TNF-α Increase in a Cohort of Depressive Patients

Background. The model of neuroinflammation has been proposed as a possible explanation of depression. Investigations of serum levels of tumor necrosis factor-α (TNF-α) in depressed patients have previously shown contradictory results of increased and decreased levels of TNF-α during the treatment of depression. Methods. We compared the serum levels of TNF-α in two cohorts of patients suffering from depression (ICD-10 criteria): one cohort from a psychotherapeutic unit (n=18), where patients were treated with Cognitive Behavioral Analysis System of Psychotherapy (CBASP), and the other cohort from a psychiatric day care unit (n=16). Both cohorts were investigated at the beginning and at the end of treatment. The intensity of depression was measured by means of the Beck Depression Inventory, 2nd edition (BDI-II) at both time points. Results. We observed a statistically significant increase of TNF-α in the psychotherapeutic unit at time point 2 compared to time point 1 (T=−14.71, p<0.001), but not in the psychiatric day care unit. In both cohorts, BDI-II scores at time point 2 were significantly decreased compared to time point 1 (psychiatric day care unit: T=3.32, p=0.005; psychotherapeutic unit: T=6.22, p<0.001). There was a significant correlation in the psychotherapeutic unit at time point 2 (r=−0.682, p=0.02). Conclusion. As TNF-α was increased at time point 2 in the psychotherapeutic unit but not in patients of the psychiatric day care unit, we propose the different durations of pretreatments in both cohorts and the associated processes of neuroinflammation as a possible explanation for our results. The lack of information about the time course of TNF-α in depression could in general explain the huge variety of TNF-α levels in different cohorts of depressed patients reported in the literature..

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - year:2021

Enthalten in:

Disease Markers - (2021)

Sprache:

Englisch

Beteiligte Personen:

Adrian Groh [VerfasserIn]
Kirsten Jahn [VerfasserIn]
Marc Walter [VerfasserIn]
Johannes Heck [VerfasserIn]
Ralf Lichtinghagen [VerfasserIn]
Eva Janke [VerfasserIn]
Schulze Westhoff M. L [VerfasserIn]
Maximillian Deest [VerfasserIn]
Helge Frieling [VerfasserIn]
Stefan Bleich [VerfasserIn]
Kai G. Kahl [VerfasserIn]
Annemarie Heberlein [VerfasserIn]

Links:

doi.org [kostenfrei]
doaj.org [kostenfrei]
dx.doi.org [kostenfrei]
Journal toc [kostenfrei]
Journal toc [kostenfrei]

Themen:

Medicine (General)

doi:

10.1155/2021/8897421

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

DOAJ048578258