MK4MDD

Study Report

Reference
CitationPiletz, 2010 PubMed
Full InfoPiletz, J.E., Halaris, A., Iqbal, O., Hoppensteadt, D., Fareed, J., Zhu, H., Sinacore, J. and Devane, C.L. (2009) Pro-inflammatory biomakers in depression: treatment with venlafaxine. World J Biol Psychiatry, 10, 313-323.

Study
Hypothesis or Background High levels of pro-inflammatory biomarkers have been reported in depression.
Sample Informationpatients with major depressive disorder (MDD)and age- and sex-matched healthy subjects
Method Detailn the present study, five pro-inflammatory biomarkers were measured in the blood of patients with major depressive disorder (MDD). Biomarker levels were compared to age- and sex-matched healthy subjects
Method Keywordsprotein analysis
ResultPatients with MDD had significantly higher baseline levels of tumour necrosis factor-alpha (TNFalpha, P=0.04), interleukin-1beta (IL1beta, P=0.03), and monocyte chemotactic protein-1 (MCP-1; P=0.02) compared to controls. There were no differences between groups in levels of cell determinant-40 ligand (CD40L) and C-reactive protein (CRP). A subset of the MDD patients consented to undergo treatment with venlafaxine (an SNRI: at lower doses a selective serotonin reuptake inhibitor; at higher doses also a norepinephrine reuptake inhibitor) for 8 weeks. By week 8, all treatment completers had responded therapeutically. However, levels of TNFalpha, IL1beta, and MCP-1 remained elevated.
ConclusionsA concave quadratic equation described the associations between plasma venlafaxine concentrations and IL1beta (P=0.03), TNFalpha (P=0.09), and MCP-1 (P=0.02), suggesting that these biomarkers may have become selectively lowered in the serotonergic dose range of venlafaxine. This is the first report of venlafaxine's possible effect on pro-inflammatory biomarkers.

Relationships reported by Piletz, 2010