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The neurogenesis hypothesis of affective and anxiety disorders: Are we mistaking the scaffolding for the building?
Open accessAbstract
Hypotheses are scaffoldings erected in front of a building and then dismantled when the building is finished. They are indispensable for the workman; but you mustn't mistake the scaffolding for the building. Johann Wolfgang von Goethe. The neurogenesis hypothesis of affective disorders - in its simplest form - postulates that the generation of neurons in the postnatal hippocampal dentate gyrus is involved in the etiology and treatment efficacy of major depressive disorder (MDD). The hypothesis was established in the 1990s but was built on a broad foundation of earlier research on the hippocampus, serotonin and MDD. It has gone through several growth phases fueled by discoveries both correlative and causative in nature. Recently, the hypothesis has also been broadened to also include potential relevance for anxiety disorders, like post-traumatic stress disorder (PTSD). As any hypothesis should be, it has been tested and challenged, sometimes vigorously. Here we review the current standing of the neurogenesis hypothesis of affective and anxiety disorders, noting in particular how a central postulate - that decreased neurogenesis results in depression or anxiety - has, in general, been rejected. We also review the controversies on whether treatments for these disorders, like antidepressants, rely on intact neurogenesis for their efficacy, and the existence of neurogenesis-dependent and -independent effects of antidepressants. In addition, we review the implications that the hypothesis has for the response to stress, PTSD, and the neurobiology of resilience, and highlight our own work showing that adult-generated neurons are functionally important for the behavioral response to social stress. We conclude by emphasizing how advancements in transgenic mouse technology, rodent behavioral analyses, and our understanding of the neurogenesis process will allow us to refine our conclusions and perform ever more specific experiments. Such scrutiny is critical, since if we "mistake the scaffolding for the building" we could overlook opportunities for translational impact in the clinic. This article is part of a special Issue entitled 'Anxiety and Depression'.
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“A few studies provide evidence that the absence of neurogenesis elicits depressive like symptoms in rodents123, 124, but most studies find that absent neurogenesis is not sufficient to induce a depressive phenotype125 although it is required in mice for the behavioral effects of antidepressants118, 126.”
From Dysregulation of adult hippocampal neuroplasticity in major depression: Pathogenesis and therapeutic implications (2022) · cites this paper as [124]
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Wei, Q.-Q., Yin, Y., Qiao, Y.-X., Ni, H., Han, S.-Y., Yao, Y., Li, Y., Zhang, L., & Li, J. (2024) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2024.176394 · Cited by 10
Martins‐Macedo, J., Salgado, A. J., Gomes, E. D., & Pinto, L. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.09.030 · Cited by 11
Fu, Z., Abbott, C., Miller, J., Deng, Z., McClintock, S. M., Sendi, M. S. E., Jing Sui (Beijing Normal University), my correct affiliation is beijing normal university, N. Q. U. O. S. A. T., & Calhoun, V. D. (2023) · Translational Psychiatry · doi:10.1038/s41398-023-02312-w · Cited by 11
Patkar, O. L., Belmer, A., Beecher, K., Jacques, A., & Bartlett, S. E. (2019) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2019.00264 · Cited by 9
β2-microglobulin induces depressive- and anxiety-like behaviors in rat
Zhang, P., Zeng, D., Yi, Y.-L., Tang, Y.-Y., Zou, W., Yang, X., Wang, C., & Tang, X. (2018) · PLoS ONE · doi:10.1371/journal.pone.0198027 · Cited by 12
Martini, M., Calandreau, L., Jouhanneau, M., Mhaouty‐Kodja, S., & Keller, M. (2014) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2014.00202 · Cited by 11
Vicens, P., Ribes, D., Heredia, L., Torrente, M., & Domingo, J. L. (2013) · BioMed Research International · doi:10.1155/2013/952719 · Cited by 12
“Moreover, the initial hypothesis postulating that the generation of neurons in the postnatal hippocampal dentate gyrus is involved in the etiology and treatment efficacy of major depressive disorders has been also extended for anxiety disorders [34].”
BackgroundLi, M., Wang, Y., Li, K., Xu, X., & Zhuang, L. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.941566 · Cited by 7
Cicvaric, A., Sachernegg, H. M., Stojanovic, T., Symmank, D., Smani, T., Moeslinger, T., Uhrin, P., & Monje, F. J. (2020) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2019.00561 · Cited by 9
Santos, M. D., Kereselidze, D., Gloaguen, C., Benadjaoud, M. A., Tack, K., Lestaevel, P., & Durand, C. (2018) · Scientific Reports · doi:10.1038/s41598-018-35579-x · Cited by 11
Laukkanen, V., Kärkkäinen, O., Kautiainen, H., Tiihonen, J., & Storvik, M. (2015) · Alcoholism: Clinical and Experimental Research · doi:10.1111/acer.12791 · Cited by 8
Neuroprotective roles of neurotrophic factors in depression
Groß, C., & Seroogy, K. B. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-814037-6.00007-0 · Cited by 7
Lv, S., Zhang, G., Huang, Y., Zhong, X., Yi, Y., Lu, Y., Li, J., Ma, Y., & Jing, T. (2023) · Frontiers in Pharmacology · doi:10.3389/fphar.2023.1307746 · Cited by 7
An, X.-L., & Wang, Y.-Q. (2022) · Psychiatry Research · doi:10.1016/j.psychres.2022.114390 · Cited by 7
Aiello, R., Crupi, R., Leo, A., Chimirri, S., Rispoli, V., Marra, R., Citraro, R., Cuzzocrea, S., Sarro, G. D., & Russo, E. (2014) · Behavioural Brain Research · doi:10.1016/j.bbr.2014.09.042 · Cited by 7
Neurogenic hypothesis and psychiatric disorders
Lau, B. W.-M., Lee, J. C.-D., & So, K. (2013) · Chinese Science Bulletin · doi:10.1007/s11434-013-5886-z · Cited by 5
Predictive signature of static and dynamic functional connectivity for ECT clinical outcomes
Fu, Z., Abbott, C., Jing Sui (Beijing Normal University), my correct affiliation is beijing normal university, N. Q. U. O. S. A. T., & Calhoun, V. D. (2023) · Frontiers in Pharmacology · doi:10.3389/fphar.2023.1102413 · Cited by 7
“As one of the most popular ECT mechanisms, the neurogenic hypothesis believes that generating new neurons is beneficial for the depressive brain because of its impairment of producing neurons for mood control (Scott et al., 2000; Petrik et al., 2012).”
BackgroundCominski, T. P., Ansonoff, M., Turchin, C., & Pintar, J. (2014) · Neuroscience · doi:10.1016/j.neuroscience.2014.07.039 · Cited by 6
“To this end, neurogenesis is unaffected following treatment with tapentadol, a novel analgesic, and methadone (Sankararaman et al., 2012; Meneghini et al., 2014); opiates like these may be better suited for patients displaying opiate-induced cognitive deficits.”
Koehl, M., Ladevèze, E., Montcouquiol, M., & Abrous, D. N. (2022) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2022.844255 · Cited by 4
Zebrafish as a translational model for stress neurobiology: Mechanisms, tools, and advances
Bhardwaj, V., Goel, F., Garg, V. K., Sahani, V., Bajwa, P. S., & Sharma, A. (2026) · Aquaculture and Fisheries · doi:10.1016/j.aaf.2025.11.010 · Cited by 1
Zhou, L., Wu, Z., Zhao, D., Wang, G., Xiao, L., Wang, H., Xie, Y., & Sun, L. (2023) · Journal of Psychiatry and Neuroscience · doi:10.1503/jpn.220079 · Cited by 3
Plasma Metabolomic Signature of Early Abuse in Middle-Aged Women
Huang, T., Zeleznik, O. A., Roberts, A. L., Balasubramanian, R., Clish, C. B., Eliassen, A. H., Rexrode, K. M., Tworoger, S. S., Hankinson, S. E., Koenen, K. C., et al. (2022) · Psychosomatic Medicine · doi:10.1097/psy.0000000000001088 · Cited by 4
Influence of enriched environment on anxiety-related behavior in evidence and mechanisms
Li, W.-Y., & Wang, X.-D. (2021) · Stress and Brain · doi:10.26599/sab.2020.9060004 · Cited by 3
“Adult hippocampal neurogenesis has been proposed to be indispensable for the anxiolytic effect of EE [54].”
Depressive Disorders: Prevalence, Costs, and Theories
Grosso, C., Valentão, P., & Andrade, P. B. (2016) · Springer eBooks · doi:10.1007/978-3-319-14021-6_1 · Cited by 3
Therapeutic ultrasound for the treatment of demyelinating diseases
Micali, M., Toschi, N., & Conti, A. (2026) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2026.102913 · Cited by 2
Diabetes-induced depression: unravelling the role of gut dysbiosis
Sharma, V. (2025) · Journal of Diabetes & Metabolic Disorders · doi:10.1007/s40200-025-01643-3 · Cited by 3
“The neurogenic hypothesis of depression emphasizes that the generation of new neurons in the adult brain is essential for mood regulation and the efficacy of antidepressant treat - ments [85].”
Çetin, A., Özdemir, E., Gölgeli, A., Taşkıran, A. Ş., Karabulut, S., Ergül, M., Gümüş, E., & Daştan, S. D. (2024) · Neurological Research · doi:10.1080/01616412.2024.2352234 · Cited by 2
“Furthermore, studies suggest that deficits in hippocampal neurogenesis contribute to anxiety disorders [60].”
Can Adult Neurogenesis Be Considered as Neuroplasticity?
Famitafreshi, H., & Karimian, M. (2019) · Archives of Neuroscience · doi:10.5812/ans.79812 · Cited by 3
“The suppression of neurogenesis, in turn, may cause various psychiatric comorbidities such as depression and anxiety disorders (55, 56).”
BackgroundFang-lu, L., Xiang, L., Li, J., Shi-quan, C., Liu, H., & Bao, J. (2016) · Journal of Northeast Agricultural University (English edition) · doi:10.1016/s1006-8104(16)30057-5 · Cited by 2
¿Previene la actividad física y mental el deterioro cognitivo? Evidencia de la investigación animal
Sampedro-Piquero, P., & Begega, A. (2013) · Escritos de Psicología · doi:10.5231/psy.writ.2013.2607 · Cited by 2
Fitzsimons, C. P., Vreugdenhil, E., & Lucassen, P. J. (2012) · Future Neurology · doi:10.2217/fnl.12.55 · Cited by 2
Dissecting a Model of Depressive-Related Phenotype and Antidepressant Effects in 129S2/SvPas Mice
Diaz, S. L., & Maroteaux, L. (2014) · Neuromethods · doi:10.1007/978-1-4939-2187-4_4 · Cited by 2
Wang, Y., Meng, H. P., Li, S., He, X., Zhang, Y., Wei, R., Guo, X. Y., Zhao, B., Zhang, J., Hou, L., et al. (2020) · doi:10.21203/rs.3.rs-100351/v1 · Cited by 1
“It is worth noting that the hippocampus is an important part of the limbic lobe, studies have shown that the signi cant reduction of hippocampal volume is related to depression [24, 25], and the abnormalities of hippocampus are related to depression causality [26].”
BackgroundBumetanide and use in depressive states
Tessier, M., Rezzag, A., Pellegrino, C., & Rivera, C. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-817933-8.00053-0 · Cited by 1
Čulig, L., & Belzung, C. (2016) · Elsevier eBooks · doi:10.1016/b978-0-12-801977-1.00009-x · Cited by 6
Metadata
- Authors
- Petrik, D., Lagace, D. C., & Eisch, A. J.
- Affiliations
- University of Ottawa (CA)
- The University of Texas Southwestern Medical Center (US)
- Corresponding author
- Eisch, Amelia J.
- Venue
- Neuropharmacology
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 62
- Issue
- 1
- Pages
- 21-34
- ISSN
- 0028-3908 (ISSN-L)
- PMC
- PMC3698048
- OpenAlex
- W1988200425
- Cited by
- 241
- References
- 204
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 7 · 2023: 6 · 2022: 8 · 2021: 19 · 2020: 11 · 2019: 13 · 2018: 14 · 2017: 12 · 2016: 29 · 2015: 22 · 2014: 35 · 2013: 29 · 2012: 25
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Neuropharmacology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Funders
- National Institutes of Health (R01 DA016765, K02 DA023555)
- NASA (NNX07AP84G)
- NSERC (371716)
- Topics
- Life Sciences › Neuroscience › Developmental Neuroscience › Neurogenesis and neuroplasticity mechanisms
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- adult neurogenesis, dentate gyrus, major depressive disorder, anxiety disorders, post-traumatic stress disorder, antidepressant mechanism, stress response, resilience, social stress, serotonin, transgenic mouse model
- MeSH terms
- Animals, Anxiety, Hippocampus, Humans, Models, Biological, Anti-Anxiety Agents, Mood Disorders, Neurogenesis
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