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Inflammation and Late-Life Depression: Unraveling the Complex Relationship and Potential Therapeutic Strategies

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机构: [1]Kunming Univ Sci & Technol, Sch Med, Kunming 650000, Yunnan, Peoples R China [2]First Peoples Hosp Yunnan Prov,Dept Clin Psychol,Kunming 650000,Yunnan,Peoples R China [3]Kunming Univ Sci & Technol,Affiliated Hosp,Kunming 650000,Yunnan,Peoples R China [4]First Peoples Hosp Yunnan Prov,Dept Geriatr,Kunming 650000,Yunnan,Peoples R China
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关键词: late life depression inflammation molecular mechanisms pathway personalized target and therapy

摘要:
The origins of late-life depression are multifaceted and remain challenging to fully understand. While the traditional monoamine neurotransmitter hypothesis provides some insights, it falls short in explaining the disease's onset and progression, leaving treatments often less than optimal. There is an emergent need to uncover new underlying mechanisms. Among these, the "inflammation hypothesis" has been gaining traction in scientific discussions regarding late-life depression. There is compelling evidence linking inflammation processes to the emergence of this form of depression. This review delves into the nuanced relationship between inflammation and late-life depression, emphasizing the pivotal role and implications of inflammation in its pathogenesis. Changes in Ca2+ homeostasis, cytokine levels, brainderived neurotrophic factor (BDNF), white cell ratios, and the involvement of the NOD-, LRR-, and Pyrin domain-containing protein 3 (NLRP3) inflammasome have all been suggested as potential biomarkers that tie inflammation to late-life depression. Furthermore, factors such as aging-induced DNA damage, oxidative stress, mitochondrial impairments, disruptions in the hypothalamic-pituitary-adrenal axis, activated microglia and associated neuroinflammation, as well as the gut-brain axis dynamics, could serve as bridges between inflammation and depression. Deepening our understanding of these connections could usher in innovative anti-inflammatory treatments and strategies for late- life depression.

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出版当年[2023]版:
大类 | 4 区 生物学
小类 | 4 区 生化与分子生物学 4 区 细胞生物学
最新[2023]版:
大类 | 4 区 生物学
小类 | 4 区 生化与分子生物学 4 区 细胞生物学
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出版当年[2022]版:
Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Q3 CELL BIOLOGY
最新[2023]版:
Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Q3 CELL BIOLOGY

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第一作者机构: [1]Kunming Univ Sci & Technol, Sch Med, Kunming 650000, Yunnan, Peoples R China
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通讯机构: [3]Kunming Univ Sci & Technol,Affiliated Hosp,Kunming 650000,Yunnan,Peoples R China [4]First Peoples Hosp Yunnan Prov,Dept Geriatr,Kunming 650000,Yunnan,Peoples R China
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