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Interleukin-1 Beta in Peripheral Blood Mononuclear Cell Lysates as a Longitudinal Biomarker of Response to Antidepressants

A Pilot Study

Bibliographic Data

ID15519376
AuthorsPanagiotis Ferentinos (0000-0001-8531-5623, National and Kapodistrian University of Athens), Eirini Maratou (0000-0002-9982-7942, National and Kapodistrian University of Athens), Anastasia Antoniou (0000-0001-9557-8793, National and Kapodistrian University of Athens), Alessandro Serretti (0000-0003-4363-3759, University of Bologna), Nikolaos Smyrnis (0000-0002-1461-6151, National and Kapodistrian University of Athens), Paraskevi Moutsatsou (0000-0001-9549-2295, National and Kapodistrian University of Athens, corresponding author)
Year2021
Volume12
Pages801738-801738
Publication date2021-12-24
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.801738
PMID35002816
OpenAlexW4200084941
LanguageEN
References cited64

Interleukin-1 beta (IL1β) is primarily produced by monocytes in the periphery and the brain. Yet, IL1β protein levels have to date been investigated in major depressive disorder (MDD) and antidepressant response using either plasma or serum assays although with contradictory results, while mononuclear cell assays are lacking despite their extensive use in other contexts. In this pilot study, we comparatively assessed IL1β in mononuclear lysates and plasma in depressed MDD patients over treatment and healthy controls (HC). We recruited 31 consecutive adult MDD inpatients and 25 HC matched on age, sex, and BMI. Twenty-six patients completed an 8-week follow-up under treatment. IL1β was measured in both lysates and plasma in patients at baseline (T0) and at study end (T1) as well as in HC. We calculated ΔIL1β(%) for both lysates and plasma as IL1β percent changes from T0 to T1. Seventeen patients (65.4% of completers) were responders at T1 and had lower baseline BMI than non-responders ( p = 0.029). Baseline IL1β from either plasma or lysates could not efficiently discriminate between depressed patients and HC, or between responders and non-responders. However, the two response groups displayed contrasting IL1β trajectories in lysates but not in plasma assays (response group by time interactions, p = 0.005 and 0.96, respectively). ΔIL1β(%) in lysates predicted response ( p = 0.025, AUC = 0.81; accuracy = 84.6%) outperforming ΔIL1β(%) in plasma ( p = 0.77, AUC=0.52) and was robust to adjusting for BMI. In conclusion, ΔIL1β(%) in mononuclear lysates may be a longitudinal biomarker of antidepressant response, potentially helpful in avoiding untimely switching of antidepressants, thereby warranting further investigation

Biology · Biomarker · Cytokine · In vitro · Interleukin · Interleukin 2 · Peripheral · Peripheral blood · Peripheral blood mononuclear cell · Medicine · Mental Health Research Topics · Stress Responses and Cortisol · Tryptophan and brain disorders · Immunology · Internal Medicine · Pharmacology

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