ArticleMolecular psychiatry2026
How muscle talks to brain: apelin protein mediates exercise-induced antidepressant effects.
Article in Molecular psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Physical exercise alleviates depressive symptoms and enhances hippocampal plasticity, but the mediators of muscle-brain crosstalk underlying these effects are not fully understood. We evaluated apelin as a novel mediator of the antidepressant effects of physical exercise, specifically testing the hypothesis that exercise-induced increases in skeletal muscle-derived apelin enhance hippocampal plasticity via apelin and its receptor APJ signaling. Voluntary running for 4 weeks alleviated depression-like behaviors and increased serum and hippocampal apelin levels, with skeletal muscles (tibialis anterior and gastrocnemius) as primary apelin sources. Muscle-specific apelin knockout abolished the antidepressant and pro-neurogenic effects of running, whereas muscle‑targeted apelin overexpression mimicked the benefits of running in wild-type mice. Mechanistically, myokine apelin enhanced NMDA receptor-mediated neurotransmission via receptors APJ on hippocampal glutamatergic neurons. Specific knockdown of APJ diminished the pro-neurogenic and antidepressant effects of running. Furthermore, apelin/APJ signaling activated casein kinase 2, which phosphorylated the GluN2B subunit at serine 1480, thereby enhancing NMDA receptor function and activating downstream calpain-2 signaling. Our findings reveal a muscle-brain axis where exercise-induced myokine apelin coordinates hippocampal neuroplasticity and antidepressant responses, offering new therapeutic avenues for depression.
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