Liu Qian, Nie Baowen, Cui Xuemin, Wang Wang, Duan Dongxiao
Department of Physiology and Neurobiology, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou 450001, China.
Cells. 2025 Apr 23;14(9):629. doi: 10.3390/cells14090629.
Major depressive disorder (MDD) is a prevalent psychiatric disorder with a complex pathogenesis influenced by various factors. Recent research has highlighted a significant connection between psychological stress and MDD, with inflammation playing a central role in this relationship. Studies have demonstrated that peripheral immune changes in patients with MDD and in mouse models of social stress are closely linked to depressive symptoms. These findings suggest that targeting peripheral immune factors could represent a novel approach for treating stress-related neuropsychiatric disorders. Stress triggers a cascade of inflammatory responses, leading to disruptions in neurotransmitter metabolism and reduced synaptic plasticity. These changes exacerbate depression and contribute to cognitive decline. This study examines the bidirectional relationship between MDD and stress, focusing on the role of inflammation in this complex interplay. Recent studies have identified specific immune factors that are elevated in the serum of patients with MDD and stress-exposed mice, indicating a mechanism by which peripheral immune responses can affect central nervous system function and behavior. Furthermore, proteins, such as nuclear factor kappa-B (NF-κB), reportedly play a critical role in the regulation of stress hormones and are associated with depressive behaviors. Understanding these mechanisms is essential for advancing diagnostic, intervention, and treatment strategies for MDD.
重度抑郁症(MDD)是一种常见的精神疾病,其发病机制复杂,受多种因素影响。最近的研究强调了心理压力与MDD之间的重要联系,炎症在这种关系中起核心作用。研究表明,MDD患者和社会压力小鼠模型的外周免疫变化与抑郁症状密切相关。这些发现表明,针对外周免疫因素可能是治疗与压力相关的神经精神疾病的一种新方法。压力引发一系列炎症反应,导致神经递质代谢紊乱和突触可塑性降低。这些变化会加剧抑郁并导致认知能力下降。本研究考察了MDD与压力之间的双向关系,重点关注炎症在这种复杂相互作用中的作用。最近的研究已经确定了在MDD患者和暴露于压力的小鼠血清中升高的特定免疫因子,这表明外周免疫反应影响中枢神经系统功能和行为的一种机制。此外,据报道,诸如核因子κB(NF-κB)等蛋白质在应激激素的调节中起关键作用,并与抑郁行为有关。了解这些机制对于推进MDD的诊断、干预和治疗策略至关重要。