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Current Perspectives on Pharmacological and Non-Pharmacological Interventions for the Inflammatory Mechanism of Unipolar Depression.

作者信息

Dogaru Ioana-Alexandra, Puiu Maria Gabriela, Manea Mirela, Dionisie Vlad

机构信息

Faculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Department of Psychiatry and Psychology, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.

出版信息

Brain Sci. 2022 Oct 18;12(10):1403. doi: 10.3390/brainsci12101403.


DOI:10.3390/brainsci12101403
PMID:36291336
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9599138/
Abstract

Since depression remains a major public health issue there is a constant need for new and more efficient therapeutic strategies based on the mechanisms involved in the aetiology of depression. Thus, the pathogenic link between depression and inflammation is considered to play a potential key role in the development of such therapies. This review summarizes the results of various pharmacological (non-steroidal anti-inflammatory drugs, aspirin, cyclooxygenase inhibitors, cytokine inhibitors, corticosteroids, statins, minocycline, N-acetyl cysteine, omega-3 fatty acids and probiotics) and non-pharmacological interventions (electroconvulsive therapy, physical exercise and psychological therapy) and outlines their efficacy and discusses potential challenges. Both conventional and non-conventional anti-inflammatory drugs showed promising results according to the specific group of patients. The pre-existing pro-inflammatory status was, in most cases, a predictor for clinical efficacy and, in some cases, a correlation between clinical improvement and changes in various biomarkers was found. Some of the non-pharmacological interventions (physical exercise and electroconvulsive therapy) have also showed beneficial effects for depressive patients with elevated inflammatory markers. Treatments with anti-inflammatory action may improve clinical outcomes in depression, at least for some categories of patients, thus opening the way for a future personalised approach to patients with unipolar depression regarding the inflammation-related mechanism.

摘要

相似文献

[1]
Current Perspectives on Pharmacological and Non-Pharmacological Interventions for the Inflammatory Mechanism of Unipolar Depression.

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[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
The efficacy of anti-inflammatory treatment interventions on depression in individuals with major depressive disorder and high levels of inflammation: A systematic review of randomized clinical trials.

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本文引用的文献

[1]
Mitochondrial Impairment: A Common Motif in Neuropsychiatric Presentation? The Link to the Tryptophan-Kynurenine Metabolic System.

Cells. 2022-8-21

[2]
Preventive exercise attenuates IL-2-driven mood disorders in multiple sclerosis.

Neurobiol Dis. 2022-10-1

[3]
Characterizing cardiac autonomic dynamics of fear learning in humans.

Psychophysiology. 2022-12

[4]
Clinical, gut microbial and neural effects of a probiotic add-on therapy in depressed patients: a randomized controlled trial.

Transl Psychiatry. 2022-6-3

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The effects of statin monotherapy on depressive symptoms: A systematic review and meta-analysis.

J Affect Disord. 2022-8-15

[6]
Functional interplay between central and autonomic nervous systems in human fear conditioning.

Trends Neurosci. 2022-7

[7]
C-Reactive Protein as a Biomarker for Major Depressive Disorder?

Int J Mol Sci. 2022-1-30

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N-Acetylcysteine as a novel rapidly acting anti-suicidal agent: A pilot naturalistic study in the emergency setting.

PLoS One. 2022

[9]
Effects of Mindfulness-Based Cognitive Therapy on Peripheral Markers of Stress and Inflammation in Older-Adults With Depression and Anxiety: A Parallel Analysis of a Randomized Controlled Trial.

Front Psychiatry. 2021-12-24

[10]
Update on Statin Treatment in Patients with Neuropsychiatric Disorders.

Life (Basel). 2021-12-8

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