ArticleProgress in neuro-psychopharmacology & biological psychiatry2026
Synaptic density in the hippocampus of depressed patients: A quantitative electron microscopic study.
Article in Progress in neuro-psychopharmacology & biological psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Activation of silent synapses driven by emerging technologies: mechanisms, disease associations, and prospects for clinical translation.Frontiers in synaptic neuroscience · 2026Review
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8 authors.
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Abstract
backgroundSynaptic dysfunction or loss of synapses is implicated in the pathophysiology of major depressive disorder (MDD). Recent in vivo functional neuroimaging studies document reduced number of synapses in the brains of MDD patients. Here, we performed a post-mortem quantitative electron microscopic study to confirm the putative synaptic loss in the hippocampus of patients with depression.
methodsHippocampal tissue from subjects with MDD (n = 11, aged 19-79 years) and psychiatrically healthy controls (n = 17, aged 18-77 years) were investigated. A systematic quantitative analysis was performed to determine the synaptic densities based on unbiased counting principles. Neuropil of the three main subareas of the hippocampal formation (dentate gyrus, CA3, and CA1) were examined.
resultsHippocampal synaptic densities were comparable between control and depressed subjects. The average density of hippocampal synapses was 3.6 ± 0.2/μm LIMITATIONS: The sample size of the cohorts was relatively small. Only one segment of the rostral hippocampal body was analyzed.
conclusionsOur study provides further evidence that synaptic changes may contribute to the pathophysiology of MDD. We did not find the expected widespread synapse loss, instead a region-specific reduction was observed only in a subset of patients. The methodological limitations of our study may explain the contradiction between the results of in vivo neuroimaging data and the present post-mortem findings.
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