Study Report
Reference
| Citation | Hernandez, 2008 PubMed |
| Full Info | Hernandez, M.E., Mendieta, D., Martinez-Fong, D., Loria, F., Moreno, J., Estrada, I., Bojalil, R. and Pavon, L. (2008) Variations in circulating cytokine levels during 52 week course of treatment with SSRI for major depressive disorder. Eur Neuropsychopharmacol, 18, 917-924.
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Study
| Hypothesis or Background |
Major depressive disorder (MDD) is a psychiatric condition characterized by hypercortisolism and variations in circulatory cytokines. Previously it has been reported that administration of selective serotonin reuptake inhibitors (SSRI) in MDD patients modify cortisol and cytokine levels but these studies only evaluated changes over a short time period.
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| Sample Information | 31 patients diagnosed with MDD and healthy volunteers |
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| Method Detail | This work reports the long-term effects of administration of SSRI on the cortisol levels and pro-/anti-inflammatory cytokine profile in a group of MDD patients treated for 52 weeks. A total of 31 patients diagnosed with MDD received anti depressant treatment with SSRI. HDRS and BDI were administered over a year, and levels of interleukin IL-1beta, IL-10, IL-2, IFN-gamma, IL-4, IL-13, and 24-h urine cortisol were determined at weeks (W) 0, 5, 20, 36 and 52 of treatment. |
| Method Keywords | blood analysis |
| Result | Before treatment we found high levels of cortisol, IL-4, IL-13 (Th2) and IL-10 in MDD patients when compared with healthy volunteers. At W20 psychiatric scales indicated a remission of the depressive episode concomitantly with increments in IL-2 and IL-1beta but without changes in cortisol. Towards the end of the treatment (W52) we observed a significant reduction (p<0.01) in cortisol levels, with an increment in IL-1beta and IFN-gamma and a decrease in Th2 cytokines. |
| Conclusions | Our results suggest that depressed patients only reach a partial reestablishment of HPA axis function after the long-term administration of SSRI. |
Relationships reported by
Hernandez, 2008
| Component A Approved Name (Name in Paper) |
Component A Type |
Component B Approved Name (Name in Paper) |
Component B Type |
Statistical Result |
Relationship Description |
Result Category (Positive/Negative)) |
|
MDD
|
syndrome |
Interleukin-10 (IL-10) |
protein |
|
Before treatment we found high levels of cortisol, IL-4, IL-13 (Th2) and IL-10 in MDD patients when compared with healthy volunteers. |
Positive
|
|
MDD
|
syndrome |
Hydrocortisone (cortisol) |
molecule |
|
Before treatment we found high levels of cortisol, IL-4, IL-13 (Th2) and IL-10 in MDD patients when compared with healthy volunteers. |
Positive
|
|
MDD
|
syndrome |
Interleukin-4 (IL-4) |
protein |
|
Before treatment we found high levels of cortisol, IL-4, IL-13 (Th2) and IL-10 in MDD patients when compared with healthy volunteers. |
Positive
|
|
MDD
|
syndrome |
Interleukin-13 (IL-13 (Th2)) |
protein |
|
Before treatment we found high levels of cortisol, IL-4, IL-13 (Th2) and IL-10 in MDD patients when compared with healthy volunteers. |
Positive
|
