Current Opinion in Psychiatry,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 30, 2024
The
immune
system
is
of
pivotal
importance
with
regard
to
the
development
and
maintenance
mental
illness.
Aberrant
cytokine
levels
are
significant
markers,
research
increasingly
focusing
on
complement
gut-brain
axis.
efficacy
safety
immunomodulatory
interventions
currently
subject
clinical
studies.
Hence,
this
review
timeline
relevant
evaluate
latest
evidence
value
treatments
from
studies
over
past
18
months
in
schizophrenia,
bipolar
disorder
unipolar
depression.
Brain Sciences,
Journal Year:
2025,
Volume and Issue:
15(3), P. 238 - 238
Published: Feb. 24, 2025
Background:
Major
depressive
disorder
is
a
common
mental
health
issue
characterized
by
persistently
low
mood
and
high
morbidity
mortality.
The
major
pathophysiology
neuroinflammation,
as
evidenced
elevated
cytokine
levels.
Patients
often
fail
to
achieve
full
remission
with
the
use
of
currently
available
antidepressants,
prompting
search
for
new
treatment
options.
Schaftoside
(SS),
flavonoid
found
in
traditional
Chinese
herbs,
has
both
antioxidant
anti-inflammatory
properties.
However,
its
antidepressant
effects
are
poorly
understood.
Methods:
Male
C57BL/6
mice
underwent
chronic
unpredictable
mild
stress
(CUMS)
lipopolysaccharide
(LPS)
induce
depression-
anxiety-like
behaviors.
SS
was
administered
at
40,
80,
160
mg/kg
28
days.
effect
on
depression-like
behaviors
assessed
using
behavioral
assays,
ELISA
used
measure
pro-inflammatory
cytokines
serum
hippocampus.
Results:
significantly
decreased
immobility
forced
swim
tail
suspension
tests,
increased
sucrose
preference
test,
reduced
feeding
latency
novelty-suppressed
test.
These
findings
indicate
improved
depression
showed
that
lowered
interleukin-1
beta
(IL-1β),
IL-6,
tumor
necrosis
factor-alpha
levels
hippocampus
CUMS
mice.
Conclusions:
Our
study
indicates
anxiolytic
effects,
possibly
through
neuroinflammatory
processes,
making
it
promising
therapeutic
candidate
depression,
thus
deserves
further
investigation
into
mechanisms
clinical
efficacy.
Minerva Anestesiologica,
Journal Year:
2025,
Volume and Issue:
91(1-2)
Published: March 1, 2025
BACKGROUND:
This
study
aimed
to
observe
the
effect
of
esketamine
on
postoperative
pain
and
inflammatory
factors
in
children
undergoing
tonsillectomy
adenoidectomy.METHODS:
Eighty
scheduled
for
adenoidectomy
were
randomly
divided
into
two
groups
using
a
random
number
table:
an
group
(S-ketamine
group,
N.=40)
control
(control
N.=40).
The
primary
outcome
was
score,
measured
Face,
Legs,
Activity,
Cry,
Consolability
(FLACC)
scale
score.
Secondary
outcomes
include
emergence
agitation
score
(Pediatric
Anesthesia
Emergence
Delirium
[PAED]),
operation
time,
recovery
postanesthesia
care
unit
(PACU)
stay
adverse
reactions
within
48
h
after
operation,
plasma
C-reactive
protein
(CRP)
interleukin-6
(IL-6)
concentrations.RESULTS:
At
T1,
T2,
T3,
T4,
T5,
FLACC
scores
S-ketamine
significantly
lower
than
those
(15
min:
2.4±0.7
vs.
3.4±0.8,
P<0.01;
1
h:
1.7±0.6
2.2±0.7,
6
1.5±0.6
2.0±0.5,
12
1.8±0.7,
P<0.05;
24
1.4±0.6
1.7±0.6,
P<0.05).
PAED
at
T1
T2
4.0±0.9
6.4±1.3,
2.1±0.5,
P<0.01).
Compared
with
T0,
CRP
IL-6
concentrations
T3
increased
(P<0.01),
but
increase
smaller
that
(IL-6:
111.8±19.2
145.8±22.5,
CRP:
1.2±0.5
1.5±0.5,
other
similar
between
groups.CONCLUSIONS:
Esketamine
used
pediatric
can
effectively
reduce
FLACC,
levels
without
increasing
reactions.
BMJ Open,
Journal Year:
2025,
Volume and Issue:
15(3), P. e092159 - e092159
Published: March 1, 2025
Introduction
Postoperative
delirium
(POD)
is
a
common
complication
after
hip
fracture
surgery
in
older
patients.
Esketamine
may
be
beneficial
alleviating
the
occurrence
of
POD.
Our
trial
aim
to
investigate
whether
intravenous
administration
esketamine
can
improve
POD
patients
undergoing
for
fracture.
Methods
and
analysis
This
randomised
controlled
will
conducted
at
Chengdu
Integrated
TCM
&
Western
Medicine
Hospital
Chengdu,
China.
A
total
260
scheduled
under
general
anaesthesia
randomly
allocated
either
an
group
(group
E)
or
control
C)
1:1
ratio
(n=130
each
group).
After
tracheal
intubation,
E
receive
continuous
infusion
rate
0.3
mg/kg/h
intraoperatively
until
beginning
skin
incision
closure.
Group
C
equivalent
volumes
rates
0.9%
normal
saline;
injection
methods
are
accordance
with
those
E.
The
primary
outcome
incidence
within
3
days
surgery,
which
evaluated
using
confusion
assessment
method
two
times
per
day.
Secondary
outcomes
subtypes,
duration
delirium,
length
hospital
stay,
pain
severity
score
30-day
all-cause
mortality.
Pain
scores
rest
numeric
rating
scale.
Safety
include
hallucination,
dizziness,
nightmares,
nausea
vomiting.
All
analyses
performed
line
intention-to-treat
principle.
Ethics
dissemination
approval
was
obtained
from
Medical
Committee
integrated
(2024KT022).
provide
written
informed
consent
before
enrolment.
results
published
appropriate
journal
oral
presentation
academic
meetings.
Trial
registration
number
Chinese
Clinical
Registry
(ChiCTR2400081681).
Pflügers Archiv - European Journal of Physiology,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 26, 2025
Abstract
Depression,
a
prevalent
psychiatric
disorder,
exerts
severe
and
debilitating
impacts
on
an
individual's
mental
physical
well-being,
it
is
considered
chronic
illness.
Chronic
stress
plays
important
role
in
the
pathophysiology
of
depression.
Lactobacillus
plantarum
Streptococcus
thermophilus
are
psychobiotic
bacteria
synthesize
some
neurotransmitters
that
play
pathogenesis
In
this
study,
we
aimed
to
investigate
therapeutic
effects
Bactolac
(
NBIMCC
8767
+
8258)
stress-induced
depression
rats.
Behavioral
tests,
including
sucrose
preference
test,
elevated
plus
maze
forced
swim
three-chamber
sociability
were
employed
assess
depressive
anxiety-like
behaviors.
The
expression
level
5-HT1A,
DRD1,
ADRA-2A,
GABA-A
α1,
CNR1,
NR3C2,
NOD1,
NLRP3
MC4R;
BDNF
levels,
glial
activity
intestinal
permeability
determined
conclusions,
decreased
levels
NOD1
level;
increased
MC4R,
caused
neurodegeneration
activity,
ultimately
led
effects.
was
effective
reducing
depressive-like
behaviors
according
results
behavioral
tests.
treatment
provided
high
neuronal
survival
rate
increasing
level,
prevented
excessive
release
pro-inflammatory
cytokines
by
therefore,
activation
hypothalamus–pituitary–adrenal
(HPA)
axis
accordingly,
reduced
cell
depressed
We
can
suggest
supplementation
may
be
beneficial
coping
with
stress,
alleviate
help
protect
health.