“…Moreover, basic research has shown that the expression of neurotrophic and growth factors, such as IGF-1, is decreased by chronic stress and depression in brain regions associated with depression, and increased by antidepressant treatment (Duman, 2004;Mitschelen et al, 2011). Recently, an animal study demonstrated that adult-onset long-term IGF-1 deficiency is able to induce depressive behavior in normally developed mice (Mitschelen et al, 2011). Nevertheless, only few studies with limited sample sizes and no or short follow-up time have addressed the relation between IGF-1 and depression in humans (Deuschle et al, 1997;Franz et al, 1999;Lesch et al, 1988aLesch et al, , 1988bRupprecht et al, 1989;Schilling et al, 2011;Weber-Hamann et al, 2009).…”