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Role of inflammation in depression relapse.

Abstract：

:Major depressive disorder (MDD) is a leading cause of disability worldwide. After the first episode, patients with remitted MDD have a 60% chance of experiencing a second episode. Consideration of therapy continuation should be viewed in terms of the balance between the adverse effects of medication and the need to prevent a possible relapse. Relapse during the early stages of MDD could be prevented more efficiently by conducting individual risk assessments and providing justification for continuing therapy. Our previous work established the neuroimaging markers of relapse by comparing patients with recurrent major depressive disorder (rMDD) in depressive and remitted states. However, it is not known which of these markers are trait markers that present before initial relapse and, consequently, predict disease course. Here, we first describe how inflammation can be translated to subtype-specific clinical features and suggest how this could be used to facilitate clinical diagnosis and treatment. Next, we address the central and peripheral functional state of the immune system in patients with MDD. In addition, we emphasize the important link between the number of depressive episodes and rMDD and use neuroimaging to propose a model for the latter. Last, we address how inflammation can affect brain circuits, providing a possible mechanism for rMDD. Our review suggests a link between inflammatory processes and brain region/circuits in rMDD.

journal_name

J Neuroinflammation

journal_title

Journal of neuroinflammation

authors

Liu CH,Zhang GZ,Li B,Li M,Woelfer M,Walter M,Wang L

doi

10.1186/s12974-019-1475-7

subject

Has Abstract

pub_date

2019-04-17 00:00:00

pages

90

issue

1

issn

1742-2094

pii

10.1186/s12974-019-1475-7

journal_volume

16

pub_type

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