Neuroimmune endocrine effects of antidepressants

Marco Antonioli, Joanna Rybka, LA CarvalhoPsychoimmunology Translational Laboratory, Health Science Research Centre, Roehampton University, London, UKAbstract: Antidepressant pharmacotherapy is to date the most often used treatment for depression, but the exact mechanism of action underlying its the...

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Main Authors: Antonioli M, Rybka J, Carvalho LA
Format: Article
Language:English
Published: Dove Medical Press 2012-02-01
Series:Neuropsychiatric Disease and Treatment
Online Access:http://www.dovepress.com/neuroimmune-endocrine-effects-of-antidepressants-a9209
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author Antonioli M
Rybka J
Carvalho LA
author_facet Antonioli M
Rybka J
Carvalho LA
author_sort Antonioli M
collection DOAJ
description Marco Antonioli, Joanna Rybka, LA CarvalhoPsychoimmunology Translational Laboratory, Health Science Research Centre, Roehampton University, London, UKAbstract: Antidepressant pharmacotherapy is to date the most often used treatment for depression, but the exact mechanism of action underlying its therapeutic effect is still unclear. Many theories have been put forward to account for depression, as well as antidepressant activity, but none of them is exhaustive. Neuroimmune endocrine impairment is found in depressed patients; high levels of circulating corticosteroids along with hyperactivation of the immune system, high levels of proinflammatory cytokines, low levels of melatonin in plasma and urine, and disentrainment of circadian rhythms have been demonstrated. Moreover, antidepressant treatment seems to correct or at least to interfere with these alterations. In this review, we summarize the complex neuroimmune endocrine and chronobiological alterations found in patients with depression and how these systems interact with each other. We also explain how antidepressant therapy can modify these systems, along with some possible mechanisms of action shown in animal and human models.Keywords: antidepressant agents, biological markers, human, cytokines, neuroinflammation, psychoneuroimmunology, endophenotype
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spelling doaj.art-b0131f61dba64a15ba84f94212b1c8362022-12-21T20:28:44ZengDove Medical PressNeuropsychiatric Disease and Treatment1176-63281178-20212012-02-012012default6583Neuroimmune endocrine effects of antidepressantsAntonioli MRybka JCarvalho LAMarco Antonioli, Joanna Rybka, LA CarvalhoPsychoimmunology Translational Laboratory, Health Science Research Centre, Roehampton University, London, UKAbstract: Antidepressant pharmacotherapy is to date the most often used treatment for depression, but the exact mechanism of action underlying its therapeutic effect is still unclear. Many theories have been put forward to account for depression, as well as antidepressant activity, but none of them is exhaustive. Neuroimmune endocrine impairment is found in depressed patients; high levels of circulating corticosteroids along with hyperactivation of the immune system, high levels of proinflammatory cytokines, low levels of melatonin in plasma and urine, and disentrainment of circadian rhythms have been demonstrated. Moreover, antidepressant treatment seems to correct or at least to interfere with these alterations. In this review, we summarize the complex neuroimmune endocrine and chronobiological alterations found in patients with depression and how these systems interact with each other. We also explain how antidepressant therapy can modify these systems, along with some possible mechanisms of action shown in animal and human models.Keywords: antidepressant agents, biological markers, human, cytokines, neuroinflammation, psychoneuroimmunology, endophenotypehttp://www.dovepress.com/neuroimmune-endocrine-effects-of-antidepressants-a9209
spellingShingle Antonioli M
Rybka J
Carvalho LA
Neuroimmune endocrine effects of antidepressants
Neuropsychiatric Disease and Treatment
title Neuroimmune endocrine effects of antidepressants
title_full Neuroimmune endocrine effects of antidepressants
title_fullStr Neuroimmune endocrine effects of antidepressants
title_full_unstemmed Neuroimmune endocrine effects of antidepressants
title_short Neuroimmune endocrine effects of antidepressants
title_sort neuroimmune endocrine effects of antidepressants
url http://www.dovepress.com/neuroimmune-endocrine-effects-of-antidepressants-a9209
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