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      Is There a Role of Autophagy in Depression and Antidepressant Action?

      review-article
      1 , 2 , 2
      Frontiers in Psychiatry
      Frontiers Media S.A.
      autophagy, depression, antidepressant, stress, FKBP51 signalling

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          Abstract

          Autophagy has been recognized as evolutionary conserved intracellular pathway that ensures energy, organelle, and protein homeostasis through lysosomal degradation of damaged macromolecules and organelles. It is activated under various stress situations, e.g., food deprivation or proteotoxic conditions. Autophagy has been linked to several diseases, more recently also including stress-related diseases such as depression. A growing number of publications report on the role of autophagy in neurons, also referred to as “neuronal autophagy” on the one hand, and several studies describe effects of antidepressants—or of compounds that exert antidepressant-like actions—on autophagy on the other hand. This minireview highlights the emerging evidence for the involvement of autophagy in the pathology and treatment of depression and discusses current limitations as well as potential avenues for future research.

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          Most cited references86

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          Animal models of neuropsychiatric disorders.

          Modeling of human neuropsychiatric disorders in animals is extremely challenging given the subjective nature of many symptoms, the lack of biomarkers and objective diagnostic tests, and the early state of the relevant neurobiology and genetics. Nonetheless, progress in understanding pathophysiology and in treatment development would benefit greatly from improved animal models. Here we review the current state of animal models of mental illness, with a focus on schizophrenia, depression and bipolar disorder. We argue for areas of focus that might increase the likelihood of creating more useful models, at least for some disorders, and for explicit guidelines when animal models are reported.
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            Major depressive disorder.

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              Exercise-induced BCL2-regulated autophagy is required for muscle glucose homeostasis.

              Exercise has beneficial effects on human health, including protection against metabolic disorders such as diabetes. However, the cellular mechanisms underlying these effects are incompletely understood. The lysosomal degradation pathway, autophagy, is an intracellular recycling system that functions during basal conditions in organelle and protein quality control. During stress, increased levels of autophagy permit cells to adapt to changing nutritional and energy demands through protein catabolism. Moreover, in animal models, autophagy protects against diseases such as cancer, neurodegenerative disorders, infections, inflammatory diseases, ageing and insulin resistance. Here we show that acute exercise induces autophagy in skeletal and cardiac muscle of fed mice. To investigate the role of exercise-mediated autophagy in vivo, we generated mutant mice that show normal levels of basal autophagy but are deficient in stimulus (exercise- or starvation)-induced autophagy. These mice (termed BCL2 AAA mice) contain knock-in mutations in BCL2 phosphorylation sites (Thr69Ala, Ser70Ala and Ser84Ala) that prevent stimulus-induced disruption of the BCL2-beclin-1 complex and autophagy activation. BCL2 AAA mice show decreased endurance and altered glucose metabolism during acute exercise, as well as impaired chronic exercise-mediated protection against high-fat-diet-induced glucose intolerance. Thus, exercise induces autophagy, BCL2 is a crucial regulator of exercise- (and starvation)-induced autophagy in vivo, and autophagy induction may contribute to the beneficial metabolic effects of exercise.
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                Author and article information

                Contributors
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                15 May 2019
                2019
                : 10
                : 337
                Affiliations
                [1] 1Department of Psychiatry, Bonn Clinical Center , Bonn, Germany
                [2] 2Max Planck Institute of Psychiatry , Munich, Germany
                Author notes

                Edited by: Filippo Drago, Università degli Studi di Catania, Italy

                Reviewed by: Jaanus Harro, University of Tartu, Estonia; Francesco Fornai, University of Pisa, Italy

                *Correspondence: Theo Rein, theorein@ 123456psych.mpg.de

                This article was submitted to Molecular Psychiatry, a section of the journal Frontiers in Psychiatry

                Article
                10.3389/fpsyt.2019.00337
                6529564
                31156481
                19939a16-2670-4dae-84a3-fa31fa9d085e
                Copyright © 2019 Gassen and Rein

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 14 September 2018
                : 29 April 2019
                Page count
                Figures: 1, Tables: 1, Equations: 0, References: 109, Pages: 8, Words: 3750
                Funding
                Funded by: National Alliance for Research on Schizophrenia and Depression 10.13039/100009670
                Categories
                Psychiatry
                Mini Review

                Clinical Psychology & Psychiatry
                autophagy,depression,antidepressant,stress,fkbp51 signalling
                Clinical Psychology & Psychiatry
                autophagy, depression, antidepressant, stress, fkbp51 signalling

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