title: Treatment of cognitive dysfunction in major depressive disorder--a review of the preclinical evidence for efficacy of selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors and the multimodal-acting antidepressant vortioxetine.
abstract: Although major depressive disorder is primarily considered a mood disorder, depressed patients commonly present with clinically significant cognitive dysfunction that may add to their functional disability. This review paper summarizes the available preclinical data on the effects of antidepressants, including monoamine reuptake inhibitors and the multimodal antidepressant vortioxetine, in behavioral tests of cognition such as cognitive flexibility, attention, and memory, or in potentially cognition-relevant mechanistic assays such as electroencephalography, in vivo microdialysis, in vivo or in vitro electrophysiology, and molecular assays related to neurogenesis or synaptic sprouting. The available data are discussed in context with clinically relevant doses and their relationship to target occupancy levels, in order to evaluate the translational relevance of preclinical doses used during testing. We conclude that there is preclinical evidence suggesting that traditional treatment with monoamine reuptake inhibitors can induce improved cognitive function, for example in cognitive flexibility and memory, and that the multimodal-acting antidepressant vortioxetine may have some advantages by comparison to these treatments. However, the translational value of the reviewed preclinical data can be questioned at times, due to the use of doses outside the therapeutically-relevant range, the lack of data on target engagement or exposure, the tendency to investigate acute rather than long term antidepressant administration, and the trend towards using normal rodents rather than models with translational relevance for depression. Finally, several suggestions are made for advancing this field, including expanded use of target occupancy assessments in preclinical and clinical experiments, and the use of translationally valuable techniques such as electroencephalography.
authors.affiliation: External Sourcing and Scientific Excellence, Lundbeck Research USA, Inc, 215 College Road, Paramus, NJ 07652, USA. Electronic address: apeh@lundbeck.com.
authors.forename: Alan L
authors.initials: AL
authors.lastname: Pehrson
authors.affiliation: Bioanalysis and Physiology, Lundbeck Research USA, Inc, 215 College Road, Paramus, NJ 07652, USA.
authors.forename: Steven C
authors.initials: SC
authors.lastname: Leiser
authors.affiliation: Department of Neuroscience, Albert Einstein College of Medicine, Bronx1410 Pelham Parkway South, NY 10461, USA.
authors.forename: Maria
authors.initials: M
authors.lastname: Gulinello
authors.affiliation: Bioanalysis and Physiology, Lundbeck Research USA, Inc, 215 College Road, Paramus, NJ 07652, USA.
authors.forename: Elena
authors.initials: E
authors.lastname: Dale
authors.affiliation: External Sourcing and Scientific Excellence, Lundbeck Research USA, Inc, 215 College Road, Paramus, NJ 07652, USA.
authors.forename: Yan
authors.initials: Y
authors.lastname: Li
authors.affiliation: External Sourcing and Scientific Excellence, Lundbeck Research USA, Inc, 215 College Road, Paramus, NJ 07652, USA.
authors.forename: Jessica A
authors.initials: JA
authors.lastname: Waller
authors.affiliation: External Sourcing and Scientific Excellence, Lundbeck Research USA, Inc, 215 College Road, Paramus, NJ 07652, USA.
authors.forename: Connie
authors.initials: C
authors.lastname: Sanchez
mesh_terms: D000818:Animals; D000928:Antidepressive Agents / Q000494:pharmacology*; D003071:Cognition / Q000187:drug effects*; D010879:Piperazines / Q000494:pharmacology*; D017367:Selective Serotonin Reuptake Inhibitors / Q000494:pharmacology*; D000068760:Serotonin and Noradrenaline Reuptake Inhibitors / Q000494:pharmacology*; D013440:Sulfides / Q000494:pharmacology*; D000078784:Vortioxetine
chemical_list: D000928:Antidepressive Agents; D010879:Piperazines; D017367:Selective Serotonin Reuptake Inhibitors; D000068760:Serotonin and Noradrenaline Reuptake Inhibitors; D013440:Sulfides; D000078784:Vortioxetine
keywords: Cognitive function; Electrophysiology; Lu AA21004; Major depressive disorder; Receptor occupancy; Vortioxetine