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Th2 cytokine response in Major Depressive Disorder patients before treatment
Lenin Pavón1, Gabriel Sandoval-López, María Eugenia Hernández
1Department of Psychoimmunology, National Institute of Psychiatry Ramón de la Fuente, México.
Insights
Major Depressive Disorder (MDD) patients exhibit an altered immune response, with higher pro-inflammatory cytokines and cortisol levels. This study highlights immune dysregulation in MDD, suggesting potential therapeutic targets.
Area of Science:
- Neuroimmunology
- Psychiatry
- Endocrinology
Background:
- Major Depressive Disorder (MDD) is associated with dysregulated neuroendocrine-immune interactions.
- Understanding the pro-inflammatory (Th1) and anti-inflammatory (Th2) cytokine balance is crucial in MDD pathogenesis.
Purpose of the Study:
- To investigate the Th1/Th2 cytokine balance in MDD patients compared to controls.
- To explore the relationship between immune markers, cortisol levels, and MDD.
Main Methods:
- Comparative analysis of cytokine levels (IL-2, IFN-gamma, IL-4, IL-13) in MDD patients and healthy controls.
- Flow cytometry to assess immune cell populations (CD3+CD8+, NK, B cells, CD3+CD4+ lymphocytes).
- Measurement of serum cortisol and TNF-alpha levels.
Main Results:
- MDD subjects had elevated cortisol and TNF-alpha.
- Increased percentages of CD3+CD8+ and NK cells, with diminished B cell counts observed in MDD.
- A shift towards Th2 dominance was noted, with higher IL-4/IL-13 and lower IL-2/IFN-gamma levels in MDD patients.
Conclusions:
- MDD is characterized by significant alterations in immune cell populations and cytokine profiles.
- Elevated cortisol levels may be linked to the observed immune dysregulation in MDD.
- These findings suggest novel therapeutic avenues targeting the neuroimmune axis in MDD.
Abstract:
In Major Depressive Disorder (MDD), the neuroendocrine and immune systems interactions are impaired. We investigated the pro/anti-inflammatory Th1/Th2 cytokine balance in MDD patients and in non-depressed control group. The MDD subjects showed higher levels of cortisol and TNF-alpha, increased CD3+CD8+ and NK percentages, diminished B cell counts and no significant variations in CD3+CD4+ lymphocyte. Moreover, higher levels of IL-4 and IL-13 (Th2) and significantly lower measurements of IL-2 and IFN-gamma (Th1) cytokines were also observed in the MDD group. Overall, we propose that all these changes could be related to the elevated cortisol levels seen in the MDD patients. Further studies are necessary to explore these findings and its implication in future therapeutic approach of MDD patients.
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