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Depression and type 2 diabetes: Inflammatory mechanisms of a psychoneuroendocrine co-morbidity
Abstract
Unipolar depression and diabetes mellitus each account for a significant proportion of the global burden of disease. Epidemiological literature suggests a bi-directional relationship between these two common disorders, and evidence from the molecular sciences supports a role for inflammation in the pathogenesis and pathophysiology of each disorder individually. Recent advances in understanding the neurobiology of depression have implicated dysfunction of the hypothalamus-pituitary-adrenal axis, neurotrophins, and inflammatory mediators in the development of this disorder. Similarly, dysregulated facets of both the innate and adaptive immune system have been implicated in the onset of insulin resistance and type 2 diabetes. This review draws upon an emerging body of epidemiological and mechanistic evidence to support the hypothesis that shared inflammatory mechanisms may represent a key biological link in this co-morbidity. Given the shared mechanisms of this co-morbidity, these patients may be excellent candidates for novel immune targeted pharmacotherapy.
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“Comorbid metabolic disturbances aggravate the burden of depressive illness, in part by sharing common risk factors and pathophysiological pathways, since impaired insulin signaling and insulin resistance have been documented to play an important role in the pathogenesis of MDD [109].”
From Cognitive remission: a novel objective for the treatment of major depression? (2016) · cites this paper as [109]
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Metadata
- Authors
- Stuart, M. J., & Baune, B. T.
- Affiliations
- James Cook University (AU)
- The University of Adelaide (AU)
- Corresponding author
- Baune, Bernhard T.
- Venue
- Neuroscience & Biobehavioral Reviews
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 36
- Issue
- 1
- Pages
- 658-676
- ISSN
- 0149-7634 (ISSN-L)
- OpenAlex
- W2067054442
- Cited by
- 257
- References
- 242
- Citations by year
- 2026: 10 · 2025: 17 · 2024: 11 · 2023: 12 · 2022: 13 · 2021: 18 · 2020: 18 · 2019: 19 · 2018: 23 · 2017: 14 · 2016: 23 · 2015: 26 · 2014: 22 · 2013: 21 · 2012: 7
- FWCI
- 0.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuroscience & Biobehavioral Reviews (publishedVersion)
- PubMed (publishedVersion)
- ResearchOnline - JCU (James Cook University) (submittedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- depression, type 2 diabetes, inflammatory mechanisms, hypothalamic-pituitary-adrenal axis, neurotrophins, insulin resistance, bidirectional comorbidity
- MeSH terms
- Depression, Diabetes Mellitus, Type 2, Humans, Immune System, Inflammation, Comorbidity
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