PMID- 34166063 OWN - NLM STAT- MEDLINE DCOM- 20211108 LR - 20221207 IS - 1557-8992 (Electronic) IS - 1044-5463 (Print) IS - 1044-5463 (Linking) VI - 31 IP - 6 DP - 2021 Aug TI - Inflammatory Markers Profile in Older Adolescents During Treatment with Selective Serotonin Reuptake Inhibitors. PG - 439-444 LID - 10.1089/cap.2020.0140 [doi] AB - Objective: This study aimed to investigate the serum levels of inflammatory markers in adolescents with major depressive disorder (MDD) using selective serotonin reuptake inhibitors. Methods: This was an 8-month observational study, involving 30 adolescents with and 38 without (control) MDD diagnosis. Demographic (age and gender) and anthropometric data (weight, height, and calculated body mass index [BMI] z score) were collected. Body composition was assessed with whole-body DXA scan. Depressive and anxiety symptoms were assessed using the Beck Depression and Anxiety Inventories (BDI-II and BAI), respectively. Serum levels of interleukin (IL)-6, IL-8, IL-1beta, tumor necrosis factor, monocyte chemoattractant protein-1 (MCP-1), leptin, resistin, and adiponectin were measured using Bio-Plex Multiplex Immunoassays at baseline and after 8 months. Results: At baseline, patients with MDD and controls did not differ in age, gender, BMI z score, and fat mass index (FMI) z score. At follow-up, 58.3% (21/36) of patients with MDD were in full remission. Patients with MDD had higher levels of resistin at baseline (26274.16 pg/mL [16162.68-54252.72]) than controls (21678.53 pg/mL [11221.17-37343.27]; p < 0.01). This difference remained statistically significant after adjustment for sex, age, and FMI z score. No differences in other inflammatory markers were observed between the groups. By follow up, depressive and anxiety symptom severity had decreased significantly in patients with MDD in parallel with a decrease in the serum levels of TNF (p = 0.02), IL-8 (p < 0.01) and MCP-1 (p = 0.04). Among these markers, BDI-II score was positively correlated with serum levels of MCP-1. Conclusion: These results corroborate the view of involvement of peripheral inflammatory mechanisms in the pathophysiology of MDD in adolescents. This trial is registered at ClinicalTrials.gov: NCT02147184. FAU - Martins, Lais Bhering AU - Martins LB AUID- ORCID: 0000-0002-9814-8649 AD - Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, Houston, Texas, USA. FAU - Delevati Colpo, Gabriela AU - Delevati Colpo G AD - Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, Houston, Texas, USA. FAU - Calarge, Chadi A AU - Calarge CA AD - Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, USA. FAU - Teixeira, Antonio Lucio AU - Teixeira AL AD - Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, Houston, Texas, USA. LA - eng SI - ClinicalTrials.gov/NCT02147184 PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20210624 PL - United States TA - J Child Adolesc Psychopharmacol JT - Journal of child and adolescent psychopharmacology JID - 9105358 RN - 0 (Biomarkers) RN - 0 (Interleukin-6) RN - 0 (Resistin) RN - 0 (Serotonin Uptake Inhibitors) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adolescent MH - Adult MH - Anxiety/psychology MH - *Biomarkers MH - *Depressive Disorder, Major/blood/drug therapy MH - Female MH - Humans MH - *Inflammation MH - Interleukin-6/blood MH - Male MH - Psychiatric Status Rating Scales MH - Resistin MH - Selective Serotonin Reuptake Inhibitors/*therapeutic use MH - Tumor Necrosis Factor-alpha/blood MH - Young Adult PMC - PMC8403204 OTO - NOTNLM OT - SSRI OT - adolescents OT - cytokines OT - depression OT - inflammation EDAT- 2021/06/25 06:00 MHDA- 2021/11/09 06:00 PMCR- 2022/08/01 CRDT- 2021/06/24 17:14 PHST- 2021/06/25 06:00 [pubmed] PHST- 2021/11/09 06:00 [medline] PHST- 2021/06/24 17:14 [entrez] PHST- 2022/08/01 00:00 [pmc-release] AID - 10.1089/cap.2020.0140 [pii] AID - 10.1089/cap.2020.0140 [doi] PST - ppublish SO - J Child Adolesc Psychopharmacol. 2021 Aug;31(6):439-444. doi: 10.1089/cap.2020.0140. Epub 2021 Jun 24.