Higher IL-6 and IL-4 plasma levels in depressed elderly women are influenced by diabetes mellitus

Trends Psychiatry Psychother. 2024:46:e20220466. doi: 10.47626/2237-6089-2022-0466. Epub 2022 Jul 7.

Abstract

Objective: This study aimed at investigating a set of peripheral cytokines in elderly female patients with MDD, comparing them to controls, and assessing the potential influence of clinical comorbidities on inflammatory markers.

Methods: Twenty-five elderly female patients diagnosed with MDD and 19 age-matched female controls were enrolled on this study. Plasma levels of interleukin (IL)-4, IL-6, IL-10, interferon (IFN)-γ and tumor necrosis factor (TNF)-α were evaluated with commercially-available assays.

Results: Elderly female patients with MDD exhibited higher plasma IL-6 and IL-4 levels when compared to controls. In a logistic regression model taking cytokine levels, comorbidities, and age into account, only type 2 diabetes mellitus (DM2) remained associated with MDD.

Conclusion: Diabetes influences the association between MDD and higher levels of cytokines in elderly female patients. Future studies should take this evidence into account in order to mitigate confounding factors.

Keywords: Female; cytokines; diabetes mellitus; elderly; inflammation; major depressive disorder.

MeSH terms

  • Aged
  • Cytokines
  • Depression* / blood
  • Depression* / complications
  • Diabetes Mellitus, Type 2* / blood
  • Diabetes Mellitus, Type 2* / complications
  • Female
  • Humans
  • Interleukin-4* / blood
  • Interleukin-6* / blood
  • Tumor Necrosis Factor-alpha

Substances

  • Cytokines
  • Interleukin-4
  • Interleukin-6
  • Tumor Necrosis Factor-alpha