A review on linking stress, depression, and insulin resistance via low-grade chronic inflammation

Stress is a disturbance in homeostasis caused by psychological, physiological, or environmental factors. Prolonged reactions to chronic stress can be detrimental, resulting in various metabolic abnormalities, referred to as metabolic syndrome (MS). There is a reciprocal increased risk between MS and...

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Main Authors: Seema Mehdi, Shahid Ud Din Wani, K.L. Krishna, Nabeel Kinattingal, Tamsheel Fatima Roohi
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Biochemistry and Biophysics Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405580823001528
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author Seema Mehdi
Shahid Ud Din Wani
K.L. Krishna
Nabeel Kinattingal
Tamsheel Fatima Roohi
author_facet Seema Mehdi
Shahid Ud Din Wani
K.L. Krishna
Nabeel Kinattingal
Tamsheel Fatima Roohi
author_sort Seema Mehdi
collection DOAJ
description Stress is a disturbance in homeostasis caused by psychological, physiological, or environmental factors. Prolonged reactions to chronic stress can be detrimental, resulting in various metabolic abnormalities, referred to as metabolic syndrome (MS). There is a reciprocal increased risk between MS and major depressive disorder. Recent studies established an association between inflammation and insulin signaling in type 2 diabetes mellitus with depression. In the present review, we discuss chronic low-grade inflammation, pathways of insulin resistance, and brain glucose metabolism in the context of neuroinflammation and depression. Specific attention is given to psychotropic drugs such as bupropion, mirtazapine, and nefazodone, anti-inflammatory drugs like Celecoxib (COX-2 inhibitor), Etanercept, adalimumab, IL-4Ra antagonist, Anti-IL- 17A antibody (Ixekizumab) and lifestyle modifications including exercise, dietary changes, and sleep hygiene. These therapeutic solutions offer potential in treating depression by targeting metabolic conditions like insulin resistance and inflammatory pathways. The article further explains the significance of a nutrition and antioxidants-rich diet, emphasizing the role of omega-3 fatty acids, vitamin D, zinc, and polyphenols, to improve immunity and activate anti-inflammatory signaling pathways.
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spelling doaj.art-ec399916a83049beb0c6d759ee4f14152023-12-03T05:41:57ZengElsevierBiochemistry and Biophysics Reports2405-58082023-12-0136101571A review on linking stress, depression, and insulin resistance via low-grade chronic inflammationSeema Mehdi0Shahid Ud Din Wani1K.L. Krishna2Nabeel Kinattingal3Tamsheel Fatima Roohi4Department of Pharmacology, JSS College of Pharmacy, JSS Academy of Higher Education & Research, Mysore, 570 015, India; Corresponding author. Department of Pharmacology, JSS College of Pharmacy, JSS Academy for Higher Education and Research, Mysore, 570015, Karnataka, India.Department of Pharmaceutical Sciences, School of Applied Sciences and Technology, University of Kashmir, Srinagar, 190006, IndiaDepartment of Pharmacology, JSS College of Pharmacy, JSS Academy of Higher Education & Research, Mysore, 570 015, India; Corresponding author.Department of Pharmacology, JSS College of Pharmacy, JSS Academy of Higher Education & Research, Mysore, 570 015, IndiaDepartment of Pharmacology, JSS College of Pharmacy, JSS Academy of Higher Education & Research, Mysore, 570 015, IndiaStress is a disturbance in homeostasis caused by psychological, physiological, or environmental factors. Prolonged reactions to chronic stress can be detrimental, resulting in various metabolic abnormalities, referred to as metabolic syndrome (MS). There is a reciprocal increased risk between MS and major depressive disorder. Recent studies established an association between inflammation and insulin signaling in type 2 diabetes mellitus with depression. In the present review, we discuss chronic low-grade inflammation, pathways of insulin resistance, and brain glucose metabolism in the context of neuroinflammation and depression. Specific attention is given to psychotropic drugs such as bupropion, mirtazapine, and nefazodone, anti-inflammatory drugs like Celecoxib (COX-2 inhibitor), Etanercept, adalimumab, IL-4Ra antagonist, Anti-IL- 17A antibody (Ixekizumab) and lifestyle modifications including exercise, dietary changes, and sleep hygiene. These therapeutic solutions offer potential in treating depression by targeting metabolic conditions like insulin resistance and inflammatory pathways. The article further explains the significance of a nutrition and antioxidants-rich diet, emphasizing the role of omega-3 fatty acids, vitamin D, zinc, and polyphenols, to improve immunity and activate anti-inflammatory signaling pathways.http://www.sciencedirect.com/science/article/pii/S2405580823001528Major depressive disorderLow-grade chronic inflammationChronic stressInsulin resistanceMetabolic syndromeNeurodegeneration
spellingShingle Seema Mehdi
Shahid Ud Din Wani
K.L. Krishna
Nabeel Kinattingal
Tamsheel Fatima Roohi
A review on linking stress, depression, and insulin resistance via low-grade chronic inflammation
Biochemistry and Biophysics Reports
Major depressive disorder
Low-grade chronic inflammation
Chronic stress
Insulin resistance
Metabolic syndrome
Neurodegeneration
title A review on linking stress, depression, and insulin resistance via low-grade chronic inflammation
title_full A review on linking stress, depression, and insulin resistance via low-grade chronic inflammation
title_fullStr A review on linking stress, depression, and insulin resistance via low-grade chronic inflammation
title_full_unstemmed A review on linking stress, depression, and insulin resistance via low-grade chronic inflammation
title_short A review on linking stress, depression, and insulin resistance via low-grade chronic inflammation
title_sort review on linking stress depression and insulin resistance via low grade chronic inflammation
topic Major depressive disorder
Low-grade chronic inflammation
Chronic stress
Insulin resistance
Metabolic syndrome
Neurodegeneration
url http://www.sciencedirect.com/science/article/pii/S2405580823001528
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