The role of lipid biomarkers in major depression
Open accessAbstract
In the UK, the lifetime-documented prevalence of major depressive disorder (MDD) is currently 10%. Despite its increasing prevalence and devastating impact on quality of life, the pathophysiological mechanisms underpinning MDD remain to be fully elucidated. Current theories of neurobiological components remain incomplete and protein-centric, rendering pharmacological treatment options suboptimal. In this review, we highlight the pivotal role of lipids in intra- and inter-neuronal functioning, emphasising the potential use of lipids as biomarkers for MDD. The latter has significant implications for improving our understanding of MDD at the cellular and circuit level. There is particular focus on cholesterol (high and low density lipoprotein), omega-3, and omega-6 polyunsaturated fatty acids due to established evidence in the literature of a link between atherosclerotic disease and major depression. We argue that there is significant potential scope for the use of such peripheral biomarkers in the diagnosis, stratification and treatment of MDD.
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Lipid-related metabolites have been suggested to be involved in the pathophysiology of MDD.
“Thus, lipid related metabolites have also been suggested to be involved in the pathophysiology of MDD (Liu et al., 2016;Parekh et al., 2017;Shelton and Miller, 2010).”
From Tryptophan-kynurenine and lipid related metabolites as blood biomarkers for first-episode drug-naïve patients with major depressive disorder: An exploratory pilot case-control study (2018) · cites this paper as Parekh et al., 2017
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Peripheral Markers of Depression
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“They are involved in crucial brain functions, such as membrane composition, signal transduction, biological messenger functions, neuroendocrine function, and energy reserves [15], and also contribute substantially to biological processes associated with learning and memory [17,18].”
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- Authors
- Parekh, A., Smeeth, D., Milner, Y., & Thuret, S.
- Affiliations
- King's College London (GB)
- Corresponding author
- Thuret, Sandrine
- Venue
- Healthcare
- Publisher
- MDPI AG
- Published
- 2017-02-03
- Volume
- 5
- Issue
- 1
- Pages
- 5
- ISSN
- 2227-9032 (ISSN-L)
- PMC
- PMC5371911
- OpenAlex
- W2585030762
- Cited by
- 120
- References
- 157
- Citations by year
- 2026: 4 · 2025: 14 · 2024: 17 · 2023: 14 · 2022: 18 · 2021: 18 · 2020: 13 · 2019: 7 · 2018: 10 · 2017: 5
- FWCI
- 0.98
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Healthcare (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Research Portal (King's College London) (submittedVersion, cc-by)
- Funders
- Guy's and St Thomas' Charity
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- major depressive disorder, lipid biomarkers, cholesterol, high-density lipoprotein, low-density lipoprotein, omega-3 polyunsaturated fatty acids, omega-6 fatty acids, atherosclerosis, peripheral biomarkers, depression diagnosis, treatment stratification, neurobiology of depression
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