The Role of Brain-Derived Neurotrophic Factor (BDNF) in Depression and Cardiovascular Disease: A Systematic Review
Massimo Fioranelli1, Maria Grazia Roccia1, Bianca Przybylek2
1Department of Human Sciences, Guglielmo Marconi University, Via Plinio 44, 00193 Rome, Italy.
Insights
Low serum Brain-Derived Neurotrophic Factor (BDNF) may link cardiovascular disease (CVD) and depression, particularly post-stroke depression. However, more research is needed to confirm the bidirectional relationship between CVD and depression.
Area of Science:
- Neuroscience
- Cardiology
- Psychiatry
Background:
- Cardiovascular disease (CVD) and depression share common risk factors, suggesting a bidirectional relationship.
- Brain-Derived Neurotrophic Factor (BDNF) is implicated in both conditions, acting as a biomarker and predictor.
- Low serum BDNF levels are hypothesized to play a role in the development of either CVD or depression when the other is present.
Purpose of the Study:
- To systematically review the bidirectional relationship between CVD and depression.
- To investigate the potential role of low serum BDNF levels in the co-occurrence of CVD and depression.
Main Methods:
- A systematic literature search was conducted following PRISMA guidelines.
Main Results:
- Six studies involving 1251 patients were included in the review.
- A potential association between low serum BDNF levels and increased risk of post-stroke depression was observed.
- Limited studies exist on the role of altered serum BDNF in other types of CVD.
Conclusions:
- Low serum BDNF may be associated with post-stroke depression.
- The inverse association between depression and CVD remains unproven due to limited research.
- Further investigation is required to elucidate the role of BDNF in the interplay between CVD and depression.
Background:
Several studies have been conducted to prove the bidirectional relationship between cardiovascular disease (CVD) and depression. These two major illnesses share several common risk factors such that the development of either condition may increase the risk of the occurrence of the other. Brain-derived neurotrophic factor (BDNF) has been suggested as a reliable biomarker for depression and a strong predictor of CVD because it plays an important role in neuron survival and growth, serves as a neurotransmitter modulator, and promotes neuronal plasticity. The aim of this systematic review was to examine the bidirectional relationship between CVD and depression, focusing on the potential role of low serum BDNF levels in the development of either disease in the presence of the other.
Methods:
A systematic search strategy was developed using PRISMA guidelines.
Results:
Six studies (comprising 1251 patients) were identified, all of which examined the association between CVD and depression.
Conclusions:
It was found that there may be a strong association between low serum BDNF levels and the risk of post-stroke depression. However, the studies on the role of altered serum BDNF levels and other types of CVD are few. Therefore, the inverse association between depression and CVD cannot be proven.
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