Farooq Rai Khalid, Asghar Kashif, Kanwal Shahzina, Zulqernain Ali
Department of Physiology, Army Medical College, National University of Medical Sciences, Rawalpindi, Punjab 46000, Pakistan.
Department of Basic Sciences Research, Shaukat Khanum Memorial Cancer Hospital and Research Centre (SKMCH & RC), Lahore, Punjab 54000, Pakistan.
Biomed Rep. 2017 Jan;6(1):15-20. doi: 10.3892/br.2016.807. Epub 2016 Nov 10.
According to the World Health Organization, major depression will become the leading cause of disability worldwide by the year 2030. Despite extensive research into the mechanisms underlying this disease, the rate, prevalence and disease burden has been on the rise, particularly in the industrialized world. Epidemiological studies have shown biological and biochemical differences in disease characteristics and treatment responses in different age groups. Notable differences have been observed in the clinical presentation, co-prevalence with other diseases, interaction with the immune system and even in the outcome. Thus, there is an increased interest in characterizing these differences, particularly in terms of contribution of different factors, including age, cytokines and immunotherapy. Research into the possible mechanisms of these interactions may reveal novel opportunities for future pharmacotherapy. The aim of the present review is to document recent literature regarding the impact of inflammatory mechanisms on the pathophysiology of the depressive disorder.
据世界卫生组织称,到2030年,重度抑郁症将成为全球致残的主要原因。尽管对该疾病的潜在机制进行了广泛研究,但发病率、患病率和疾病负担一直在上升,尤其是在工业化国家。流行病学研究表明,不同年龄组在疾病特征和治疗反应方面存在生物学和生化差异。在临床表现、与其他疾病的共患病率、与免疫系统的相互作用甚至结果方面都观察到了显著差异。因此,人们越来越有兴趣描述这些差异,特别是在不同因素(包括年龄、细胞因子和免疫疗法)的贡献方面。对这些相互作用的可能机制的研究可能会揭示未来药物治疗的新机会。本综述的目的是记录关于炎症机制对抑郁症病理生理学影响的最新文献。