[Apoptosis of immunocompetent cells in patients with depressive disorders]
Insights
Depression is linked to increased programmed cell death (apoptosis) in lymphocytes and elevated blood cortisone levels. These biological changes correlate with reduced immune cell function in patients with depressive disorders.
Area of Science:
- Neuroscience
- Immunology
- Endocrinology
Background:
- Depressive disorders are associated with complex biological alterations.
- Immune system dysregulation and stress hormone imbalances are implicated in depression.
Purpose of the Study:
- To evaluate biological indices, including apoptosis and cortisone levels, in patients with depressive disorders.
- To investigate the relationship between these biological markers and clinical symptoms of depression.
Main Methods:
- Assessed programmed cell death (apoptosis) in blood lymphocyte subpopulations.
- Measured blood serum cortisone concentration.
- Compared biological indices between 26 depressive patients and 20 healthy controls.
Main Results:
- Significantly enhanced lymphocyte apoptosis was observed in depressive patients, indicated by increased FAS-receptor expression and morphological changes.
- Depressive patients showed decreased T-lymphocytes (CD3+), T-helpers (CD4+), and natural killer (CD16+) cells compared to controls.
- Elevated blood serum cortisone levels in depressive patients correlated with reduced CD4+ cell counts and increased FAS-receptor expression.
Conclusions:
- Increased apoptosis and elevated cortisone levels are significant biological markers in depressive disorders.
- These findings suggest a link between immune system suppression, stress response, and the pathophysiology of depression.
Abstract:
A comprehensive evaluation of biological indices has been carried out in 26 patients with depressive disorders and in 20 age- and sex-matched controls. Indices of programmed cell death (apoptosis) in subpopulations of blood lymphocytes and concentration of cortisone in blood serum were determined. Significantly enhanced apoptosis was observed in the lymphocytes of depressive patients as shown by increased percentage of lymphocytes expressing FAS-receptor and cells with morphological changes characteristic of apoptosis (nuclear condensation, vacuolation. Clinical symptoms of depression were concomitant with alterations of cellular link of immunity expressing in the decrease of the total T-lymphocytes (CD3+) number, T-helpers (CD4+) and natural killers (CD16+) as compared to healthy persons. The level of blood serum cortisone was increased in patients with depression. High cortisone values correlated with suppression of cellular CD4+ population and an increase of FAS-receptors expression in patients with depression.
Related Concept Videos
Phagocytosis of Apoptotic Cells
Normal cells contain receptors that prevent them from being recognized by phagocytes.
Apoptosis
Cellular Injury V: Apoptosis and Autophagy
The Extrinsic Apoptotic Pathway
Regulation of Hematopoietic Stem Cells
Cells of the Innate Immune Response
Phagocytes
Phagocytes police the peripheral tissues by removing cellular debris and responding to the invasion of foreign substances or pathogens. Many phagocytes attack and remove microorganisms even before lymphocytes detect them. The human body has two general...

