Inflammatory Process and Immune System in Major Depressive Disorder
Norma Angélica Labra Ruiz1, Daniel Santamaría Del Ángel1, Norma Osnaya Brizuela1
1Laboratory of Neurosciences, Instituto Nacional de Pediatría (INP), Mexico City, Mexico.
Abstract:
Major depressive disorder (MDD) is one of the most common psychiatric illnesses in the general population. In mental disorders, the activation of inflammatory pathways in the brain is a major producer of excitotoxicity and an inducer of oxidative stress. The occurrence of these 2 events is partly responsible for the neuronal damage inherent in patients with mental disorders. In the case of MDD, the release of hormone and increase in pro-inflammatory cytokines in plasma and indicators of oxidative stress have been identified as consequences of this event. The most important affectations in patients with MDD are changes in their cognitive and executive functions due to brain inflammation. Hence, these biomarkers can serve as diagnostic and severity classification tools and treatment. In this work, we described the communication pathway between the immune and neuroendocrine systems in MDD and suggested possible therapeutic options for the disease.
Insights
Major depressive disorder (MDD) involves brain inflammation, leading to neuronal damage and cognitive issues. Understanding the immune-neuroendocrine link offers new therapeutic targets for MDD.
Area of Science:
- Neuroscience
- Psychiatry
- Immunology
Background:
- Major depressive disorder (MDD) is a prevalent psychiatric condition.
- Brain inflammation, excitotoxicity, and oxidative stress contribute to neuronal damage in mental disorders.
- MDD is associated with hormonal changes, increased pro-inflammatory cytokines, and oxidative stress markers.
Purpose of the Study:
- To elucidate the communication pathway between the immune and neuroendocrine systems in MDD.
- To identify potential therapeutic strategies for MDD based on these pathways.
Main Methods:
- Review of existing literature on MDD, neuroinflammation, and the neuroendocrine system.
- Analysis of the interplay between immune and neuroendocrine signaling in the context of MDD.
Main Results:
- Inflammatory pathways in the brain are implicated in the pathophysiology of MDD.
- Cognitive and executive function deficits in MDD are linked to brain inflammation.
- Biomarkers of inflammation and oxidative stress may aid in MDD diagnosis and severity classification.
Conclusions:
- The immune and neuroendocrine systems are critically interconnected in MDD.
- Targeting these pathways presents promising therapeutic avenues for managing MDD.
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