Using Precision Medicine with a Neurodevelopmental Perspective to Study Inflammation and Depression

被引:3
作者
Levitan, Robert D. [1 ,2 ,3 ,4 ]
Zhang, Cindy X. W. [4 ]
Knight, Julia A. [5 ,6 ]
Hung, Rayjean [5 ,6 ]
Lye, Jennifer [5 ]
Murphy, Kellie [5 ,7 ]
Atkinson, Leslie [8 ]
Bocking, Alan [5 ,7 ]
Lye, Stephen [4 ,5 ,7 ]
Matthews, Stephen G. [4 ,5 ,7 ]
机构
[1] Ctr Addict & Mental Hlth, Mood & Anxiety Disorders Program, 100 Stokes St, Toronto, ON M6J 1H4, Canada
[2] Univ Toronto, Inst Med Sci, Toronto, ON, Canada
[3] Univ Toronto, Dept Psychiat, Toronto, ON, Canada
[4] Univ Toronto, Dept Physiol, Toronto, ON, Canada
[5] Mt Sinai Hosp, Lunenfeld Tanenbaum Res Inst, Toronto, ON, Canada
[6] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada
[7] Univ Toronto, Dept Obstet & Gynaecol, Toronto, ON, Canada
[8] Ryerson Univ, Dept Psychol, Toronto, ON, Canada
关键词
Inflammation; Depression; Precision medicine; Neurodevelopment; Developmental window; sex differences; C-REACTIVE PROTEIN; HS-CRP; SYMPTOMS; MARKERS; CONNECTIVITY; MECHANISMS; PREGNANCY; ANHEDONIA; BEHAVIOR; DEFINE;
D O I
10.1007/s11920-020-01206-8
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose of Review To consider various precision medicine approaches to further elucidate the relationship between inflammation and depression and to illustrate how a neurodevelopmental perspective can help in this regard. Recent Findings Inflammation associates most strongly with phenotypes of depression that reflect illness behavior and/or metabolic dysfunction and obesity. A separate body of research has shown that maternal inflammation during pregnancy can alter brain circuitry important for mood regulation and/or reward in the developing fetus. Our research group is finding that maternal CRP levels differentially predict positive and negative affect in children assessed at age 4 years, depending on the timing of plasma sampling during pregnancy and the sex of the child. Recent authors have stressed the need to use a variety of precision medicine approaches to refine our understanding of inflammation-depression links. Adding a neurodevelopmental perspective may help to address some of the methodological challenges in this active area of study.
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页数:6
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