There is good news and bad news when it comes to our understanding of inflammation
in the pathogenesis and treatment of major depressive disorder (MDD). The bad news
is that, like the dexamethasone suppression test or the efficacy of antidepressants
before it, inflammation is oversold as an answer to the mystery of depression and
its treatment. The good news is that an unusually replicable set of findings (for
psychiatry) increasingly paints a consistent picture of the ways in which inflammation
is of value in understanding MDD. In the current issue of Biological Psychiatry, Attwells et al. (
1
) simultaneously extend and confirm what we know already about how brain and body
work together when it comes to inflammation and its role in MDD.
SEE CORRESPONDING ARTICLE ON PAGE 649
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Article info
Publication history
Accepted:
August 5,
2020
Received:
August 1,
2020
Identification
Copyright
© 2020 Published by Elsevier Inc on behalf of Society of Biological Psychiatry.
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Access this article on ScienceDirectLinked Article
- Translocator Protein Distribution Volume Predicts Reduction of Symptoms During Open-Label Trial of Celecoxib in Major Depressive DisorderBiological PsychiatryVol. 88Issue 8
- PreviewGliosis is common among neuropsychiatric diseases, but the relationship between gliosis and response to therapeutics targeting effects of gliosis is largely unknown. Translocator protein total distribution volume (TSPO VT), measured with positron emission tomography, mainly reflects gliosis in neuropsychiatric disease. Here, the primary objective was to determine whether TSPO VT in the prefrontal cortex (PFC) and anterior cingulate cortex (ACC) predicts reduction of depressive symptoms following open-label celecoxib administration in treatment-resistant major depressive disorder.
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