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Review Article | Open Access

Involvement of the hippocampus in chronic pain and depression

Tahmineh Mokhtari1,2, Yiheng Tu3, Li Hu1,2( )
CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China
Department of Psychology, University of Chinese Academy of Sciences, Beijing 100101, China
Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, USA
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Abstract

Increases in depressive behaviors have been reported in patients experiencing chronic pain. In these patients, the symptoms of pain and depression commonly coexist, impairing their lives and challenging effective treatment. The hippocampus may play a role in both chronic pain and depression. A reduction in the volume of the hippocampus is related to reduced neurogenesis and neuroplasticity in cases of chronic pain and depression. Moreover, an increase of proinflammatory factors and a reduction of neurotrophic factors have been reported to modulate the hippocampal neurogenesis and neuroplasticity in chronic pain and depression. This review discusses the mechanisms underlying the depressive-like behavior accompanying chronic pain, emphasizing the structural and functional changes in the hippocampus. We also discuss the hypothesis that pro-inflammatory factors and neurotrophic factors expressed in the hippocampus may serve as a therapeutic target for comorbid chronic pain and depression.

Keywords

depressionchronic painhippocampusproinflammatory cytokinesbrain-derived neurotrophic factor

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Brain Science Advances
Volume 5 Issue 4,
December 2019
Pages 288-298
DOI: 10.26599/BSA.2019.9050025
Cite this article:
Mokhtari T, Tu Y, Hu L. Involvement of the hippocampus in chronic pain and depression. Brain Science Advances, 2019, 5(4): 288-298. https://doi.org/10.26599/BSA.2019.9050025

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Received: 06 November 2019
Revised: 08 December 2019
Accepted: 15 December 2019
Published: 18 May 2020
© The authors 2019

Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage)
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