341979

Pathophysiology of depression: inflammation and its relation with oxidative stress and the hypothalamic-pituitary-adrenal axis

Article

Last updated: 13 Jan 2025

Subjects

-

Tags

-

Abstract

Depression is well-known to be a widespread, disabling mental disorder. In spite of the many theories that have been put forth to explain the underlying pathophysiology of depression, the exact pathophysiology remains uncertain. In this review, we aim to summarize pathophysiological pathways and experimental animal models for depression, focusing mainly on inflammatory pathways. Stress is a well-known predisposing factor for depression. So, we aim to demonstrate the link between stress and inflammation in depression pathophysiology, highlighting the role of microglia activation, the release of proinflammatory cytokines, and the production of neurotoxic metabolites. We also aim to show the link between inflammation and the disturbance of serotonin, which is also known as 5-hydroxytryptamine (5-HT), and norepinephrine (NE) levels in the brain. Activated microglia produce reactive oxygen species (ROS), which further enhances the inflammatory response. Additionally, we aim to illustrate the hypothalamic-pituitary-adrenal (HPA) axis hyperactivity that occurs as a result of stressful conditions and the consequent resistance of glucocorticoid receptors (GRs), leading to the failure of glucocorticoids to suppress inflammation. We also aim to demonstrate experimental animal models of depression that are based on psychological stress, such as the maternal separation model and the social defeat stress (SDS) model, as well as reviewing the lipopolysaccharide (LPS) inflammation-based model. We also aim to briefly review the widely used chronic unpredictable mild stress (CUMS) model.

DOI

10.21608/aps.2024.249632.1143

Keywords

depression, Inflammation, Oxidative Stress, Hypothalamic -pituitary-adrenal axis, Maternal separation model, Social defeat stress model, Lipopolysaccharide injection model

Authors

First Name

Engy

Last Name

Nady

MiddleName

M.

Affiliation

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Ain Shams University, Cairo 11566, Egypt

Email

ingymedhat.nady@pharma.asu.edu.eg

City

Cairo

Orcid

-

First Name

Marwa

Last Name

El-Derany

MiddleName

O.

Affiliation

Department of Biochemistry, Faculty of Pharmacy, Ain Shams University, Cairo 11566, Egypt

Email

marwa.omar@pharma.asu.edu.eg

City

-

Orcid

-

First Name

Haidy

Last Name

Michel

MiddleName

E

Affiliation

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Ain Shams University, Cairo 11566, Egypt

Email

heidieffat@pharma.asu.edu.eg

City

-

Orcid

0000-0003-4174-5749

First Name

Ebtehal

Last Name

El-Demerdash

MiddleName

-

Affiliation

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Ain Shams University, Cairo 11566, Egypt

Email

ebtehal_dm@pharma.asu.edu.eg

City

-

Orcid

-

Volume

8

Article Issue

1

Related Issue

46206

Issue Date

2024-06-01

Receive Date

2023-11-28

Publish Date

2024-06-01

Page Start

13

Page End

28

Print ISSN

2356-8380

Online ISSN

2356-8399

Link

https://aps.journals.ekb.eg/article_341979.html

Detail API

http://journals.ekb.eg?_action=service&article_code=341979

Order

341,979

Type

Review Article

Type Code

658

Publication Type

Journal

Publication Title

Archives of Pharmaceutical Sciences Ain Shams University

Publication Link

https://aps.journals.ekb.eg/

MainTitle

Pathophysiology of depression: inflammation and its relation with oxidative stress and the hypothalamic-pituitary-adrenal axis

Details

Type

Article

Created At

24 Dec 2024