Cited by 204Tryptophan and brain disordersNeuroinflammation and Neurodegeneration MechanismsTreatment of Major Depression

The neuroinflammation marker translocator protein is not elevated in individuals with mild-to-moderate depression: A [11C]PBR28 PET study

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Hannestad, Jonas, DellaGioia, Nicole, Gallezot, Jean-Dominique, Lim, Keunpoong, Nabulsi, Nabeel, Esterlis, Irina, Pittman, Brian, Lee, Jae-Yun +3 more·2013·Brain, Behavior, and Immunity

Abstract

Depression is associated with systemic inflammation. In animals, systemic inflammation can induce neuroinflammation and activation of microglia; however, postmortem studies have not convincingly shown that there is neuroinflammation in depression. The purpose of this study was to use positron emission tomography (PET) with [¹¹C]PBR28, which binds to the neuroinflammation marker translocator protein 18 kDa (TSPO), to compare the level of TSPO between individuals with depression and control subjects. Ten individuals who were in an acute episode of major depression and 10 control subjects matched for TSPO genotype and other characteristics had a PET scan with arterial input function to quantify levels of TSPO in brain regions of interest (ROIs). Total volume of distribution (VT) of [¹¹C]PBR28 was used as a measure of total ligand binding. The primary outcome was the difference in VT between the two groups; this was assessed using a linear mixed model with group as a between-subject factor and region as a within-subject factor. There was no statistically significant difference in [¹¹C]PBR28 binding (VT) between the two groups. In fact, 7 of 10 individuals with depression had lower [¹¹C]PBR28 binding in all ROIs compared to their respective genotype-matched control subjects. Future studies are needed to determine whether individuals with mild-to-moderate depression have lower TSPO levels and to assess whether individuals with severe depression and/or with elevated levels of systemic inflammation might have higher TSPO levels than control subjects.

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Crossref · 10.1016/j.bbi.2013.06.010

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  • Not all studies have revealed increased TSPO binding in patients with depression, possibly owing to effects of medication and/or a paucity of subjects with increased inflammation.

    “not all studies have revealed increased TSPO binding in patients with depression, possibly owing to effects of medication and/or a paucity of subjects with increased inflammation61,62.”

    From The role of inflammation in depression: from evolutionary imperative to modern treatment target (2016) · cites this paper as [62]

    The Discussion reports no significant increase in TSPO binding in the study’s mild-to-moderately depressed group and says people with elevated inflammation were excluded; it raises the possibility that such people might have higher binding. The Results note that two participants took antidepressants, but the paper does not identify medication effects as a possible explanation for its null finding. (LLM, conf=0.86)

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References 58 · Cited by 204

Authors
Hannestad, J., DellaGioia, N., Gallezot, J.-D., Lim, K., Nabulsi, N., Esterlis, I., Pittman, B., Lee, J.-Y., O’Connor, K. C., Pelletier, D., & Carson, R. E.
Affiliations
Yale University (US)
Corresponding author
Hannestad, Jonas
Venue
Brain, Behavior, and Immunity
Publisher
Elsevier BV
Published
2013-10
Volume
33
Pages
131-138
ISSN
0889-1591 (ISSN-L)
OpenAlex
W1989435867
Cited by
204
References
58
Citations by year
2026: 4 · 2025: 9 · 2024: 5 · 2023: 4 · 2022: 9 · 2021: 42 · 2020: 20 · 2019: 17 · 2018: 23 · 2017: 26 · 2016: 13 · 2015: 18 · 2014: 12 · 2013: 1
FWCI
4.96
Type
journal article
Language
en
Open access
Locations
  • Brain Behavior and Immunity (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Mental Health (K01MH092681)
  • National Institute on Drug Abuse (K12 DA00167, K12DA000167)
  • National Center for Research Resources (UL1RR024139)
Topics
  • Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
Keywords
depression, neuroinflammation, translocator protein (TSPO), TSPO, [11C]PBR28, microglial activation, systemic inflammation, major depressive disorder, volume of distribution, arterial input function
MeSH terms
Adolescent, Adult, C-Reactive Protein, Carbon Radioisotopes, Depression, Female, Genotype, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Protein Binding, Biomarkers, Case-Control Studies, Microglia, Receptors, GABA, Neurogenic Inflammation, Positron-Emission Tomography, Young Adult

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