Neuropeptide Y (NPY) and Orexin-A (OX-A1) Thus, NPY plays pivotal roles in a variety of physiological processes, including food intake, 2,3) gastrointestinal function, 4) circadian rhythm, 5) cognition, 6,7) seizure, 8) and anxiety. 9,10) Numerous studies also indicate that NPY could be involved in the pathogenesis of depression and in the effects of antidepressant therapies. In preclinical studies, hippocampal NPY levels have been decreased in animals exposed to chronic mild stress, 11) inescapable stress, 12) and maternal separation, 13,14) all of which are known as stress-based models of depression. Flinders Sensitive Line and Fawn Hooded rats, two genetic models of depression, also have significantly decreased hippocampal NPY levels compared to control rats. [15][16][17][18][19][20] In addition, it has been reported that the reduced hippocampal NPY levels in animal models of depression were restored by treatment with antidepressants, 12,15,21) electroconvulsive stimuli, [16][17][18][19] and running. 22) Moreover, additional evidence has shown that NPY per se exhibits antidepressantlike activity via the Y1 receptor [23][24][25][26] and promotes the proliferation of hippocampal neural progenitor cells.27-31) These findings suggest that the upregulation of hippocampal cell proliferation and neurogenesis, the downregulation of which is inversely associated with the pathology of depression, 32,33) could be required for NPY-induced antidepressant-like effects.In clinical studies, some reports have suggested that NPY levels in the cerebrospinal fluid are decreased in patients with major depression [34][35][36][37] and that the NPY levels are improved by electroconvulsive therapy 38) and treatment with an antidepressant. 39) Improvement in the dysfunction of the NPY system might alleviate some afflictions in patients with major depression.Similarly to NPY, several findings have indicated that orexin-A (OX-A), which is a neuropeptide produced especially in the lateral hypothalamic area (LHA), not only regulates food intake 40) but could be also involved in the pathology of depression. [41][42][43] Moreover, OX-A signaling is associated with the onset of antidepressant-like activity in mice. [44][45][46] These evidences suggest that NPY and OX-A could be key mediators in the pathology of depression and in antidepressant-like effects.Kososan, a Kampo (Japanese herbal) medicine (Xiang-Su-San in Chinese), is composed of five herbs (Cyperi Rhizoma, Perillae Herba, Aurantii Nobilis Pericarpium, Glycyrrhizae Radix, and Zingiberis Rhizoma) and is clinically applied in the treatment of depression-like symptoms associated with the initial stage of the common cold, anorexia, food-related allergic urticaria, irritable bowel syndrome, chronic fatigue syndrome, insomnia, and autonomic imbalance. It has been also clinically suggested that kososan can alleviate depression induced by interferon (IFN)-α therapy for hepatitis C. 47) Our previous studies using two animal models of depression, stress-and IFN-α-induced depressionlike mode...