Skip to main content

Table 1 Summary of potential targets of antidepressant drugs in relate to AD pathology

From: Antidepressants are a rational complementary therapy for the treatment of Alzheimer's disease

Antidepressants

Neurogenesis

Aβ

Learning & memory

NMDA Receptors

Fluoxetine

(SSRI)

Increase synaptic density in hippocampus[75]

Does not interact with Aβ fibrils [159].

Protects hippocampal LTP [100]. Performance improvement in Morris water maze after chronic treatment [102].

Inhibit NMDA receptor directly [127].

Amitriptyline

(NSRI)

Does not increase synapse number but reduce decline in synaptic density [76].

 

Blocks age --induced deterioration of learning and memory [105].

 

Tiapentine

(atypical)

Prevents the reduction of dendrites length as a result of chronic stress [77].

 

Protects hippocampal LTP [99, 100]. No effects on animal performance in Morris water maze[102] but improve animal performance is radial maze discrimination task [104].

 

TCA

  

Reduce LTP in CA1 pyramidal cells [96, 97].

Inhibit NMDA receptor directly [124, 125].

Venlafaxine

(SNRI)

  

Performance improvement in Morris water maze after chronic treatment [101, 103].

 

Imipramine

(NSRI)

 

Increase secreted APP, reduces intracellular APP in culture [165].

No effect on animal performance in Morris water maze [101] and even worsen spatial working memory in radial arm maze test [106].

Changes in binding to NMDAR [118, 120]and expression of NMDAR in brain [116]

Citalopram

(SSRI)

 

Increase the levels of secreted APP in the medium of the treated neurons [165].

 

Adaptation of NMDAR complex [117]. Changes in expression of NMDAR [116].

Clomipramine (NSRI)

   

Chronic administration changes the regulation of NMDA receptor control on the release of dopamine [119].

Milnacipran

(NSRI)

   

Antagonize NMDA receptor uncompetitively [126].

Paroxetine

(SSRI)

 

Reduces levels of Aβ and tau in Tg mice and cells [157, 161–164]

 Â