PMID- 37391112 OWN - NLM STAT- MEDLINE DCOM- 20230809 LR - 20230809 IS - 1873-7528 (Electronic) IS - 0149-7634 (Linking) VI - 152 DP - 2023 Sep TI - Clinical insights into the cross-link between mood disorders and type 2 diabetes: A review of longitudinal studies and Mendelian randomisation analyses. PG - 105298 LID - S0149-7634(23)00267-1 [pii] LID - 10.1016/j.neubiorev.2023.105298 [doi] AB - Mood disorders and type 2 diabetes mellitus (T2DM) are prevalent conditions that often co-occur. We reviewed the available evidence from longitudinal and Mendelian randomisation (MR) studies on the relationship between major depressive disorder (MDD), bipolar disorder and T2DM. The clinical implications of this comorbidity on the course of either condition and the impact of antidepressants, mood stabilisers, and antidiabetic drugs were examined. Consistent evidence indicates a bidirectional association between mood disorders and T2DM. T2DM leads to more severe depression, whereas depression is associated with more complications and higher mortality in T2DM. MR studies demonstrated a causal effect of MDD on T2DM in Europeans, while a suggestive causal association in the opposite direction was found in East Asians. Antidepressants, but not lithium, were associated with a higher T2DM risk in the long-term, but confounders cannot be excluded. Some oral antidiabetics, such as pioglitazone and liraglutide, may be effective on depressive and cognitive symptoms. Studies in multi-ethnic populations, with a more careful assessment of confounders and appropriate power, would be important. CI - Copyright (c) 2023 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Possidente, Chiara AU - Possidente C AD - Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy. FAU - Fanelli, Giuseppe AU - Fanelli G AD - Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy; Department of Human Genetics, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, the Netherlands. FAU - Serretti, Alessandro AU - Serretti A AD - Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy. Electronic address: alessandro.serretti@unibo.it. FAU - Fabbri, Chiara AU - Fabbri C AD - Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy; Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. LA - eng PT - Journal Article PT - Review DEP - 20230628 PL - United States TA - Neurosci Biobehav Rev JT - Neuroscience and biobehavioral reviews JID - 7806090 RN - 0 (Hypoglycemic Agents) RN - X4OV71U42S (Pioglitazone) SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/complications MH - Mood Disorders/drug therapy/complications MH - *Depressive Disorder, Major/drug therapy MH - Hypoglycemic Agents/therapeutic use MH - Pioglitazone OTO - NOTNLM OT - Depression OT - Glucagon-like peptide-1 (GLP-1) receptor agonists OT - Glycaemic control OT - Insulin resistance OT - Metformin OT - Mood stabilisers OT - Non-insulin-dependent diabetes OT - Oral hypoglycaemics OT - Pioglitazone OT - Selective serotonin reuptake inhibitors OT - Thiazolidinediones OT - Treatment resistance COIS- Declarations of interest AS is or has been consultant/speaker for Abbott, Abbvie, Angelini, AstraZeneca, Clinical Data, Boheringer, Bristol-Myers Squibb, Eli Lilly, GlaxoSmithKline, Innovapharma, Italfarmaco, Janssen, Lundbeck, Naurex, Pfizer, Polifarma, Sanofi, and Servier. CF was a speaker for Janssen. The other authors declare no potential conflicts of interest. EDAT- 2023/07/01 11:41 MHDA- 2023/08/09 06:43 CRDT- 2023/06/30 19:17 PHST- 2022/12/21 00:00 [received] PHST- 2023/05/15 00:00 [revised] PHST- 2023/06/26 00:00 [accepted] PHST- 2023/08/09 06:43 [medline] PHST- 2023/07/01 11:41 [pubmed] PHST- 2023/06/30 19:17 [entrez] AID - S0149-7634(23)00267-1 [pii] AID - 10.1016/j.neubiorev.2023.105298 [doi] PST - ppublish SO - Neurosci Biobehav Rev. 2023 Sep;152:105298. doi: 10.1016/j.neubiorev.2023.105298. Epub 2023 Jun 28.