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在抑郁症患者和健康对照中,静息态功能连接与白细胞介素-6和肿瘤坏死因子-α存在不同的关联。

Functional resting state connectivity is differentially associated with IL-6 and TNF-α in depression and in healthy controls.

作者信息

Schmitz Christian N, Sammer Gebhard, Neumann Elena, Blecker Carlo, Gründer Gerhard, Adolphi Hana, Lamadé Eva Kathrin, Pedraz-Petrozzi Bruno

机构信息

Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, J5, 68159, Mannheim, Germany.

German Center for Mental Health (DZPG), Partner Site Mannheim, Mannheim, Germany.

出版信息

Sci Rep. 2025 Jan 13;15(1):1769. doi: 10.1038/s41598-025-85514-0.

Abstract

Inflammatory processes have been implicated in the pathophysiology of depression. In human studies, inflammation has been shown to act as a critical disease modifier, promoting susceptibility to depression and modulating specific endophenotypes of depression. However, there is scant documentation of how inflammatory processes are associated with neural activity in patients with depression. We therefore tested the hypothesis that the peripheral inflammation markers IL-6 and TNF-α correlate with neural resting state network functional connectivity in depression using functional magnetic resonance imaging (fMRI) and compared it with healthy controls. We used fMRI to investigate the functional connectivity (FC) of the resting state Default Mode Network (DMN) and Salience/Ventral Attention Network (SAL) and their association with the peripheral inflammation markers IL-6 and TNF-α in 25 patients with depression and compared it to 24 healthy subjects. Results of this imaging study revealed that both DMN and SAL resting state networks are differentially associated with distinct immunological pathways depending on whether a person has a depressive phenotype or is healthy. While the DMN FC correlated with the concentration of the cytokine IL-6 in healthy subjects, SAL FC's connectivity correlated with the cytokine TNF-α's concentration. This study highlights the importance of peripheral inflammatory processes in depression and suggests a modulatory effect on neural resting state networks depending on the state of depression.

摘要

炎症过程已被认为与抑郁症的病理生理学有关。在人体研究中,炎症已被证明是一种关键的疾病调节因子,它会增加患抑郁症的易感性并调节抑郁症的特定内表型。然而,关于炎症过程如何与抑郁症患者的神经活动相关的文献却很少。因此,我们使用功能磁共振成像(fMRI)测试了以下假设:抑郁症患者外周炎症标志物白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)与神经静息态网络功能连接性相关,并将其与健康对照组进行比较。我们使用fMRI研究了25名抑郁症患者静息态默认模式网络(DMN)和突显/腹侧注意网络(SAL)的功能连接性(FC)及其与外周炎症标志物IL-6和TNF-α的关联,并将其与24名健康受试者进行比较。这项影像学研究的结果显示,根据一个人是否具有抑郁表型或是否健康,DMN和SAL静息态网络与不同的免疫途径存在差异关联。在健康受试者中,DMN的FC与细胞因子IL-6的浓度相关,而SAL的FC连接性与细胞因子TNF-α的浓度相关。这项研究强调了外周炎症过程在抑郁症中的重要性,并表明根据抑郁状态对神经静息态网络有调节作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1453/11725594/94ada97d7798/41598_2025_85514_Fig1_HTML.jpg

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