Biological Mechanisms of Major Depressive Disorder: Exploring Neural Circuits and Neurotransmitter Systems in Diagnosis and Treatment

Authors

  • Veda Prathipati Woodbridge Academy Magnet School
  • Jobin Varkey Gifted Gabber
  • Virgel Torremocha University of Southeastern Philippines
  • Jothsna Kethar Gifted Gabber

DOI:

https://doi.org/10.47611/jsrhs.v13i4.8211

Keywords:

Neural circuits, Major Depressive Disorder, Neural Circuits, Neurotransmitter systems, Serotonin, Norepinephrine, Dopamine, Glutamate, Neuroplasticity, Pharmacological Treatments, Transcranial Magnetic Stimulation (TMS), Electroconvulsive Therapy (ECT), Pathophysiology of depression, Neuromodulation, Biological mechanisms of depression

Abstract

Major Depressive Disorder (MDD) is a severe mental illness characterized by persistent low mood, impaired cognitive function, and disrupted emotional regulation. The development and maintenance of MDD involve complex interactions between neural circuits and neurotransmitter systems. This paper provides a comprehensive review of the biological underpinnings of MDD, focusing on how dysfunctions in neurotransmitter systems and neural circuits contribute to the disorder. Key neurotransmitters, such as serotonin, norepinephrine, dopamine, glutamate, and GABA, and their associated neural circuits, including the amygdala, prefrontal cortex, hippocampus, and hypothalamic-pituitary-adrenal axis, are examined for their roles in the pathophysiology of MDD. The research also explores recent advances in treatment approaches targeting these systems, including pharmacological interventions like SSRIs, SNRIs, and ketamine, as well as neuromodulation techniques such as Transcranial Magnetic Stimulation (TMS) and Electroconvulsive Therapy (ECT). Through an extensive literature review, this study highlights the importance of understanding the biological mechanisms underlying MDD to develop more effective therapeutic strategies. By identifying and addressing these mechanisms, the research aims to improve treatment outcomes and enhance the quality of life for individuals suffering from this debilitating condition.


Key words: Major Depressive Disorder (MDD), Neural circuits, Neurotransmitter systems, Serotonin, Norepinephrine, Dopamine, Glutamate, GABA, Neuroplasticity, Pharmacological treatments, Transcranial Magnetic Stimulation (TMS), Electroconvulsive Therapy (ECT), Pathophysiology of depression, Neuromodulation, Biological mechanisms of depression

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References or Bibliography

“Association cortex comprises large-scale, distributed networks across primate species.” Science Direct, 2021, https://www.sciencedirect.com/topics/neuroscience/association-cortex#:~:text=The%20association%20cortex%20consists%20of,component%20of%20the%20limbic%20system.

“Associations between cortical thickness and general intelligence in children, adolescents and young adults.” NCBI, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3985090/. Accessed 27 August 2024.

“Associations between cortical thickness and general intelligence in children, adolescents and young adults.” NCBI, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3985090/. Accessed 27 August 2024.

Cartreine, James. “More than sad: Depression affects your ability to think.” Harvard Health, 6 May 2016, https://www.health.harvard.edu/blog/sad-depression-affects-ability-think-201605069551. Accessed 27 August 2024.

“Depression (major depressive disorder) - Symptoms and causes.” Mayo Clinic, 14 October 2022, https://www.mayoclinic.org/diseases-conditions/depression/symptoms-causes/syc-20356007. Accessed 27 August 2024.

“Depression - National Institute of Mental Health (NIMH).” National Institute of Mental Health, https://www.nimh.nih.gov/health/topics/depression. Accessed 27 August 2024.

“Depression - National Institute of Mental Health (NIMH).” National Institute of Mental Health, https://www.nimh.nih.gov/health/topics/depression. Accessed 27 August 2024.

“Depressive disorder (depression).” World Health Organization (WHO), 31 March 2023, https://www.who.int/news-room/fact-sheets/detail/depression. Accessed 27 August 2024.

“How Depression Affects the Brain > News.” Yale Medicine, 17 June 2021, https://www.yalemedicine.org/news/neurobiology-depression. Accessed 27 August 2024.

“Major Depressive Disorder: Advances in Neuroscience Research and Translational Applications.” PubMed, https://pubmed.ncbi.nlm.nih.gov/33582959/. Accessed 27 August 2024.

“Major Depressive Disorder - StatPearls.” NCBI, https://www.ncbi.nlm.nih.gov/books/NBK559078/. Accessed 27 August 2024.

“Psychiatry.org - What Is Depression?” American Psychiatric Association, https://www.psychiatry.org/patients-families/depression/what-is-depression. Accessed 27 August 2024.

Rakel, RE. “Depression.” PubMed, https://pubmed.ncbi.nlm.nih.gov/10318745/. Accessed 27 August 2024.

“What Happens To The Brain During Depression - Transformations Center.” Transformations Treatment Center, https://www.transformationstreatment.center/treatment/what-happens-to-the-brain-during-depression/. Accessed 27 August 2024.

Weist, Mark D., et al. "School-Based Mental Health Services for Elementary-Aged Children: A Meta-Analysis." Journal of the American Academy of Child & Adolescent Psychiatry, vol. 46, no. 1, 2007, pp. 13-20.

Cuijpers, Pim, et al. "The Effects of Psychotherapies for Major Depression in Adults on Remission, Recovery, and Improvement: A Meta-Analysis." Journal of Affective Disorders, vol. 202, 2016, pp. 511-517.

Cuijpers, Pim, et al. "Psychotherapy for Depression in Adults: A Meta-Analysis of Comparative Outcome Studies." Journal of Consulting and Clinical Psychology, vol. 78, no. 6, 2010, pp. 920-930. APA PsycNet.

World Health Organization. "Mental Health in the Workplace." World Health Organization, 2010. WHO.

Roshanaei-Moghaddam, Behzad, et al. "The Longitudinal Effects of Depression on Physical Activity." General Hospital Psychiatry, vol. 33, no. 4, 2011, pp. 365-372. ScienceDirect.

Holt-Lunstad, Julianne, et al. "Social Relationships and Mortality Risk: A Meta-Analytic Review." PLoS Medicine, vol. 7, no. 7, 2010, e1000316. PLoS Medicine.

American Psychological Association. "Exercise and Depression." American Psychological Association, 2011. APA.

National Institute on Drug Abuse. "Substance Use and Depression." National Institute on Drug Abuse, 2020. NIDA.

Mikkelsen, Kristina, and Andreas Papadopoulos. "The Role of Lifestyle Factors in Preventing Depression." Current Psychiatry Reports, vol. 22, no. 8, 2020, 65. SpringerLink.

Cuijpers, Pim, et al. "The Effects of Psychotherapies for Major Depression in Adults on Remission, Recovery, and Improvement: A Meta-Analysis." Journal of Affective Disorders, vol. 202, 2016, pp. 511-517. ScienceDirect.

Abdijadid, S. “Diagnosis and Management of Major Depressive Disorder.” 2023.

Bains, J. “Major Depressive Disorder: Diagnostic Criteria and Clinical Assessment.” 2023.

Cohen, J. “Assessment Tools for Depression: The HAM-D and PHQ-9.” 2020.

Gordon, R. “Excluding Medical Conditions in Depression Diagnosis.” 2021.

Miller, A. “Impact of Major Depressive Disorder on Daily Functioning.” 2022.

“Depression (major depressive disorder) - Symptoms and causes.” Mayo Clinic, 14 October 2022, https://www.mayoclinic.org/diseases-conditions/depression/symptoms-causes/syc-20356007. Accessed 28 August 2024.

“Biochemistry, Serotonin - StatPearls.” NCBI, 5 October 2022, https://www.ncbi.nlm.nih.gov/books/NBK560856/. Accessed 29 August 2024.

“Antidepressant effects of ketamine in depressed patients.” PubMed, https://pubmed.ncbi.nlm.nih.gov/10686270/. Accessed 30 August 2024.

Lee, BC. “Impact of neurological and medical complications on 3-month outcomes in acute ischaemic stroke.” PubMed, https://pubmed.ncbi.nlm.nih.gov/19049549/. Accessed 30 August 2024.

“Pediatric Antibiotic-refractory Lyme Arthritis: A Multicenter Case-control Study.” PubMed, https://pubmed.ncbi.nlm.nih.gov/30824653/. Accessed 30 August 2024.

Published

11-30-2024

How to Cite

Prathipati, V., Varkey, J., Torremocha, V. ., & Kethar, J. (2024). Biological Mechanisms of Major Depressive Disorder: Exploring Neural Circuits and Neurotransmitter Systems in Diagnosis and Treatment. Journal of Student Research, 13(4). https://doi.org/10.47611/jsrhs.v13i4.8211

Issue

Section

HS Research Articles