Investigating the relationship between inflammatory cytokines and adolescent depression: a comparative analysis

BackgroundMajor depressive disorder (MDD) in adolescents poses a significant threat to physical health. Previous studies have indicated that adolescents with MDD exhibit immune activation.ObjectiveThis study aimed to compare cytokine levels in adolescents with MDD to healthy controls and assess thei...

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Main Authors: Mengqi Liu, Jie Tang, Gaoyang Xu, Xu Chen, Kun Fang, Fan He, Yi Zheng
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1524015/full
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author Mengqi Liu
Mengqi Liu
Jie Tang
Jie Tang
Gaoyang Xu
Gaoyang Xu
Xu Chen
Xu Chen
Kun Fang
Fan He
Fan He
Yi Zheng
Yi Zheng
author_facet Mengqi Liu
Mengqi Liu
Jie Tang
Jie Tang
Gaoyang Xu
Gaoyang Xu
Xu Chen
Xu Chen
Kun Fang
Fan He
Fan He
Yi Zheng
Yi Zheng
author_sort Mengqi Liu
collection DOAJ
description BackgroundMajor depressive disorder (MDD) in adolescents poses a significant threat to physical health. Previous studies have indicated that adolescents with MDD exhibit immune activation.ObjectiveThis study aimed to compare cytokine levels in adolescents with MDD to healthy controls and assess their diagnostic value.MethodsThis cross-sectional study included 58 adolescent patients with depression from Beijing Anding Hospital (outpatients and inpatients) and 40 healthy adolescents recruited from the community. Multiplex cytokine analysis (Luminex xMAP) was used to measure serum levels of several cytokines. Data analysis was performed using SPSS (version 26.0) to compare cytokine levels between adolescents with MDD and healthy controls and assess gender differences. Correlations between cytokine levels and demographic data, clinical features and depressive symptoms were also analyzed. The receiver operating characteristic (ROC) curves were used to evaluate the diagnostic value of cytokines.ResultsSerum IL-4, IFN-γ, and TNF-α levels were significantly elevated in MDD group compared with healthy controls (p < 0.05). In MDD group, the age of first onset of depression in females was significantly younger than that in males (p < 0.05), and female serum TNF-α levels were significantly higher than those in males (p < 0.05). BMI and serum IL-4 levels were significantly positively correlated in adolescents with MDD. The area under the ROC curve for serum IL-4 and TNF-α in diagnosing adolescent depression was 0.695 (95% confidence interval [CI]: 0.580 - 0.809; p < 0.05), with a sensitivity of 0.793 and specificity of 0.675.ConclusionCompared with healthy controls, adolescents with depression demonstrated significantly elevated serum cytokine levels, indicating immune activation which were higher in female. Cytokines may have promising diagnostic value in adolescent depression, but further validation with additional indicators is needed.
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spelling doaj-art-af71708874434abfbe0aea60b93ab46f2025-02-06T07:09:41ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-02-011610.3389/fpsyt.2025.15240151524015Investigating the relationship between inflammatory cytokines and adolescent depression: a comparative analysisMengqi Liu0Mengqi Liu1Jie Tang2Jie Tang3Gaoyang Xu4Gaoyang Xu5Xu Chen6Xu Chen7Kun Fang8Fan He9Fan He10Yi Zheng11Yi Zheng12The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, ChinaAdvanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, ChinaThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, ChinaAdvanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, ChinaThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, ChinaAdvanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, ChinaThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, ChinaAdvanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, ChinaSchool of Basic Medical Sciences, Capital Medical University, Beijing, ChinaThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, ChinaAdvanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, ChinaThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, ChinaAdvanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, ChinaBackgroundMajor depressive disorder (MDD) in adolescents poses a significant threat to physical health. Previous studies have indicated that adolescents with MDD exhibit immune activation.ObjectiveThis study aimed to compare cytokine levels in adolescents with MDD to healthy controls and assess their diagnostic value.MethodsThis cross-sectional study included 58 adolescent patients with depression from Beijing Anding Hospital (outpatients and inpatients) and 40 healthy adolescents recruited from the community. Multiplex cytokine analysis (Luminex xMAP) was used to measure serum levels of several cytokines. Data analysis was performed using SPSS (version 26.0) to compare cytokine levels between adolescents with MDD and healthy controls and assess gender differences. Correlations between cytokine levels and demographic data, clinical features and depressive symptoms were also analyzed. The receiver operating characteristic (ROC) curves were used to evaluate the diagnostic value of cytokines.ResultsSerum IL-4, IFN-γ, and TNF-α levels were significantly elevated in MDD group compared with healthy controls (p < 0.05). In MDD group, the age of first onset of depression in females was significantly younger than that in males (p < 0.05), and female serum TNF-α levels were significantly higher than those in males (p < 0.05). BMI and serum IL-4 levels were significantly positively correlated in adolescents with MDD. The area under the ROC curve for serum IL-4 and TNF-α in diagnosing adolescent depression was 0.695 (95% confidence interval [CI]: 0.580 - 0.809; p < 0.05), with a sensitivity of 0.793 and specificity of 0.675.ConclusionCompared with healthy controls, adolescents with depression demonstrated significantly elevated serum cytokine levels, indicating immune activation which were higher in female. Cytokines may have promising diagnostic value in adolescent depression, but further validation with additional indicators is needed.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1524015/fulladolescentsinflammationdepressionTNF-αIL-4
spellingShingle Mengqi Liu
Mengqi Liu
Jie Tang
Jie Tang
Gaoyang Xu
Gaoyang Xu
Xu Chen
Xu Chen
Kun Fang
Fan He
Fan He
Yi Zheng
Yi Zheng
Investigating the relationship between inflammatory cytokines and adolescent depression: a comparative analysis
Frontiers in Psychiatry
adolescents
inflammation
depression
TNF-α
IL-4
title Investigating the relationship between inflammatory cytokines and adolescent depression: a comparative analysis
title_full Investigating the relationship between inflammatory cytokines and adolescent depression: a comparative analysis
title_fullStr Investigating the relationship between inflammatory cytokines and adolescent depression: a comparative analysis
title_full_unstemmed Investigating the relationship between inflammatory cytokines and adolescent depression: a comparative analysis
title_short Investigating the relationship between inflammatory cytokines and adolescent depression: a comparative analysis
title_sort investigating the relationship between inflammatory cytokines and adolescent depression a comparative analysis
topic adolescents
inflammation
depression
TNF-α
IL-4
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1524015/full
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