The Role of Oxidative Stress in Common Risk Factors and Mechanisms of Cardio-Cerebrovascular Ischemia and Depression
Danfeng Lin1, Lingling Wang1, Shenqiang Yan2
1Department of Surgical Oncology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Insights
Ischemic cardiovascular and cerebrovascular diseases (CVD) share risk factors and mechanisms with depression. Oxidative stress (OS) appears to mediate the connection between these conditions, suggesting antioxidants may offer therapeutic potential.
Area of Science:
- Public Health
- Cardiology
- Neurology
- Psychiatry
Background:
- Ischemic cardiovascular and cerebrovascular diseases (CVD) and depression pose significant public health challenges.
- Existing treatments lack breakthroughs, particularly for depression influenced by social factors.
- CVD and depression share common risk factors like obesity, diabetes, and hypertension.
Purpose of the Study:
- To review the relationship between ischemic CVD and depression.
- To describe shared risk factors and mechanisms.
- To propose oxidative stress (OS) as a mediator and highlight antioxidant potential.
Main Methods:
- Literature review summarizing existing research.
- Analysis of shared risk factors (obesity, diabetes, hypertension).
- Examination of common pathophysiological mechanisms (OS, inflammation, gut-brain axis).
Main Results:
- CVD and depression are correlated, sharing common risk factors and mechanisms.
- Oxidative stress (OS) is proposed as a key mediator in the crosstalk between CVD and depression.
- Inflammation, immune response, cell death pathways, and the microbiome-gut-brain axis are implicated.
Conclusions:
- Understanding shared mechanisms is crucial for developing integrated treatment strategies.
- Oxidative stress (OS) plays a pivotal role in linking ischemic CVD and depression.
- Antioxidants show promise for mitigating OS-related damage in both conditions.
Abstract:
The public health sector faces a huge challenge as a result of the high prevalence and burden of disability caused by ischemic cardio-cerebrovascular disease (CVD) and depression. Although studies have explored the underlying mechanisms and potential therapies to address conditions, there is no treatment breakthrough, especially for depression which is highly influenced by social stressors. However, accumulating evidence reveals that CVD and depression are correlated and share common risk factors, particularly obesity, diabetes, and hypertension. They also share common mechanisms, including oxidative stress (OS), inflammation and immune response, cell death signaling pathway, and microbiome-gut-brain axis. This review summarizes the relationship between ischemic CVD and depression and describes the interactions among common risk factors and mechanisms for these two diseases. In addition, we propose that OS mediates the crosstalk between these diseases. We also reveal the potential of antioxidants to ameliorate OS-related injuries.
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