IGF1 and major depressive disorder: These mechanisms include increases in molecules such as brain-derived neurotrophic factor (BDNF) and proteins like insulin-like growth factor 1 (IGF-1), which are associated with exercise’s effects on learning and depression, as well as the combined action of IGF-1 and vascular endothelial growth factor (VEGF) on hippocampal angiogenesis and neurogenesis (Brush et al., 2016).