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1.
Neuropharmacology ; 206: 108941, 2022 03 15.
Article in English | MEDLINE | ID: mdl-34990615

ABSTRACT

Microglia, resident immune cells in the brain, are shown to mediate the crosstalk between psychological stress and depression. Interestingly, increasing evidence indicates that sex hormones, particularly estrogen, are involved in the regulation of immune system. In this study, we aimed to understand the potential effects of chronic social defeat stress (CSDS) and genistein (GEN), an estrogenic compound of the plant origin, on neuron-microglia interactions in the mouse hippocampus. The time spent in the avoidance zone in the social interaction test was increased by CSDS 1 day after the exposure, while the avoidance behavior returned to control levels 14 days after the CSDS exposure. Similar results were obtained from the elevated plus-maze test. However, the immobility time in the forced swim test was increased by CSDS 14 days after the exposure, and the depression-related behavior was in part alleviated by GEN. The numerical densities of microglia in the hippocampus were increased by CSDS, and they were decreased by GEN. The voxel densities of synaptic structures and synaptic puncta colocalized with microglia were decreased by CSDS, and they were increased by GEN. Neither CSDS nor GEN affected the gene expressions of major pro-inflammatory cytokines. Conversely, the expression levels of genes related to neurotrophic factors were decreased by CSDS, and they were partially reversed by GEN. These findings show that GEN may in part alleviate stress-related symptoms, and the effects of GEN may be associated with the modulation of neuron-microglia signaling via chemokines and neurotrophic factors in the hippocampus.


Subject(s)
Depression/drug therapy , Genistein/pharmacology , Hippocampus/drug effects , Microglia/drug effects , Phytoestrogens/pharmacology , Signal Transduction/drug effects , Social Defeat , Stress, Psychological , Synapses/drug effects , Animals , Behavior, Animal/drug effects , Depression/etiology , Depression/immunology , Disease Models, Animal , Hippocampus/immunology , Mice , Stress, Psychological/complications , Stress, Psychological/immunology
2.
J Ethnopharmacol ; 285: 114692, 2022 Mar 01.
Article in English | MEDLINE | ID: mdl-34742864

ABSTRACT

ETHNOPHARMACOLOGICAL RELEVANCE: Depression, one of the most common psychiatric disorders, is the fourth leading cause of long-term disability worldwide. A series of causes triggered depression, including psychological stress and conflict, as well as biological derangement, among which stress has a pivotal role in the development of depression. Traditional herbal medicine has been used for the treatment of various disorders including depression for a long history with multi-targets, multi-levels and multi-ways, attracting great attention from scholars. Recently, natural products have been commercialized as antidepressants which have become increasingly popular in the world health drug markets. Major research contributions in ethnopharmacology have generated and updated vast amount of data associated with natural products in antidepressant-like activity. AIMS OF THE REVIEW: This review aims to briefly discuss the pathological mechanism, animal models of stress-induced depression, traditional use of herbal medicines and especially recapitulate the natural products with antidepressant activity and their pharmacological functions and mechanism of action, which may contribute to a better understanding of potential therapeutic effects of natural products and the development of promising drugs with high efficacy and low toxicity for the treatment of stress-induced depression. MATERIALS AND METHODS: The contents of this review were sourced from electronic databases including PubMed, Sci Finder, Web of Science, Science Direct, Elsevier, Google Scholar, Chinese Knowledge On frastructure (CNKI), Wan Fang, Chinese Scientific and Technological Periodical Database (VIP) and Chinese Biomedical Database (CBM). Additional information was collected from Yao Zhi website (https://db.yaozh.com/). Data were obtained from April 1992 to June 2021. Only English language was applied to the search. The search terms were 'stress-induced depression', 'pathological mechanism' in the title and 'stress', 'depression', 'animal model' and 'natural products' in the whole text. RESULTS: Stress-induced depression is related to the monoaminergic system, hypothalamic-pituitary-adrenal (HPA) axis, neuronal plasticity and a series of inflammatory factors. Four main types of animal models of stress-induced depression were represented. Fifty-eight bioactive phytochemical compounds, fifty-six herb medicines and five formulas from traditional Chinese medicine were highlighted, which exert antidepressant effects by inhibiting monoamine oxidase (MAO) reaction, alleviating dysfunction of the HPA axis and nerve injury, and possessing anti-inflammatory activities. CONCLUSIONS: Natural products provide a large number of compounds with antidepressant-like effects, and their therapeutic impacts has been highlighted for a long time. This review summarized the pathological mechanism and animal models of stress-induced depression, and the natural products with antidepressant activity in particular, which will shed light on the action mechanism and clinical potential of these compounds. Natural products also have been a vital and promising source for future antidepressant drug discovery.


Subject(s)
Antidepressive Agents/pharmacology , Biological Products/pharmacology , Depression , Phytotherapy/methods , Plants, Medicinal/classification , Stress, Psychological/complications , Animals , Depression/drug therapy , Depression/etiology , Depression/immunology , Depression/metabolism , Drug Discovery , Humans , Medicine, Chinese Traditional/methods
3.
Behav Brain Res ; 414: 113475, 2021 09 24.
Article in English | MEDLINE | ID: mdl-34280460

ABSTRACT

Oxandrolone (OXA) is an androgen and anabolic steroid (AAS) that is used to reverse weight loss associated with some medical conditions. One of the side effects of OXA is its potential to induce depressive symptoms. Growing evidence suggested that neuroinflammation and cytokines play crucial roles in sickness behavioral and associated mood disturbances. Previous studies showed that metformin attenuated neuroinflammation. This study investigated the potential protective role of metformin against OXA-induced depression-like behavior and neuroinflammation. Twenty- four Wistar male rats were randomly grouped into four groups: the control group (Control) received only vehicle; the oxandrolone group (OXA) received oxandrolone (0.28 mg/kg, i.p); the metformin group (MET) received metformin (100 mg/kg, i.p); and the oxandrolone / metformin group (OXA + MET) received both oxandrolone (0.28 mg/kg, i.p) and metformin (100 mg/kg, i.p). These treatments were administered for fourteen consecutive days. Behavioral tests to measure depression-like behavior were conducted before and after treatments. qRT-PCR was used to measure the relative expression of proinflammatory and anti-inflammatory cytokines in the hippocampus and hypothalamus. The results showed that oxandrolone induced depression-like behavior and dysregulated pro-/anti-inflammatory cytokines, while metformin attenuated these effects. These findings suggest that metformin is a potential treatment to reverse the depressive effects induced by oxandrolone that involve neuroinflammatory effects.


Subject(s)
Anabolic Agents/adverse effects , Anti-Inflammatory Agents/pharmacology , Cytokines/drug effects , Depression/chemically induced , Depression/drug therapy , Metformin/pharmacology , Neuroinflammatory Diseases/chemically induced , Neuroinflammatory Diseases/drug therapy , Oxandrolone/adverse effects , Anabolic Agents/administration & dosage , Animals , Anti-Inflammatory Agents/administration & dosage , Behavior, Animal/drug effects , Depression/immunology , Depression/metabolism , Disease Models, Animal , Hippocampus/drug effects , Hippocampus/immunology , Hippocampus/metabolism , Hypothalamus/drug effects , Hypothalamus/immunology , Hypothalamus/metabolism , Interleukin-10 , Interleukin-1beta/drug effects , Interleukin-6 , Male , Metformin/administration & dosage , Neuroinflammatory Diseases/immunology , Neuroinflammatory Diseases/metabolism , Oxandrolone/administration & dosage , Rats , Rats, Wistar , Tumor Necrosis Factor-alpha/drug effects
4.
Int J Mol Sci ; 22(4)2021 Feb 06.
Article in English | MEDLINE | ID: mdl-33561973

ABSTRACT

Treatment of depression is hampered by the failure to identify distinct symptom profiles with distinct pathophysiologies that differentially respond to distinct treatments. We posit that inflammatory depression is a meaningful depression subtype associated with specific symptoms and biological abnormalities. We review several upstream, potentially causative, mechanisms driving low-grade inflammation in this subtype of depression. We also discuss downstream mechanisms mediating the link between inflammation and symptoms of depression, including alterations in dopaminergic neurotransmission and tryptophan metabolism. Finally, we review evidence for several non-pharmacological interventions for inflammatory depression, including probiotics, omega-3 fatty acids, and physical exercise interventions. While some evidence suggests that these interventions may be efficacious in inflammatory depression, future clinical trials should consider enriching patient populations for inflammatory markers, or stratify patients by inflammatory status, to confirm or refute this hypothesis.


Subject(s)
Depression/pathology , Depressive Disorder, Major/pathology , Exercise Therapy/methods , Fatty Acids, Omega-3/therapeutic use , Gastrointestinal Microbiome/physiology , Probiotics/therapeutic use , C-Reactive Protein/analysis , C-Reactive Protein/cerebrospinal fluid , Depression/immunology , Depression/therapy , Depressive Disorder, Major/therapy , Dopaminergic Neurons/physiology , Dysbiosis/microbiology , Exercise/physiology , Humans , Inflammation/pathology , Inflammation/psychology , Synaptic Transmission/physiology , Tryptophan/metabolism
5.
Int J Mol Sci ; 21(22)2020 Nov 19.
Article in English | MEDLINE | ID: mdl-33228179

ABSTRACT

Alzheimer's disease (AD), considered the most common type of dementia, is characterized by a progressive loss of memory, visuospatial, language and complex cognitive abilities. In addition, patients often show comorbid depression and aggressiveness. Aging is the major factor contributing to AD; however, the initial cause that triggers the disease is yet unknown. Scientific evidence demonstrates that AD, especially the late onset of AD, is not the result of a single event, but rather it appears because of a combination of risk elements with the lack of protective ones. A major risk factor underlying the disease is neuroinflammation, which can be activated by different situations, including chronic pathogenic infections, prolonged stress and metabolic syndrome. Consequently, many therapeutic strategies against AD have been designed to reduce neuro-inflammation, with very promising results improving cognitive function in preclinical models of the disease. The literature is massive; thus, in this review we will revise the translational evidence of these early strategies focusing in anti-diabetic and anti-inflammatory molecules and discuss their therapeutic application in humans. Furthermore, we review the preclinical and clinical data of nutraceutical application against AD symptoms. Finally, we introduce new players underlying neuroinflammation in AD: the activity of the endocannabinoid system and the intestinal microbiota as neuroprotectors. This review highlights the importance of a broad multimodal approach to treat successfully the neuroinflammation underlying AD.


Subject(s)
Aging/genetics , Alzheimer Disease/drug therapy , Anti-Inflammatory Agents/therapeutic use , Cannabinoids/therapeutic use , Hypoglycemic Agents/therapeutic use , Neuroprotective Agents/therapeutic use , Aging/pathology , Alzheimer Disease/genetics , Alzheimer Disease/immunology , Alzheimer Disease/physiopathology , Clinical Trials as Topic , Cognitive Dysfunction/genetics , Cognitive Dysfunction/immunology , Cognitive Dysfunction/physiopathology , Cognitive Dysfunction/prevention & control , Depression/genetics , Depression/immunology , Depression/physiopathology , Depression/prevention & control , Dietary Supplements , Gastrointestinal Microbiome/immunology , Humans , Inflammation , Insulin Resistance , Metabolic Syndrome/genetics , Metabolic Syndrome/immunology , Metabolic Syndrome/physiopathology , Metabolic Syndrome/prevention & control , Neuroimmunomodulation/drug effects , Stress, Psychological/genetics , Stress, Psychological/immunology , Stress, Psychological/physiopathology , Stress, Psychological/prevention & control
6.
Article in English | MEDLINE | ID: mdl-33031994

ABSTRACT

As the infected cases of COVID-19 reach more than 20 million with more than 778,000 deaths globally, an increase in psychiatric disorders including anxiety and depression has been reported. Scientists globally have been searching for novel therapies and vaccines to fight against COVID-19. Improving innate immunity has been suggested to block progression of COVID-19 at early stages, while omega-3 polyunsaturated fatty acids (n-3 PUFAs) have been shown to have immunomodulation effects. Moreover, n-3 PUFAs have also been shown to improve mood disorders, thus, future research is warranted to test if n-3 PUFAs may have the potential to improve our immunity to counteract both physical and mental impact of COVID-19.


Subject(s)
Anxiety/prevention & control , Coronavirus Infections/prevention & control , Depression/prevention & control , Dietary Supplements , Fatty Acids, Omega-3/administration & dosage , Immunologic Factors/administration & dosage , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Anxiety/immunology , Anxiety/metabolism , Anxiety/virology , Betacoronavirus/immunology , Betacoronavirus/pathogenicity , COVID-19 , Coronavirus Infections/immunology , Coronavirus Infections/metabolism , Coronavirus Infections/virology , Cytokines/biosynthesis , Cytokines/immunology , Dendritic Cells/drug effects , Dendritic Cells/immunology , Dendritic Cells/virology , Depression/immunology , Depression/metabolism , Depression/virology , Epithelial Cells/drug effects , Epithelial Cells/immunology , Epithelial Cells/virology , Fatty Acids, Omega-3/immunology , Fatty Acids, Omega-3/metabolism , Host-Pathogen Interactions/drug effects , Host-Pathogen Interactions/immunology , Humans , Immunity, Innate/drug effects , Immunologic Factors/immunology , Immunologic Factors/metabolism , Lymphocytes/drug effects , Lymphocytes/immunology , Lymphocytes/virology , Macrophages/drug effects , Macrophages/immunology , Macrophages/virology , Pneumonia, Viral/immunology , Pneumonia, Viral/metabolism , Pneumonia, Viral/virology , SARS-CoV-2
8.
Brain Behav Immun ; 87: 34-39, 2020 07.
Article in English | MEDLINE | ID: mdl-32298803

ABSTRACT

The coronavirus disease 19 (COVID-19) pandemic is a significant psychological stressor in addition to its tremendous impact on every facet of individuals' lives and organizations in virtually all social and economic sectors worldwide. Fear of illness and uncertainty about the future precipitate anxiety- and stress-related disorders, and several groups have rightfully called for the creation and dissemination of robust mental health screening and treatment programs for the general public and front-line healthcare workers. However, in addition to pandemic-associated psychological distress, the direct effects of the virus itself (several acute respiratory syndrome coronavirus; SARS-CoV-2), and the subsequent host immunologic response, on the human central nervous system (CNS) and related outcomes are unknown. We discuss currently available evidence of COVID-19 related neuropsychiatric sequelae while drawing parallels to past viral pandemic-related outcomes. Past pandemics have demonstrated that diverse types of neuropsychiatric symptoms, such as encephalopathy, mood changes, psychosis, neuromuscular dysfunction, or demyelinating processes, may accompany acute viral infection, or may follow infection by weeks, months, or longer in recovered patients. The potential mechanisms are also discussed, including viral and immunological underpinnings. Therefore, prospective neuropsychiatric monitoring of individuals exposed to SARS-CoV-2 at various points in the life course, as well as their neuroimmune status, are needed to fully understand the long-term impact of COVID-19, and to establish a framework for integrating psychoneuroimmunology into epidemiologic studies of pandemics.


Subject(s)
Coronavirus Infections/psychology , Cytokine Release Syndrome/psychology , Mental Disorders/psychology , Nervous System Diseases/psychology , Pneumonia, Viral/psychology , Acute Disease , Anxiety/etiology , Anxiety/immunology , Anxiety/psychology , Bacterial Translocation , Betacoronavirus , COVID-19 , Chronic Disease , Coronavirus Infections/complications , Coronavirus Infections/immunology , Coronavirus Infections/therapy , Cytokine Release Syndrome/immunology , Cytokine Release Syndrome/therapy , Demyelinating Diseases/etiology , Demyelinating Diseases/immunology , Demyelinating Diseases/physiopathology , Demyelinating Diseases/psychology , Depression/etiology , Depression/immunology , Depression/psychology , Humans , Immunologic Factors/adverse effects , Mental Disorders/etiology , Mental Disorders/immunology , Mental Health , Nervous System Diseases/etiology , Nervous System Diseases/immunology , Nervous System Diseases/physiopathology , Neurodegenerative Diseases/etiology , Neurodegenerative Diseases/immunology , Neurodegenerative Diseases/physiopathology , Neurodegenerative Diseases/psychology , Pandemics , Pneumonia, Viral/complications , Pneumonia, Viral/immunology , Pneumonia, Viral/therapy , Psychoneuroimmunology , Psychotic Disorders/etiology , Psychotic Disorders/immunology , Psychotic Disorders/psychology , Public Health , SARS-CoV-2 , Stress Disorders, Post-Traumatic/etiology , Stress Disorders, Post-Traumatic/immunology , Stress Disorders, Post-Traumatic/psychology
9.
Brain Behav Immun ; 87: 8-9, 2020 07.
Article in English | MEDLINE | ID: mdl-32334064

ABSTRACT

The COVID-19 pandemic has led to high levels of psychological distress in the general public, including symptoms of anxiety and depression. Such distress is associated with alterations in immune function, including an elevated risk of viral respiratory tract infections. In this light, the possible effects of Ayurveda, a traditional system of medicine promoted by the Indian government as an "immune booster", are examined from the point of view of psychoneuroimmune mechanisms as well as the "meaning response" described by Moerman. It was found that many of the measures advocated in their guidelines could positively influence immunity either by direct effects on symptoms of depression or anxiety, or through their symbolic significance. Therefore, it is possible that such traditional practices could be beneficial both in terms of psychological quality of life, and in terms of moderating the risk of infection.


Subject(s)
Anxiety/immunology , Coronavirus Infections/epidemiology , Depression/immunology , Medicine, Ayurvedic , Pneumonia, Viral/epidemiology , Psychoneuroimmunology , Stress, Psychological/immunology , Anxiety/epidemiology , Anxiety/psychology , Betacoronavirus , COVID-19 , Coriandrum , Cuminum , Curcuma , Depression/epidemiology , Depression/psychology , Garlic , Guidelines as Topic , Humans , India/epidemiology , Pandemics , Plant Preparations , Psychological Distress , SARS-CoV-2 , Spices , Stress, Psychological/epidemiology , Stress, Psychological/psychology , Teas, Herbal , Yoga
10.
J Psychiatr Res ; 120: 91-102, 2020 01.
Article in English | MEDLINE | ID: mdl-31654972

ABSTRACT

Oxidative stress and neuroinflammation are found both in diabetes mellitus and major depressive disorder (MDD). In addition to damage in peripheral organs, such as liver and kidney, diabetic patients have a higher risk of developing depression. In this sense, the objective of the present study was to characterize the antidepressant-like effect of a selenium-containing compound, the 1-methyl-3-(phenylselanyl)-1H-indole (MFSeI), in streptozotocin (STZ)-induced diabetic mice. STZ (200 mg/kg, i.p.) was used to induce diabetes mellitus type I, and after seven days, the administration of MFSeI (10 mg/kg, i.g.) was initiated and followed for the next 14 days. Twenty-four hours after the last administration of MFSeI, the behavioral tests were performed, followed by euthanasia. The treatment with MFSeI was able to reverse the hyperglycemia induced by STZ. MFSeI also decreased the plasma levels of biomarkers of liver and kidney damage. Importantly, MFSeI reversed the depression-like behavior induced by STZ in the tail suspension test and forced swimming test without promoting locomotor alterations. Furthermore, MFSeI reversed the increased levels of reactive species and lipid peroxidation in the prefrontal cortex (PFC), hippocampus (HC), liver, and kidney of STZ-treated mice. Treatment with MFSeI also decreased the expression of tumor necrosis factor-alpha, inducible nitric oxide synthase and indoleamine 2,3-dioxygenase, while increasing the expression of interleukin-10, insulin receptor substrate-1 and glucose transport-4 in the PFC and HC of mice. Taken together, the results indicate the effectiveness of MFSeI against depression-like behavior and central and peripheral complications caused by diabetes in mice.


Subject(s)
Behavior, Animal/drug effects , Cerebral Cortex/drug effects , Depression/drug therapy , Diabetes Mellitus, Experimental/drug therapy , Hyperglycemia/drug therapy , Indoles/pharmacology , Inflammation/drug therapy , Organoselenium Compounds/pharmacology , Animals , Depression/blood , Depression/immunology , Diabetes Mellitus, Experimental/blood , Diabetes Mellitus, Experimental/immunology , Hippocampus/drug effects , Hyperglycemia/blood , Hyperglycemia/immunology , Indoles/administration & dosage , Inflammation/blood , Inflammation/immunology , Kidney/drug effects , Liver/drug effects , Mice , Organoselenium Compounds/administration & dosage , Selenium
11.
Curr Psychiatry Rep ; 21(9): 93, 2019 09 02.
Article in English | MEDLINE | ID: mdl-31478105

ABSTRACT

PURPOSE OF REVIEW: This article reviews the relationship of the microbiome, the gut-brain axis, and depression. It also will review factors which can influence this relationship, such as chronic stress, medications, and the Western diet typically consumed by adolescents. RECENT FINDINGS: Changes in the gut microbiome increase the release of microbial lipopolysaccharides (LPS) which activate a gut inflammatory response. Gut pro-inflammatory cytokines stimulate the afferent vagal nerve which in turn impacts the hypothalamic-pituitary-adrenal (HPA) axis inducing symptoms associated with depression. Recent research suggests that gut inflammation can induce neuroinflammation which, in turn, stimulates microglia activation and the kynurenine pathway and can activate systemic inflammation-inducing depressive symptoms. Promoting a healthy diet and lifestyle changes, limiting exposure to pesticides, limiting medications that affect the microbiome and the use of such things pre/probiotics and other interventions may complement existing efforts to curb the rise in depression. Alternative and complementary therapies may serve as effective treatments in adolescents with depression.


Subject(s)
Brain/physiology , Depression/microbiology , Depression/physiopathology , Gastrointestinal Microbiome/physiology , Mental Health , Adolescent , Brain/pathology , Brain/physiopathology , Depression/immunology , Depression/pathology , Diet, Healthy , Humans , Hypothalamo-Hypophyseal System/physiology , Inflammation/immunology , Inflammation/microbiology , Inflammation/pathology , Kynurenine/metabolism , Microglia/immunology , Pituitary-Adrenal System/physiology
12.
J Neuroimmunol ; 336: 577029, 2019 11 15.
Article in English | MEDLINE | ID: mdl-31487612

ABSTRACT

Neuro-inflammation is widely regarded as the inflammation occurred in the central nervous system (CNS) tissue, which authentically involved in the pathogenesis such as depression although the underlying mechanism remains to be elucidated. Malva sylvestris (MS), a plant widely used in traditional medicine to mitigate urological, respiratory and oral diseases, exhibits excellent anti-oxidative and anti-inflammatory properties. In the present study, we first used LPS-induced depression-like mice to evaluate the neuro-protective effect of MS extract. We found that, after 7 days' administration of MS extract, the cognitive impairment of LPS-induced depression-like mice was efficiently alleviated, evaluated by behavioral test including the Open field, Morris water maze (MWM), Elevated plus-maze (EPM) and Rota-rod test. Furthermore, we found that MS extract also inhibited the LPS-induced neuron apoptosis and astrogliosis both in the cortex and the CA1 region of hippocampus. Finally, our findings showed that the extract of MS relieved inflammatory stress induced by LPS injury, indicated by the down-regulation of IL-1ß/6 and TNF-α, and up-regulation of IL-4 level both in vitro and in vivo. Collectively, MS extract exhibits neuro-protective activity in vivo, and therefore, it may be widely used for food to relieve the symptoms of neuro-inflammation associated disorders such as depression.


Subject(s)
Anti-Inflammatory Agents/therapeutic use , Astrocytes/drug effects , Depression/drug therapy , Gliosis/drug therapy , Malva , Plant Extracts/therapeutic use , Animals , Anti-Inflammatory Agents/isolation & purification , Anti-Inflammatory Agents/pharmacology , Astrocytes/immunology , Astrocytes/metabolism , Cell Line , Depression/chemically induced , Depression/immunology , Depression/metabolism , Gliosis/immunology , Gliosis/metabolism , Lipopolysaccharides/toxicity , Maze Learning/drug effects , Maze Learning/physiology , Mice , Plant Components, Aerial , Plant Extracts/isolation & purification , Plant Extracts/pharmacology , Random Allocation
13.
Front Immunol ; 10: 1696, 2019.
Article in English | MEDLINE | ID: mdl-31379879

ABSTRACT

Depression and fatigue are conditions responsible for heavy global societal burden, especially in patients already suffering from chronic diseases. These symptoms have been identified by those affected as some of the most disabling symptoms which affect the quality of life and productivity of the individual. While many factors play a role in the development of depression and fatigue, both have been associated with increased inflammatory activation of the immune system affecting both the periphery and the central nervous system (CNS). This is further supported by the well-described association between diseases that involve immune activation and these symptoms in autoimmune disorders, such as multiple sclerosis and immune system activation in response to infections, like sepsis. Treatments for depression also support this immunopsychiatric link. Antidepressants have been shown to decrease inflammation, while higher levels of baseline inflammation predict lower treatment efficacy for most treatments. Those patients with higher initial immune activation may on the other hand be more responsive to treatments targeting immune pathways, which have been found to be effective in treating depression and fatigue in some cases. These results show strong support for the hypothesis that depression and fatigue are associated with an increased activation of the immune system which may serve as a valid target for treatment. Further studies should focus on the pathways involved in these symptoms and the development of treatments that target those pathways will help us to better understand these conditions and devise more targeted treatments.


Subject(s)
Depression/immunology , Fatigue/immunology , Inflammation/immunology , Animals , Antidepressive Agents/therapeutic use , Depression/drug therapy , Fatigue/drug therapy , Humans , Immunologic Factors/therapeutic use
14.
J Food Biochem ; 43(3): e12742, 2019 03.
Article in English | MEDLINE | ID: mdl-31353549

ABSTRACT

This study was framed to investigate the molecular mechanism behind the anti-depressant effect of salvianolic acid B (SB) against unpredictable chronic mild stress (CMS) induced depression rat model. Control rats received only saline without CMS exposure, whereas CMS model rats were induced to several stress (CMS) for 6 weeks. Treatment group rats were induced with CMS for 6 weeks but received either 20 or 40 mg/kg of SB or 20 mg/kg imipramine (CMS+IMP) from the 4th week to 6th week. Treatment with SB or IMP significantly ameliorated body weight, sucrose consumption rate with shorter immobility time than the control group. Also, administration with SB or IMP could reverse the hyperactivity of hypothalamic-pituitary-adrenal axis as well as decreased inflammatory cytokines with improved antioxidant status. Furthermore, the protein expression of NLRP3 (inflammasome) was markedly downregulated upon treatment with SB (both 20 and 40 mg) or IMP and thereby confirming its potent anti-depressant activity. PRACTICAL APPLICATIONS: Salvianolic acid B (SB) is a phenolic acid extracted from Salvia militiorrhiza Bunge, a popular Chinese herb, which has been prescribed for various pathological conditions. SB has been previously reported with anti-depressant activity but, the in-depth mechanism behind the anti-depressant effect of SB against CMS is still elusive. Hence, the current study was plotted to explore the in-depth mechanism behind the anti-depressant effect of SB against CMS model of depression in rats. The outcome of the current study has confirmed the anti-depressant activity by abolishing oxidative stress, and neuroinflammatory response in the hippocampus through inhibiting NLRP3 inflammasome activation. Hence, SB can be prescribed to major depression patients with standard anti-depressant agents to abolish oxidative stress, neuro-inflammatory response, and related neurological changes.


Subject(s)
Benzofurans/administration & dosage , Depression/drug therapy , Drugs, Chinese Herbal/administration & dosage , NLR Family, Pyrin Domain-Containing 3 Protein/immunology , Animals , Cytokines/genetics , Cytokines/immunology , Depression/genetics , Depression/immunology , Depression/psychology , Humans , Hypothalamo-Hypophyseal System/drug effects , Inflammasomes/genetics , Inflammasomes/immunology , Male , NLR Family, Pyrin Domain-Containing 3 Protein/genetics , Pituitary-Adrenal System/drug effects , Pituitary-Adrenal System/immunology , Rats , Salvia miltiorrhiza/chemistry , Stress, Psychological
15.
Arch Immunol Ther Exp (Warsz) ; 67(3): 143-151, 2019 Jun.
Article in English | MEDLINE | ID: mdl-31032529

ABSTRACT

Depression is one of the most frequently diagnosed condition in psychiatry. Despite the availability of many preparations, over 30% of treated patients do not achieve remission. Recently the emphasis is put on the contribution of the body's inflammatory response as one of the causes of depression. The interactions between nervous and immune systems are the main issue addressed by psychoneuroimmunology. In patients suffering from depression changes in the plasma concentrations of cytokines and in the number and level of activation of immune cells has been found. Attention is paid to the high levels of pro-inflammatory cytokines, the prevalence of Th1 responses to Th2, weakening of NK cell cytotoxicity and changes in lymphocyte proliferation and apoptosis. A number of studies focus on influence of antidepressants and non-standard methods of depression treatment, such as ketamine infusion, on patients' immunology. Many of them seem to regulate the immune responses. The study results encourage to look for new ways to treat depression with immunomodulatory drugs. In this article authors present the current knowledge about immune system changes accompanying depression as well as the study results showing the influence of drugs on the immune system, especially in the context of reducing the symptoms of depression.


Subject(s)
Antidepressive Agents/pharmacology , Depression/drug therapy , Immunologic Factors/pharmacology , Lymphocyte Activation/drug effects , Antidepressive Agents/therapeutic use , Brain/drug effects , Brain/metabolism , Cytokines/blood , Cytokines/immunology , Cytokines/metabolism , Depression/blood , Depression/immunology , Drug Therapy, Combination/methods , Humans , Immunologic Factors/therapeutic use , Killer Cells, Natural/drug effects , Killer Cells, Natural/immunology , Killer Cells, Natural/metabolism , Lymphocyte Activation/immunology , Neurotransmitter Agents/immunology , Neurotransmitter Agents/metabolism , Randomized Controlled Trials as Topic , Th1 Cells/drug effects , Th1 Cells/immunology , Th1 Cells/metabolism , Th2 Cells/drug effects , Th2 Cells/immunology , Th2 Cells/metabolism , Treatment Outcome
16.
Food Chem Toxicol ; 127: 81-88, 2019 May.
Article in English | MEDLINE | ID: mdl-30858105

ABSTRACT

The interplay of chronic stress, neuroinflammation and altered immune reactivity has been shown to be important for the pathophysiology of brain disorders such as schizophrenia, depressive disorders and post-traumatic stress disorder. This immuno-inflammatory theory has been extensively studied in the past three decades leading to the formation of the integrative discipline of psychoneuroimmunology. Targeting of the central nervous system by conventional pharmacotherapeutic methods is mainly through modulation of neuroendocrine systems such as the dopaminergic, GABA-ergic, adrenergic and serotoninergic systems. In recent years an increasing number of both experimental and clinical studies have shown that antidepressants can affect the immune system by reducing the production of pro-inflammatory cytokines such as IL-1ß, IL-6 and TNF-α. However, due to the serious adverse effects accompanying the chronic administration of psychoactive drugs there is a continuous need to produce novel therapeutics that are both potent and safe. The present review aims to summarize the current knowledge in the field of psychoneuroimmunology and to delineate the main interactions between stress, inflammation, immunity and the brain. Additionally, this paper explores the use of plant-derived molecules that display a strong anti-stress effect and simultaneously modulate the immune response as an alternative or adjuvant to classical antidepressant drugs.


Subject(s)
Antidepressive Agents/therapeutic use , Biological Products/therapeutic use , Depression/immunology , Depression/prevention & control , Animals , Antidepressive Agents/administration & dosage , Biological Products/administration & dosage , Chronic Disease , Combined Modality Therapy , Cytokines/biosynthesis , Cytokines/immunology , Depression/etiology , Humans , Plants/chemistry , Stress, Psychological/complications
17.
Restor Neurol Neurosci ; 37(1): 41-59, 2019.
Article in English | MEDLINE | ID: mdl-30714983

ABSTRACT

BACKGROUND: Recovery of patients with rheumatoid arthritis (RA) depends on several physical and psychological factors, besides pharmacological treatment. Co-morbid depression adversely affects the outcome in RA. Usual medical therapies have a limited scope and fail to cure the psychological component of the disease. With advanced therapeutic options, achieving a state of remission has become the treatment goal, yoga based mind body intervention (MBI) may provide a holistic approach in its treatment dimension. Hence, MBIs are the need of hour as majority of diseases have a psychosomatic component. OBJECTIVE: To explore the effect of Yoga based MBI on disease specific inflammatory markers and depression severity in active RA patients on routine disease modifying anti-rheumatic drugs (DMARDs) therapy. METHODS: A total of 72 RA patients were randomized into 2 groups: yoga group (yoga with DMARDs) and control group (DMARDs only). Blood samples were collected pre and post intervention for primary outcome measurements of systemic biomarkers. Disease activity score 28, erythrocyte sedimentation rate (DAS28ESR) and health assessment questionnaire disability index (HAQ-DI) were used to assess disease activity and functional status respectively at pre and post intervention time-points. Secondary outcome, depression severity, was assessed by Beck Depression Inventory II scale (BDI-II) at 2 weekly intervals during 8 weeks of the study interventional plan. RESULTS: After 8 weeks of yoga based MBI, there was significant decrease in the severity of RA as seen by reduction in levels of various systemic inflammatory markers as well as in DAS28ESR (p-value <0.0001; effect size = 0.210) and HAQ-DI (p-value 0.001; effect size = 0.159). Also, yoga group experienced a statistically significant time dependent step-wise decline in depression symptoms over the period of 8 weeks as compared to control group (p-value <0.0001; effect size = 0.5). Regression analysis showed greater reduction in the scores of BDI-II with DAS28ESR (R2 = 0.426; p <  0.0001) and HAQ-DI (R2 = 0.236; p = 0.003) in yoga group. CONCLUSIONS: Yoga, a mind body intervention re-established immunological tolerance by aiding remission at molecular and cellular level along with significant reduction in depression. Thus in this severe autoimmune inflammatory arthritis with a major psychosomatic component, yoga can be used as a complementary/adjunct therapy.


Subject(s)
Antirheumatic Agents/therapeutic use , Arthritis, Rheumatoid/therapy , Depression/therapy , Yoga , Adult , Arthritis, Rheumatoid/epidemiology , Arthritis, Rheumatoid/immunology , Arthritis, Rheumatoid/psychology , Biomarkers/blood , Combined Modality Therapy , Comorbidity , Depression/epidemiology , Depression/immunology , Female , Humans , Inflammation/epidemiology , Inflammation/immunology , Inflammation/psychology , Inflammation/therapy , Male , Middle Aged , Severity of Illness Index , Single-Blind Method , Treatment Outcome
18.
Psychoneuroendocrinology ; 100: 190-197, 2019 02.
Article in English | MEDLINE | ID: mdl-30368120

ABSTRACT

Grief is conceptualized by strong negative emotions, which include longing, sadness, and preoccupations with thoughts, recollections, and images of the spouse. In the initial months after the loss of a spouse, those who are widowed are at risk for cardiovascular problems and premature mortality. In the general population, depression is characterized by chronic low-grade inflammation, a key predictor of cardiovascular problems, morbidity, and mortality. Although depression and grief share similarities, they are distinct constructs. We aimed to identify if grief was related to inflammation among those who had a spouse recently die. We also sought to determine if those who are widowed and already experience elevated levels of depressive symptoms compared with the general population had higher levels of inflammation compared with those who are widowed who report fewer depressive symptoms. Ninety-nine recently bereaved individuals (M = 84.74 days since passing, SD = 18.17) completed a blood draw and psychological assessments. Proinflammatory T cell-derived cytokines were assessed, which included interferon gamma (IFN-γ), interleukin (IL)-6, tumor necrosis factor alpha (TNF-α), IL17-A, and IL-2. Bereaved individuals with a higher grief severity (using an established cut-score) had higher levels of the proinflammatory cytokines IFN-γ, IL-6, and TNF-α than those with less grief severity. Those who experienced higher levels of depression exhibited elevated levels of proinflammatory cytokines compared with those who had lower levels of depression (using a continuous measure of depressive symptoms, as well as an established cut score). This is the first study to demonstrate that inflammatory markers can distinguish those who are widowed based on grief severity such that those who are higher on grief severity have higher levels of inflammation compared with those who are lower on grief severity. These findings also add to the broader literature on depression and inflammation by showing that even in a population with high levels of depressive symptoms, there is a positive relationship between depression and inflammation.


Subject(s)
Bereavement , Depression/immunology , Grief , Inflammation/etiology , Widowhood/psychology , Aged , Aged, 80 and over , Comorbidity , Cytokines/blood , Depression/blood , Depression/complications , Depression/epidemiology , Female , Humans , Inflammation/blood , Inflammation/epidemiology , Interleukin-6/blood , Male , Middle Aged , Psychoneuroimmunology , Spouses/psychology , Tumor Necrosis Factor-alpha/blood
19.
Methods Mol Biol ; 1781: 77-85, 2018.
Article in English | MEDLINE | ID: mdl-29705843

ABSTRACT

Evidences from psychoneuroimmunology (PNI) and systems biology studies support a conceptual framework of "Yin-Yang dynamics" for understanding the "whole mind-body system." The Yin-Yang dynamical balances in the stress response networks may be critical for health and diseases, especially mental health and psychiatric disorders. Specifically, the neuroimmune imbalances have been found as the important features and potential biomarkers of stress, anxiety, depression, and systemic inflammation. At the system levels, factors such as psychosocial stress and obesity, especially a leaky gut, may result in the imbalance between regulatory and proinflammatory T cells. At the molecular and cellular levels, the imbalances in multiple networks including the cytokine and redox pathways, immune-kynurenine networks, HPA axis, and synaptic plasticity in the hypothalamus are the key factors in depression. The recognition of the neuroimmune imbalances and the restoration of the Yin-Yang dynamical balances need to become a high priority toward the development of dynamical systems medicine for psychiatric diseases including depression and schizophrenia.


Subject(s)
Anxiety/prevention & control , Depression/prevention & control , Precision Medicine , Psychoneuroimmunology , Stress, Physiological/immunology , Yin-Yang , Anxiety/immunology , Depression/immunology , Humans
20.
Bull Exp Biol Med ; 164(4): 425-429, 2018 Mar.
Article in English | MEDLINE | ID: mdl-29500808

ABSTRACT

We studied activity of lysosomal cysteine proteases, cathepsins B and L, in brain structures (frontal cortex, caudate nucleus, hippocampus, and hypothalamus) of C57Bl/6J mice with aggressive and depressive-like behavior formed under conditions of chronic social stress (repeated experience of victories and defeats within 20 days). Mice with depressive-like behavior showed increased activity of cathepsin В in the hypothalamus and nucleus caudatus and increased activity of cathepsin L in the hippocampus compared to control animals not subjected to agonistic confrontations. In mice with aggressive behavior, protease activity in the studied brain structures was not changed. In 4 h after immune system activation with LPS (250 µg/kg), cathepsin L activity in the hippocampus of control mice increased in comparison with mice receiving saline. In contrast to control animals, LPS caused a decrease in activity of the enzyme in the caudate nucleus and frontal cortex of aggressive mice and in the hippocampus of mice with depressive-like behavior.


Subject(s)
Aggression/psychology , Agonistic Behavior , Cathepsin B/metabolism , Cathepsin L/metabolism , Depression/enzymology , Stress, Psychological/enzymology , Animals , Caudate Nucleus/drug effects , Caudate Nucleus/enzymology , Caudate Nucleus/immunology , Caudate Nucleus/physiopathology , Depression/immunology , Depression/physiopathology , Frontal Lobe/drug effects , Frontal Lobe/enzymology , Frontal Lobe/immunology , Frontal Lobe/physiopathology , Hippocampus/drug effects , Hippocampus/enzymology , Hippocampus/immunology , Hippocampus/physiopathology , Hypothalamus/drug effects , Hypothalamus/enzymology , Hypothalamus/immunology , Hypothalamus/physiopathology , Lipopolysaccharides/pharmacology , Male , Mice , Mice, Inbred C57BL , Organ Specificity , Stress, Psychological/immunology , Stress, Psychological/physiopathology
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