Journal of Pharmaceutics & Pharmacology
Review Article
Advancing Treatment for Therapy-Resistant Depression: Insights from Animal Models
Bourin M*
Department of Neurobiology of Anxiety and mood disorders, Nantes University, 98 rue Joseph Blanchart, 44100 Nantes.
France
Address for Correspondence:Michel Bourin, Department of Neurobiology of Anxiety and
mood disorders, Nantes University, 98 rue Joseph Blanchart, 44100 Nantes. France. Email Id: michel.bourin@univ-nantes.fr
Submission: 22 October 2025
Accepted: 24 November 2025
Published: 26 November 2025
Copyright: © 2025Bourin M. This is an open access article distributed
under the Creative Commons Attribution License, which permits
unrestricted use, distribution, and reproduction in any medium, provided
the original work is properly cited.
Keywords: Treatment-resistant depression; Major depressive disorder;
Animal models; Genetic models of depression; Telomere dysfunction;
Antidepressant resistance
Abstract
Treatment-resistant depression (TRD) remains a major clinical
challenge, affecting a signifi cant proportion of individuals diagnosed
with major depressive disorder (MDD). Despite the availability of
numerous antidepressant therapies, approximately one-third of
patients fail to achieve remission after two or more adequate
treatment trials. This review explores the critical role of animal models
in understanding the neurobiological mechanisms underlying TRD
and in developing more effective therapeutic strategies. Classical
models such as the Forced Swim Test, Tail Suspension Test, and Learned
Helplessness have provided foundational insights into depressive
behaviors and antidepressant effi cacy. However, these models often
fall short in replicating the treatment-resistant phenotype. Emerging
models such as those based on telomere dysfunction, genetic
vulnerability, and comorbid anxiety-depression phenotypes offer
promising platforms for investigating novel interventions. Additionally,
the augmentation of pharmacological treatments, such as the coadministration
of bupropion with SSRIs or SNRIs, highlights potential
pathways for overcoming treatment resistance. The review emphasizes
the importance of integrating behavioral, neurochemical, and genetic
approaches to improve the translational validity of preclinical models.
Ultimately, refi ning these models is essential for identifying effective
and personalized treatments for individuals suffering from TRD.
