Inflammatory pathophysiological mechanisms implicated in postpartum depression

Postpartum Depression (PPD) is a serious psychiatric disorder of women within the first year after delivery. It grievously damages women’s physical and mental health. Inflammatory reaction theory is well-established in depression, and also has been reported associated with PPD. This review summarize...

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Main Authors: Jialei Zhu, Jing Jin, Jing Tang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2022.955672/full
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author Jialei Zhu
Jing Jin
Jing Tang
author_facet Jialei Zhu
Jing Jin
Jing Tang
author_sort Jialei Zhu
collection DOAJ
description Postpartum Depression (PPD) is a serious psychiatric disorder of women within the first year after delivery. It grievously damages women’s physical and mental health. Inflammatory reaction theory is well-established in depression, and also has been reported associated with PPD. This review summarized the inflammatory pathophysiological mechanisms implicated in PPD, including decreased T cell activation, increased proinflammatory cytokines secretion, active kynurenine pathway, and initiated NLRP3 inflammasome. Clinical and preclinical research are both gathered. Potential therapeutical alternatives targeting the inflammatory mechanisms of PPD were introduced. In addition, this review briefly discussed the differences of inflammatory mechanisms between PPD and depression. The research of inflammation in PPD is limited and seems just embarking, which indicates the direction we can further study. As a variety of risky factors contribute to PPD collectively, therapy for women with PPD should be comprehensive, and clinical heterogeneity should be taken into consideration. As PPD has a predictability, early clinical screening and interventions are also needed. This review aims to help readers better understand the inflammatory pathological mechanisms in PPD, so as to identify biomarkers and potential therapeutic targets in the future.
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spelling doaj.art-33cd1d58b0794e4ca4b883319d3f47da2022-12-22T04:33:33ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-11-011310.3389/fphar.2022.955672955672Inflammatory pathophysiological mechanisms implicated in postpartum depressionJialei ZhuJing JinJing TangPostpartum Depression (PPD) is a serious psychiatric disorder of women within the first year after delivery. It grievously damages women’s physical and mental health. Inflammatory reaction theory is well-established in depression, and also has been reported associated with PPD. This review summarized the inflammatory pathophysiological mechanisms implicated in PPD, including decreased T cell activation, increased proinflammatory cytokines secretion, active kynurenine pathway, and initiated NLRP3 inflammasome. Clinical and preclinical research are both gathered. Potential therapeutical alternatives targeting the inflammatory mechanisms of PPD were introduced. In addition, this review briefly discussed the differences of inflammatory mechanisms between PPD and depression. The research of inflammation in PPD is limited and seems just embarking, which indicates the direction we can further study. As a variety of risky factors contribute to PPD collectively, therapy for women with PPD should be comprehensive, and clinical heterogeneity should be taken into consideration. As PPD has a predictability, early clinical screening and interventions are also needed. This review aims to help readers better understand the inflammatory pathological mechanisms in PPD, so as to identify biomarkers and potential therapeutic targets in the future.https://www.frontiersin.org/articles/10.3389/fphar.2022.955672/fullpostpartum depressioninflammationT cellcytokinekynurenineinflammasome
spellingShingle Jialei Zhu
Jing Jin
Jing Tang
Inflammatory pathophysiological mechanisms implicated in postpartum depression
Frontiers in Pharmacology
postpartum depression
inflammation
T cell
cytokine
kynurenine
inflammasome
title Inflammatory pathophysiological mechanisms implicated in postpartum depression
title_full Inflammatory pathophysiological mechanisms implicated in postpartum depression
title_fullStr Inflammatory pathophysiological mechanisms implicated in postpartum depression
title_full_unstemmed Inflammatory pathophysiological mechanisms implicated in postpartum depression
title_short Inflammatory pathophysiological mechanisms implicated in postpartum depression
title_sort inflammatory pathophysiological mechanisms implicated in postpartum depression
topic postpartum depression
inflammation
T cell
cytokine
kynurenine
inflammasome
url https://www.frontiersin.org/articles/10.3389/fphar.2022.955672/full
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AT jingjin inflammatorypathophysiologicalmechanismsimplicatedinpostpartumdepression
AT jingtang inflammatorypathophysiologicalmechanismsimplicatedinpostpartumdepression