Cited by 237Tryptophan and brain disordersTreatment of Major DepressionStress Responses and Cortisol

Genetic Contributions of Inflammation to Depression

Open access
Barnes, Jacob, Mondelli, Valeria, Pariante, Carmine M·2017·Neuropsychopharmacology

Abstract

This paper describes the effects of immune genes genetic variants and mRNA expression on depression's risk, severity, and response to antidepressant treatment, through a systematic review on all papers published between 2000 and 2016. Our results, based largely on case-control studies, suggest that common genetic variants and gene-expression pathways are involved in both immune activation and depression. The most replicated and relevant genetic variants include polymorphisms in the genes for interleukin (IL)-1β, IL-6, IL-10, monocyte chemoattractant protein-1, tumor necrosis factor-alpha, C-reactive protein, and phospholipase A2. Moreover, increased blood cytokines mRNA expression (especially of IL-1β) identifies patients that are less likely to respond to conventional antidepressants. However, even for the most replicated findings there are inconsistent results, not only between studies, but also between the immune effects of the genetic variants and the resulting effects on depression. We find evidence that these discrepant findings may be explained, at least in part, by the heterogeneity of the depression immunophenotype, by environmental influences and gene × environment interactions, and by the complex interfacing of genetic variants with gene expression. Indeed, some of the most robust findings have been obtained in patients developing depression in the context of treatment with interferon-alpha, a widely used model to mimic depression in the context of inflammation. Further 'omics' approaches, through GWAS and transcriptomics, will finally shed light on the interaction between immune genes, their expression, and the influence of the environment, in the pathogenesis of depression.

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  • Clinical studies report higher levels of circulating pro-inflammatory cytokines in MDD patients, a pattern replicated in preclinical animal models of depression.

    “clinical studies report higher levels of circulating pro-inflammatory cytokines in MDD patients, a pattern that has been replicated in preclinical animal models of depression1, 7–10.”

    From Social stress induces neurovascular pathology promoting depression (2017) · cites this paper as [8]

    The Introduction (page not provided) reports increased inflammatory cytokines in the peripheral blood of some patients with major depression, supporting the clinical portion. The Materials and methods section (page not provided) says papers concerning animal models were excluded, so this source does not support the claimed replication in preclinical animal models. (LLM, conf=0.90)

    Experimental — accuracy not yet measured
  • Heightened peripheral inflammation contributes to the pathogenesis of major depressive disorder.

    “Studies suggest that heightened peripheral inflammation contributes to the pathogenesis of major depressive disorder.”

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Authors
Barnes, J., Mondelli, V., & Pariante, C. M.
Affiliations
King's College London (GB)
Corresponding author
Pariante, Carmine M
Venue
Neuropsychopharmacology
Published
2016-08-24
Volume
42
Issue
1
Pages
81-98
ISSN
  • 0893-133X (ISSN-L)
  • 1740-634X
OpenAlex
W2512238452
Cited by
237
References
141
Citations by year
2026: 14 · 2025: 26 · 2024: 23 · 2023: 27 · 2022: 27 · 2021: 34 · 2020: 26 · 2019: 20 · 2018: 18 · 2017: 17 · 2016: 4
FWCI
1.18
Type
journal article
Language
en
Open access
Locations
  • Neuropsychopharmacology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (publishedVersion, other-oa)
Funders
  • South London and Maudsley NHS Foundation Trust
  • Wellcome Trust
  • National Institute for Health and Care Research (CL-2008-17-005, NF-SI-0616-10074)
  • Academy of Medical Sciences (AMS-SGCL5-Mondelli)
  • H. Lundbeck A/S
  • Medical Research Council (MR/N029488/1, MR/J002739/1, MR/L014815/1)
Topics
  • Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Keywords
depression, inflammation, immune-related genes, genetic polymorphism, cytokine gene expression, antidepressant response, IL-1β, interleukin-6, IL-10, TNF-α, C-reactive protein, phospholipase A2, gene-environment interaction, depression pathogenesis
MeSH terms
Depressive Disorder, Humans, Inflammation, Cytokines

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