PMID- 19332097 OWN - NLM STAT- MEDLINE DCOM- 20090810 LR - 20221207 IS - 1878-4216 (Electronic) IS - 0278-5846 (Linking) VI - 33 IP - 4 DP - 2009 Jun 15 TI - Higher plasma interleukin-6 (IL-6) level is associated with SSRI- or SNRI-refractory depression. PG - 722-6 LID - 10.1016/j.pnpbp.2009.03.020 [doi] AB - In the present study, we compared plasma levels of interleukin-6 (IL-6), tumor necrosis factor-alpha(TNFalpha), and brain-derived neurotrophic factor (BDNF) among selective serotonin reuptake inhibitor (SSRI)- or serotonin noradrenaline reuptake inhibitor (SNRI)-responsive depressed patients (n=31), SSRI- or SNRI-refractory depressed patients (n=20), and healthy controls (n=30). The plasma levels of IL-6 and TNF-alpha were significantly higher in depressed patients than in healthy controls. Treatment with antidepressants significantly reduced plasma levels of IL-6 and TNF-alpha. In addition, the plasma IL-6 level, but not the plasma TNF-alpha level, was higher in SSRI-refractory than SSRI-responsive depressed patients, and higher in SNRI-refractory than SNRI-responsive depressed patients. On the other hand, the plasma BDNF level was significantly lower in depressed patients than in healthy controls, whereas no difference was found in plasma BDNF levels between SSRI-responsive and -refractory depressed patients or between SNRI-responsive and -refractory depressed patients. These results suggest that higher plasma IL-6 activity is associated with the refractoriness of depression, and plasma IL-6 levels might be a predictor for response to SSRIs or SNRI. FAU - Yoshimura, Reiji AU - Yoshimura R AD - Department of Psychiatry, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu 8078555, Japan. yoshi621@med.uoeh-u.ac.jp FAU - Hori, Hikaru AU - Hori H FAU - Ikenouchi-Sugita, Atsuko AU - Ikenouchi-Sugita A FAU - Umene-Nakano, Wakako AU - Umene-Nakano W FAU - Ueda, Nobuhisa AU - Ueda N FAU - Nakamura, Jun AU - Nakamura J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090328 PL - England TA - Prog Neuropsychopharmacol Biol Psychiatry JT - Progress in neuro-psychopharmacology & biological psychiatry JID - 8211617 RN - 0 (Adrenergic Uptake Inhibitors) RN - 0 (Antidepressive Agents) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Interleukin-6) RN - 0 (Serotonin Uptake Inhibitors) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adrenergic Uptake Inhibitors/*therapeutic use MH - Adult MH - Aged MH - Analysis of Variance MH - Antidepressive Agents/*therapeutic use MH - Brain-Derived Neurotrophic Factor/blood MH - Depression/*blood/*drug therapy MH - Dose-Response Relationship, Drug MH - Female MH - Humans MH - Interleukin-6/*blood MH - Male MH - Middle Aged MH - Selective Serotonin Reuptake Inhibitors/*therapeutic use MH - Statistics as Topic MH - Tumor Necrosis Factor-alpha/blood MH - Young Adult EDAT- 2009/04/01 09:00 MHDA- 2009/08/11 09:00 CRDT- 2009/04/01 09:00 PHST- 2009/01/09 00:00 [received] PHST- 2009/03/04 00:00 [revised] PHST- 2009/03/22 00:00 [accepted] PHST- 2009/04/01 09:00 [entrez] PHST- 2009/04/01 09:00 [pubmed] PHST- 2009/08/11 09:00 [medline] AID - S0278-5846(09)00096-7 [pii] AID - 10.1016/j.pnpbp.2009.03.020 [doi] PST - ppublish SO - Prog Neuropsychopharmacol Biol Psychiatry. 2009 Jun 15;33(4):722-6. doi: 10.1016/j.pnpbp.2009.03.020. Epub 2009 Mar 28.