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Brain Inflammation Linked to Depression

Canadian researchers with the Centre for Addiction and Mental Health (CAMH) have been studying the effects of depression on the brain and have found that inflammation in the brain is elevated in those with depression. They also discovered that for people who have longer periods of untreated depression (more than a decade), there is significantly more brain inflammation.1,2

Physical evidence of inflammation in the brain

The first study looked at inflammatory markers in the brain: specifically, they measured the number of microglia cells that were activated. Microglia play a key role in the inflammation response in the brain, and when they are activated, they make more of a protein called translocator protein (TSPO). TSPO can be viewed using brain scans with positron emission tomography (PET). The researchers conducted brain scans on 20 people with depression and 20 healthy control subjects and found that those with depression had an increase in brain inflammation by about 30%. The inflammation was greatest among those who had the most severe depression.1,2

Long-term effects of untreated depression

The latest study by CAMH also used brain imaging and looked at 25 people with more than 10 years of depression, 25 people with less than 10 years of depression, and 30 people with no depression. The TSPO levels (indicating activated microglia) were 30% higher among those with 10 years or more of untreated depression compared to those with shorter periods of depression.2

About inflammation and depression

While inflammation can be a protective mechanism of the body, such as when a sprain causes inflammation to immobilize the joint, chronic inflammation can cause damage to surrounding tissues. Chronic brain inflammation is associated with other degenerative diseases including Alzheimer’s disease and Parkinson’s disease.1,2

Data from several research studies suggests that the role of inflammation in depression might be responsible for symptoms like low mood, loss of appetite, and difficulties with sleep. As of now, it’s unclear whether inflammation is the cause of depression and its symptoms, or if inflammation of the brain is a symptom of depression.1

A new treatment target

This research on inflammation is important because more than half of people with depression do not get relief with antidepressants. Antidepressants do not target inflammation. Identifying inflammation as a major characteristic of depression – whether inflammation is the cause of depression or a symptom – provides a new potential target for treatment approaches.1,2

  1. New biological evidence reveals link between brain inflammation and major depression. Centre for Addiction and Mental Health. Available at http://www.camh.ca/en/hospital/about_camh/newsroom/news_releases_media_advisories_and_backgrounders/current_year/Pages/New-biological-evidence-reveals-link-between-brain-inflammation-and-major-depression.aspx. Accessed 3/30/18.
  2. Over years, depression changes the brain, new CAMH study shows. Centre for Addiction and Mental Health. Available at http://www.camh.ca/en/hospital/about_camh/newsroom/news_releases_media_advisories_and_backgrounders/current_year/Pages/Over-years-depression-changes-the-brain.aspx. Accessed 3/30/18.

Comments

  • Benjamin David Steele
    7 months ago

    “As of now, it’s unclear whether inflammation is the cause of depression and its symptoms, or if inflammation of the brain is a symptom of depression.”

    It’s likely both are caused or contributed to by other factors. Certainly, both have been associated with stress, trauma, infections, parasites, toxins, high-carb diet, omega-6 fatty acids, nutrient deficiencies, physical inactivity, etc.

    I hope we soon get better research clarifying the causal links and their directionality. The research on the ketogenic diet has been particularly promising. It’s the most well-researched diet for neurocognitive conditions going back to when it was first medically used in the 1920s for epileptic seizures.

    It’s since been shown effective for other conditions such as depression. I know it has made a big difference for my own depression. There was improvement in my mood, energy, motivation, and focus. My irritability, addictiveness, and compulsive tendencies also decreased.

    We scientifically know that the ketogenic diet is anti-inflammatory. That is the great advantage to shifting more of the body’s fuels to fat, rather than starchy carbs and sugar. It entirely shifts how the body and brain functions. Most of us don’t understand and appreciate how unusual is the modern industrialized diet of high-carb processed foods.

  • Chris H. moderator
    7 months ago

    Appreciate you sharing your thoughts, Benjamin! There’s certainly a lot of interesting research around the Keto diet, and I’m really glad to hear how much it’s helping you. Take care! – Chris, ParkinsonsDisease.net Team

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