cells Review GSK3β: A Master Player in Depressive Disorder Pathogenesis and Treatment Responsiveness Przemysław Duda * , Daria Hajka , Olga Wójcicka , Dariusz Rakus and Agnieszka Gizak * Department of Molecular Physiology and Neurobiology, University of Wrocław, Sienkiewicza 21, 50-335 Wrocław, Poland;
[email protected] (D.H.);
[email protected] (O.W.);
[email protected] (D.R.) * Correspondence:
[email protected] (P.D.);
[email protected] (A.G.); Tel.: +48713754135 (A.G.) Received: 4 February 2020; Accepted: 14 March 2020; Published: 16 March 2020 Abstract: Glycogen synthase kinase 3β (GSK3β), originally described as a negative regulator of glycogen synthesis, is a molecular hub linking numerous signaling pathways in a cell. Specific GSK3β inhibitors have anti-depressant effects and reduce depressive-like behavior in animal models of depression. Therefore, GSK3β is suggested to be engaged in the pathogenesis of major depressive disorder, and to be a target and/or modifier of anti-depressants’ action. In this review, we discuss abnormalities in the activity of GSK3β and its upstream regulators in different brain regions during depressive episodes. Additionally, putative role(s) of GSK3β in the pathogenesis of depression and the influence of anti-depressants on GSK3β activity are discussed. Keywords: GSK3β; MDD; depression; anti-depressants; AKT; BDNF; neuroprotection 1. Introduction 1.1. Major Depressive Disorder According to the World Health Organization’s statistics for March 2018, depression is a major contributor to the overall global burden of diseases. Globally, more than 300 million people suffer from depression. In the Diagnostic and Statistical Manual of Mental Disorders (DMS-5), major depressive disorder (MDD), the principal form of depression, is characterized by the following key symptoms: depressed mood and anhedonia (which are the fundamental symptoms), suicidal ideation, plan or attempt, fatigue, sleep deprivation, loss of weight and appetite, and psychomotor retardation [1].