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From chronic pain to depression: Neurogenesis-driven microglial remodeling in the hippocampal dentate gyrus - PubMed

5 hours ago
  • #depression
  • #neurogenesis
  • #chronic pain
  • Chronic pain can lead to depression and anxiety, but the mechanisms are unclear.
  • Hippocampal volume increases in early pain stages but declines with comorbid depression.
  • The dentate gyrus (DG) is a key hub in this transition; DG lesions prevent affective symptoms.
  • Elevated DG activity is linked to hyperactive newborn neurons and microglial recruitment, causing circuit imbalance.
  • Suppressing newborn neuron activity alleviates emotional pathology but impairs cognition.
  • Microglial modulation selectively restores affective behavior without affecting cognition.
  • Microglia-mediated hippocampal remodeling is a key mechanism linking chronic pain to mood disorders.