Impact of obesity on immune function and depressive disorder: integrative review

Authors

DOI:

https://doi.org/10.25118/2763-9037.2023.v13.631

Keywords:

depressive disorder, immune system, obesity, inflammation, cytokines

Abstract

Objective: This integrative review aims to search and analyze scientific evidence on the relationship between obesity, immune function, and depressive disorder. Methods: The present study is a descriptive review of literature concerning the keywords: obesity, depression, immunologic, inflammation, psychoneuroimmunology and cytokines.  The inclusion criteria were: articles published in english; articles referring to the integrative review and articles published and indexed in the PubMed database in the last 17 years. Results: A large amount of evidence indicates that immune function seems to be compromised in obesity and has, through this, a relationship in the trigger of depressive symptom. However, more evidence is still needed to better elucidate the pathophysiology components of depressive incidences through obesity and associated immunological alterations. Conclusions: The pathophysiological scenario of obesity is closely related to changes in immune function, and these may promote depressive symptoms through various physiological mechanisms and thus negatively impact mental health status. 

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Author Biographies

Tainá Patrícia Teixeira Bezerra, Graduanda, Nutrição, Universidade Federal da Paraíba, UFPB, João Pessoa, PB, Brasil

Roberto Mendes dos Santos , Psiquiatra, Universidade Federal da Paraíba, UFPB, João Pessoa, PB, Brasil

Alfredo José Minervino, Psiquiatra, Universidade Federal da Paraíba, UFPB, João Pessoa, PB, Brasil

Naiara Naiana Dejani, Docente, Universidade Federal da Paraíba, UFPB, João Pessoa, PB, Brasil

References

Uher R, Payne JL, Pavlova B, Perlis RH. Major depressive disorder in DSM-5: implications for clinical practice and research of changes from DSM-IV. Depress Anxiety. 2014;31(6):459-71. https://doi.org/10.1002/da.22217 - PMID:24272961

GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1789-858. https://doi.org/10.1016/S0140-6736(18)32279-7 PMID:30496104

Jaacks LM, Vandevijvere S, Pan A, McGowan CJ, Wallace C, Imamura F, Mozaffarian D, Swinburn B, Ezzati M. The obesity transition: stages of the global epidemic. Lancet Diabetes Endocrinol. 2019;7(3):231-40. https://doi.org/10.1016/S2213-8587(19)30026-9 - PMID:30704950

Cordain L, Eaton SB, Sebastian A, Mann N, Lindeberg S, Watkins BA, O'Keefe JH, Brand-Miller J. Origins and evolution of the western diet: health implications for the 21st century. Am J Clin Nutr. 2005;81(2):341-54. https://doi.org/10.1093/ajcn.81.2.341 - PMID:15699220

Heredia FP, Gómez-Martínez S, Marcos A. Obesity, inflammation and the immune system. Proc Nutr Soc. 2012;71(2):332-8. https://doi.org/10.1017/S0029665112000092 - PMID:22429824

Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BWJH, Zitman FG. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry. 2010;67(3):220-9. https://doi.org/10.1001/archgenpsychiatry.2010.2 - PMID:20194822

Jantaratnotai N, Mosikanon K, Lee Y, McIntyre RS. The interface of depression and obesity. Obes Res Clin Pract. 2017;11(1):1-10. https://doi.org/10.1016/j.orcp.2016.07.003 - PMID:27498907

Shivappa N, Hébert JR, Veronese N, Caruso MG, Notarnicola M, Maggi S, Stubbs B, Firth J, Fornaro M, Solmi M. The relationship between the dietary inflammatory index (DII®) and incident depressive symptoms: a longitudinal cohort study. J Affect Disord. 2018;235:39-44. https://doi.org/10.1016/j.jad.2018.04.014 - PMID:29649709

Firth J, Marx W, Dash S, Carney R, Teasdale SB, Solmi M, Stubbs B, Schuch FB, Carvalho AF, Jacka F, Sarris J. The effects of dietary improvement on symptoms of depression and anxiety: a meta-analysis of randomized controlled trials. Psychosom Med. 2019;81(3):265-80. https://doi.org/10.1097/PSY.0000000000000673 - PMID:30720698 - PMCID:PMC6455094

Hamer M, Batty GD, Kivimaki M. Risk of future depression in people who are obese but metabolically healthy: the english longitudinal study of ageing. Mol Psychiatry. 2012;17:940-5. https://doi.org/10.1038/mp.2012.30 - PMID:22525487 - PMCID:PMC3428506

Hryhorczuk C, Sharma S, Fulton SE. Metabolic disturbances connecting obesity and depression. Front Neurosci. 2013;7:177. https://doi.org/10.3389/fnins.2013.00177 PMID:24109426 PMCID:PMC3791387

Park HS, Park JY, Yu R. Relationship of obesity and visceral adiposity with serum concentrations of CRP, TNF-alpha and IL-6. Diabetes Res Clin Pract. 2005;69(1):29-35. https://doi.org/10.1016/j.diabres.2004.11.007 - PMID:15955385

Hermsdorff HHM, Zulet MA, Puchau B, Martínez JA. Central adiposity rather than total adiposity measurements are specifically involved in the inflammatory status from healthy young adults. Inflammation. 2011;34(3):161-70. https://doi.org/10.1007/s10753-010-9219-y PMID:20467889

Martinez-Gomez D, Eisenmann JC, Warnberg J, Gomez-Martinez S, Veses A, Veiga OL, Marcos A; AFINOS Study Group. Associations of physical activity, cardiorespiratory fitness and fatness with low-grade inflammation in adolescents: the AFINOS Study. Int J Obes (Lond). 2010;34:1501-7. https://doi.org/10.1038/ijo.2010.114 - PMID:20531354

Kanneganti TD, Dixit VD. Immunological complications of obesity. Nat Immunol. 2012;13(8):707-12. https://doi.org/10.1038/ni.2343 - PMID:22814340

Yang H, Youm YH, Vandanmagsar B, Ravussin A, Gimble JM, Greenway F, Stephens JM, Mynatt RL, Dixit VD. Obesity increases the production of proinflammatory mediators from adipose tissue T cells and compromises TCR repertoire diversity: implications for systemic inflammation and insulin resistance. J Immunol. 2010;185(3):1836-45. https://doi.org/10.4049/jimmunol.1000021 PMID:20581149 - PMCID:PMC4829921

Winer DA, Winer S, Shen L, Wadia PP, Yantha J, Paltser G, Tsui H, Wu P, Davidson MG, Alonso MN, Leong HX, Glassford A, Caimol M, Kenkel JA, Tedder TF, McLaughlin T, Miklos DB, Dosch HM, Engleman EG. B cells promote insulin resistance through modulation of T cells and production of pathogenic IgG antibodies. Nat Med. 2011;17(5):610-7. https://doi.org/10.1038/nm.2353 PMID:21499269 - PMCID:PMC3270885

Osborn O, Olefsky JM. The cellular and signaling networks linking the immune system and metabolism in disease. Nat Med. 2012;18(3):363-74. https://doi.org/10.1038/nm.2627 PMID:22395709

O'Rourke RW, Metcalf MD, White AE, Madala A, Winters BR, Maizlin II, Jobe BA, Roberts CT Jr, Slifka MK, Marks DL. Depot-specific differences in inflammatory mediators and a role for NK cells and IFN-gamma in inflammation in human adipose tissue. Int J Obes (Lond). 2009;33:978-90. https://doi.org/10.1038/ijo.2009.133 - PMID:19564875 - PMCID:PMC3150185

Feuerer M, Herrero L, Cipolletta D, Naaz A, Wong J, Nayer A, Lee J, Goldfine AB, Benoist C, Shoelson S, Mathis D. Lean, but not obese, fat is enriched for a unique population of regulatory T cells that affect metabolic parameters. Nat Med. 2009;15(8):930-9. https://doi.org/10.1038/nm.2002 - PMID:19633656 - PMCID:PMC3115752

Troubat R, Barone P, Leman S, Desmidt T, Cressant A, Atanasova B, Brizard B, Hage WE, Surget A, Belzung C, Camus V. Neuroinflammation and depression : a review. Eur J Neurosci. 2021;53(1):151-71. https://doi.org/10.1111/ejn.14720 - PMID:32150310

Moreno FA, Parkinson D, Palmer C, Castro WL, Misiaszek J, El Khoury A, Mathé AA, Wright R, Delgado PL. CSF neurochemicals during tryptophan depletion in individuals with remitted depression and healthy controls. Eur Neuropsychopharmacol. 2010;20(1):18-24. https://doi.org/10.1016/j.euroneuro.2009.10.003 - PMID:19896342 - PMCID:PMC2794896

O'Connor JC, André C, Wang Y, Lawson MA, Szegedi SS, Lestage J, Castanon N, Kelley KW, Dantzer R. Interferon-gamma and tumor necrosis factor-alpha mediate the upregulation of indoleamine 2,3-dioxygenase and the induction of depressive-like behavior in mice in response to bacillus calmette-guerin. J Neurosci. 2009;29(13):4200-9. https://doi.org/10.1523/JNEUROSCI.5032-08.2009 - PMID:19339614 - PMCID:PMC2835569

Badawy AAB. Kynurenine pathway of tryptophan metabolism: regulatory and functional aspects. Int J Tryptophan Res. 2017;10:1-20. https://doi.org/10.1177/1178646917691938 PMID:28469468 - PMCID:PMC5398323

Capuron L, Miller AH. Immune system to brain signaling: neuropsychopharmacological implications. Pharmacol Ther. 2011;130(2):226-38. https://doi.org/10.1016/j.pharmthera.2011.01.014 - PMID:21334376 - PMCID:PMC3072299

Dantzer R, O'Connor JC, Freund GG, Johnson RW, Kelley KW. From inflammation to sickness and depression: when the immune system subjugates the brain. Nat Rev Neurosci. 2008;9:46-56. https://doi.org/10.1038/nrn2297 - PMID:18073775 - PMCID:PMC2919277

O'Connor JC, Lawson MA, André C, Briley EM, Szegedi SS, Lestage J, Castanon N, Herkenham M, Dantzer R, Kelley KW. Induction of IDO by bacille calmette-guérin is responsible for development of murine depressive-like behavior. J Immunol. 2009;182(5):3202-12. https://doi.org/10.4049/jimmunol.0802722 - PMID:19234218 - PMCID:PMC2664258

Benros ME, Waltoft BL, Nordentoft M, Ostergaard SD, Eaton WW, Krogh J, Mortensen PB. Autoimmune diseases and severe infections as risk factors for mood disorders: a nationwide study. JAMA Psychiatry. 2013;70(8):812-20. https://doi.org/10.1001/jamapsychiatry.2013.1111 PMID:23760347

Benatti C, Blom JMC, Rigillo G, Alboni S, Zizzi F, Torta R, Brunello N, Tascedda F. Disease-induced neuroinflammation and depression. CNS Neurol Disord Drug Targets. 2016;15(4):414-33. https://doi.org/10.2174/1871527315666160321104749 - PMID:26996176

McEwen BS. Physiology and neurobiology of stress and adaptation: central role of the brain. Physiol Rev. 2007;87(3):873-904. https://doi.org/10.1152/physrev.00041.2006 - PMID:17615391

Wester VL, Staufenbiel SM, Veldhorst MAB, Visser JA, Manenschijn L, Koper JW, Klessens-Godfroy FJM, van den Akker ELT, van Rossum EFC. Long-term cortisol levels measured in scalp hair of obese patients. Obesity (Silver Spring). 2014;22(9):1956-8. https://doi.org/10.1002/oby.20795 - PMID:24852462

Milaneschi Y, Simmons WK, van Rossum EFC, Penninx BW. Depression and obesity : evidence of shared biological mechanisms. Mol Psychiatry. 2019;24:18-33. https://doi.org/10.1038/s41380-018-0017-5 - PMID:29453413

Juruena MF, Cleare AJ. Superposição entre depressão atípica, doença afetiva sazonal e síndrome da fadiga crônica. Rev Bras Psiquiatr. 2007;29 Suppl 1:S19-26. https://doi.org/10.1590/S1516-44462007000500005 - PMID:17546343

Milaneschi Y, Lamers F, Peyrot WJ, Baune BT, Breen G, Dehghan A, Forstner AJ, Grabe HJ, Homuth G, Kan C, Lewis C, Mullins N, Nauck M, Pistis G, Preisig M, Rivera M, Rietschel M, Streit F, Strohmaier J, Teumer A, Van der Auwera S, Wray NR, Boomsma DI, Penninx BWJH; CHARGE Inflammation Working Group and the Major Depressive Disorder Working Group of the Psychiatric Genomics Consortium. Genetic association of major depression with atypical features and obesity-related immunometabolic dysregulations. JAMA Psychiatry. 2017;74(12):1214-25. https://doi.org/10.1001/jamapsychiatry.2017.3016 - PMID:29049554 - PMCID:PMC6396812

Yoon HK, Kim YK, Lee HJ, Kwon DY, Kim L. Role of cytokines in atypical depression. Nord J Psychiatry. 2012;66(3):183-8. https://doi.org/10.3109/08039488.2011.611894 - PMID:21936732

Xu Q, Anderson D, Lurie-Beck J. The relationship between abdominal obesity and depression in the general population: a systematic review and meta-analysis. Obes Res Clin Pract. 2011;5(4):e267-78. https://doi.org/10.1016/j.orcp.2011.04.007 - PMID:24331129

Hickman RJ, Khambaty T, Stewart JC. C-reactive protein is elevated in atypical but not nonatypical depression: data from the National Health and Nutrition Examination survey (NHANES) 1999-2004. J Behav Med. 2014;37:621-9. https://doi.org/10.1007/s10865-013-9510-0 PMID:23624671

Kappelmann N, Arloth J, Georgakis MK, Czamara D, Rost N, Ligthart S, Khandaker GM, Binder EB. Dissecting the association between inflammation, metabolic dysregulation, and specific depressive symptoms: a genetic correlation and 2-sample mendelian randomization study. JAMA Psychiatry. 2021;78(2):161-70. https://doi.org/10.1001/jamapsychiatry.2020.3436 - PMID:33079133 PMCID:PMC7577200

Iwata M, Ota KT, Duman RS. The inflammasome: pathways linking psychological stress, depression, and systemic illnesses. Brain Behav Immun. 2013;31:105-14. https://doi.org/10.1016/j.bbi.2012.12.008 - PMID:23261775 - PMCID:PMC4426992

Wong ML, Inserra A, Lewis MD, Mastronardi CA, Leong L, Choo J, Kentish S, Xie P, Morrison M, Wesselingh SL, Rogers GB, Licinio J. Inflammasome signaling affects anxiety- and depressive-like behavior and gut microbiome composition. Mol Psychiatry. 2016;21:797-805. https://doi.org/10.1038/mp.2016.46 - PMID:27090302 - PMCID:PMC4879188

Yin Z, Deng T, Peterson LE, Yu R, Lin J, Hamilton DJ, Reardon PR, Sherman V, Winnier GE, Zhan M, Lyon CJ, Wong STC, Hsueh WA. Transcriptome analysis of human adipocytes implicates the NOD-like receptor pathway in obesity-induced adipose inflammation. Mol Cell Endocrinol. 2014;394(1-2):80-7. https://doi.org/10.1016/j.mce.2014.06.018 - PMID:25011057 PMCID:PMC4219530

Published

2023-06-22

How to Cite

1.
Bezerra TPT, Santos RM dos, Minervino AJ, Dejani NN. Impact of obesity on immune function and depressive disorder: integrative review. Debates em Psiquiatria [Internet]. 2023 Jun. 22 [cited 2024 Oct. 23];13:1-18. Available from: https://revistardp.org.br/revista/article/view/631

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