Neurotrophins are a main group of signaling molecules widely investigated for their roles in promoting the survival, growth, and differentiation of neurons during development. Numerous studies have revealed that neurotrophins can also act as the regulators of synaptic plasticity. As one of the most important neurotrophic factors, BDNF is a 119-amino-acid basic peptide and has long been recognized as an anti-apoptotic factor extensively expressed in the brain. This factor shares important roles in the CNS, including neuronal maturation, synaptogenesis, synaptic plasticity, and hippocampal LTP induction (
6,
7). Because of its essential role in neuronal development and function, changes in BDNF level have been described in a variety of psychiatric and neurological disorders (
8,
9). Likewise, BDNF levels have been detected to decline in the CNS of patients with neurodegenerative disorders, including Huntington, Parkinson’s, and Alzheimer’s disease, neuropsychiatric disorders such as schizophrenia, and individuals with depressive-like behaviors (
10-
14).
Brain-derived neurotrophic factor is produced in the soma of neurons and neuroglia and then is translocated to the terminals of pre-synapses (
15,
16). The transcription of the gene encoding BDNF can be modulated by calcium influx. It has been established that calcium induces the binding of transcription factors, including cyclic AMP response element-binding protein (CREB) and calcium response factor (CaRF), to the bdnf gene’s promoters (
17) (
Figure 1A). In neurons, BDNF is synthesized as a precursor peptide known as pre-pro-BDNF that is cleaved into pro-BDNF (35 kDa). Then pro-BDNF can be cleaved by proteases into mature BDNF (mBDNF or BDNF: 14 kDa) (
15,
16) (
Figure 1B).
BDNF synthesis. BDNF mRNA transcription can be modulated via calcium influx through calcium channels. A, Ca2+ induces the binding of transcription factors, including CREB and CaRF, to BDNF promoters. B, In neurons, BDNF is first synthesized as pre-pro-BDNF in the endoplasmic reticulum and converted to pro-BDNF, which is then cleaved to mature BDNF.
Many studies propose that BDNF induces the complex neuronal signaling cascades responsible for the promotion of the cellular events involved in neuroplasticity and LTP induction (
18,
19). For the first time, in the 1990s, it was reported that the treatment of hippocampus slices with BDNF enhanced early-LTP induced by theta-burst stimulation (
20). Later, it was revealed that BDNF was involved in the early and late phases of LTP (
21,
22). Consistent with these findings, De Vincent et al. reported that BDNF regulated the extent of LTP in the presynaptic neuron whereas in the postsynaptic neuron, it was involved in the maintenance of LTP (
23). Furthermore, Messaoudi et al. assessed the impact of the intrahippocampal infusion of BDNF on synaptic plasticity and reported that the intrahippocampal microinjection of BDNF enhanced synaptic plasticity in the dentate gyrus of the hippocampus (
24). Other studies also described a key role for BDNF in LTP induction, confirming that the knockout mice lacking the bdnf gene exhibited hippocampal LTP impairment (
25-
27).
neurotrophic factors in response to physiological changes bind to to the tyrosine kinase (Trk) and p75 neurotrophin (p75
NTR) receptors. Research findings propose that pro-BDNF and mature BDNF activate distinct cellular signaling pathways. Non-cleaved pro-BDNF leads to generally undesirable cellular events such as apoptosis and LTD induction through its binding to p75
NTR; on the other hand, BDNF (i.e., mature BDNF) promotes positive events, including survival, growth, synaptic plasticity, and LTP induction through binding to TrkB receptors (
28,
29). These findings suggest that pro-neurotrophins can elicit impacts opposite to mature-neurotrophins via binding to a different receptor (i.e., p75
NTR) (
30). In other words, the activation of TrkB receptors promotes cell survival, synaptogenesis, and synaptic plasticity whereas the engagement of p75 receptors leads to cell death and synaptic pruning (
31). Consistent with these findings, LTD induction in the hippocampus has been reported to be dependent on the activation of p75 receptors (
32). Overall, the binding of BDNF to the TrkB receptor mediates anti-apoptotic functions while pro-BDNF binding to p75
NTR triggers apoptosis, a phenomenon that needs interaction with its co-receptor, sortilin. The pro-BDNF/p75
NTR/sortilin complex begins the signaling pathways activating Ras-homolog gene family member A (RhoA), c-Jun amino terminal kinase (JNK), and nuclear factor kappa B (NF-ҡB) (
33,
34). The activation of the RhoA-dependent signaling cascade regulates neuronal growth cone, development, and motility (
34). The JNK-dependent signaling pathway stimulated by the proBDNF/p75
NTR/sortilin complex induces neuronal apoptosis (
33). Ultimately, the p75
NTR-dependent activation of NF-ҡB triggers the processes stimulating neurons’ survival and maintaining their quantity during brain development (
34) (
Figure 2A).
The intracellular signaling pathways of BDNF-p75NTR and BDNF-TrkB. A, Binding of pro-BDNF to the p75NTR and sortilin receptors activates the signaling cascades related to RhoA, NF-ҡB, and JNK, stimulating the processes involved in neuronal development, survival, and programmed cell death; B, Binding of BDNF to the TrkB receptor initiates the MAPK, PI3K, and PLC γ pathways that promotes neuronal survival and growth and synaptic plasticity.
In addition, BDNF (mature BDNF) has a high affinity for binding to TrkB receptors, which subsequently induces the dimerization and autophosphorylation of this receptor, activating the downstream mitogen-activated protein kinase [MAPK, or Extracellular Signal Related Kinase (ERK)], phosphatidylinositol 3-kinase (PI3K), and phospholipase C-γ (PLC-γ) pathways (
35,
36). The MAPK/ERK signaling pathway causes cell growth and differentiation, and the PLC-γ signaling route stimulates the inositol trisphosphate (IP3) receptor to release calcium, boosting calmodulin kinase (CamK) function and thus synaptic plasticity. Also, the PI3K signaling pathway activates protein kinase B (AKT), extending cell survival. Evidence from different studies suggests that the PI3K/Akt pathway is essential for axonal elongation. Furthermore, when the PI3K signaling pathway is activated, it leads to the inhibition of the downstream glycogen synthase kinase-3 (GSK-3), a serine/threonine kinase originally recognized as a regulator of glycogen metabolism (
35,
37) and known to be extensively expressed throughout the CNS (
38). On the other hand, GSK-3 has been shown to play an important role in NMDAR-dependent LTD at CA3–CA1 synapses of the hippocampus (
39,
40). Previous studies reported that the local inactivation of GSK-3 was essential for axonal growth (
41,
42). Moreover, other studies showed that various GSK-3 blockers could prevent the induction of LTD, when loaded into neuronal cells by a patch pipette (
40,
43). Interestingly, it has been reported that BDNF inhibits GSK-3 by activating a PI3K-dependent cascade (
44) (
Figure 2B). Finally, these signaling pathways affect the cAMP response element-binding protein (CREB) transcription factor that can up-regulate the expression of relevant survival genes. It is notable that rapid effects on synapses and ion channels are dependent on PLCγ-mediated calcium release, and more long-lasting impacts, such as gene transcription, are downstream to the PI3K and MAPK signaling pathways. The activation of these pathways promotes neuronal survival and growth and neuroplasticity (
8,
35,
36).
Dendrites are known to integrate synaptic inputs into neuronal cells, and their branching is associated with their representational capacity. Interestingly, the branching forms of dendritic trees are associated with the extent of the compartmentalization of inputs to neurons, and a stronger compartmentalization potential has been suggested to increase the representational capacity of the neuron, leading to a greater neuroplasticity capacity (
45). The administration of diverse types of BDNF molecules mediates different morphological alterations. For example, the acute application of BDNF stimulated neurite elongation and spine head enlargement while its gradual application enhanced the branching of dendritic and filopodia-like spines (
46). The effects of BDNF on cellular responses are also complex. For instance, the rapid perfusion of BDNF (i.e., acute exposure) increases synaptic transmission at neuromuscular synapses (
47) while long-term (chronic) treatment with BDNF stimulates synapse maturation (
48). A previous study found that the perfusion of BDNF in hippocampal slices induced a long-lasting improvement in basal-synaptic transmission (
49). However, some studies have demonstrated that LTP, but not basal synaptic transmission, is facilitated in the hippocampal slices perfused with BDNF (
50,
51). In support of these findings, Ji et al. reported that cellular responses to BDNF differed dramatically depending on how BDNF was delivered. In the neonatal slices of the hippocampus, slow BDNF perfusion (i.e., chronic exposure) facilitated the LTP induced by theta burst stimulation, without altering the baseline synaptic strength. In contrast, in adult hippocampus slices, the rapid perfusion of BDNF (acute) stimulated the synaptic growth necessary for the establishment of neuronal networks during development and induced structural and functional modifications in synapses (
46). Kang et al. reported that the chronic or acute application of BDNF induced the long-lasting enhancement of basal synaptic transmission in the CA1 area of the hippocampus (
49). However, some studies reported that slow or chronic BDNF perfusion did not induce such an enhancement (
26,
50). On the other hand, in hippocampus slices, the rapid and slow increase of BDNF enhanced basal synaptic transmission and LTP induction, respectively (
46). Overall, BDNF regulates an extensive range of cellular functions in the CNS, such as dendritic and axonal growth, survival of neurons, signal transmission in synapses, and LTP induction in the hippocampus.