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.
基金:
National Natural Science Foundation of China [81960259]; Program of Yunnan Clinical Research Center for Geriatric Diseases [2023A1010128]; Yunnan Provincial Clinical Research Center for Geriatric Diseases [2023YJZX-LN20]; Dong Birong Expert Workstation Program of Yunnan [2023A4010302]
第一作者机构:[1]Kunming Univ Sci & Technol, Sch Med, Kunming 650000, Yunnan, Peoples R China
共同第一作者:
通讯作者:
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
推荐引用方式(GB/T 7714):
Xia Jian,Chen Meiling,Shao Heng,et al.Inflammation and Late-Life Depression: Unraveling the Complex Relationship and Potential Therapeutic Strategies[J].FRONTIERS IN BIOSCIENCE-LANDMARK.2023,28(12):356.doi:10.31083/j.fbl2812356.
APA:
Xia, Jian,Chen, Meiling,Shao, Heng,Chen, Hui,Zhu, Shasha...&Wu, Shaoyuan.(2023).Inflammation and Late-Life Depression: Unraveling the Complex Relationship and Potential Therapeutic Strategies.FRONTIERS IN BIOSCIENCE-LANDMARK,28,(12)
MLA:
Xia, Jian,et al."Inflammation and Late-Life Depression: Unraveling the Complex Relationship and Potential Therapeutic Strategies".FRONTIERS IN BIOSCIENCE-LANDMARK 28..12(2023):356