Inflammatory pathology in depression and suicide: a mechanistic distillation of clinical correlates

The association between inflammation with depression and suicide has prompted many investigations of the potential contributors to inflammatory pathology in these psychiatric illnesses. However, a distillation of diverse clinical findings into an integrated framework of the possible involvement of m...

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Main Authors: Alessandra Costanza, Andrea Amerio, Andrea Aguglia, Luca Magnani, Alberto Parise, Khoa D. Nguyen, Isabella Berardelli, Maurizio Pompili, Mario Amore, Gianluca Serafini
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1479471/full
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author Alessandra Costanza
Alessandra Costanza
Alessandra Costanza
Andrea Amerio
Andrea Amerio
Andrea Aguglia
Andrea Aguglia
Luca Magnani
Alberto Parise
Khoa D. Nguyen
Khoa D. Nguyen
Isabella Berardelli
Maurizio Pompili
Mario Amore
Mario Amore
Gianluca Serafini
Gianluca Serafini
author_facet Alessandra Costanza
Alessandra Costanza
Alessandra Costanza
Andrea Amerio
Andrea Amerio
Andrea Aguglia
Andrea Aguglia
Luca Magnani
Alberto Parise
Khoa D. Nguyen
Khoa D. Nguyen
Isabella Berardelli
Maurizio Pompili
Mario Amore
Mario Amore
Gianluca Serafini
Gianluca Serafini
author_sort Alessandra Costanza
collection DOAJ
description The association between inflammation with depression and suicide has prompted many investigations of the potential contributors to inflammatory pathology in these psychiatric illnesses. However, a distillation of diverse clinical findings into an integrated framework of the possible involvement of major physiological processes in the elicitation of pathological inflammation in depression and suicide has not yet been explored. Therefore, this review aims to provide a concise synthesis of notable clinical correlates of inflammatory pathology in subjects with various depressive and suicidal clinical subtypes into a mechanistic framework, which includes aberrant immune activation, deregulated neuroendocrine signaling, and impaired host-microbe interaction. These issues are of significant research interest as their possible interplays might be involved in the development of distinct subtypes of depression and suicide. We conclude the review with discussion of a pathway-focused therapeutic approach to address inflammatory pathology in these psychiatric illnesses within the realm of personalized care for affected patients.
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spelling doaj.art-787c94fd67f8480694d19de90ea971332024-12-23T05:10:16ZengFrontiers Media S.A.Frontiers in Immunology1664-32242024-12-011510.3389/fimmu.2024.14794711479471Inflammatory pathology in depression and suicide: a mechanistic distillation of clinical correlatesAlessandra Costanza0Alessandra Costanza1Alessandra Costanza2Andrea Amerio3Andrea Amerio4Andrea Aguglia5Andrea Aguglia6Luca Magnani7Alberto Parise8Khoa D. Nguyen9Khoa D. Nguyen10Isabella Berardelli11Maurizio Pompili12Mario Amore13Mario Amore14Gianluca Serafini15Gianluca Serafini16Department of Psychiatry, Faculty of Medicine, Geneva University (UNIGE), Geneva, SwitzerlandDepartment of Psychiatry, Faculty of Biomedical Sciences, University of Italian Switzerland (USI), Lugano, SwitzerlandDepartment of Psychiatry, Adult Psychiatry Service, Geneva University Hospital (HUG), Geneva, SwitzerlandDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, Genoa, ItalyIRCCS Polyclinic Hospital San Martino, Genoa, ItalyDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, Genoa, ItalyIRCCS Polyclinic Hospital San Martino, Genoa, ItalyDepartment of Psychiatry, San Maurizio Hospital of Bolzano, Bolzano, ItalyGeriatric-Rehabilitation Department, University Hospital of Parma, Parma, ItalyChinese University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaDepartment of Microbiology and Immunology, Stanford University, Stanford, CA, United States0Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Centre, Sant’Andrea Hospital, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy0Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Centre, Sant’Andrea Hospital, Faculty of Medicine and Psychology, Sapienza University, Rome, ItalyDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, Genoa, ItalyIRCCS Polyclinic Hospital San Martino, Genoa, ItalyDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, Genoa, ItalyDepartment of Microbiology and Immunology, Stanford University, Stanford, CA, United StatesThe association between inflammation with depression and suicide has prompted many investigations of the potential contributors to inflammatory pathology in these psychiatric illnesses. However, a distillation of diverse clinical findings into an integrated framework of the possible involvement of major physiological processes in the elicitation of pathological inflammation in depression and suicide has not yet been explored. Therefore, this review aims to provide a concise synthesis of notable clinical correlates of inflammatory pathology in subjects with various depressive and suicidal clinical subtypes into a mechanistic framework, which includes aberrant immune activation, deregulated neuroendocrine signaling, and impaired host-microbe interaction. These issues are of significant research interest as their possible interplays might be involved in the development of distinct subtypes of depression and suicide. We conclude the review with discussion of a pathway-focused therapeutic approach to address inflammatory pathology in these psychiatric illnesses within the realm of personalized care for affected patients.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1479471/fullsuicidesuicidal ideationsuicidal behaviorinflammationimmune systemneuroendocrine
spellingShingle Alessandra Costanza
Alessandra Costanza
Alessandra Costanza
Andrea Amerio
Andrea Amerio
Andrea Aguglia
Andrea Aguglia
Luca Magnani
Alberto Parise
Khoa D. Nguyen
Khoa D. Nguyen
Isabella Berardelli
Maurizio Pompili
Mario Amore
Mario Amore
Gianluca Serafini
Gianluca Serafini
Inflammatory pathology in depression and suicide: a mechanistic distillation of clinical correlates
Frontiers in Immunology
suicide
suicidal ideation
suicidal behavior
inflammation
immune system
neuroendocrine
title Inflammatory pathology in depression and suicide: a mechanistic distillation of clinical correlates
title_full Inflammatory pathology in depression and suicide: a mechanistic distillation of clinical correlates
title_fullStr Inflammatory pathology in depression and suicide: a mechanistic distillation of clinical correlates
title_full_unstemmed Inflammatory pathology in depression and suicide: a mechanistic distillation of clinical correlates
title_short Inflammatory pathology in depression and suicide: a mechanistic distillation of clinical correlates
title_sort inflammatory pathology in depression and suicide a mechanistic distillation of clinical correlates
topic suicide
suicidal ideation
suicidal behavior
inflammation
immune system
neuroendocrine
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1479471/full
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