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Updated: Jan 23, 2026

MRI-guided dmPFC-rTMS as a Treatment for Treatment-resistant Major Depressive Disorder
Published on: August 11, 2015
Major depressive disorders accompanying autoimmune diseases - Response to treatment
Katarzyna Bialek1, Piotr Czarny2, Justyna Strycharz2
1University of Lodz, Faculty of Environmental Protection, Laboratory of Medical Genetics, Lodz, Poland.
Abstract:
MDDs (major depressive disorders) belong to the most frequently diagnosed mental diseases and affect approximately 350 million people all over the world. A growing body of evidence suggests that inflammatory processes may play a significant role in the pathophysiology and progression of the disease. The comorbidity of MDDs with many other medical conditions, for example autoimmune diseases (ADs) caused by inflammation, has been observed on numerous occasions. In both cases, increased levels of pro-inflammatory cytokines, chemokines and other inflammatory agents are observed. Furthermore, higher rates of inflammatory markers are associated with a poorer response to antidepressant treatment. Additionally, the presence of any AD is associated with higher prevalence of depression and may reduce the chance of effective therapy. Interestingly, the administration of several anti-inflammatory agents used in AD treatment is positively correlated with a reduction of depressive symptoms. In conclusion, the factors contributing to the coexistence of depression as well as affecting antidepressant treatment effectiveness may lead to an alteration of the cytokine profiles in many autoimmune diseases.
Insights
Major depressive disorders (MDDs) and autoimmune diseases (ADs) share inflammatory links. Treating inflammation in ADs may improve depression symptoms, suggesting a cytokine profile connection.
Area of Science:
- Neuroscience
- Immunology
- Psychiatry
Background:
- Major depressive disorders (MDDs) are prevalent global mental health conditions.
- Inflammatory processes are increasingly implicated in MDD pathophysiology and progression.
- Comorbidity between MDDs and autoimmune diseases (ADs), both linked to inflammation, is frequently observed.
Purpose of the Study:
- To explore the relationship between inflammatory processes in MDDs and ADs.
- To investigate the impact of inflammation on antidepressant treatment response.
- To understand how ADs influence depression prevalence and treatment efficacy.
Main Methods:
- Review of existing evidence on inflammatory markers in MDDs and ADs.
- Analysis of studies correlating inflammatory markers with antidepressant treatment outcomes.
- Examination of the effects of anti-inflammatory agents on depressive symptoms in AD patients.
Main Results:
- Elevated pro-inflammatory cytokines and chemokines are common in both MDDs and ADs.
- Higher inflammatory marker levels correlate with poorer response to antidepressant therapies.
- Presence of ADs is associated with increased depression rates and reduced treatment effectiveness.
Conclusions:
- Inflammation plays a significant role in the pathophysiology of MDDs and their comorbidity with ADs.
- Altered cytokine profiles may underlie the link between autoimmune diseases and depression, impacting treatment outcomes.
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