feel joy – Anhedonia

◦Usually withdraws from these activities

Too little / Too much sleep◦Fatigue

Cognitive problems◦Can’t concentrate

Feelings of guilt or worthlessnessSuicide

Page 3: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

People in the US who..People in the US who..Currently have major depression

◦1 in 20

Will have major depression in their life◦1 in 5

www.cdc.gov/nchs

Kessler 2005

Page 4: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

Animal testsAnimal tests

Page 5: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

Learned Helplessness ModelsLearned Helplessness Models(how long did it take them to stop (how long did it take them to stop

moving?)moving?)

Forced Swim Test

Tail SuspensionTest

(Sleepy, not dead)

Page 6: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

Motivation / Reward ModelsMotivation / Reward Models(Doing less of what you used to do)(Doing less of what you used to do)

Sucrose Preferenc

e

Social Avoidanc

e

Sexual Preferenc

e

Page 7: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

Brain structure changeBrain structure changeDecrease in size of

◦Hippocampus Cognition & learning

◦Pre Frontal Cortex?

Emotional control Decision making

Amygdala (mixed results) Emotional learning Most don’t see any change

Page 8: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

Physiological causesPhysiological causes

Page 9: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

Serotonin Serotonin + Norepinephrine + + Norepinephrine + DopamineDopamine

Page 10: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

Brain Derived Neurotrophic Brain Derived Neurotrophic FactorFactor(BDNF)(BDNF)“brain food”Neuropeptide

Page 11: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦
Page 12: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

Brain Derived Neurotrophic Brain Derived Neurotrophic FactorFactor(BDNF)(BDNF)In depressed individuals

◦Dereased Hippocampus Prefrontal Cortex

◦Increased Ventral Tegmental Area Nucleus Accumbans

Page 13: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

HHypothalamic – ypothalamic – PPituitary – ituitary – AAdrenaldrenal

axisaxisSystem which controls stress

responses

Page 14: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

GeneticGeneticDepression is heritableAll the mentioned systems have

mutationsHaving genetics that make you

prone to depression doesn’t mean you will have it….

Page 15: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

EpigeneticsEpigenetics ‘the study of

changes in genome function that occur without a change in DNA sequence‘

“DNA is just a tape carrying information, and a tape is no good without a player. Epigenetics is about the tape player.”

Page 16: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

What will you find in the What will you find in the papers?papers?DNA

◦Methylation On the Cytosine at CpG sites Inhibits gene expression

Page 17: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

Methyl

Group

DNA methyl

Transferase

DNA Demethylase?

Page 18: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

What will you find in the What will you find in the papers?papers?Proteins

◦Methyl cytosine binding protein (MeCP) Bind methylated cytosine Further repression

Page 19: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

What will you find in the What will you find in the papers?papers?Histones

◦Acetylation Increases expression

◦Methylation Usually decreases expression

Lysine 4 – activates Lysine 9 – inhibits Lysine 27 - inhibits

Page 20: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

Methyl groups

Acetyl groups

Histone Deacetylase

(HDAC)

Histone Demethylase

(HDM)

Histone Acetyltransfer

ase (HAT)

Histone Methyltransfer

ase (HMT)

Page 21: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

The End

was that so bad?

Page 22: Symptoms of Depression Can’t feel joy – Anhedonia ◦ Usually withdraws from these activities Too little / Too much sleep ◦ Fatigue Cognitive problems ◦

Active DNA demethylation.

Wolffe A P et al. PNAS 1999;96:5894-5896

©1999 by National Academy of Sciences