Peripheral immune cell reactivity and neural response to reward in patients with depression and anhedonia

Abstract Increased levels of peripheral cytokines have been previously associated with depression in preclinical and clinical research. Although the precise nature of peripheral immune dysfunction in depression remains unclear, evidence from animal studies points towards a dysregulated response of p...

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Autores principales: Sara Costi, Laurel S. Morris, Abigail Collins, Nicolas F. Fernandez, Manishkumar Patel, Hui Xie, Seunghee Kim-Schulze, Emily R. Stern, Katherine A. Collins, Flurin Cathomas, Michael K. Parides, Alexis E. Whitton, Diego A. Pizzagalli, Scott J. Russo, James W. Murrough
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Publicado: Nature Publishing Group 2021
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spelling oai:doaj.org-article:ba742c5afe7d476aa19d67c3d88c7bb52021-11-07T12:17:40ZPeripheral immune cell reactivity and neural response to reward in patients with depression and anhedonia10.1038/s41398-021-01668-12158-3188https://doaj.org/article/ba742c5afe7d476aa19d67c3d88c7bb52021-11-01T00:00:00Zhttps://doi.org/10.1038/s41398-021-01668-1https://doaj.org/toc/2158-3188Abstract Increased levels of peripheral cytokines have been previously associated with depression in preclinical and clinical research. Although the precise nature of peripheral immune dysfunction in depression remains unclear, evidence from animal studies points towards a dysregulated response of peripheral leukocytes as a risk factor for stress susceptibility. This study examined dynamic release of inflammatory blood factors from peripheral blood mononuclear cells (PBMC) in depressed patients and associations with neural and behavioral measures of reward processing. Thirty unmedicated patients meeting criteria for unipolar depressive disorder and 21 healthy control volunteers were enrolled. PBMCs were isolated from whole blood and stimulated ex vivo with lipopolysaccharide (LPS). Olink multiplex assay was used to analyze a large panel of inflammatory proteins. Participants completed functional magnetic resonance imaging with an incentive flanker task to probe neural responses to reward anticipation, as well as clinical measures of anhedonia and pleasure including the Temporal Experience of Pleasure Scale (TEPS) and the Snaith-Hamilton Pleasure Scale (SHAPS). LPS stimulation revealed larger increases in immune factors in depressed compared to healthy subjects using an aggregate immune score (t 49 = 2.83, p = 0.007). Higher peripheral immune score was associated with reduced neural responses to reward anticipation within the ventral striatum (VS) (r = −0.39, p = 0.01), and with reduced anticipation of pleasure as measured with the TEPS anticipatory sub-score (r = −0.318, p = 0.023). Our study provides new evidence suggesting that dynamic hyper-reactivity of peripheral leukocytes in depressed patients is associated with blunted activation of the brain reward system and lower subjective anticipation of pleasure.Sara CostiLaurel S. MorrisAbigail CollinsNicolas F. FernandezManishkumar PatelHui XieSeunghee Kim-SchulzeEmily R. SternKatherine A. CollinsFlurin CathomasMichael K. ParidesAlexis E. WhittonDiego A. PizzagalliScott J. RussoJames W. MurroughNature Publishing GrouparticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENTranslational Psychiatry, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Sara Costi
Laurel S. Morris
Abigail Collins
Nicolas F. Fernandez
Manishkumar Patel
Hui Xie
Seunghee Kim-Schulze
Emily R. Stern
Katherine A. Collins
Flurin Cathomas
Michael K. Parides
Alexis E. Whitton
Diego A. Pizzagalli
Scott J. Russo
James W. Murrough
Peripheral immune cell reactivity and neural response to reward in patients with depression and anhedonia
description Abstract Increased levels of peripheral cytokines have been previously associated with depression in preclinical and clinical research. Although the precise nature of peripheral immune dysfunction in depression remains unclear, evidence from animal studies points towards a dysregulated response of peripheral leukocytes as a risk factor for stress susceptibility. This study examined dynamic release of inflammatory blood factors from peripheral blood mononuclear cells (PBMC) in depressed patients and associations with neural and behavioral measures of reward processing. Thirty unmedicated patients meeting criteria for unipolar depressive disorder and 21 healthy control volunteers were enrolled. PBMCs were isolated from whole blood and stimulated ex vivo with lipopolysaccharide (LPS). Olink multiplex assay was used to analyze a large panel of inflammatory proteins. Participants completed functional magnetic resonance imaging with an incentive flanker task to probe neural responses to reward anticipation, as well as clinical measures of anhedonia and pleasure including the Temporal Experience of Pleasure Scale (TEPS) and the Snaith-Hamilton Pleasure Scale (SHAPS). LPS stimulation revealed larger increases in immune factors in depressed compared to healthy subjects using an aggregate immune score (t 49 = 2.83, p = 0.007). Higher peripheral immune score was associated with reduced neural responses to reward anticipation within the ventral striatum (VS) (r = −0.39, p = 0.01), and with reduced anticipation of pleasure as measured with the TEPS anticipatory sub-score (r = −0.318, p = 0.023). Our study provides new evidence suggesting that dynamic hyper-reactivity of peripheral leukocytes in depressed patients is associated with blunted activation of the brain reward system and lower subjective anticipation of pleasure.
format article
author Sara Costi
Laurel S. Morris
Abigail Collins
Nicolas F. Fernandez
Manishkumar Patel
Hui Xie
Seunghee Kim-Schulze
Emily R. Stern
Katherine A. Collins
Flurin Cathomas
Michael K. Parides
Alexis E. Whitton
Diego A. Pizzagalli
Scott J. Russo
James W. Murrough
author_facet Sara Costi
Laurel S. Morris
Abigail Collins
Nicolas F. Fernandez
Manishkumar Patel
Hui Xie
Seunghee Kim-Schulze
Emily R. Stern
Katherine A. Collins
Flurin Cathomas
Michael K. Parides
Alexis E. Whitton
Diego A. Pizzagalli
Scott J. Russo
James W. Murrough
author_sort Sara Costi
title Peripheral immune cell reactivity and neural response to reward in patients with depression and anhedonia
title_short Peripheral immune cell reactivity and neural response to reward in patients with depression and anhedonia
title_full Peripheral immune cell reactivity and neural response to reward in patients with depression and anhedonia
title_fullStr Peripheral immune cell reactivity and neural response to reward in patients with depression and anhedonia
title_full_unstemmed Peripheral immune cell reactivity and neural response to reward in patients with depression and anhedonia
title_sort peripheral immune cell reactivity and neural response to reward in patients with depression and anhedonia
publisher Nature Publishing Group
publishDate 2021
url https://doaj.org/article/ba742c5afe7d476aa19d67c3d88c7bb5
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