2021
DOI: 10.1038/s41467-021-23284-9
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Reduced adaptation of glutamatergic stress response is associated with pessimistic expectations in depression

Abstract: Stress is a significant risk factor for the development of major depressive disorder (MDD), yet the underlying mechanisms remain unclear. Preclinically, adaptive and maladaptive stress-induced changes in glutamatergic function have been observed in the medial prefrontal cortex (mPFC). Here, we examine stress-induced changes in human mPFC glutamate using magnetic resonance spectroscopy (MRS) in two healthy control samples and a third sample of unmedicated participants with MDD who completed the Maastricht acute… Show more

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Cited by 22 publications
(11 citation statements)
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“…Moreover, patients with higher depression scores in the HADS‐D reported more intensive stress in the period preceding the operation, which is in line with the results of the study, stating that people with depression have worse biochemical mechanisms to deal with stress (Cooper et al, 2021). Those with higher anxiety scores in the HADS‐A reported feeling more nervous both before and during the surgery, which is not surprising as stress and anxiety are strongly interconnected in behavioural and nervous context (Daviu et al, 2019).…”
Section: Discussionsupporting
confidence: 86%
“…Moreover, patients with higher depression scores in the HADS‐D reported more intensive stress in the period preceding the operation, which is in line with the results of the study, stating that people with depression have worse biochemical mechanisms to deal with stress (Cooper et al, 2021). Those with higher anxiety scores in the HADS‐A reported feeling more nervous both before and during the surgery, which is not surprising as stress and anxiety are strongly interconnected in behavioural and nervous context (Daviu et al, 2019).…”
Section: Discussionsupporting
confidence: 86%
“…In a Bayesian, decision-theoretic account, depression entails pessimistic expectations about the value of future rewards and possible actions (Huys et al, 2015), an observation well supported by evidence (Cooper et al, 2021). As noted above, Panksepp emphasized the role of the SEEKING system in anticipation of positive outcomes rather than in ongoing hedonic experience, and he viewed hypoactivity of the system as a determinant of depression (Panksepp and Yovell, 2014).…”
Section: Anhedonia In Depressionmentioning
confidence: 91%
“…Presumably, the antidromic action potentials could invade cortical collaterals that drive local inhibitory interneurons. That proposal is of particular interest given a recent report linking maladaptive stress-induced glutamatergic responses in the medial prefrontal cortex in depressed patients to pessimistic expectations (Cooper et al, 2021). That said, the report from the Freiburg group emphasizes orbitofrontal efferents, rather than medial prefrontal ones.…”
Section: The Centrality Of the Dopamine Neurons?mentioning
confidence: 99%
“…[33] In a sample of patients with this disorder, glutamatergic adaptation to stress was also characteristically impaired. [34]…”
Section: Brain Structures Neuroendocrinology and Stressmentioning
confidence: 99%