Single-cell mass cytometry of microglia in major depressive disorder reveals a non-inflammatory phenotype with

Chotima Böttcher1, Camila Fernández-Zapata2, Gijsje J L Snijders3

  • 1Department of Neuropsychiatry and Laboratory of Molecular Psychiatry, Charité - Universitätsmedizin Berlin, Berlin, Germany. chotima.boettcher@charite.de.

Translational Psychiatry
|September 12, 2020
PubMed

Insights

Major depressive disorder (MDD) microglia show enhanced homeostatic functions, not inflammation. This study analyzed single-cell microglia from MDD brains, revealing increased homeostatic proteins and non-inflammatory macrophages.

Area of Science:

  • Neuroscience
  • Immunology
  • Psychiatry

Background:

  • Stress and neuroinflammation are linked to mood disorders like major depressive disorder (MDD).
  • Peripheral inflammation markers are known in MDD, but brain-specific changes, especially in microglia, are poorly understood.
  • Microglia are central nervous system immune cells sensitive to brain microenvironment shifts.

Purpose of the Study:

  • To investigate microglial changes in the brain of individuals with MDD using single-cell analysis.
  • To determine if inflammation-associated molecules or homeostatic proteins are altered in MDD microglia.
  • To identify potential non-inflammatory macrophage populations in the MDD brain.

Main Methods:

  • Performed single-cell analysis on post-mortem brain tissue from four regions (frontal lobe, temporal lobe, thalamus, subventricular zone).
  • Compared microglia from medicated individuals with MDD to control subjects.
  • Quantified expression levels of inflammation-associated molecules (e.g., CD11b, TNF) and homeostatic proteins (e.g., P2Y12, TMEM119).

Main Results:

  • No evidence of increased inflammation markers (e.g., CCL2, IL-6, TNF) was found in MDD microglia; some, like HLA-DR and CD68, were decreased.
  • Significantly increased levels of homeostatic proteins, including P2Y12 receptor, TMEM119, and CCR5, were detected in microglia from all analyzed brain regions in MDD cases.
  • An enrichment of non-inflammatory CD206high macrophages was observed in the brains of individuals with MDD.

Conclusions:

  • The findings suggest an enhancement of homeostatic functions in microglia from individuals with MDD, rather than a pro-inflammatory state.
  • These results challenge the traditional view of neuroinflammation in MDD pathophysiology and highlight the complexity of microglial responses.
  • Further research is needed to elucidate the functional implications of enhanced microglial homeostasis in MDD.

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