PMID- 35994946 OWN - NLM STAT- MEDLINE DCOM- 20220914 LR - 20221108 IS - 1872-8421 (Electronic) IS - 0165-5728 (Linking) VI - 371 DP - 2022 Oct 15 TI - The role of damage associated molecular pattern molecules (DAMPs) and permeability of the blood-brain barrier in depression and neuroinflammation. PG - 577951 LID - S0165-5728(22)00146-1 [pii] LID - 10.1016/j.jneuroim.2022.577951 [doi] AB - Depression is a heterogeneous mental disorder characterized by feelings of sadness and loss of interest that render the subject unable to handle basic daily activities such as sleeping, eating, or working. Neurobiological traits leading to depression include genetic background, early life abuse, life stressors, and systemic and central inflammatory profiles. Several clinical and preclinical reports documented that depression shows an increase in pro-inflammatory markers such as interleukin (IL-)1beta, IL-6, IL-12, tumor necrosis factor (TNF), and interferon (IFN)-gamma; and a decrease in anti-inflammatory IL-4, IL-10, and transforming growth factor (TGF)-beta species. Inflammatory activation may trigger and maintain depression. Dynamic crosstalk between the peripheral immune system and the central nervous system (CNS) such as activated endothelial cells, monocytes, monocyte-derived dendritic cells, macrophages, T cells, and microglia has been proposed as a leading cause of neuroinflammation. Notably, pro-inflammatory cytokines disrupt the hypothalamic-pituitary-adrenal (HPA) axis and serotonergic, noradrenergic, dopaminergic, and glutamatergic neurotransmission. While still under investigation, peripheral cytokines can engage brain pathways and affect the central synthesis of HPA hormones and neurotransmitters through several mechanisms such as activation of the vagus nerve, increasing the permeability of the blood-brain barrier (BBB), altered cytokines transport systems, and engaging toll-like receptors (TLRs) by pathogen-associated molecular patterns (PAMPs) or damage-associated molecular patterns (DAMPs). However, physiological mechanisms that favor time-dependent central inflammation before or during illness are not totally understood. This review will provide preclinical and clinical evidence of DAMPs and the BBB permeability as contributors to depression and neuroinflammation. We will also discuss pharmacologic approaches that could potentially modulate DAMPs and BBB permeability for future interventions against major depression. CI - Copyright (c) 2022 Elsevier B.V. All rights reserved. FAU - Serna-Rodriguez, Maria Fernanda AU - Serna-Rodriguez MF AD - Universidad Autonoma de Nuevo Leon, Facultad de Medicina, Departamento de Bioquimica y Medicina Molecular. Monterrey CP. 64460, Nuevo Leon, Mexico. FAU - Bernal-Vega, Sofia AU - Bernal-Vega S AD - Universidad Autonoma de Nuevo Leon, Facultad de Medicina, Departamento de Bioquimica y Medicina Molecular. Monterrey CP. 64460, Nuevo Leon, Mexico. FAU - de la Barquera, Jose Alfonso Ontiveros-Sanchez AU - de la Barquera JAO AD - Universidad Autonoma de Nuevo Leon, Facultad de Medicina Monterrey, Departamento de Psiquiatria, Monterrey CP. 64460, Nuevo Leon, Mexico. FAU - Camacho-Morales, Alberto AU - Camacho-Morales A AD - Universidad Autonoma de Nuevo Leon, Facultad de Medicina, Departamento de Bioquimica y Medicina Molecular. Monterrey CP. 64460, Nuevo Leon, Mexico. Electronic address: alberto.camachomr@uanl.edu.mx. FAU - Perez-Maya, Antonio Ali AU - Perez-Maya AA AD - Universidad Autonoma de Nuevo Leon, Facultad de Medicina, Departamento de Bioquimica y Medicina Molecular. Monterrey CP. 64460, Nuevo Leon, Mexico. Electronic address: antonio.perezmy@uanl.edu.mx. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220817 PL - Netherlands TA - J Neuroimmunol JT - Journal of neuroimmunology JID - 8109498 RN - 0 (Alarmins) RN - 0 (Cytokines) SB - IM MH - *Alarmins MH - *Blood-Brain Barrier/pathology MH - Cytokines/metabolism MH - Depression MH - Endothelial Cells/metabolism MH - Humans MH - Neuroinflammatory Diseases MH - Permeability OTO - NOTNLM OT - Blood-brain barrier OT - Cytokines OT - DAMPs OT - Depression OT - Neuroinflammation COIS- Declaration of Competing Interest The authors of this manuscript declare that they have no conflict of interest. EDAT- 2022/08/23 06:00 MHDA- 2022/09/15 06:00 CRDT- 2022/08/22 18:24 PHST- 2022/02/17 00:00 [received] PHST- 2022/08/03 00:00 [revised] PHST- 2022/08/13 00:00 [accepted] PHST- 2022/08/23 06:00 [pubmed] PHST- 2022/09/15 06:00 [medline] PHST- 2022/08/22 18:24 [entrez] AID - S0165-5728(22)00146-1 [pii] AID - 10.1016/j.jneuroim.2022.577951 [doi] PST - ppublish SO - J Neuroimmunol. 2022 Oct 15;371:577951. doi: 10.1016/j.jneuroim.2022.577951. Epub 2022 Aug 17.