Peripheral Markers of Depression
Open accessAbstract
Major Depressive Disorder (MDD) is a leading cause of disability worldwide, creating a high medical and socioeconomic burden. There is a growing interest in the biological underpinnings of depression, which are reflected by altered levels of biological markers. Among others, enhanced inflammation has been reported in MDD, as reflected by increased concentrations of inflammatory markers—C-reactive protein, interleukin-6, tumor necrosis factor-α and soluble interleukin-2 receptor. Oxidative and nitrosative stress also plays a role in the pathophysiology of MDD. Notably, increased levels of lipid peroxidation markers are characteristic of MDD. Dysregulation of the stress axis, along with increased cortisol levels, have also been reported in MDD. Alterations in growth factors, with a significant decrease in brain-derived neurotrophic factor and an increase in fibroblast growth factor-2 and insulin-like growth factor-1 concentrations have also been found in MDD. Finally, kynurenine metabolites, increased glutamate and decreased total cholesterol also hold promise as reliable biomarkers for MDD. Research in the field of MDD biomarkers is hindered by insufficient understanding of MDD etiopathogenesis, substantial heterogeneity of the disorder, common co-morbidities and low specificity of biomarkers. The construction of biomarker panels and their evaluation with use of new technologies may have the potential to overcome the above mentioned obstacles.
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In medical research, depression is often conceptualized as a clinical disorder with a specific set of symptoms that can be identified and treated.
“In medical research, depression is often conceptualized as a clinical disorder with a specific set of symptoms that can be identified and treated (4, 5).”
From Anti-stigmatizing: a collaborative autoethnography on recovery from depression (2024) · cites this paper as [5]
Recent evidence suggests a possible role of immune dysregulation in the etiopathogenesis of depression.
“Furthermore, recent evidence suggested a possible role of immune dysregulation in the etiopathogenesis of depression [13,14,15,16].”
From C-Reactive protein as a biomarker for major depressive disorder? (2022) · cites this paper as [15]
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miRNAs in Major Depression: Possible Association of miR-17 and miR-92 with Childhood Traumas
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Biomarkers and Mental Disorders: A Relevance Analysis Using a Random Forest Algorithm
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- Authors
- Nobis, A., Zalewski, D., & Waszkiewicz, N.
- Affiliations
- Medical University of Białystok (PL)
- Corresponding author
- Nobis, Aleksander
- Venue
- Journal of Clinical Medicine
- Publisher
- MDPI AG
- Published
- 2020-11-24
- Volume
- 9
- Issue
- 12
- Pages
- 3793
- ISSN
- 2077-0383 (ISSN-L)
- PMC
- PMC7760788
- OpenAlex
- W3109252124
- Cited by
- 197
- References
- 457
- Citations by year
- 2026: 17 · 2025: 41 · 2024: 34 · 2023: 43 · 2022: 44 · 2021: 18
- FWCI
- 1.69
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Clinical Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Uniwersytet Medyczny w Białymstoku (SUB/1/DN/20/002/1147)
- 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
- major depressive disorder, biomarkers, peripheral biomarkers, inflammation, C-reactive protein, interleukin-6, TNF-α, soluble interleukin-2 receptor, oxidative stress, lipid peroxidation, cortisol, hypothalamic-pituitary-adrenal axis, brain-derived neurotrophic factor, fibroblast growth factor 2, insulin-like growth factor I, kynurenine metabolites, glutamate, total cholesterol, biomarker panel
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