Cytokine-mediated cellular immune activation in electroconvulsive therapy: A CSF study in patients with treatment-resistant depression

Cytokine-mediated cellular immune activation in electroconvulsive therapy: A CSF study in patients with treatment-resistant depression
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电休克治疗中细胞因子介导的细胞免疫激活:针对难治性抑郁症患者的脑脊液研究

DOI:
10.1080/15622975.2019.1618494
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发表时间:
2019
期刊:
The World Journal of Biological Psychiatry
影响因子:
--
通讯作者:
Kranaster L
Kranaster L
中科院分区:
--
文献类型:
--
作者:
Mindt S;Neumaier M;Hoyer C;Sartorius A;Kranaster L

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目的:有证据表明,电休克治疗(ECT)的抗抑郁作用与免疫系统的调节之间存在重要关系。为了进一步阐明这种相互作用,我们进行了一项研究,研究了ECT抗抑郁治疗对抑郁症患者25种细胞因子的影响。方法:我们测量了25种不同的细胞因子(白细胞介素(IL)-1β、IL-1 RA、IL-2、IL-2 R、IL-4、IL-5、IL-6、IL-7、IL-8、IL-10、IL-12(p40/p70)、IL-13、IL-15、IL-17、肿瘤坏死因子-α、干扰素(IFN)-α、IFN-γ、粒细胞-巨噬细胞集落刺激因子,巨噬细胞炎性蛋白(MIP)-1α,MIP-1β,IFN-γ诱导蛋白10(IP-10),IFN-γ诱导的单核因子,嗜酸性粒细胞趋化因子,Rantes和单核细胞趋化蛋白1)在脑脊液(CSF)和血液中的12例严重和治疗-结果:ECT治疗后CSF中IP-10、IL-5和IL-8水平升高,ECT治疗次数越多,治疗前后CSF中IFN-γ、IL-2 RA、Rantes、IL-6和IL-1β水平的差异越大。ECT治疗期间,应答者和/或缓解者CSF中IL-17、MIP-1α、Rantes和IL-2 R水平均降低。CSF IP-10水平增加较少ECT期间的患者谁有一个resultation.Conclusions:虽然样本量小,我们发现不同的影响ECT治疗本身和ECT诱导的抗抑郁作用在CSF和血液。
Objectives: Evidence points towards an important relationship between the antidepressant effects of electroconvulsive therapy (ECT) and the modulation of the immune system. To further elucidate this interplay, we performed a study on the effects of the antidepressant treatment by ECT on 25 cytokines in patients with depression.Methods: We measured 25 different cytokines (interleukin (IL)-1β, IL-1RA, Il-2, IL-2R, IL-4, IL-5, IL-6, IL-7, IL-8, IL-10, IL-12 (p40/p70), IL-13, IL-15, IL-17, tumor necrosis factor-α, interferon (IFN)-α, IFN-γ, granulocyte-macrophage colony-stimulating factor, macrophage inflammatory protein (MIP)-1α, MIP-1β, IFN-γ-induced protein 10 (IP-10), monokine induced by IFN-γ, Eotaxin, Rantes and monocyte chemoattractant protein 1) in the cerebrospinal fluid (CSF) and blood of 12 patients with a severe and treatment-resistant depressive episode before and after a course of ECT.Results: CSF levels of IP-10, IL-5 and IL-8 were elevated after ECT and more ECT sessions were associated with the differences of CSF levels before and after ECT of IFN-γ, IL-2RA, Rantes, IL-6 and IL-1β. Responders and/or remitters had a decrease of CSF levels of IL-17, MIP-1α, Rantes and IL-2R during ECT. CSF IP-10 levels increased less during ECT in patients who had a remission.Conclusions: Although the sample size was small, we found different effects of the ECT treatment per se and of the antidepressant action induced by ECT in CSF and blood.
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