Immunometabolism in the Pathogenesis of Depressive Disorders-Therapeutic Considerations
Abstract
There exists a critical link between immunological processes and metabolic changes. Furthermore, it becomes more and more evident that changes in immunometabolic pathways are highly interconnected with psychological processes and the nervous system. Depressive disorders are a major contributor to the overall burden of disease worldwide. Despite extensive research, therapeutic interventions are often not satisfying. This may be due to the yet only partially elucidated pathobiochemistry underlying the development of depression which may be influenced by multiple factors including genetics, environment, lifestyle, and importantly by the immunological status. In this review article, the roles and consequences of the interferon gamma-dependent pathways of tryptophan breakdown and neopterin formation are discussed, as well as phenylalanine metabolism, trying to provide a rational link between immunology, metabolism and mental status. Besides underlining the complexity of the mechanism involved in the development of depression, the knowledge on relevant biomarkers may be useful in orchestrating personalized therapy regimes.
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Factors such as age, social or socioeconomic status, social support, financial strain and deprivation, food insecurity, education, employment status, living arrangements, marital status, race, childhood conflict and bullying, violent crime exposure, abuse, discrimination, (self)-stigma, ethnicity and migrant status, working conditions, adverse or significant life events, illiteracy or health liter
“Factors such as age, social or socioeconomic status, social support, financial strain and deprivation, food insecurity, education, employment status, living arrangements, marital status, race, childhood conflict and bullying, violent crime exposure, abuse, discrimination, (self)-stigma, ethnicity and migrant status, working conditions, adverse or significant life events, illiteracy or health liter”
From Biological, Psychological, and Social Determinants of Depression: A Review of Recent Literature (2021) · cites this paper as [133]
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Gorbovsky, M. V., Kiryukhina, S. V., Kolmykova, N. А., & Иванович, К. Н. (2025) · Medicine and Biotechnology · doi:10.15507/3034-6231.001.202504.322-341
- Authors
- Geisler, S., Sperner-Unterweger, B., Fuchs, D., & Gostner, J. M.
- Affiliations
- Innsbruck Medical University (AT)
- Department of Psychiatry II, Medical University of Innsbruck, 6020 Innsbruck, Austria
- Corresponding author
- Fuchs, Dietmar
- Venue
- Current Topics in Medicinal Chemistry
- Publisher
- Bentham Science Publishers Ltd.
- Published
- 2018-11-26
- Volume
- 18
- Issue
- 16
- Pages
- 1408-1415
- ISSN
- 1568-0266 (ISSN-L)
- OpenAlex
- W2798047090
- Cited by
- 9
- References
- 0
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 1
- FWCI
- 0.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Topics in Medicinal Chemistry (publishedVersion)
- PubMed (publishedVersion)
- 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
- immunometabolism, depression, tryptophan metabolism, kynurenine pathway, interferon-gamma, neopterin, phenylalanine metabolism, biomarkers, personalized treatment, neuroinflammation
- MeSH terms
- Antidepressive Agents, Depressive Disorder, Humans, Interferon-gamma, Phenylalanine, Tryptophan, Neopterin
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