1. Fluoxetine modulates the pro-inflammatory process of IL-6, IL-1β and TNF-α levels in individuals with depression: a systematic review and meta-analysis
- Author
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Jesús Arturo Ruiz-Quiñones, Carlos Alfonso Tovilla-Zárate, Alma Delia Genis-Mendoza, Angelica Selene Saucedo-Osti, Miguel Ángel Ramos-Méndez, Thelma Beatriz González-Castro, Isela Esther Juárez-Rojop, José Jaime Martínez-Magaña, María Lilia López-Narváez, Mario Villar-Soto, and María Lourdes García-García
- Subjects
Fluoxetine ,Depressive Disorder, Major ,biology ,business.industry ,Depression ,Interleukin-6 ,Tumor Necrosis Factor-alpha ,Interleukin-1beta ,Pharmacology ,Psychiatry and Mental health ,Meta-analysis ,biology.protein ,Medicine ,Cytokines ,Humans ,Interleukin 6 ,business ,Biological Psychiatry ,Depression (differential diagnoses) ,medicine.drug - Abstract
Clinical evidence suggests that inflammation is a key factor to understand the causes of depressive symptoms. Fluoxetine is one of the main first-line medications used for depression, and it is hypothesized that it participates in the decrease of pro-inflammatory cytokines. Hence, our aim was to perform a meta-analysis and systematic review to understand the interaction of fluoxetine in the IL-1β, IL-6 and TNF-α inflammatory process. Studies identified in PubMed and Scopus databases were used to perform a meta-analysis via the Comprehensive software. Standardized mean difference (SMD) was used as a summary statistic. The analysis included a total of 292 individuals with major depressive disorder who received fluoxetine for a period longer than 6 weeks; additionally, IL-1β, IL-6 or TNF-α levels were measured at the end of the antidepressant treatment. The findings were significant revealed decreased levels of the cytokines studied. In conclusion, the pooled data suggest that fluoxetine treatment improved depressive symptomatology by the modulation of pro-inflammatory process such as IL-1β, IL-6 or TNF-α.
- Published
- 2021