"Inflamed" depression: A review of the interactions between depression and inflammation and current anti-inflammatory strategies for depression

Pharmacol Res. 2024 Sep:207:107322. doi: 10.1016/j.phrs.2024.107322. Epub 2024 Jul 20.

Abstract

Depression is a common mental disorder, the effective treatment of which remains a challenging issue worldwide. The clinical pathogenesis of depression has been deeply explored, leading to the formulation of various pathogenic hypotheses. Among these, the monoamine neurotransmitter hypothesis holds a prominent position, yet it has significant limitations as more than one-third of patients do not respond to conventional treatments targeting monoamine transmission disturbances. Over the past few decades, a growing body of research has highlighted the link between inflammation and depression as a potential key factor in the pathophysiology of depression. In this review, we first summarize the relationship between inflammation and depression, with a focus on the pathophysiological changes mediated by inflammation in depression. The mechanisms linking inflammation to depression as well as multiple anti-inflammatory strategies are also discussed, and their efficacy and safety are assessed. This review broadens the perspective on specific aspects of using anti-inflammatory strategies for treating depression, laying the groundwork for advancing precision medicine for individuals suffering from "inflamed" depression.

Keywords: Anti-inflammatory strategies; Depression; Inflammation; Pathophysiology of depression; Precision medicine.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Inflammatory Agents* / therapeutic use
  • Antidepressive Agents* / therapeutic use
  • Depression* / drug therapy
  • Depression* / metabolism
  • Humans
  • Inflammation* / drug therapy
  • Inflammation* / immunology
  • Inflammation* / metabolism

Substances

  • Anti-Inflammatory Agents
  • Antidepressive Agents