Cited by 88Tryptophan and brain disordersStress Responses and CortisolTreatment of Major Depression

Role of Inflammation in Depression: Implications for Phenomenology, Pathophysiology and Treatment

Raison, Charles L., Miller, Andrew H.·2013·Modern Trends in Psychiatry

Abstract

Like all psychiatric conditions, depression is a complex phenomenon that is unlikely to yield to simple monolithic explanatory paradigms. Nonetheless, increasing evidence suggests that the immune system in general and inflammatory processes in particular, may contribute to depressive pathogenesis in a significant proportion of otherwise medically healthy individuals struggling with the disorder. In this chapter, we review the best current evidence suggesting that inflammatory processes contribute to the development of depression, both via direct actions on the brain as well as by effects on secondary pathways that marry brain to body. We review epidemiological evidence linking inflammation to depression before reviewing findings that exposure to inflammatory stimuli produce depressive symptoms in concert with brain-body changes known to be common in depression. Following this review of the role of inflammation in depressive causation, we consider emerging evidence that immunomodulatory interventions may hold promise as antidepressants, especially in individuals with elevations in peripheral inflammatory biomarkers. Interventions discussed include cytokine and cyclo-oxygenase antagonists, as well as agents that impact inflammatory transcription factors/signaling cascades. We conclude with a brief discussion of the potential role of various behavioral strategies in reducing inflammation and thereby enhancing emotional well-being.

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Crossref · 10.1159/000343966

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Authors
Raison, C. L., & Miller, A. H.
Affiliations
  • University of Arizona (US)
  • Emory University (US)
Venue
Modern Trends in Psychiatry
Publisher
S. Karger AG
Published
2013
Volume
28
Pages
33-48
ISSN
  • 2504-0464 (ISSN-L)
  • 2504-124X
OpenAlex
W1565159003
Cited by
88
References
136
Citations by year
2026: 2 · 2025: 6 · 2024: 4 · 2023: 5 · 2022: 6 · 2021: 12 · 2020: 8 · 2019: 3 · 2018: 5 · 2017: 6 · 2016: 13 · 2015: 15 · 2014: 3
FWCI
6.48
Type
book chapter
Language
en
Open access
closed
Locations
  • Modern trends in psychiatry (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
depression, inflammation, immune system, inflammatory markers, cytokines, neuroimmune interactions, behavioral interventions, emotional well-being
MeSH terms
Animals, Depressive Disorder, Humans, Immunologic Factors, Inflammation, Cytokines

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