Psychiatry Investig.  2016 Nov;13(6):644-651. 10.4306/pi.2016.13.6.644.

Serum Cytokine Levels in Major Depressive Disorder and Its Role in Antidepressant Response

Affiliations
  • 1Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. paulkim@skku.edu
  • 2SAIHST, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Republic of Korea.
  • 3Department of Laboratory Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea.
  • 4Center for Clinical Research, Samsung Biomedical Research Institute, Samsung Medical Center, Seoul, Republic of Korea.
  • 5Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. suddenbz@skku.edu

Abstract


OBJECTIVE
Cytokines have been reported to have key roles in major depressive disorder (MDD). However, much less is known about cytokines in MDD and antidepressant treatment due to the diversity of cytokines and the heterogeneity of depression. We investigated the levels of cytokines in patients with MDD compared with healthy subjects and their associations with antidepressant response.
METHODS
We investigated the changes of several cytokines (eotaxin, sCD40L, IL-8, MCP-1alpha, TNF-alpha, INF-gamma and MIP-1alpha) by Luminex assay in 66 patients with MDD and 22 healthy controls. The antidepressant response was assessed by 17-item Hamilton Rating Scale for Depression.
RESULTS
We found the levels of sCD40L (p=0.001), IL-8 (p=0.004) and MCP-1 (p=0.03) of healthy controls were significantly higher than those of depressive patients. However, the level of eotaxin and TNF-alpha were not associated with MDD. In addition, we found the level of MCP-1 was significantly changed after antidepressant treatment (p=0.01).
CONCLUSION
These findings suggest the roles of cytokines in MDD are complex, and could vary according to the individual characteristics of each patient. Further studies regarding the relationship between cytokines and MDD will be required.

Keyword

Antidepressants; Depression; Immune system

MeSH Terms

Antidepressive Agents
Cytokines
Depression
Depressive Disorder, Major*
Healthy Volunteers
Humans
Immune System
Interleukin-8
Population Characteristics
Tumor Necrosis Factor-alpha
Antidepressive Agents
Cytokines
Interleukin-8
Tumor Necrosis Factor-alpha
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