Questions raised by the cytokine hypothesis of depression
Abstract
The cytokine hypothesis of depression raises a certain number of questions. These questions include: the inability of the theory to account for the classical (Freudian) psychodynamics of depression; the role of sensitization in cytokine-induced depression; the compatibility of some of the effects of cytokines (on sleep, on cognition, on the HPA) with the hypothesis; the possibility of occurrence of depression in the absence of an increase in circulating cytokines; the nature of the relationships between cytokines, stress, and depression; the compatibility of the effects of cytokines on brain monoamines with the current monoamine hypothesis of depression; the inability of antidepressants to fully abrogate the brain effects of individual cytokines in animal experiments. Based on these limitations of the theory, it is proposed to define a new clinical entity designated as "the cytokine-associated depressive syndrome."
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It is still unclear how proinflammatory cytokines function as a causative factor in patients with depression caused by etiologies other than diseases or immunotherapies.
“However, it is still unclear how the proinflammatory cytokines function as a causative factor in patients with depression that is caused by etiologies other than diseases or immunotherapies[71].”
From Neuroinflammation and cytokine abnormality in major depression: cause or consequence in that illness? (2016) · cites this paper as [71]
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- Authors
- de Beaurepaire, R.
- Venue
- Brain, Behavior, and Immunity
- Publisher
- Elsevier BV
- Published
- 2002-10
- Volume
- 16
- Issue
- 5
- Pages
- 610-617
- ISSN
- 0889-1591 (ISSN-L)
- OpenAlex
- W1479932344
- Cited by
- 39
- References
- 32
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 2 · 2019: 2 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 2 · 2012: 2
- FWCI
- 0.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain Behavior and Immunity (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- cytokines, depression, sensitization, sleep, cognition, hypothalamic-pituitary-adrenal axis, stress, monoamines, antidepressants
- MeSH terms
- Animals, Antidepressive Agents, Depressive Disorder, Humans, Stress, Psychological, Biogenic Monoamines, Cytokines
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