Department of Chemical and Petroleum Engineering, Sharif University of Technology, Tehran, Iran.
Curr Pharm Des. 2023;29(36):2841-2852. doi: 10.2174/0113816128251883231031054700.
Mood disorders are the leading cause of disability worldwide and their incidence has significantly increased after the COVID-19 pandemic. Despite the continuous surge in the number of people diagnosed with psychiatric disorders, the treatment methods for these conditions remain limited. A significant number of people either do not respond to therapy or discontinue the drugs due to their severe side effects. Therefore, alternative therapeutic interventions are needed. Previous studies have shown a correlation between immunological alterations and the occurrence of mental health disorders, yet immunomodulatory therapies have been barely investigated for combating psychiatric conditions. In this article, we have reviewed the immunological alterations that occur during the onset of mental health disorders, including microglial activation, an increased number of circulating innate immune cells, reduced activity of natural killer cells, altered T cell morphology and functionality, and an increased secretion of pro-inflammatory cytokines. This article also examines key studies that demonstrate the therapeutic efficacy of anti-inflammatory medications in mental health disorders. These studies suggest that immunomodulation can potentially be used as a complementary therapy for controlling psychiatric conditions after careful screening of candidate drugs and consideration of their efficacy and side effects in clinical trials.
心境障碍是全球范围内导致残疾的主要原因,并且在 COVID-19 大流行后其发病率显著增加。尽管被诊断患有精神障碍的人数不断增加,但这些病症的治疗方法仍然有限。由于严重的副作用,许多人要么对治疗没有反应,要么停止用药。因此,需要替代的治疗干预措施。先前的研究表明,免疫改变与心理健康障碍的发生之间存在相关性,但免疫调节疗法在治疗精神疾病方面几乎没有得到研究。在本文中,我们回顾了心理健康障碍发生时出现的免疫改变,包括小胶质细胞激活、循环固有免疫细胞数量增加、自然杀伤细胞活性降低、T 细胞形态和功能改变以及促炎细胞因子分泌增加。本文还研究了一些关键研究,这些研究表明抗炎药物在精神健康障碍中的治疗效果。这些研究表明,免疫调节可能可以作为一种辅助治疗方法,在仔细筛选候选药物并考虑其在临床试验中的疗效和副作用后,用于控制精神疾病。