IMR Press / FBL / Volume 28 / Issue 12 / DOI: 10.31083/j.fbl2812356
Open Access Review
Inflammation and Late-Life Depression: Unraveling the Complex Relationship and Potential Therapeutic Strategies
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1 School of Medicine, Kunming University of Science and Technology, 650000 Kunming, Yunnan, China
2 Department of Clinical Psychology, The First People's Hospital of Yunnan Province, 650000 Kunming, Yunnan, China
3 The Affiliated Hospital of Kunming University of Science and Technology, 650000 Kunming, Yunnan, China
4 Department of Geriatrics, The First People's Hospital of Yunnan Province, 650000 Kunming, Yunnan, China
*Correspondence: shaoheng90@sina.com (Heng Shao)
These authors contributed equally.
Front. Biosci. (Landmark Ed) 2023, 28(12), 356; https://doi.org/10.31083/j.fbl2812356
Submitted: 7 May 2023 | Revised: 21 August 2023 | Accepted: 7 September 2023 | Published: 28 December 2023
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

The origins of late-life depression are multifaceted and remain challenging to fully understand. While the traditional monoamine neurotransmitter hypothesis provides some insights, it falls short in explaining the disease’s onset and progression, leaving treatments often less than optimal. There is an emergent need to uncover new underlying mechanisms. Among these, the “inflammation hypothesis” has been gaining traction in scientific discussions regarding late-life depression. There is compelling evidence linking inflammation processes to the emergence of this form of depression. This review delves into the nuanced relationship between inflammation and late-life depression, emphasizing the pivotal role and implications of inflammation in its pathogenesis. Changes in Ca2+ homeostasis, cytokine levels, brain-derived neurotrophic factor (BDNF), white cell ratios, and the involvement of the NOD-, LRR-, and Pyrin domain-containing protein 3 (NLRP3) inflammasome have all been suggested as potential biomarkers that tie inflammation to late-life depression. Furthermore, factors such as aging-induced DNA damage, oxidative stress, mitochondrial impairments, disruptions in the hypothalamic-pituitary-adrenal axis, activated microglia and associated neuroinflammation, as well as the gut-brain axis dynamics, could serve as bridges between inflammation and depression. Deepening our understanding of these connections could usher in innovative anti-inflammatory treatments and strategies for late- life depression.

Keywords
late life depression
inflammation
molecular mechanisms
pathway
personalized target and therapy
Funding
81960259/National Natural Science Foundation of China
2023A1010128/Program of Yunnan Clinical Research Center for Geriatric Diseases
2023YJZX-LN20/Yunnan Provincial Clinical Research Center for Geriatric Diseases
2023A4010302/Dong Birong Expert Workstation Program of Yunnan
Figures
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