Brain-derived neurotrophic factor: Difference between revisions

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'''Brain-derived neurotrophic factor''', also known as '''BDNF''', is a [[protein]]<ref name="pmid15518235">{{cite journal | vauthors = Binder DK, Scharfman HE | title = Brain-derived neurotrophic factor | journal = Growth Factors | volume = 22 | issue = 3 | pages = 123–31 | date = September 2004 | pmid = 15518235 | pmc = 2504526 | doi = 10.1080/08977190410001723308 }} found in the [[brain]] and the periphery. </ref> that, in humans, is encoded by the ''BDNF'' [[Gene]].<ref name="pmid2236018">{{cite journal | vauthors = Jones KR, Reichardt LF | title = Molecular cloning of a human gene that is a member of the nerve growth factor family | journal = Proceedings of the National Academy of Sciences of the United States of America | volume = 87 | issue = 20 | pages = 8060–64 | date = October 1990 | pmid = 2236018 | pmc = 54892 | doi = 10.1073/pnas.87.20.8060 | bibcode = 1990PNAS...87.8060J }}</ref><ref name="pmid1889806">{{cite journal | vauthors = Maisonpierre PC, Le Beau MM, Espinosa R, Ip NY, Belluscio L, de la Monte SM, Squinto S, Furth ME, Yancopoulos GD | title = Human and rat brain-derived neurotrophic factor and neurotrophin-3: gene structures, distributions, and chromosomal localizations | journal = Genomics | volume = 10 | issue = 3 | pages = 558–68 | date = July 1991 | pmid = 1889806 | doi = 10.1016/0888-7543(91)90436-I }}</ref> BDNF is a member of the [[neurotrophin]] family of growth factors, which are related to the canonical [[nerve growth factor]]. [[Neurotrophic factors]] are found in the [[brain]] and the periphery.
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<!-- The GNF_Protein_box is automatically maintained by Protein Box Bot.  See Template:PBB_Controls to Stop updates. -->
== Function ==
{{GNF_Protein_box
| image = 1BND.png
| image_source = [[Protein_Data_Bank|PDB]] rendering based on 1bnd.
| Name = Brain-derived neurotrophic factor
| HGNCid = 1033
| Symbol = BDNF
| AltSymbols =; MGC34632
| OMIM = 113505
| ECnumber = 
| Homologene = 7245
| MGIid = 88145
| GeneAtlas_image1 = PBB_GE_BDNF_206382_s_at_tn.png
| Function = {{GNF_GO|id=GO:0005515 |text = protein binding}} {{GNF_GO|id=GO:0008083 |text = growth factor activity}}
| Component = {{GNF_GO|id=GO:0016023 |text = cytoplasmic membrane-bound vesicle}}
| Process = {{GNF_GO|id=GO:0001657 |text = ureteric bud development}} {{GNF_GO|id=GO:0006916 |text = anti-apoptosis}} {{GNF_GO|id=GO:0007406 |text = negative regulation of neuroblast proliferation}} {{GNF_GO|id=GO:0007411 |text = axon guidance}} {{GNF_GO|id=GO:0007412 |text = axon target recognition}} {{GNF_GO|id=GO:0007631 |text = feeding behavior}} {{GNF_GO|id=GO:0008038 |text = neuron recognition}} {{GNF_GO|id=GO:0014047 |text = glutamate secretion}} {{GNF_GO|id=GO:0016358 |text = dendrite development}} {{GNF_GO|id=GO:0019222 |text = regulation of metabolic process}} {{GNF_GO|id=GO:0021675 |text = nerve development}} {{GNF_GO|id=GO:0042490 |text = mechanoreceptor differentiation}} {{GNF_GO|id=GO:0043523 |text = regulation of neuron apoptosis}} {{GNF_GO|id=GO:0045666 |text = positive regulation of neuron differentiation}} {{GNF_GO|id=GO:0046668 |text = regulation of retinal programmed cell death}} {{GNF_GO|id=GO:0048167 |text = regulation of synaptic plasticity}} {{GNF_GO|id=GO:0048839 |text = inner ear development}}
| Orthologs = {{GNF_Ortholog_box
    | Hs_EntrezGene = 627
    | Hs_Ensembl = ENSG00000176697
    | Hs_RefseqProtein = NP_001700
    | Hs_RefseqmRNA = NM_001709
    | Hs_GenLoc_db = 
    | Hs_GenLoc_chr = 11
    | Hs_GenLoc_start = 27633022
    | Hs_GenLoc_end = 27699872
    | Hs_Uniprot = P23560
    | Mm_EntrezGene = 12064
    | Mm_Ensembl = ENSMUSG00000048482
    | Mm_RefseqmRNA = NM_001048139
    | Mm_RefseqProtein = NP_001041604
    | Mm_GenLoc_db = 
    | Mm_GenLoc_chr = 2
    | Mm_GenLoc_start = 109475539
    | Mm_GenLoc_end = 109527845
    | Mm_Uniprot = Q541P3
  }}
}}
{{SI}}
__NOTOC__
{{GS}}


'''Assistant Editor-in-Chief:''' Nelofar Adnan, M.D. [mailto:nelofar.kureshi@gmail.com]  
BDNF acts on certain [[neuron]]s of the [[central nervous system]] and the [[peripheral nervous system]], helping to support the survival of existing neurons, and encourage the growth and [[Cellular differentiation|differentiation]] of new neurons and [[synapse]]s.<ref name="pmid7700353">{{cite journal | vauthors = Acheson A, Conover JC, Fandl JP, DeChiara TM, Russell M, Thadani A, Squinto SP, Yancopoulos GD, Lindsay RM | title = A BDNF autocrine loop in adult sensory neurons prevents cell death | journal = Nature | volume = 374 | issue = 6521 | pages = 450–53 | date = March 1995 | pmid = 7700353 | doi = 10.1038/374450a0 | bibcode = 1995Natur.374..450A }}</ref><ref name="pmid11520916">{{cite journal | vauthors = Huang EJ, Reichardt LF | title = Neurotrophins: roles in neuronal development and function | journal = Annual Review of Neuroscience | volume = 24 | issue =  | pages = 677–736 | year = 2001 | pmid = 11520916 | pmc = 2758233 | doi = 10.1146/annurev.neuro.24.1.677 }}</ref>  In the brain, it is active in the [[hippocampus]], [[Cerebral cortex|cortex]], and [[basal forebrain]]—areas vital to [[learning]], [[memory]], and higher thinking.<ref name="pmid12719654">{{cite journal | vauthors = Yamada K, Nabeshima T | title = Brain-derived neurotrophic factor/TrkB signaling in memory processes | journal = Journal of Pharmacological Sciences | volume = 91 | issue = 4 | pages = 267–70 | date = April 2003 | pmid = 12719654 | doi = 10.1254/jphs.91.267 }}</ref> It is also expressed in the retina, motor neurons, the kidneys, saliva, and the prostate.<ref name="pmid19467646">{{cite journal | vauthors = Mandel AL, Ozdener H, Utermohlen V | title = Identification of pro- and mature brain-derived neurotrophic factor in human saliva | journal = Archives of Oral Biology | volume = 54 | issue = 7 | pages = 689–95 | date = July 2009 | pmid = 19467646 | pmc = 2716651 | doi = 10.1016/j.archoralbio.2009.04.005 }}</ref>


{{Editor Join}}
BDNF itself is important for [[long-term memory]].<ref name="pmid18263738">{{cite journal | vauthors = Bekinschtein P, Cammarota M, Katche C, Slipczuk L, Rossato JI, Goldin A, Izquierdo I, Medina JH | title = BDNF is essential to promote persistence of long-term memory storage | journal = Proceedings of the National Academy of Sciences of the United States of America | volume = 105 | issue = 7 | pages = 2711–16 | date = February 2008 | pmid = 18263738 | pmc = 2268201 | doi = 10.1073/pnas.0711863105 | bibcode = 2008PNAS..105.2711B }}</ref>
Although the vast majority of neurons in the [[mammal]]ian brain are formed prenatally, parts of the adult brain retain the ability to grow new neurons from neural [[stem cell]]s in a process known as [[neurogenesis]]. Neurotrophins are proteins that help to stimulate and control neurogenesis, BDNF being one of the most active.<ref name="pmid9675054">{{cite journal | vauthors = Zigova T, Pencea V, Wiegand SJ, Luskin MB | title = Intraventricular administration of BDNF increases the number of newly generated neurons in the adult olfactory bulb | journal = Molecular and Cellular Neurosciences | volume = 11 | issue = 4 | pages = 234–45 | date = July 1998 | pmid = 9675054 | doi = 10.1006/mcne.1998.0684 }}</ref><ref name="pmid11517261">{{cite journal | vauthors = Benraiss A, Chmielnicki E, Lerner K, Roh D, Goldman SA | title = Adenoviral brain-derived neurotrophic factor induces both neostriatal and olfactory neuronal recruitment from endogenous progenitor cells in the adult forebrain | journal = The Journal of Neuroscience | volume = 21 | issue = 17 | pages = 6718–31 | date = September 2001 | pmid = 11517261 | url = http://www.jneurosci.org/cgi/content/abstract/21/17/6718 }}</ref><ref name="pmid11517260">{{cite journal | vauthors = Pencea V, Bingaman KD, Wiegand SJ, Luskin MB | title = Infusion of brain-derived neurotrophic factor into the lateral ventricle of the adult rat leads to new neurons in the parenchyma of the striatum, septum, thalamus, and hypothalamus | journal = The Journal of Neuroscience | volume = 21 | issue = 17 | pages = 6706–17 | date = September 2001 | pmid = 11517260 | url = http://www.jneurosci.org/cgi/pmidlookup?view=long&pmid=11517260 }}</ref>  Mice born without the ability to make BDNF suffer developmental defects in the brain and [[sensory nervous system]], and usually die soon after birth, suggesting that BDNF plays an important role in normal [[neural development]].<ref name="pmid8645564">{{cite journal | vauthors = Ernfors P, Kucera J, Lee KF, Loring J, Jaenisch R | title = Studies on the physiological role of brain-derived neurotrophic factor and neurotrophin-3 in knockout mice | journal = The International Journal of Developmental Biology | volume = 39 | issue = 5 | pages = 799–807 | date = October 1995 | pmid = 8645564 | url = http://www.intjdevbiol.com/paper.php?doi=8645564 }}</ref> Other important neurotrophins structurally related to BDNF include [[NT-3]], [[NT-4]], and [[Nerve growth factor|NGF]].


==Overview==
BDNF is made in the [[endoplasmic reticulum]] and secreted from dense-core vesicles. It binds [[carboxypeptidase E]] (CPE), and the disruption of this binding has been proposed to cause the loss of sorting of BDNF into dense-core vesicles. The [[phenotype]] for BDNF knockout mice can be severe, including postnatal lethality. Other traits include sensory neuron losses that affect coordination, balance, hearing, taste, and breathing. Knockout mice also exhibit cerebellar abnormalities and an increase in the number of sympathetic neurons.<ref>MGI database: phenotypes for BDNF homozygous null mice. http://www.informatics.jax.org/searches/allele_report.cgi?_Marker_key=537&int:_Set_key=847156</ref>
'''Brain-derived neurotrophic factor''' (BDNF) is a [[neurotrophic factor]] found in the [[brain]] and the periphery. It is a [[protein]] that acts on certain [[neuron]]s of the [[central nervous system]] and the peripheral nervous system that helps to support the survival of existing neurons and encourage the growth and differentiation of new neurons and [[synapse]]s. In the brain, it is active in the [[hippocampus]], [[Cerebral cortex|cortex]], and basal [[forebrain]]—areas vital to learning, memory, and higher thinking. [[BDNF]] was the second neurotrophic factor to be characterized, after nerve growth factor ([[Nerve growth factor|NGF]]) and neurotrophin three ([[NT-3]]).


Although the vast majority of neurons in the [[mammal]]ian brain are formed prenatally, parts of the adult brain retain the ability to grow new neurons from neural [[stem cell]]s in a process known as [[neurogenesis]]. Neurotrophins are chemicals that help to stimulate and control neurogenesis, BDNF being one of the most active.  Mice born without the ability to make BDNF suffer developmental defects in the brain and sensory nervous system, and usually die soon after birth, suggesting that BDNF plays an important role in normal [[neural development]].
[[Neurobiological effects of physical exercise|Certain types of physical exercise]] have been shown to markedly (threefold) increase BDNF synthesis in the human brain, a phenomenon which is partly responsible for exercise-induced neurogenesis and improvements in cognitive function.<ref name="BDNF meta analysis">{{cite journal | vauthors = Szuhany KL, Bugatti M, Otto MW | title = A meta-analytic review of the effects of exercise on brain-derived neurotrophic factor | journal = Journal of Psychiatric Research | volume = 60 | issue =  | pages = 56–64 | date = January 2015 | pmid = 25455510 | pmc = 4314337 | doi = 10.1016/j.jpsychires.2014.10.003 }}</ref><ref name="epigenome">{{cite journal | vauthors = Denham J, Marques FZ, O'Brien BJ, Charchar FJ | title = Exercise: putting action into our epigenome | journal = Sports Medicine | volume = 44 | issue = 2 | pages = 189–209 | date = February 2014 | pmid = 24163284 | doi = 10.1007/s40279-013-0114-1 }}</ref><ref name="trophic factor signaling">{{cite journal | vauthors = Phillips C, Baktir MA, Srivatsan M, Salehi A | title = Neuroprotective effects of physical activity on the brain: a closer look at trophic factor signaling | journal = Frontiers in Cellular Neuroscience | volume = 8 | issue =  | pages = 170 | year = 2014 | pmid = 24999318 | pmc = 4064707 | doi = 10.3389/fncel.2014.00170 }}</ref><ref name="Organ response">{{cite journal | vauthors = Heinonen I, Kalliokoski KK, Hannukainen JC, Duncker DJ, Nuutila P, Knuuti J | title = Organ-specific physiological responses to acute physical exercise and long-term training in humans | journal = Physiology | volume = 29 | issue = 6 | pages = 421–36 | date = November 2014 | pmid = 25362636 | doi = 10.1152/physiol.00067.2013 }}</ref> [[Niacin]] appears to upregulate BDNF and [[tropomyosin receptor kinase B]] (TrkB) expression as well.<ref name="niacin review 2014">{{cite journal | vauthors = Fu L, Doreswamy V, Prakash R | title = The biochemical pathways of central nervous system neural degeneration in niacin deficiency | journal = Neural Regeneration Research | volume = 9 | issue = 16 | pages = 1509–13 | date = August 2014 | pmid = 25317166 | pmc = 4192966 | doi = 10.4103/1673-5374.139475 }}</ref>


Despite its name, BDNF is actually found in a range of tissue and cell types, not just in the brain. It is also expressed in the retina, the CNS, motor neurons, the kidneys, and the prostate.
== Mechanism of action ==


==Effects of stress and BDNF's link in depression==
BDNF binds at least two receptors on the surface of cells that are capable of responding to this growth factor, [[TrkB]] (pronounced "Track B") and the [[LNGFR]] (for ''low-affinity nerve growth factor receptor'', also known as p75).<ref name="pmid11399424">{{cite journal | vauthors = Patapoutian A, Reichardt LF | title = Trk receptors: mediators of neurotrophin action | journal = Current Opinion in Neurobiology | volume = 11 | issue = 3 | pages = 272–80 | date = June 2001 | pmid = 11399424 | doi = 10.1016/S0959-4388(00)00208-7 }}</ref> It may also modulate the activity of various neurotransmitter receptors, including the [[Alpha-7 nicotinic receptor]].<ref name="pmid18495895">{{cite journal | vauthors = Fernandes CC, Pinto-Duarte A, Ribeiro JA, Sebastião AM | title = Postsynaptic action of brain-derived neurotrophic factor attenuates alpha7 nicotinic acetylcholine receptor-mediated responses in hippocampal interneurons | journal = The Journal of Neuroscience | volume = 28 | issue = 21 | pages = 5611–18 | date = May 2008 | pmid = 18495895 | doi = 10.1523/JNEUROSCI.5378-07.2008 }}</ref> BDNF has also been shown to interact with the [[reelin]] signaling chain.<!--
Exposure to [[Stress (medicine)|stress]] and the stress hormone [[corticosterone]] has been shown to decrease the [[Gene expression|expression]] of BDNF in rats, and leads to an eventual atrophy of the hippocampus if exposure is persistent. Similar atrophy has been shown to take place in humans suffering from chronic [[Clinical depression|depression]]. In addition, rats bred to be heterozygous for BDNF, therefore reducing its expression, have been observed to exhibit similar hippocampal atrophy, suggesting that an etiological link between the development of depressive illness and regulation of BDNF exists.  On the other hand, the excitatory neurotransmitter glutamate, voluntary [[exercise]], [[caloric restriction]], intellectual stimulation, and various treatments for depression (such as [[antidepressant]]s and [[electroconvulsive therapy]]) strongly increase expression of BDNF in the brain, and have been shown to protect against this atrophy.


==Mechanism of action for BDNF==
--><ref name="ReelinBook">{{cite book | author = Fatemi, S. Hossein | title = Reelin Glycoprotein: Structure, Biology and Roles in Health and Disease | edition = | publisher = Springer | location = Berlin | year = 2008 | pages = 444 pages | isbn = 978-0-387-76760-4 | doi = | url = https://www.springer.com/biomed/neuroscience/book/978-0-387-76760-4 | accessdate = }}; see the chapter "A Tale of Two Genes: Reelin and BDNF"; pp. 237–45</ref><!--


[[BDNF]] binds at least two receptors on the surface of cells which are capable of responding to this growth factor, [[TrkB]] (pronounced "Track B") and the [[LNGFR]] (for "low affinity nerve growth factor receptor", also known as p75).
--> The expression of reelin by [[Cajal-Retzius cell]]s goes down during development under the influence of BDNF.<!--


[[TrkB]] is a receptor tyrosine kinase (meaning it mediates its actions by causing the addition of phosphate molecules on certain tyrosines in the cell, activating cellular signaling).  There are other related Trk receptors, [[TrkA]] and [[TrkC]].  Also, there are other neurotrophic factors structurally related to BDNF:  [[NGF]] (for Nerve Growth Factor), [[NT-3]] (for Neurotrophin-3) and NT-4 (for Neurotrophin-4).  While TrkB mediates the effects of BDNF and NT-4,[[TrkA]] binds and is activated by NGF, and [[TrkC]] binds and is activated by [[NT-3]]. [[NT-3]] binds to [[TrkA]] and TrkB as well, but with less affinity.
--><ref name="pmid9728912">{{cite journal | vauthors = Ringstedt T, Linnarsson S, Wagner J, Lendahl U, Kokaia Z, Arenas E, Ernfors P, Ibáñez CF | title = BDNF regulates reelin expression and Cajal-Retzius cell development in the cerebral cortex | journal = Neuron | volume = 21 | issue = 2 | pages = 305–15 | date = August 1998 | pmid = 9728912 | doi = 10.1016/S0896-6273(00)80540-1 }}</ref><!--


The other [[BDNF]] receptor, the [[LNGFR]], plays a somewhat less clear role.  Some researchers have shown the LNGFR binds and serves as a "sink" for neurotrophins.  Cells which express both the LNGFR and the Trk receptors might therefore have a greater activity - since they have a higher "microconcentration" of the neurotrophin.  It has also been shown, however, that the LNGFR may signal a cell to die via apoptosis - so therefore cells  expressing the LNGFR in the absence of Trk receptors may die rather than live in the presence of a neurotrophin.
--> The latter also decreases reelin expression in neuronal culture.


==Other diseases associated with low BDNF levels==
=== TrkB ===
Various studies have shown possible links between low levels of BDNF and conditions such as [[clinical depression|depression]], [[schizophrenia]], [[Obsessive-compulsive disorder]], [[Alzheimer's disease]], [[Huntington's disease]], [[Rett syndrome]], and [[dementia]], though it is still not known whether these levels represent a cause or a symptom.


==High BDNF levels==
The TrkB receptor is encoded by the [[NTRK2]] gene and is member of a receptor family of tyrosine kinases that includes [[TrkA]] and [[TrkC]].  TrkB [[autophosphorylation]] is dependent upon its ligand-specific association with BDNF, a widely expressed activity-dependent neurotic factor that regulates [[Synaptic plasticity|plasticity]] and is unregulated following [[Hypoxia (medical)|hypoxic]] injury. The activation of the BDNF-TrkB pathway is important in the development of short term memory and the growth of neurons.{{citation needed|date=January 2016}}
High levels of BDNF and [[Substance P]] have been found associated with increased itching in [[eczema]]<ref>'Blood chemicals link' to eczema [http://news.bbc.co.uk/2/hi/health/6962450.stm]</ref>.


==Epilepsy==
=== LNGFR ===
Epilepsy has also been linked with polymorphisms in BDNF. Given BDNF's vital role in the development of the landscape of the brain, there is quite a lot of room for influence on the development of neuropathologies from BDNF.


Levels of both BDNF mRNA and BDNF protein are known to be up-regulated in epilepsy [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=1815605&query_hl=1&itool=pubmed_docsum (Gall C, et.al. 1991)]. BDNF modulates excitatory and inhibitory synaptic transmission by inhibiting GABAA-receptor mediated post-synaptic currents. This provides a potential reason for the observed up-regulation.
The role of the other BDNF receptor, [[p75]], is less clear. While the TrkB receptor interacts with BDNF in a ligand-specific manner, all neurotrophins can interact with the p75 receptor.<ref name="Bartkowska_2007">{{cite journal | vauthors = Bartkowska K, Paquin A, Gauthier AS, Kaplan DR, Miller FD | title = Trk signaling regulates neural precursor cell proliferation and differentiation during cortical development | journal = Development | volume = 134 | issue = 24 | pages = 4369–80 | date = December 2007 | pmid = 18003743 | doi = 10.1242/dev.008227 }}</ref>  When the p75 receptor is activated, it leads to activation of [[NFkB]] receptor.<ref name="Bartkowska_2007"/>  Thus, neurotrophic signaling may trigger [[apoptosis]] rather than survival pathways in cells expressing the p75 receptor in the absence of Trk receptors. Recent studies have revealed a truncated isoform of the TrkB receptor (t-TrkB) may act as a dominant negative to the p75 neurotrophin receptor, inhibiting the activity of p75, and preventing BDNF-mediated cell death.<ref name="pmid20955473">{{cite journal | vauthors = Michaelsen K, Zagrebelsky M, Berndt-Huch J, Polack M, Buschler A, Sendtner M, Korte M | title = Neurotrophin receptors TrkB.T1 and p75NTR cooperate in modulating both functional and structural plasticity in mature hippocampal neurons | journal = The European Journal of Neuroscience | volume = 32 | issue = 11 | pages = 1854–65 | date = December 2010 | pmid = 20955473 | doi = 10.1111/j.1460-9568.2010.07460.x }}</ref>


==References==
== Expression ==
{{Reflist}}


==External links==
The BDNF protein is encoded by a gene that is also called BDNF, found in humans on chromosome 11.<ref name="pmid2236018"/><ref name="pmid1889806"/>  Structurally, BDNF transcription is controlled by 8 different promoters, each leading to different transcripts containing one of 8 untranslated 5’ exons (I to VIII) spliced to the 3’ encoding [[exon]].  Promoter IV activity, leading to the translation of exon IV-containing mRNA, is strongly stimulated by calcium and is primarily under the control of a [[CAMP response element|Cre]] regulatory component, suggesting a putative role for the transcription factor [[CREB]] and the source of BDNF’s activity-dependent effects .<ref name="Zheng_2009">{{cite journal | vauthors = Zheng F, Wang H | title = NMDA-mediated and self-induced bdnf exon IV transcriptions are differentially regulated in cultured cortical neurons | journal = Neurochemistry International | volume = 54 | issue = 5–6 | pages = 385–92 | year = 2009 | pmid = 19418634 | pmc = 2722960 | doi = 10.1016/j.neuint.2009.01.006 }}</ref>
*[http://www.alzforum.org/res/for/journal/cotman/default.asp BDNF and Alzheimer's Disease- What's the Connection?]
There are multiple mechanisms through neuronal activity can increase BDNF exon IV specific expression.<ref name="Zheng_2009"/>  Stimulus-mediated neuronal excitation can lead to NMDA receptor activation, triggering a calcium influx. Through a protein signaling cascade requiring [[Extracellular signal-regulated kinases|Erk]], [[Ca2+/calmodulin-dependent protein kinase II|CaM KII/IV]], [[PI3K]], and [[Phospholipase C|PLC]], [[NMDA]] receptor activation is capable of triggering BDNF exon IV transcription. BDNF exon IV expression also seems capable of further stimulating its own expression through TrkB activation. BDNF is released from the post-synaptic membrane in an activity-dependent manner, allowing it to act on local TrkB receptors and mediate effects that can leading to signaling cascades also involving Erk and CaM KII/IV.<ref name="Zheng_2009"/><ref name="pmid20232397">{{cite journal | vauthors = Kuzumaki N, Ikegami D, Tamura R, Hareyama N, Imai S, Narita M, Torigoe K, Niikura K, Takeshima H, Ando T, Igarashi K, Kanno J, Ushijima T, Suzuki T, Narita M | title = Hippocampal epigenetic modification at the brain-derived neurotrophic factor gene induced by an enriched environment | journal = Hippocampus | volume = 21 | issue = 2 | pages = 127–32 | date = February 2011 | pmid = 20232397 | doi = 10.1002/hipo.20775 }}</ref>  Both of these pathways probably involve calcium-mediated phosphorylation of CREB at Ser133, thus allowing it to interact with BDNF’s Cre regulatory domain and upregulate transcription.<ref name="pmid9581763">{{cite journal | vauthors = Tao X, Finkbeiner S, Arnold DB, Shaywitz AJ, Greenberg ME | title = Ca2+ influx regulates BDNF transcription by a CREB family transcription factor-dependent mechanism | journal = Neuron | volume = 20 | issue = 4 | pages = 709–26 | date = April 1998 | pmid = 9581763 | doi = 10.1016/s0896-6273(00)81010-7 }}</ref>  However, NMDA-mediated receptor signaling is probably necessary to trigger the upregulation of BDNF exon IV expression because normally CREB interaction with CRE and the subsequent translation of the BDNF transcript is blocked by of the [[basic helix-loop-helix]] transcription factor protein 2 ([[BHLHB2]]).<ref name="Jiang_2008">{{cite journal | vauthors = Jiang X, Tian F, Du Y, Copeland NG, Jenkins NA, Tessarollo L, Wu X, Pan H, Hu XZ, Xu K, Kenney H, Egan SE, Turley H, Harris AL, Marini AM, Lipsky RH | display-authors = 6 | title = BHLHB2 controls Bdnf promoter 4 activity and neuronal excitability | journal = The Journal of Neuroscience | volume = 28 | issue = 5 | pages = 1118–30 | date = January 2008 | pmid = 18234890 | doi = 10.1523/JNEUROSCI.2262-07.2008 }}</ref>  NMDA receptor activation triggers the release of the regulatory inhibitor, allowing for BDNF exon IV upregulation to take place in response to the activity-initiated calcium influx.<ref name="Jiang_2008"/> Activation of [[Dopamine receptor D5]] also promotes expression of BDNF in [[prefrontal cortex]] neurons.<ref>{{cite journal | vauthors = Perreault ML, Jones-Tabah J, O'Dowd BF, George SR | title = A physiological role for the dopamine D5 receptor as a regulator of BDNF and Akt signalling in rodent prefrontal cortex | journal = The International Journal of Neuropsychopharmacology | volume = 16 | issue = 2 | pages = 477–83 | date = March 2013 | pmid = 22827965 | pmc = 3802523 | doi = 10.1017/S1461145712000685 }}</ref>
*[http://hdlighthouse.org/see/research/bdnf.htm New Clue to Huntington's May Lead to Treatment]
*[http://users.erols.com/igoddard/soy.htm New Findings May Support Soy-Dementia in Men]
*[http://www.telegraph.co.uk/earth/main.jhtml?view=DETAILS&grid=&xml=/earth/2007/10/18/scistress118.xml Low BDNF activity promotes resilience ]


==Further reading==
== Common SNPs in BDNF gene ==
{{refbegin | 2}}
BDNF has several known [[single nucleotide polymorphism]]<nowiki/>s (SNP), including, but not limited to, rs6265, C270T, rs7103411, rs2030324, rs2203877, rs2049045 and rs7124442.  As of 2008, [[rs6265]] is the most investigated [[Single-nucleotide polymorphism|SNP]] of the ''BDNF'' gene <ref name="pmid12553913">{{cite journal | vauthors = Egan MF, Kojima M, Callicott JH, Goldberg TE, Kolachana BS, Bertolino A, Zaitsev E, Gold B, Goldman D, Dean M, Lu B, Weinberger DR | title = The BDNF val66met polymorphism affects activity-dependent secretion of BDNF and human memory and hippocampal function | journal = Cell | volume = 112 | issue = 2 | pages = 257–69 | date = January 2003 | pmid = 12553913 | doi = 10.1016/S0092-8674(03)00035-7 }}</ref><ref name="Bath_2006">{{cite journal | vauthors = Bath KG, Lee FS | title = Variant BDNF (Val66Met) impact on brain structure and function | journal = Cognitive, Affective & Behavioral Neuroscience | volume = 6 | issue = 1 | pages = 79–85 | date = March 2006 | pmid = 16869232 | doi = 10.3758/CABN.6.1.79 }}</ref>
* {{cite journal |author=Gall C, Lauterborn J, Bundman M, Murray K, Isackson P |title=Seizures and the regulation of neurotrophic factor and neuropeptide gene expression in brain |journal=Epilepsy Res. Suppl. |volume=4 |issue= |pages=225-45 |year=1991 |pmid=1815605 |doi=}}


* {{cite journal |author=Jones KR, Fariñas I, Backus C, Reichardt LF |title=Targeted disruption of the BDNF gene perturbs brain and sensory neuron development but not motor neuron development |journal=Cell |volume=76 |issue=6 |pages=989-99 |year=1994 |pmid=8137432 |doi=}}
=== Val66Met ===
A common [[Single-nucleotide polymorphism|SNP]] in the BDNF gene is rs6265.<ref name=Baj2013>{{cite journal | vauthors = Baj G, Carlino D, Gardossi L, Tongiorgi E | title = Toward a unified biological hypothesis for the BDNF Val66Met-associated memory deficits in humans: a model of impaired dendritic mRNA trafficking | journal = Frontiers in Neuroscience | volume = 7 | pages = 188 | date = October 2013 | pmid = 24198753 | doi = 10.3389/fnins.2013.00188 | pmc=3812868}}</ref>  This point mutation in the coding sequence, a guanine to adenine switch at position 196, results in an amino acid switch: valine to methionine exchange at codon 66, Val66Met, which is in the prodomain of BDNF.<ref name=Baj2013/><ref name="Bath_2006"/> Val66Met is unique to humans.<ref name=Baj2013/><ref name="Bath_2006"/>


* {{cite journal |author=Arévalo JC, Waite J, Rajagopal R, ''et al'' |title=Cell survival through Trk neurotrophin receptors is differentially regulated by ubiquitination |journal=Neuron |volume=50 |issue=4 |pages=549-59 |year=2006 |pmid=16701206 |doi=10.1016/j.neuron.2006.03.044}}
The mutation interferes with normal translation and intracellular trafficking of BDNF mRNA, as it destabilizes the mRNA and renders it prone to degradation.<ref name=Baj2013/>  The proteins resulting from mRNA that does get translated, are not trafficked and secreted normally, as the amino acid change occurs on the portion of the prodomain where [[Sortilin 1|sortilin]] binds; and sortilin is essential for normal trafficking.<ref name=Baj2013/><ref name="Bath_2006"/><ref>{{cite journal | vauthors = Cunha C, Brambilla R, Thomas KL | title = A simple role for BDNF in learning and memory? | journal = Frontiers in Molecular Neuroscience | volume = 3 | pages = 1 | date = 2010-01-01 | pmid = 20162032 | pmc = 2821174 | doi = 10.3389/neuro.02.001.2010 }}</ref>
<!-- The PBB_Further_reading template is automatically maintained by Protein Box Bot.  See Template:PBB_Controls to Stop updates. -->
 
{{PBB_Further_reading
The Val66Met mutation results in a reduction of hippocampal tissue and has since been reported in a high number of individuals suffering from learning and memory disorders,<ref name="Bath_2006"/> [[anxiety disorder]]s,<ref name=Dincheva2016rev>{{cite journal | vauthors = Dincheva I, Lynch NB, Lee FS | title = The Role of BDNF in the Development of Fear Learning | journal = Depression and Anxiety | volume = 33 | issue = 10 | pages = 907–16 | date = October 2016 | pmid = 27699937 | pmc = 5089164 | doi = 10.1002/da.22497 }}</ref> and neurodegenerative diseases such as Alzheimer’s and Parkinson’s.<ref>{{cite journal | vauthors = Lu B, Nagappan G, Guan X, Nathan PJ, Wren P | title = BDNF-based synaptic repair as a disease-modifying strategy for neurodegenerative diseases | journal = Nature Reviews. Neuroscience | volume = 14 | issue = 6 | pages = 401–16 | date = June 2013 | pmid = 23674053 | doi = 10.1038/nrn3505 }}</ref>
| citations =
 
*{{cite journal | author=Yamada K, Nabeshima T |title=Brain-derived neurotrophic factor/TrkB signaling in memory processes. |journal=J. Pharmacol. Sci. |volume=91 |issue= 4 |pages= 267-70 |year= 2004 |pmid= 12719654 |doi= }}
A meta-analysis indicates that the BDNF Val66Met variant is not associated with serum BDNF.<ref>{{cite journal | vauthors = Terracciano A, Piras MG, Lobina M, Mulas A, Meirelles O, Sutin AR, Chan W, Sanna S, Uda M, Crisponi L, Schlessinger D | title = Genetics of serum BDNF: meta-analysis of the Val66Met and genome-wide association study | journal = The World Journal of Biological Psychiatry | volume = 14 | issue = 8 | pages = 583–89 | date = December 2013 | pmid = 22047184 | pmc = 3288597 | doi = 10.3109/15622975.2011.616533 }}</ref>
*{{cite journal | author=Pang PT, Lu B |title=Regulation of late-phase LTP and long-term memory in normal and aging hippocampus: role of secreted proteins tPA and BDNF. |journal=Ageing Res. Rev. |volume=3 |issue= 4 |pages= 407-30 |year= 2005 |pmid= 15541709 |doi= 10.1016/j.arr.2004.07.002 }}
 
*{{cite journal | author=Hashimoto K, Koizumi H, Nakazato M, ''et al.'' |title=Role of brain-derived neurotrophic factor in eating disorders: recent findings and its pathophysiological implications. |journal=Prog. Neuropsychopharmacol. Biol. Psychiatry |volume=29 |issue= 4 |pages= 499-504 |year= 2005 |pmid= 15866349 |doi= 10.1016/j.pnpbp.2005.01.007 }}
== Role in synaptic transmission ==
*{{cite journal  | author=Tsai SJ |title=Increased central brain-derived neurotrophic factor activity could be a risk factor for substance abuse: Implications for treatment. |journal=Med. Hypotheses |volume=68 |issue= 2 |pages= 410-4 |year= 2007 |pmid= 16824691 |doi= 10.1016/j.mehy.2006.05.035 }}
 
*{{cite journal | author=Bath KG, Lee FS |title=Variant BDNF (Val66Met) impact on brain structure and function. |journal=Cognitive, affective & behavioral neuroscience |volume=6 |issue= 1 |pages= 79-85 |year= 2006 |pmid= 16869232 |doi= }}
=== Glutamatergic signaling ===
*{{cite journal | author=Nair A, Vaidya VA |title=Cyclic AMP response element binding protein and brain-derived neurotrophic factor: molecules that modulate our mood? |journal=J. Biosci. |volume=31 |issue= 3 |pages= 423-34 |year= 2006 |pmid= 17006024 |doi= }}
 
}}
[[Glutamate]] is the brain’s major excitatory [[neurotransmitter]] and its release can trigger the [[depolarization]] of [[postsynaptic]] neurons. [[AMPA]] and [[NMDA]] receptors are two [[ionotropic receptor|ionotropic]] glutamate receptors involved in [[Glutamic acid|glutamatergic]] [[neurotransmission]] and essential to learning and memory via [[long-term potentiation]]. While [[AMPA receptor]] activation leads to depolarization via sodium influx, [[NMDA receptor]] activation by rapid successive firing allows calcium influx in addition to sodiumThe calcium influx triggered through NMDA receptors can lead to expression of BDNF, as well as other genes thought to be involved in LTP, [[Dendrite|dendritogenesis]], and synaptic stabilization.
{{refend}}
 
==== NMDA receptor activity ====
 
NMDA receptor activation is essential to producing the activity-dependent molecular changes involved in the formation of new memories.  Following exposure to an enriched environment, BDNF and NR1 phosphorylation levels are upregulated simultaneously, probably because BDNF is capable of phosphorylating NR1 subunits, in addition to its many other effects.<ref name="Slack_2004">{{cite journal | vauthors = Slack SE, Pezet S, McMahon SB, Thompson SW, Malcangio M | title = Brain-derived neurotrophic factor induces NMDA receptor subunit one phosphorylation via ERK and PKC in the rat spinal cord | journal = The European Journal of Neuroscience | volume = 20 | issue = 7 | pages = 1769–78 | date = October 2004 | pmid = 15379998 | doi = 10.1111/j.1460-9568.2004.03656.x }}</ref><ref name="Xu_2009">{{cite journal | vauthors = Xu X, Ye L, Ruan Q | title = Environmental enrichment induces synaptic structural modification after transient focal cerebral ischemia in rats | journal = Experimental Biology and Medicine | volume = 234 | issue = 3 | pages = 296–305 | date = March 2009 | pmid = 19244205 | doi = 10.3181/0804-RM-128 }}</ref> One of the primary ways BDNF can modulate NMDA receptor activity is through phosphorylation and activation of the NMDA receptor one subunit, particularly at the PKC Ser-897 site.<ref name="Slack_2004"/> The mechanism underlying this activity is dependent upon both [[Extracellular signal-regulated kinases|ERK]] and [[Protein kinase C|PKC]] signaling pathways, each acting individually, and all NR1 phosphorylation activity is lost if the TrKB receptor is blocked.<ref name="Slack_2004"/> PI3 kinase and Akt are also essential in BDNF-induced potentiation of NMDA receptor function and inhibition of either molecule completely eliminated receptor acBDNF can also increase NMDA receptor activity through phosphorylation of the [[NR2B]] subunit.  BDNF signaling leads to the autophosphorylation of the intracellular domain of the TrkB receptor (ICD-TrkB).  Upon autophosphorylation, [[Fyn]] associates with the pICD-TrkB through its [[SH2 domain|Src homology domain 2]] (SH2) and is phosphorylated at its Y416 site.<ref name="pmid20368433">{{cite journal | vauthors = Namekata K, Harada C, Taya C, Guo X, Kimura H, Parada LF, Harada T | title = Dock3 induces axonal outgrowth by stimulating membrane recruitment of the WAVE complex | journal = Proceedings of the National Academy of Sciences of the United States of America | volume = 107 | issue = 16 | pages = 7586–91 | date = April 2010 | pmid = 20368433 | pmc = 2867726 | doi = 10.1073/pnas.0914514107 | bibcode = 2010PNAS..107.7586N }}</ref><ref name="pmid9648856">{{cite journal | vauthors = Iwasaki Y, Gay B, Wada K, Koizumi S | title = Association of the Src family tyrosine kinase Fyn with TrkB | journal = Journal of Neurochemistry | volume = 71 | issue = 1 | pages = 106–11 | date = July 1998 | pmid = 9648856 | doi = 10.1046/j.1471-4159.1998.71010106.x }}</ref> Once activated, Fyn can bind to NR2B through its SH2 domain and mediate phosphorylation of its Tyr-1472 site.<ref name="pmid11024032">{{cite journal | vauthors = Nakazawa T, Komai S, Tezuka T, Hisatsune C, Umemori H, Semba K, Mishina M, Manabe T, Yamamoto T | title = Characterization of Fyn-mediated tyrosine phosphorylation sites on GluR epsilon 2 (NR2B) subunit of the N-methyl-D-aspartate receptor | journal = The Journal of Biological Chemistry | volume = 276 | issue = 1 | pages = 693–99 | date = January 2001 | pmid = 11024032 | doi = 10.1074/jbc.M008085200 }}</ref>  Similar studies have suggested Fyn is also capable of activating NR2A although this was not found in the hippocampus.<ref name="pmid12663749">{{cite journal | vauthors = Mizuno M, Yamada K, He J, Nakajima A, Nabeshima T | title = Involvement of BDNF receptor TrkB in spatial memory formation | journal = Learning & Memory | volume = 10 | issue = 2 | pages = 108–15 | year = 2003 | pmid = 12663749 | pmc = 196664 | doi = 10.1101/lm.56003 }}</ref><ref name="pmid9892651">{{cite journal | vauthors = Tezuka T, Umemori H, Akiyama T, Nakanishi S, Yamamoto T | title = PSD-95 promotes Fyn-mediated tyrosine phosphorylation of the N-methyl-D-aspartate receptor subunit NR2A | journal = Proceedings of the National Academy of Sciences of the United States of America | volume = 96 | issue = 2 | pages = 435–40 | date = January 1999 | pmid = 9892651 | pmc = 15154 | doi = 10.1073/pnas.96.2.435 | bibcode = 1999PNAS...96..435T }}</ref> Thus, BDNF can increase NMDA receptor activity through Fyn activation.  This has been shown to be important for processes such as spatial memory in the hippocampus, demonstrating the therapeutic and functional relevance of BDNF-mediated NMDA receptor activation.<ref name="pmid12663749"/>
 
==== Synapse stability ====
 
In addition to mediating transient effects on NMDAR activation to promote memory-related molecular changes, BDNF should also initiate more stable effects that could be maintained in its absence and not depend on its expression for long term synaptic support.<ref name="pmid14706865">{{cite journal | vauthors = Briones TL, Suh E, Jozsa L, Hattar H, Chai J, Wadowska M | title = Behaviorally-induced ultrastructural plasticity in the hippocampal region after cerebral ischemia | journal = Brain Research | volume = 997 | issue = 2 | pages = 137–46 | date = February 2004 | pmid = 14706865 | doi = 10.1016/j.brainres.2003.10.030 }}</ref>
It was previously mentioned that [[AMPA]] receptor expression is essential to learning and memory formation, as these are the components of the synapse that will communicate regularly and maintain the synapse structure and function long after the initial activation of NMDA channels.  BDNF is capable of increasing the mRNA expression of GluR1 and GluR2 through its interaction with the TrkB receptor and promoting the synaptic localization of [[GluR1]] via PKC- and CaMKII-mediated Ser-831 phosphorylation.<ref name="pmid17337442">{{cite journal | vauthors = Caldeira MV, Melo CV, Pereira DB, Carvalho R, Correia SS, Backos DS, Carvalho AL, Esteban JA, Duarte CB | title = Brain-derived neurotrophic factor regulates the expression and synaptic delivery of alpha-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid receptor subunits in hippocampal neurons | journal = The Journal of Biological Chemistry | volume = 282 | issue = 17 | pages = 12619–28 | date = April 2007 | pmid = 17337442 | doi = 10.1074/jbc.M700607200 }}</ref>  It also appears that BDNF is able to influence [[Gl1]] activity through its effects on NMDA receptor activity.<ref name="Wu_2004">{{cite journal | vauthors = Wu K, Len GW, McAuliffe G, Ma C, Tai JP, Xu F, Black IB | title = Brain-derived neurotrophic factor acutely enhances tyrosine phosphorylation of the AMPA receptor subunit GluR1 via NMDA receptor-dependent mechanisms | journal = Brain Research. Molecular Brain Research | volume = 130 | issue = 1–2 | pages = 178–86 | date = November 2004 | pmid = 15519688 | doi = 10.1016/j.molbrainres.2004.07.019 }}</ref>  BDNF significantly enhanced the activation of GluR1 through phosphorylation of tyrosine830, an effect that was abolished in either the presence of a specific [[NR2B]] antagonist or a trk receptor tyrosine kinase inhibitor.<ref name="Wu_2004"/> Thus, it appears BDNF can upregulate the expression and synaptic localization of AMPA receptors, as well as enhance their activity through its postsynaptic interactions with the NR2B subunit.  This suggests BDNF is not only capable of initiating synapse formation through its effects on NMDA receptor activity, but it can also support the regular every-day signaling necessary for stable memory function.
 
=== GABAergic signaling ===
 
One mechanism through which BDNF appears to maintain elevated levels of neuronal excitation is through preventing [[GABA]]ergic signaling activities.<ref name="Henneberger_2002">{{cite journal | vauthors = Henneberger C, Jüttner R, Rothe T, Grantyn R | title = Postsynaptic action of BDNF on GABAergic synaptic transmission in the superficial layers of the mouse superior colliculus | journal = Journal of Neurophysiology | volume = 88 | issue = 2 | pages = 595–603 | date = August 2002 | pmid = 12163512 | doi =  }}</ref>  While glutamate is the brain’s major excitatory neurotransmitter and phosphorylation normally activates receptors, [[GABA]] is the brain’s primary inhibitory neurotransmitter and phosphorylation of [[GABAA receptor]]s tend to reduce their activity. Blockading BDNF signaling with a tyrosine kinase inhibitor or a PKC inhibitor in wild type mice produced significant reductions in spontaneous [[action potential]] frequencies that were mediated by an increase in the amplitude of GABAergic [[Inhibitory postsynaptic potential|inhibitory postsynaptic currents]] (IPSC).<ref name="Henneberger_2002"/>  Similar effects could be obtained in BDNF knockout mice, but these effects were reversed by local application of BDNF.<ref name="Henneberger_2002"/>
This suggests BDNF increases excitatory synaptic signaling partly through the post-synaptic suppression of GABAergic signaling by activating PKC through its association with TrkB.<ref name="Henneberger_2002"/>  Once activated, PKC can reduce the amplitude of IPSCs through to GABAA receptor phosphorylation and inhibition.<ref name="Henneberger_2002"/>  In support of this putative mechanism, activation of PKCε leads to phosphorylation of N-ethylmaleimide-sensitive factor (NSF) at serine 460 and threonine 461, increasing its ATPase activity which downregulates GABAA receptor surface expression and subsequently attenuates inhibitory currents.<ref name="pmid20962217">{{cite journal | vauthors = Chou WH, Wang D, McMahon T, Qi ZH, Song M, Zhang C, Shokat KM, Messing RO | title = GABAA receptor trafficking is regulated by protein kinase C(epsilon) and the N-ethylmaleimide-sensitive factor | journal = The Journal of Neuroscience | volume = 30 | issue = 42 | pages = 13955–65 | date = October 2010 | pmid = 20962217 | pmc = 2994917 | doi = 10.1523/JNEUROSCI.0270-10.2010 }}</ref>
 
=== Synaptogenesis ===
 
BDNF also enhances synaptogenesis. [[Synaptogenesis]] is dependent upon the assembly of new synapses and the disassembly of old synapses by [[ADD2|β-adducin]].<ref name="Bednarek_2011">{{cite journal | vauthors = Bednarek E, Caroni P | title = β-Adducin is required for stable assembly of new synapses and improved memory upon environmental enrichment | journal = Neuron | volume = 69 | issue = 6 | pages = 1132–46 | date = March 2011 | pmid = 21435558 | doi = 10.1016/j.neuron.2011.02.034 }}</ref> Adducins are membrane-skeletal proteins that cap the growing ends of [[actin]] filaments and promote their association with spectrin, another cytoskeletal protein, to create stable and integrated cytoskeletal networks.<ref name="Matsuoka_2000">{{cite journal | vauthors = Matsuoka Y, Li X, Bennett V | title = Adducin: structure, function and regulation | journal = Cellular and Molecular Life Sciences | volume = 57 | issue = 6 | pages = 884–95 | date = June 2000 | pmid = 10950304 | doi = 10.1007/pl00000731 }}</ref>  Actins have a variety of roles in synaptic functioning.  In pre-synaptic neurons, actins are involved in synaptic vesicle recruitment and vesicle recovery following neurotransmitter release.<ref name="Stevens_2011">{{cite journal | vauthors = Stevens RJ, Littleton JT | title = Synaptic growth: dancing with adducin | journal = Current Biology | volume = 21 | issue = 10 | pages = R402-5 | date = May 2011 | pmid = 21601803 | doi = 10.1016/j.cub.2011.04.020 }}</ref>  In post-synaptic neurons they can influence dendritic spine formation and retraction as well as AMPA receptor insertion and removal.<ref name="Stevens_2011"/> At their C-terminus, adducins possess a myristoylated alanine-rich C kinase substrate (MARCKS) domain which regulates their capping activity.<ref name="Matsuoka_2000"/>  BDNF can reduce capping activities by upregulating PKC, which can bind to the adducing MRCKS domain, inhibit capping activity, and promote synaptogenesis through dendritic spine growth and disassembly and other activities.<ref name="Bednarek_2011"/><ref name="Stevens_2011"/>
 
=== Dendritogenesis ===
 
Local interaction of BDNF with the TrkB receptor on a single dendritic segment is able to stimulate an increase in PSD-95 trafficking to other separate dendrites as well as to the synapses of locally stimulated neurons.<ref name="pmid17515902">{{cite journal | vauthors = Yoshii A, Constantine-Paton M | title = BDNF induces transport of PSD-95 to dendrites through PI3K-AKT signaling after NMDA receptor activation | journal = Nature Neuroscience | volume = 10 | issue = 6 | pages = 702–11 | date = June 2007 | pmid = 17515902 | doi = 10.1038/nn1903 }}</ref> [[PSD-95]] localizes the actin-remodeling GTPases, [[Rac (GTPase)|Rac]] and [[Rho]], to synapses through the binding of its PDZ domain to [[kalirin]], increasing the number and size of spines.<ref name="pmid11182094">{{cite journal | vauthors = Penzes P, Johnson RC, Sattler R, Zhang X, Huganir RL, Kambampati V, Mains RE, Eipper BA | title = The neuronal Rho-GEF Kalirin-7 interacts with PDZ domain-containing proteins and regulates dendritic morphogenesis | journal = Neuron | volume = 29 | issue = 1 | pages = 229–42 | date = January 2001 | pmid = 11182094 | doi = 10.1016/s0896-6273(01)00193-3 }}</ref> Thus, BDNF-induced trafficking of [[PSD-95]] to dendrites stimulates actin remodeling and causes dendritic growth in response to BDNF.
 
== Neurogenesis ==
 
BDNF plays a significant role in neurogenesis.  BDNF can promote protective pathways and inhibit damaging pathways in the NSCs and NPCs that contribute to the brain’s neurogenic response by enhancing cell survival.  This becomes especially evident following suppression of TrkB activity.<ref name="Bartkowska_2007"/>  TrkB inhibition results in a 2–3 fold increase in cortical precursors displaying EGFP-positive condensed apoptotic nuclei and a 2–4 fold increase in cortical precursors that stained immunopositive for cleaved [[caspase-3]].<ref name="Bartkowska_2007"/>  BDNF can also promote NSC and NPC proliferation through [[Akt]] activation and [[Phosphatidylinositol-3,4,5-trisphosphate 3-phosphatase|PTEN]] inactivation.<ref name="pmid10400703">{{cite journal | vauthors = Tamura M, Gu J, Danen EH, Takino T, Miyamoto S, Yamada KM | title = PTEN interactions with focal adhesion kinase and suppression of the extracellular matrix-dependent phosphatidylinositol 3-kinase/Akt cell survival pathway | journal = The Journal of Biological Chemistry | volume = 274 | issue = 29 | pages = 20693–703 | date = July 1999 | pmid = 10400703 | doi = 10.1074/jbc.274.29.20693 }}</ref>  There have been many in vivo studies demonstrating BDNF is a strong promoter of neuronal differentiation.<ref name="Bartkowska_2007"/><ref name="pmid21432850">{{cite journal | vauthors = Bath KG, Akins MR, Lee FS | title = BDNF control of adult SVZ neurogenesis | journal = Developmental Psychobiology | volume = 54 | issue = 6 | pages = 578–89 | date = September 2012 | pmid = 21432850 | pmc = 3139728 | doi = 10.1002/dev.20546 }}</ref>  Infusion of BDNF into the lateral ventricles doubled the population of newborn neurons in the adult rat [[olfactory bulb]] and viral overexpression of BDNF can similarly enhance SVZ neurogenesis.<ref name="pmid9675054"/><ref name="pmid11517261"/><ref name="pmid21432850"/>  BDNF might also play a role in NSC/NPC migration.  By stabilizing [[CDK5R1|p35 (CDK5R1)]], in utero electroporation studies revealed BDNF was able to promote cortical radial migration by about 2.3-fold in embryonic rats, an effect which was dependent on the activity of the trkB receptor.<ref name="pmid19965374">{{cite journal | vauthors = Zhao CT, Li K, Li JT, Zheng W, Liang XJ, Geng AQ, Li N, Yuan XB | title = PKCdelta regulates cortical radial migration by stabilizing the Cdk5 activator p35 | journal = Proceedings of the National Academy of Sciences of the United States of America | volume = 106 | issue = 50 | pages = 21353–58 | date = December 2009 | pmid = 19965374 | pmc = 2781735 | doi = 10.1073/pnas.0812872106 | bibcode = 2009PNAS..10621353Z }}</ref>
 
== Cognitive function ==
 
Enriched housing provides the opportunity for exercise and exposure to multimodal stimuli.  The increased visual, physical, and cognitive stimulation all translates into more neuronal activity and synaptic communication, which can produce structural or molecular activity-dependent alterations.<ref name="pmid11257907">{{cite journal | vauthors = van Praag H, Kempermann G, Gage FH | title = Neural consequences of environmental enrichment | journal = Nature Reviews. Neuroscience | volume = 1 | issue = 3 | pages = 191–98 | date = December 2000 | pmid = 11257907 | doi = 10.1038/35044558 }}</ref><ref name="Zhong_2009">{{cite journal | vauthors = Zhong L, Yan CH, Lu CQ, Xu J, Huang H, Shen XM | title = Calmodulin activation is required for the enhancement of hippocampal neurogenesis following environmental enrichment | journal = Neurological Research | volume = 31 | issue = 7 | pages = 707–13 | date = September 2009 | pmid = 19055875 | doi = 10.1179/174313209X380856 }}</ref>  Sensory inputs from environmental stimuli are initially processed by the cortex before being transmitted to the hippocampus along an afferent pathway, suggesting the activity-mediated effects of enrichment can be far-reaching within the brain.<ref name="Zhong_2009"/>
BDNF expression is significantly enhanced by environmental enrichment and appears to be the primary source of the ability of environmental enrichments to enhance cognitive processes.  Environmental enrichment enhances synaptogenesis, dendridogenesis, and neurogenesis, leading to improved performance on various learning and memory tasks.  BDNF mediates more pathways involved in these enrichment-induced processes than any other molecule and is strongly regulated by calcium activity making it incredibly sensitive to neuronal activity.
 
== Disease linkage ==
{{see also|Neuroplasticity|Neurobiological effects of physical exercise#BDNF signaling}}
Various studies have shown possible links between BDNF and conditions, such as [[clinical depression|depression]],<ref name="pmid19721723">{{cite journal | vauthors = Dwivedi Y | title = Brain-derived neurotrophic factor: role in depression and suicide | journal = Neuropsychiatric Disease and Treatment | volume = 5 | issue =  | pages = 433–49 | year = 2009 | pmid = 19721723 | pmc = 2732010 | doi = 10.2147/ndt.s5700 }}</ref><ref>{{cite journal | vauthors = Brunoni AR, Lopes M, Fregni F | title = A systematic review and meta-analysis of clinical studies on major depression and BDNF levels: implications for the role of neuroplasticity in depression | journal = The International Journal of Neuropsychopharmacology | volume = 11 | issue = 8 | pages = 1169–80 | date = December 2008 | pmid = 18752720 | doi = 10.1017/S1461145708009309 }}</ref> [[schizophrenia]],<ref name="pmid19720106">{{cite journal | vauthors = Xiu MH, Hui L, Dang YF, Hou TD, Zhang CX, Zheng YL, Chen DC, Kosten TR, Zhang XY | title = Decreased serum BDNF levels in chronic institutionalized schizophrenia on long-term treatment with typical and atypical antipsychotics | journal = Progress in Neuro-Psychopharmacology & Biological Psychiatry | volume = 33 | issue = 8 | pages = 1508–12 | date = November 2009 | pmid = 19720106 | doi = 10.1016/j.pnpbp.2009.08.011 }}</ref> [[obsessive-compulsive disorder]],<ref name="pmid19664825">{{cite journal | vauthors = Maina G, Rosso G, Zanardini R, Bogetto F, Gennarelli M, Bocchio-Chiavetto L | title = Serum levels of brain-derived neurotrophic factor in drug-naïve obsessive-compulsive patients: a case-control study | journal = Journal of Affective Disorders | volume = 122 | issue = 1–2 | pages = 174–78 | date = April 2010 | pmid = 19664825 | doi = 10.1016/j.jad.2009.07.009 }}</ref> [[Alzheimer's disease]],<ref name="pmid19498435">{{cite journal | vauthors = Zuccato C, Cattaneo E | author-link2=Elena Cattaneo | title = Brain-derived neurotrophic factor in neurodegenerative diseases | journal = Nature Reviews. Neurology | volume = 5 | issue = 6 | pages = 311–22 | date = June 2009 | pmid = 19498435 | doi = 10.1038/nrneurol.2009.54 }}</ref> [[Huntington's disease]],<ref name="pmid19499586">{{cite journal | vauthors = Zajac MS, Pang TY, Wong N, Weinrich B, Leang LS, Craig JM, Saffery R, Hannan AJ | title = Wheel running and environmental enrichment differentially modify exon-specific BDNF expression in the hippocampus of wild-type and pre-motor symptomatic male and female Huntington's disease mice | journal = Hippocampus | volume = 20 | issue = 5 | pages = 621–36 | date = May 2010 | pmid = 19499586 | doi = 10.1002/hipo.20658 }}</ref> [[Rett syndrome]],<ref name="pmid19349604">{{cite journal | vauthors = Zeev BB, Bebbington A, Ho G, Leonard H, de Klerk N, Gak E, Vecsler M, Vecksler M, Christodoulou J | title = The common BDNF polymorphism may be a modifier of disease severity in Rett syndrome | journal = Neurology | volume = 72 | issue = 14 | pages = 1242–47 | date = April 2009 | pmid = 19349604 | pmc = 2677489 | doi = 10.1212/01.wnl.0000345664.72220.6a }}</ref> and [[dementia]],<ref name="pmid17419049">{{cite journal | vauthors = Arancio O, Chao MV | title = Neurotrophins, synaptic plasticity and dementia | journal = Current Opinion in Neurobiology | volume = 17 | issue = 3 | pages = 325–30 | date = June 2007 | pmid = 17419049 | doi = 10.1016/j.conb.2007.03.013 }}</ref> as well as [[anorexia nervosa]]<ref name="pmid18337636">{{cite journal | vauthors = Mercader JM, Fernández-Aranda F, Gratacòs M, Ribasés M, Badía A, Villarejo C, Solano R, González JR, Vallejo J, Estivill X | title = Blood levels of brain-derived neurotrophic factor correlate with several psychopathological symptoms in anorexia nervosa patients | journal = Neuropsychobiology | volume = 56 | issue = 4 | pages = 185–90 | year = 2007 | pmid = 18337636 | doi = 10.1159/000120623 }}</ref> and [[bulimia nervosa]].<ref name="pmid17922530">{{cite journal | vauthors = Kaplan AS, Levitan RD, Yilmaz Z, Davis C, Tharmalingam S, Kennedy JL | title = A DRD4/BDNF gene-gene interaction associated with maximum BMI in women with bulimia nervosa | journal = The International Journal of Eating Disorders | volume = 41 | issue = 1 | pages = 22–28 | date = January 2008 | pmid = 17922530 | doi = 10.1002/eat.20474 }}</ref>
Increased levels of BDNF can induce a change to an [[Opiate dependency|opiate-dependent-like]] reward state when expressed in the [[ventral tegmental area]] in rats.<ref name="varga">{{cite journal | vauthors = Vargas-Perez H, Ting-A Kee R, Walton CH, Hansen DM, Razavi R, Clarke L, Bufalino MR, Allison DW, Steffensen SC, van der Kooy D | title = Ventral tegmental area BDNF induces an opiate-dependent-like reward state in naive rats | journal = Science | volume = 324 | issue = 5935 | pages = 1732–34 | date = June 2009 | pmid = 19478142 | pmc = 2913611 | doi = 10.1126/science.1168501 | bibcode = 2009Sci...324.1732V }}</ref>
 
As of 2002 clinical trials in which BDNF was delivered into the central nervous system (CNS) of humans with various neurodegenerative disease had all failed.<ref>{{cite journal | vauthors = Thoenen H, Sendtner M | title = Neurotrophins: from enthusiastic expectations through sobering experiences to rational therapeutic approaches | journal = Nature Neuroscience | volume = 5 Suppl | pages = 1046–50 | date = November 2002 | pmid = 12403983 | doi = 10.1038/nn938 }}</ref>
 
=== Schizophrenia ===
{{See also|Epigenetics of schizophrenia#Methylation of BDNF}}
A plethora of recent evidence suggests the linkage between [[schizophrenia]] and BDNF.<ref>{{cite journal | vauthors = Xiong P, Zeng Y, Wu Q, Han Huang DX, Zainal H, Xu X, Wan J, Xu F, Lu J | title = Combining serum protein concentrations to diagnose schizophrenia: a preliminary exploration | journal = The Journal of Clinical Psychiatry | volume = 75 | issue = 8 | pages = e794–801 | date = August 2014 | pmid = 25191916 | doi = 10.4088/JCP.13m08772 }}</ref>  Given that BDNF is critical for the survival of central nervous system (CNS) and peripheral nervous system (PNS) neurons and [[synaptogenesis]] during and even after development, BDNF alterations may play a role in the pathogenesis of [[schizophrenia]].  BDNF has been found within many areas of the brain and plays an important role is supporting the formation of memories.<ref name="pmid18263738"/>  It has been shown that BDNF mRNA levels are decreased in cortical layers IV and V of the dorsolateral prefrontal cortex of schizophrenic patients, an area that is known to be involved with working memory.<ref>{{cite journal | vauthors = Ray MT, Shannon Weickert C, Webster MJ | title = Decreased BDNF and TrkB mRNA expression in multiple cortical areas of patients with schizophrenia and mood disorders | journal = Translational Psychiatry | volume = 4 | issue = 5 | pages = e389 | date = May 2014 | pmid = 24802307 | pmc = 4035720 | doi = 10.1038/tp.2014.26 }}</ref>  Since schizophrenic patients often suffer from impairments in working memory, and BDNF mRNA levels have been shown to be decreased in the DLPFC of schizophrenic patients, it is highly likely that BDNF plays some role in the etiology of this neurodevelopmental disorder of the CNS.
 
=== Depression ===
{{See also|Epigenetics of depression#Brain-derived neurotrophic factor}}
Exposure to [[Stress (medicine)|stress]] and the stress hormone [[corticosterone]] has been shown to decrease the [[Gene expression|expression]] of BDNF in rats, and, if exposure is persistent, this leads to an eventual atrophy of the [[hippocampus]]. Atrophy of the hippocampus and other limbic structures has been shown to take place in humans suffering from chronic [[Clinical depression|depression]].<ref name="pmid16425236">{{cite journal | vauthors = Warner-Schmidt JL, Duman RS | title = Hippocampal neurogenesis: opposing effects of stress and antidepressant treatment | journal = Hippocampus | volume = 16 | issue = 3 | pages = 239–49 | year = 2006 | pmid = 16425236 | doi = 10.1002/hipo.20156 }}</ref> In addition, rats bred to be heterozygous for BDNF, therefore reducing its expression, have been observed to exhibit similar hippocampal atrophy. This suggests that an etiological link between the development of depression and BDNF exists. Supporting this, the excitatory neurotransmitter [[glutamate]], voluntary [[exercise]],<ref>{{cite journal | vauthors = Russo-Neustadt AA, Beard RC, Huang YM, Cotman CW | title = Physical activity and antidepressant treatment potentiate the expression of specific brain-derived neurotrophic factor transcripts in the rat hippocampus | journal = Neuroscience | volume = 101 | issue = 2 | pages = 305–12 | year = 2000 | pmid = 11074154 | doi = 10.1016/S0306-4522(00)00349-3 }}</ref> [[caloric restriction]], intellectual stimulation, [[curcumin]]<ref>{{cite journal | vauthors = Xu Y, Ku B, Tie L, Yao H, Jiang W, Ma X, Li X | title = Curcumin reverses the effects of chronic stress on behavior, the HPA axis, BDNF expression and phosphorylation of CREB | journal = Brain Research | volume = 1122 | issue = 1 | pages = 56–64 | date = November 2006 | pmid = 17022948 | doi = 10.1016/j.brainres.2006.09.009 }}</ref> and various treatments for depression (such as [[antidepressant]]s<ref>{{cite journal | vauthors = Shimizu E, Hashimoto K, Okamura N, Koike K, Komatsu N, Kumakiri C, Nakazato M, Watanabe H, Shinoda N, Okada S, Iyo M | title = Alterations of serum levels of brain-derived neurotrophic factor (BDNF) in depressed patients with or without antidepressants | journal = Biological Psychiatry | volume = 54 | issue = 1 | pages = 70–75 | date = July 2003 | pmid = 12842310 | doi = 10.1016/S0006-3223(03)00181-1 }}</ref> and [[electroconvulsive therapy]]<ref>{{cite journal | vauthors = Okamoto T, Yoshimura R, Ikenouchi-Sugita A, Hori H, Umene-Nakano W, Inoue Y, Ueda N, Nakamura J | title = Efficacy of electroconvulsive therapy is associated with changing blood levels of homovanillic acid and brain-derived neurotrophic factor (BDNF) in refractory depressed patients: a pilot study | journal = Progress in Neuro-Psychopharmacology & Biological Psychiatry | volume = 32 | issue = 5 | pages = 1185–90 | date = July 2008 | pmid = 18403081 | doi = 10.1016/j.pnpbp.2008.02.009 }}</ref>) increase expression of BDNF in the brain. In the case of some treatments such as drugs<ref name="Drzyzga">{{cite journal | vauthors = Drzyzga ŁR, Marcinowska A, Obuchowicz E | title = Antiapoptotic and neurotrophic effects of antidepressants: a review of clinical and experimental studies | journal = Brain Research Bulletin | volume = 79 | issue = 5 | pages = 248–57 | date = June 2009 | pmid = 19480984 | doi = 10.1016/j.brainresbull.2009.03.009 }}</ref> and electroconvulsive therapy<ref>{{cite journal | vauthors = Taylor SM | title = Electroconvulsive therapy, brain-derived neurotrophic factor, and possible neurorestorative benefit of the clinical application of electroconvulsive therapy | journal = The Journal of ECT | volume = 24 | issue = 2 | pages = 160–65 | date = June 2008 | pmid = 18580563 | doi = 10.1097/YCT.0b013e3181571ad0 }}</ref> this has been shown to protect against or reverse this atrophy.<ref name="Drzyzga"/>
 
=== Alzheimer's disease ===
Post mortem analysis has shown lowered levels of BDNF in the brain tissues of people with [[Alzheimer's disease]], although the nature of the connection remains unclear. Studies suggest that neurotrophic factors have a protective role against [[amyloid beta]] toxicity.<ref name="pmid19076369">{{cite journal | vauthors = Mattson MP | title = Glutamate and neurotrophic factors in neuronal plasticity and disease | journal = Annals of the New York Academy of Sciences | volume = 1144 | issue =  | pages = 97–112 | date = November 2008 | pmid = 19076369 | pmc = 2614307 | doi = 10.1196/annals.1418.005 | bibcode = 2008NYASA1144...97M }}</ref>
 
=== Epilepsy ===
[[Epilepsy]] has also been linked with polymorphisms in BDNF. Given BDNF's vital role in the development of the landscape of the brain, there is quite a lot of room for influence on the development of neuropathologies from BDNF. Levels of both BDNF mRNA and BDNF protein are known to be up-regulated in epilepsy.<ref name="pmid1815605">{{cite journal | vauthors = Gall C, Lauterborn J, Bundman M, Murray K, Isackson P | title = Seizures and the regulation of neurotrophic factor and neuropeptide gene expression in brain | journal = Epilepsy Research. Supplement | volume = 4 | issue =  | pages = 225–45 | year = 1991 | pmid = 1815605 }}</ref> BDNF modulates excitatory and inhibitory synaptic transmission by inhibiting GABAA-receptor-mediated post-synaptic currents.<ref name="pmid9096132">{{cite journal | vauthors = Tanaka T, Saito H, Matsuki N | title = Inhibition of GABAA synaptic responses by brain-derived neurotrophic factor (BDNF) in rat hippocampus | journal = The Journal of Neuroscience | volume = 17 | issue = 9 | pages = 2959–66 | date = May 1997 | pmid = 9096132 | url = http://www.jneurosci.org/cgi/content/abstract/17/9/2959 }}</ref> This provides a potential mechanism for the observed up-regulation.
 
=== Aging ===
BDNF levels appear to be highly regulated throughout the lifetime both in the early developmental stages and in the later stages of life. For example, BDNF appears to be critical for the morphological development such as [[dendrite]] orientation and number along with soma size.<ref>{{cite journal | vauthors = Gorski JA, Zeiler SR, Tamowski S, Jones KR | title = Brain-derived neurotrophic factor is required for the maintenance of cortical dendrites | journal = The Journal of Neuroscience | volume = 23 | issue = 17 | pages = 6856–65 | date = July 2003 | pmid = 12890780 }}</ref> This is important as neuron morphology is critical in behavioral processes like learning and motor skills development. Research has reported that the interaction between BDNF and [[Tropomyosin receptor kinase B|TrkB]] (the receptor to BDNF) is highly important in inducing dendritic growth; some have noted that the [[phosphorylation]] of TrkB by another molecule, [[Cyclin-dependent kinase 5|cdk5]] is necessary for this interaction to occur.<ref>{{cite journal | vauthors = Cheung ZH, Chin WH, Chen Y, Ng YP, Ip NY | title = Cdk5 is involved in BDNF-stimulated dendritic growth in hippocampal neurons | journal = PLoS Biology | volume = 5 | issue = 4 | pages = e63 | date = April 2007 | pmid = 17341134 | pmc = 1808488 | doi = 10.1371/journal.pbio.0050063 }}</ref> Thus, high BDNF and active TrkB interaction appears to be necessary during a critical developmental period as it is regulatory in neuron morphology.
 
Although BDNF is needed in the developmental stages, BDNF levels have been shown to decrease in tissues with aging.<ref>{{cite journal | vauthors = Tapia-Arancibia L, Aliaga E, Silhol M, Arancibia S | title = New insights into brain BDNF function in normal aging and Alzheimer disease | journal = Brain Research Reviews | volume = 59 | issue = 1 | pages = 201–20 | date = November 2008 | pmid = 18708092 | doi = 10.1016/j.brainresrev.2008.07.007 }}</ref> Studies using human subjects have  found that [[Hippocampus|hippocampal]] volume decreases with decreasing plasma levels of BDNF.<ref>{{cite journal | vauthors = Erickson KI, Prakash RS, Voss MW, Chaddock L, Heo S, McLaren M, Pence BD, Martin SA, Vieira VJ, Woods JA, McAuley E, Kramer AF | title = Brain-derived neurotrophic factor is associated with age-related decline in hippocampal volume | journal = The Journal of Neuroscience | volume = 30 | issue = 15 | pages = 5368–75 | date = April 2010 | pmid = 20392958 | pmc = 3069644 | doi = 10.1523/jneurosci.6251-09.2010 }}</ref> Although this does not mean BDNF necessarily impacts hippocampal volume, it does suggest there is a relationship that might explain some of the cognitive decline that occurs during aging.
 
=== Miscellaneous  ===
 
Variants close to the BDNF gene were found to be associated with [[obesity]] in two very large genome-wide association studies of [[body mass index]] (BMI).<ref name="pmid19079260">{{cite journal | vauthors = Thorleifsson G, Walters GB, Gudbjartsson DF, Steinthorsdottir V, Sulem P, Helgadottir A, Styrkarsdottir U, Gretarsdottir S, Thorlacius S, Jonsdottir I, Jonsdottir T, Olafsdottir EJ, Olafsdottir GH, Jonsson T, Jonsson F, Borch-Johnsen K, Hansen T, Andersen G, Jorgensen T, Lauritzen T, Aben KK, Verbeek AL, Roeleveld N, Kampman E, Yanek LR, Becker LC, Tryggvadottir L, Rafnar T, Becker DM, Gulcher J, Kiemeney LA, Pedersen O, Kong A, Thorsteinsdottir U, Stefansson K | display-authors = 6 | title = Genome-wide association yields new sequence variants at seven loci that associate with measures of obesity | journal = Nature Genetics | volume = 41 | issue = 1 | pages = 18–24 | date = January 2009 | pmid = 19079260 | doi = 10.1038/ng.274 }}</ref><ref name="pmid19079261">{{cite journal | vauthors = Willer CJ, Speliotes EK, Loos RJ, Li S, Lindgren CM, Heid IM, Berndt SI, Elliott AL, Jackson AU, Lamina C, Lettre G, Lim N, Lyon HN, McCarroll SA, Papadakis K, Qi L, Randall JC, Roccasecca RM, Sanna S, Scheet P, Weedon MN, Wheeler E, Zhao JH, Jacobs LC, Prokopenko I, Soranzo N, Tanaka T, Timpson NJ, Almgren P, Bennett A, Bergman RN, Bingham SA, Bonnycastle LL, Brown M, Burtt NP, Chines P, Coin L, Collins FS, Connell JM, Cooper C, Smith GD, Dennison EM, Deodhar P, Elliott P, Erdos MR, Estrada K, Evans DM, Gianniny L, Gieger C, Gillson CJ, Guiducci C, Hackett R, Hadley D, Hall AS, Havulinna AS, Hebebrand J, Hofman A, Isomaa B, Jacobs KB, Johnson T, Jousilahti P, Jovanovic Z, Khaw KT, Kraft P, Kuokkanen M, Kuusisto J, Laitinen J, Lakatta EG, Luan J, Luben RN, Mangino M, McArdle WL, Meitinger T, Mulas A, Munroe PB, Narisu N, Ness AR, Northstone K, O'Rahilly S, Purmann C, Rees MG, Ridderstråle M, Ring SM, Rivadeneira F, Ruokonen A, Sandhu MS, Saramies J, Scott LJ, Scuteri A, Silander K, Sims MA, Song K, Stephens J, Stevens S, Stringham HM, Tung YC, Valle TT, Van Duijn CM, Vimaleswaran KS, Vollenweider P, Waeber G, Wallace C, Watanabe RM, Waterworth DM, Watkins N, Witteman JC, Zeggini E, Zhai G, Zillikens MC, Altshuler D, Caulfield MJ, Chanock SJ, Farooqi IS, Ferrucci L, Guralnik JM, Hattersley AT, Hu FB, Jarvelin MR, Laakso M, Mooser V, Ong KK, Ouwehand WH, Salomaa V, Samani NJ, Spector TD, Tuomi T, Tuomilehto J, Uda M, Uitterlinden AG, Wareham NJ, Deloukas P, Frayling TM, Groop LC, Hayes RB, Hunter DJ, Mohlke KL, Peltonen L, Schlessinger D, Strachan DP, Wichmann HE, McCarthy MI, Boehnke M, Barroso I, Abecasis GR, Hirschhorn JN | display-authors = 6 | title = Six new loci associated with body mass index highlight a neuronal influence on body weight regulation | journal = Nature Genetics | volume = 41 | issue = 1 | pages = 25–34 | date = January 2009 | pmid = 19079261 | pmc = 2695662 | doi = 10.1038/ng.287 }}</ref>
 
High levels of BDNF and [[Substance P]] have been associated with increased itching in [[eczema]].<ref>{{Cite news | title = 'Blood chemicals link' to eczema | url = http://news.bbc.co.uk/2/hi/health/6962450.stm  | date = 26 August 2007 | publisher = BBC News }}</ref>
 
BDNF is a regulator of drug [[addiction]] and [[psychological dependence]].  Animals chronically exposed to drugs of abuse show increased levels of BDNF in the ventral tegmental area (VTA) of the brain, and when BDNF is injected directly into the VTA of rats, the animals act as if they are addicted to and psychologically dependent upon opiates.<ref name="varga"/>
 
BDNF is a short-term promoter,<ref>{{cite journal | vauthors = Shu XQ, Mendell LM | title = Neurotrophins and hyperalgesia | journal = Proceedings of the National Academy of Sciences of the United States of America | volume = 96 | issue = 14 | pages = 7693–96 | date = July 1999 | pmid = 10393882 | pmc = 33603 | doi=10.1073/pnas.96.14.7693| bibcode = 1999PNAS...96.7693S }}</ref> but a long-term inhibitor of pain sensitivity, as a result of its effect as inducer of neuronal differentiation.<ref>{{cite journal | vauthors = Rusanescu G, Mao J | title = Immature spinal cord neurons are dynamic regulators of adult nociceptive sensitivity | journal = Journal of Cellular and Molecular Medicine | volume = 19 | issue = 10 | pages = 2352–64 | date = October 2015 | pmid = 26223362 | pmc = 4594677 | doi = 10.1111/jcmm.12648 }}</ref> The polymorphism Thr2Ile may be linked to [[Ondine's curse|congenital central hypoventilation syndrome]].<ref>{{OMIM|113505|Brain-Derived Neurotrophic Factor; Bdnf}}</ref><ref>{{cite journal | vauthors = Weese-Mayer DE, Bolk S, Silvestri JM, Chakravarti A | title = Idiopathic congenital central hypoventilation syndrome: evaluation of brain-derived neurotrophic factor genomic DNA sequence variation | journal = American Journal of Medical Genetics | volume = 107 | issue = 4 | pages = 306–10 | date = February 2002 | pmid = 11840487 | doi = 10.1002/ajmg.10133 }}</ref> BDNF and IL-6 might be involved in the pathogenesis of [[post-chemotherapy cognitive impairment]] (PCCI, also known as chemo brain) and fatigue.<ref name="pmid24738942">{{cite journal | vauthors = Zimmer P, Mierau A, Bloch W, Strüder HK, Hülsdünker T, Schenk A, Fiebig L, Baumann FT, Hahn M, Reinart N, Hallek M, Elter T | title = Post-chemotherapy cognitive impairment in patients with B-cell non-Hodgkin lymphoma: a first comprehensive approach to determine cognitive impairments after treatment with rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone or rituximab and bendamustine | journal = Leukemia & Lymphoma | volume = 56 | issue = 2 | pages = 347–52 | date = February 2015 | pmid = 24738942 | doi = 10.3109/10428194.2014.915546 }}</ref>
 
== See also ==
* [[Epigenetics of depression#Brain-derived neurotrophic factor|Epigenetics of depression § Brain-derived neurotrophic factor]]
* [[Epigenetics of schizophrenia#Methylation of BDNF|Epigenetics of schizophrenia § Methylation of BDNF]]
* [[Tropomyosin receptor kinase B#Agonists|Tropomyosin receptor kinase B § Agonists]]
 
== References ==
{{Reflist|33em}}
 
== External links ==
* {{cite web|url=http://www.alzforum.org/res/for/journal/cotman/default.asp |title=BDNF and Alzheimer's Disease – What's the Connection? |vauthors=Cotman CW, Berchtold NC |date=28 January 2004 |work=Alzforum: Live Discussions |publisher=Alzheimer Research Forum |pages= |accessdate=21 August 2008 |deadurl=yes |archiveurl=https://web.archive.org/web/20081011190623/http://www.alzforum.org/res/for/journal/cotman/default.asp |archivedate=11 October 2008 |df=dmy }}
* {{cite web | url = http://hdlighthouse.org/see/research/bdnf.htm | title = Brain-Derived Neurotrophic Factor (BDNF) | author = Patten-Hitt E | date = 14 June 2001 | work = Sciencexpress | publisher = The HDLighthouse, Huntington's Disease: Information and Community | pages =  | accessdate = 21 August 2008 | deadurl = yes | archiveurl = https://web.archive.org/web/20080725040429/http://hdlighthouse.org/see/research/bdnf.htm | archivedate = 25 July 2008 | df = dmy-all }}
* {{cite web |url=https://www.telegraph.co.uk/earth/main.jhtml?view=DETAILS&grid=&xml=/earth/2007/10/18/scistress118.xml |title=Brain scans 'could reveal mental strength' |author=Highfield R |date=18 October 2007 |work=Science |publisher=Telegraph.co.uk |pages= |archiveurl=https://web.archive.org/web/20080531211447/http://www.telegraph.co.uk/earth/main.jhtml?view=DETAILS&grid=&xml=%2Fearth%2F2007%2F10%2F18%2Fscistress118.xml |archivedate=31 May 2008 |quote=Low BDNF activity promotes resilience |accessdate=21 August 2008 |deadurl=yes |df=dmy }}
* {{UCSC gene info|BDNF}}


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Brain-derived neurotrophic factor, also known as BDNF, is a protein[1] that, in humans, is encoded by the BDNF Gene.[2][3] BDNF is a member of the neurotrophin family of growth factors, which are related to the canonical nerve growth factor. Neurotrophic factors are found in the brain and the periphery.

Function

BDNF acts on certain neurons of the central nervous system and the peripheral nervous system, helping to support the survival of existing neurons, and encourage the growth and differentiation of new neurons and synapses.[4][5] In the brain, it is active in the hippocampus, cortex, and basal forebrain—areas vital to learning, memory, and higher thinking.[6] It is also expressed in the retina, motor neurons, the kidneys, saliva, and the prostate.[7]

BDNF itself is important for long-term memory.[8] Although the vast majority of neurons in the mammalian brain are formed prenatally, parts of the adult brain retain the ability to grow new neurons from neural stem cells in a process known as neurogenesis. Neurotrophins are proteins that help to stimulate and control neurogenesis, BDNF being one of the most active.[9][10][11] Mice born without the ability to make BDNF suffer developmental defects in the brain and sensory nervous system, and usually die soon after birth, suggesting that BDNF plays an important role in normal neural development.[12] Other important neurotrophins structurally related to BDNF include NT-3, NT-4, and NGF.

BDNF is made in the endoplasmic reticulum and secreted from dense-core vesicles. It binds carboxypeptidase E (CPE), and the disruption of this binding has been proposed to cause the loss of sorting of BDNF into dense-core vesicles. The phenotype for BDNF knockout mice can be severe, including postnatal lethality. Other traits include sensory neuron losses that affect coordination, balance, hearing, taste, and breathing. Knockout mice also exhibit cerebellar abnormalities and an increase in the number of sympathetic neurons.[13]

Certain types of physical exercise have been shown to markedly (threefold) increase BDNF synthesis in the human brain, a phenomenon which is partly responsible for exercise-induced neurogenesis and improvements in cognitive function.[14][15][16][17] Niacin appears to upregulate BDNF and tropomyosin receptor kinase B (TrkB) expression as well.[18]

Mechanism of action

BDNF binds at least two receptors on the surface of cells that are capable of responding to this growth factor, TrkB (pronounced "Track B") and the LNGFR (for low-affinity nerve growth factor receptor, also known as p75).[19] It may also modulate the activity of various neurotransmitter receptors, including the Alpha-7 nicotinic receptor.[20] BDNF has also been shown to interact with the reelin signaling chain.[21] The expression of reelin by Cajal-Retzius cells goes down during development under the influence of BDNF.[22] The latter also decreases reelin expression in neuronal culture.

TrkB

The TrkB receptor is encoded by the NTRK2 gene and is member of a receptor family of tyrosine kinases that includes TrkA and TrkC. TrkB autophosphorylation is dependent upon its ligand-specific association with BDNF, a widely expressed activity-dependent neurotic factor that regulates plasticity and is unregulated following hypoxic injury. The activation of the BDNF-TrkB pathway is important in the development of short term memory and the growth of neurons.[citation needed]

LNGFR

The role of the other BDNF receptor, p75, is less clear. While the TrkB receptor interacts with BDNF in a ligand-specific manner, all neurotrophins can interact with the p75 receptor.[23] When the p75 receptor is activated, it leads to activation of NFkB receptor.[23] Thus, neurotrophic signaling may trigger apoptosis rather than survival pathways in cells expressing the p75 receptor in the absence of Trk receptors. Recent studies have revealed a truncated isoform of the TrkB receptor (t-TrkB) may act as a dominant negative to the p75 neurotrophin receptor, inhibiting the activity of p75, and preventing BDNF-mediated cell death.[24]

Expression

The BDNF protein is encoded by a gene that is also called BDNF, found in humans on chromosome 11.[2][3] Structurally, BDNF transcription is controlled by 8 different promoters, each leading to different transcripts containing one of 8 untranslated 5’ exons (I to VIII) spliced to the 3’ encoding exon. Promoter IV activity, leading to the translation of exon IV-containing mRNA, is strongly stimulated by calcium and is primarily under the control of a Cre regulatory component, suggesting a putative role for the transcription factor CREB and the source of BDNF’s activity-dependent effects .[25] There are multiple mechanisms through neuronal activity can increase BDNF exon IV specific expression.[25] Stimulus-mediated neuronal excitation can lead to NMDA receptor activation, triggering a calcium influx. Through a protein signaling cascade requiring Erk, CaM KII/IV, PI3K, and PLC, NMDA receptor activation is capable of triggering BDNF exon IV transcription. BDNF exon IV expression also seems capable of further stimulating its own expression through TrkB activation. BDNF is released from the post-synaptic membrane in an activity-dependent manner, allowing it to act on local TrkB receptors and mediate effects that can leading to signaling cascades also involving Erk and CaM KII/IV.[25][26] Both of these pathways probably involve calcium-mediated phosphorylation of CREB at Ser133, thus allowing it to interact with BDNF’s Cre regulatory domain and upregulate transcription.[27] However, NMDA-mediated receptor signaling is probably necessary to trigger the upregulation of BDNF exon IV expression because normally CREB interaction with CRE and the subsequent translation of the BDNF transcript is blocked by of the basic helix-loop-helix transcription factor protein 2 (BHLHB2).[28] NMDA receptor activation triggers the release of the regulatory inhibitor, allowing for BDNF exon IV upregulation to take place in response to the activity-initiated calcium influx.[28] Activation of Dopamine receptor D5 also promotes expression of BDNF in prefrontal cortex neurons.[29]

Common SNPs in BDNF gene

BDNF has several known single nucleotide polymorphisms (SNP), including, but not limited to, rs6265, C270T, rs7103411, rs2030324, rs2203877, rs2049045 and rs7124442. As of 2008, rs6265 is the most investigated SNP of the BDNF gene [30][31]

Val66Met

A common SNP in the BDNF gene is rs6265.[32] This point mutation in the coding sequence, a guanine to adenine switch at position 196, results in an amino acid switch: valine to methionine exchange at codon 66, Val66Met, which is in the prodomain of BDNF.[32][31] Val66Met is unique to humans.[32][31]

The mutation interferes with normal translation and intracellular trafficking of BDNF mRNA, as it destabilizes the mRNA and renders it prone to degradation.[32] The proteins resulting from mRNA that does get translated, are not trafficked and secreted normally, as the amino acid change occurs on the portion of the prodomain where sortilin binds; and sortilin is essential for normal trafficking.[32][31][33]

The Val66Met mutation results in a reduction of hippocampal tissue and has since been reported in a high number of individuals suffering from learning and memory disorders,[31] anxiety disorders,[34] and neurodegenerative diseases such as Alzheimer’s and Parkinson’s.[35]

A meta-analysis indicates that the BDNF Val66Met variant is not associated with serum BDNF.[36]

Role in synaptic transmission

Glutamatergic signaling

Glutamate is the brain’s major excitatory neurotransmitter and its release can trigger the depolarization of postsynaptic neurons. AMPA and NMDA receptors are two ionotropic glutamate receptors involved in glutamatergic neurotransmission and essential to learning and memory via long-term potentiation. While AMPA receptor activation leads to depolarization via sodium influx, NMDA receptor activation by rapid successive firing allows calcium influx in addition to sodium. The calcium influx triggered through NMDA receptors can lead to expression of BDNF, as well as other genes thought to be involved in LTP, dendritogenesis, and synaptic stabilization.

NMDA receptor activity

NMDA receptor activation is essential to producing the activity-dependent molecular changes involved in the formation of new memories. Following exposure to an enriched environment, BDNF and NR1 phosphorylation levels are upregulated simultaneously, probably because BDNF is capable of phosphorylating NR1 subunits, in addition to its many other effects.[37][38] One of the primary ways BDNF can modulate NMDA receptor activity is through phosphorylation and activation of the NMDA receptor one subunit, particularly at the PKC Ser-897 site.[37] The mechanism underlying this activity is dependent upon both ERK and PKC signaling pathways, each acting individually, and all NR1 phosphorylation activity is lost if the TrKB receptor is blocked.[37] PI3 kinase and Akt are also essential in BDNF-induced potentiation of NMDA receptor function and inhibition of either molecule completely eliminated receptor acBDNF can also increase NMDA receptor activity through phosphorylation of the NR2B subunit. BDNF signaling leads to the autophosphorylation of the intracellular domain of the TrkB receptor (ICD-TrkB). Upon autophosphorylation, Fyn associates with the pICD-TrkB through its Src homology domain 2 (SH2) and is phosphorylated at its Y416 site.[39][40] Once activated, Fyn can bind to NR2B through its SH2 domain and mediate phosphorylation of its Tyr-1472 site.[41] Similar studies have suggested Fyn is also capable of activating NR2A although this was not found in the hippocampus.[42][43] Thus, BDNF can increase NMDA receptor activity through Fyn activation. This has been shown to be important for processes such as spatial memory in the hippocampus, demonstrating the therapeutic and functional relevance of BDNF-mediated NMDA receptor activation.[42]

Synapse stability

In addition to mediating transient effects on NMDAR activation to promote memory-related molecular changes, BDNF should also initiate more stable effects that could be maintained in its absence and not depend on its expression for long term synaptic support.[44] It was previously mentioned that AMPA receptor expression is essential to learning and memory formation, as these are the components of the synapse that will communicate regularly and maintain the synapse structure and function long after the initial activation of NMDA channels. BDNF is capable of increasing the mRNA expression of GluR1 and GluR2 through its interaction with the TrkB receptor and promoting the synaptic localization of GluR1 via PKC- and CaMKII-mediated Ser-831 phosphorylation.[45] It also appears that BDNF is able to influence Gl1 activity through its effects on NMDA receptor activity.[46] BDNF significantly enhanced the activation of GluR1 through phosphorylation of tyrosine830, an effect that was abolished in either the presence of a specific NR2B antagonist or a trk receptor tyrosine kinase inhibitor.[46] Thus, it appears BDNF can upregulate the expression and synaptic localization of AMPA receptors, as well as enhance their activity through its postsynaptic interactions with the NR2B subunit. This suggests BDNF is not only capable of initiating synapse formation through its effects on NMDA receptor activity, but it can also support the regular every-day signaling necessary for stable memory function.

GABAergic signaling

One mechanism through which BDNF appears to maintain elevated levels of neuronal excitation is through preventing GABAergic signaling activities.[47] While glutamate is the brain’s major excitatory neurotransmitter and phosphorylation normally activates receptors, GABA is the brain’s primary inhibitory neurotransmitter and phosphorylation of GABAA receptors tend to reduce their activity. Blockading BDNF signaling with a tyrosine kinase inhibitor or a PKC inhibitor in wild type mice produced significant reductions in spontaneous action potential frequencies that were mediated by an increase in the amplitude of GABAergic inhibitory postsynaptic currents (IPSC).[47] Similar effects could be obtained in BDNF knockout mice, but these effects were reversed by local application of BDNF.[47] This suggests BDNF increases excitatory synaptic signaling partly through the post-synaptic suppression of GABAergic signaling by activating PKC through its association with TrkB.[47] Once activated, PKC can reduce the amplitude of IPSCs through to GABAA receptor phosphorylation and inhibition.[47] In support of this putative mechanism, activation of PKCε leads to phosphorylation of N-ethylmaleimide-sensitive factor (NSF) at serine 460 and threonine 461, increasing its ATPase activity which downregulates GABAA receptor surface expression and subsequently attenuates inhibitory currents.[48]

Synaptogenesis

BDNF also enhances synaptogenesis. Synaptogenesis is dependent upon the assembly of new synapses and the disassembly of old synapses by β-adducin.[49] Adducins are membrane-skeletal proteins that cap the growing ends of actin filaments and promote their association with spectrin, another cytoskeletal protein, to create stable and integrated cytoskeletal networks.[50] Actins have a variety of roles in synaptic functioning. In pre-synaptic neurons, actins are involved in synaptic vesicle recruitment and vesicle recovery following neurotransmitter release.[51] In post-synaptic neurons they can influence dendritic spine formation and retraction as well as AMPA receptor insertion and removal.[51] At their C-terminus, adducins possess a myristoylated alanine-rich C kinase substrate (MARCKS) domain which regulates their capping activity.[50] BDNF can reduce capping activities by upregulating PKC, which can bind to the adducing MRCKS domain, inhibit capping activity, and promote synaptogenesis through dendritic spine growth and disassembly and other activities.[49][51]

Dendritogenesis

Local interaction of BDNF with the TrkB receptor on a single dendritic segment is able to stimulate an increase in PSD-95 trafficking to other separate dendrites as well as to the synapses of locally stimulated neurons.[52] PSD-95 localizes the actin-remodeling GTPases, Rac and Rho, to synapses through the binding of its PDZ domain to kalirin, increasing the number and size of spines.[53] Thus, BDNF-induced trafficking of PSD-95 to dendrites stimulates actin remodeling and causes dendritic growth in response to BDNF.

Neurogenesis

BDNF plays a significant role in neurogenesis. BDNF can promote protective pathways and inhibit damaging pathways in the NSCs and NPCs that contribute to the brain’s neurogenic response by enhancing cell survival. This becomes especially evident following suppression of TrkB activity.[23] TrkB inhibition results in a 2–3 fold increase in cortical precursors displaying EGFP-positive condensed apoptotic nuclei and a 2–4 fold increase in cortical precursors that stained immunopositive for cleaved caspase-3.[23] BDNF can also promote NSC and NPC proliferation through Akt activation and PTEN inactivation.[54] There have been many in vivo studies demonstrating BDNF is a strong promoter of neuronal differentiation.[23][55] Infusion of BDNF into the lateral ventricles doubled the population of newborn neurons in the adult rat olfactory bulb and viral overexpression of BDNF can similarly enhance SVZ neurogenesis.[9][10][55] BDNF might also play a role in NSC/NPC migration. By stabilizing p35 (CDK5R1), in utero electroporation studies revealed BDNF was able to promote cortical radial migration by about 2.3-fold in embryonic rats, an effect which was dependent on the activity of the trkB receptor.[56]

Cognitive function

Enriched housing provides the opportunity for exercise and exposure to multimodal stimuli. The increased visual, physical, and cognitive stimulation all translates into more neuronal activity and synaptic communication, which can produce structural or molecular activity-dependent alterations.[57][58] Sensory inputs from environmental stimuli are initially processed by the cortex before being transmitted to the hippocampus along an afferent pathway, suggesting the activity-mediated effects of enrichment can be far-reaching within the brain.[58] BDNF expression is significantly enhanced by environmental enrichment and appears to be the primary source of the ability of environmental enrichments to enhance cognitive processes. Environmental enrichment enhances synaptogenesis, dendridogenesis, and neurogenesis, leading to improved performance on various learning and memory tasks. BDNF mediates more pathways involved in these enrichment-induced processes than any other molecule and is strongly regulated by calcium activity making it incredibly sensitive to neuronal activity.

Disease linkage

Various studies have shown possible links between BDNF and conditions, such as depression,[59][60] schizophrenia,[61] obsessive-compulsive disorder,[62] Alzheimer's disease,[63] Huntington's disease,[64] Rett syndrome,[65] and dementia,[66] as well as anorexia nervosa[67] and bulimia nervosa.[68] Increased levels of BDNF can induce a change to an opiate-dependent-like reward state when expressed in the ventral tegmental area in rats.[69]

As of 2002 clinical trials in which BDNF was delivered into the central nervous system (CNS) of humans with various neurodegenerative disease had all failed.[70]

Schizophrenia

A plethora of recent evidence suggests the linkage between schizophrenia and BDNF.[71] Given that BDNF is critical for the survival of central nervous system (CNS) and peripheral nervous system (PNS) neurons and synaptogenesis during and even after development, BDNF alterations may play a role in the pathogenesis of schizophrenia. BDNF has been found within many areas of the brain and plays an important role is supporting the formation of memories.[8] It has been shown that BDNF mRNA levels are decreased in cortical layers IV and V of the dorsolateral prefrontal cortex of schizophrenic patients, an area that is known to be involved with working memory.[72] Since schizophrenic patients often suffer from impairments in working memory, and BDNF mRNA levels have been shown to be decreased in the DLPFC of schizophrenic patients, it is highly likely that BDNF plays some role in the etiology of this neurodevelopmental disorder of the CNS.

Depression

Exposure to stress and the stress hormone corticosterone has been shown to decrease the expression of BDNF in rats, and, if exposure is persistent, this leads to an eventual atrophy of the hippocampus. Atrophy of the hippocampus and other limbic structures has been shown to take place in humans suffering from chronic depression.[73] In addition, rats bred to be heterozygous for BDNF, therefore reducing its expression, have been observed to exhibit similar hippocampal atrophy. This suggests that an etiological link between the development of depression and BDNF exists. Supporting this, the excitatory neurotransmitter glutamate, voluntary exercise,[74] caloric restriction, intellectual stimulation, curcumin[75] and various treatments for depression (such as antidepressants[76] and electroconvulsive therapy[77]) increase expression of BDNF in the brain. In the case of some treatments such as drugs[78] and electroconvulsive therapy[79] this has been shown to protect against or reverse this atrophy.[78]

Alzheimer's disease

Post mortem analysis has shown lowered levels of BDNF in the brain tissues of people with Alzheimer's disease, although the nature of the connection remains unclear. Studies suggest that neurotrophic factors have a protective role against amyloid beta toxicity.[80]

Epilepsy

Epilepsy has also been linked with polymorphisms in BDNF. Given BDNF's vital role in the development of the landscape of the brain, there is quite a lot of room for influence on the development of neuropathologies from BDNF. Levels of both BDNF mRNA and BDNF protein are known to be up-regulated in epilepsy.[81] BDNF modulates excitatory and inhibitory synaptic transmission by inhibiting GABAA-receptor-mediated post-synaptic currents.[82] This provides a potential mechanism for the observed up-regulation.

Aging

BDNF levels appear to be highly regulated throughout the lifetime both in the early developmental stages and in the later stages of life. For example, BDNF appears to be critical for the morphological development such as dendrite orientation and number along with soma size.[83] This is important as neuron morphology is critical in behavioral processes like learning and motor skills development. Research has reported that the interaction between BDNF and TrkB (the receptor to BDNF) is highly important in inducing dendritic growth; some have noted that the phosphorylation of TrkB by another molecule, cdk5 is necessary for this interaction to occur.[84] Thus, high BDNF and active TrkB interaction appears to be necessary during a critical developmental period as it is regulatory in neuron morphology.

Although BDNF is needed in the developmental stages, BDNF levels have been shown to decrease in tissues with aging.[85] Studies using human subjects have found that hippocampal volume decreases with decreasing plasma levels of BDNF.[86] Although this does not mean BDNF necessarily impacts hippocampal volume, it does suggest there is a relationship that might explain some of the cognitive decline that occurs during aging.

Miscellaneous

Variants close to the BDNF gene were found to be associated with obesity in two very large genome-wide association studies of body mass index (BMI).[87][88]

High levels of BDNF and Substance P have been associated with increased itching in eczema.[89]

BDNF is a regulator of drug addiction and psychological dependence. Animals chronically exposed to drugs of abuse show increased levels of BDNF in the ventral tegmental area (VTA) of the brain, and when BDNF is injected directly into the VTA of rats, the animals act as if they are addicted to and psychologically dependent upon opiates.[69]

BDNF is a short-term promoter,[90] but a long-term inhibitor of pain sensitivity, as a result of its effect as inducer of neuronal differentiation.[91] The polymorphism Thr2Ile may be linked to congenital central hypoventilation syndrome.[92][93] BDNF and IL-6 might be involved in the pathogenesis of post-chemotherapy cognitive impairment (PCCI, also known as chemo brain) and fatigue.[94]

See also

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