PMID- 21872339 OWN - NLM STAT- MEDLINE DCOM- 20130116 LR - 20220330 IS - 1573-2517 (Electronic) IS - 0165-0327 (Linking) VI - 139 IP - 3 DP - 2012 Aug TI - Interleukin (IL)-6, tumour necrosis factor alpha (TNF-alpha) and soluble interleukin-2 receptors (sIL-2R) are elevated in patients with major depressive disorder: a meta-analysis and meta-regression. PG - 230-9 LID - 10.1016/j.jad.2011.08.003 [doi] AB - BACKGROUND: Many studies have explored the association between soluble interleukin-2 receptor (sIL-2R), cytokines and major depressive disorder (MDD). However, the results of these studies were not consistent. The aim of our study is to compare the levels of sIL-2R and cytokines in the blood between MDD patients and controls by a meta-analysis and to identify moderators accounting for potential heterogeneity in the levels of sIL-2R and cytokines in MDD patients versus controls by meta-regression analyses. METHODS: A comprehensive literature search was performed to identify studies comparing the levels of sIL-2R and cytokines between MDD patients and controls. We pooled the effect sizes for standardized mean differences (SMD) of the levels of sIL-2R and cytokines. We also performed meta-regression and sensitivity analyses to investigate the roles of age, gender, sample type, ethnic origin and selected studies' quality in explaining potential heterogeneity and differences in results respectively. RESULTS: Twenty-nine studies were selected for this analysis. The levels of sIL-2R, TNF-alpha and IL-6 in MDD patients were significantly higher than those of healthy controls (SMD=0.555, p<0.001, SMD=0.567, p=0.010; SMD=0.680, p<0.001). Mean age of all subjects was a significant moderator to explain the high heterogeneity of IL-6. Sensitivity analysis found that European but not non-European subjects have higher levels difference of sIL-2R, TNF-alpha and IL-1beta between MDD patients and controls. LIMITATION: The severity of MDD was not considered. CONCLUSION: The blood levels of sIL-2R, TNF-alpha and IL-6 were significantly higher in MDD patients than controls. Age, samples source and ethnic origins may play a potential role in heterogeneity. CI - Copyright (c) 2011 Elsevier B.V. All rights reserved. FAU - Liu, Yang AU - Liu Y AD - Department of Psychological Medicine, University Medicine Cluster, National University Health System, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. FAU - Ho, Roger Chun-Man AU - Ho RC FAU - Mak, Anselm AU - Mak A LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20110826 PL - Netherlands TA - J Affect Disord JT - Journal of affective disorders JID - 7906073 RN - 0 (Cytokines) RN - 0 (Interleukin-6) RN - 0 (Receptors, Interleukin-2) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Child MH - Cytokines/blood MH - Depressive Disorder, Major/*blood/immunology MH - Female MH - Humans MH - Interleukin-6/blood MH - Logistic Models MH - Male MH - Middle Aged MH - Receptors, Interleukin-2/analysis/blood MH - Tumor Necrosis Factor-alpha/analysis MH - Young Adult EDAT- 2011/08/30 06:00 MHDA- 2013/01/17 06:00 CRDT- 2011/08/30 06:00 PHST- 2011/04/14 00:00 [received] PHST- 2011/08/01 00:00 [revised] PHST- 2011/08/01 00:00 [accepted] PHST- 2011/08/30 06:00 [entrez] PHST- 2011/08/30 06:00 [pubmed] PHST- 2013/01/17 06:00 [medline] AID - S0165-0327(11)00460-5 [pii] AID - 10.1016/j.jad.2011.08.003 [doi] PST - ppublish SO - J Affect Disord. 2012 Aug;139(3):230-9. doi: 10.1016/j.jad.2011.08.003. Epub 2011 Aug 26.