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Dillon, Daniel G.; Pizzagalli, Diego A.
Trends in neurosciences, 03/2018, Volume: 41, Issue: 3Journal Article
Depressed individuals typically show poor memory for positive events, potentiated memory for negative events, and impaired recollection. These phenomena are clinically important but poorly understood. Compelling links between stress and depression suggest promising candidate mechanisms. Stress can suppress hippocampal neurogenesis, inhibit dopamine neurons, and sensitize the amygdala. We argue that these phenomena may impair pattern separation, disrupt the encoding of positive experiences, and bias retrieval toward negative events, respectively, thus recapitulating core aspects of memory disruption in depression. Encouragingly, optogenetic reactivation of cells engaged during the encoding of positive memories rapidly reduces depressive behavior in preclinical models. Thus, many memory deficits in depression appear to be downstream consequences of chronic stress, and addressing memory disruption can have therapeutic value. Unipolar depression is associated with impaired recollection, poor memory for positive events, and enhanced memory for negative events, but the relevant neural mechanisms are poorly understood. Stress is a common trigger of initial depressive episodes, and chronic stress can suppress hippocampal neurogenesis, inhibit mesolimbic dopamine neurons, and sensitize the amygdala’s response to negative information. Animal studies indicate that these three effects of stress can disrupt pattern separation, impair memory consolidation, and promote overgeneralized fear responses, respectively. We review data indicating that these mechanisms may also explain poor pattern separation, disrupted memory for positive material, and enhanced memory for negative material in depressed adults. Thus, we propose that memory disruptions in depression are downstream consequences of chronic stress.
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