Skip to main content

Neuroimmune Mechanisms of Depression in Heart Failure

  • Protocol
  • First Online:
Psychoneuroimmunology

Part of the book series: Methods in Molecular Biology ((MIMB,volume 934))

Abstract

Heart failure (HF) is a major and costly public health concern, and its prognosis is grim—with high hospitalization and mortality rates. It is well documented that HF patients experience disproportionately high rates of depression and that depressed HF patients have worse clinical outcomes than their non-depressed counterparts. The purpose of this chapter is to introduce the reader to the study of depression in HF, and how psychoneuroimmunologic principals have been applied to further elucidate the mechanisms (i.e., neurohormonal and cytokine activation) linking these co-morbid disorders.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Protocol
USD 49.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kent LK, Shapiro PA (2009) Depression and related psychological factors in heart disease. Harv Rev Psychiatry 17:377–388

    Article  PubMed  Google Scholar 

  2. Norra C, Skobel EC, Arndt M et al (2008) High impact of depression in heart failure: early diagnosis and treatment options. Int J Cardiol 125:220–231

    Article  PubMed  Google Scholar 

  3. Watson K, Summer KM (2009) Depression in patients with heart failure: clinical implications and management. Pharmacotherapy 29:49–63

    Article  PubMed  CAS  Google Scholar 

  4. Shapiro P (2009) Treatment of depression in patients with congestive heart failure. Heart Fail Rev 14:7–12

    Article  PubMed  Google Scholar 

  5. Williams SA, Kasl SV, Heiat A et al (2002) Depression and risk of heart failure among the elderly: a prospective community-based study. Psychosom Med 64:6–12

    PubMed  Google Scholar 

  6. Abramson J, Berger A, Krumholz HM et al (2001) Depression and risk of heart failure among older persons with isolated systolic hypertension. Arch Intern Med 161:1725–1730

    Article  PubMed  CAS  Google Scholar 

  7. Bui AL, Horwich TB, Fonarow GC (2010) Epidemiology and risk profile of heart failure. Nat Rev Cardiol 8:30–41

    Article  PubMed  Google Scholar 

  8. Roger VL, Go AS, Lloyd-Jones DM et al (2010) Heart disease and stroke statistics—2011 update: a report from the American Heart Association. Circulation 123:18–209

    Article  Google Scholar 

  9. Levy D, Kenchaiah S, Larson MG et al (2002) Long-term trends in the incidence of and survival with heart failure. N Engl J Med 347:1397–1402

    Article  PubMed  Google Scholar 

  10. DeFrances CJ et al (2008) 2006 National hospital discharge survey. Natl Health Stat Report 5:1–20

    PubMed  Google Scholar 

  11. Lloyd-Jones D, Adams RJ, Brown TM et al (2010) Heart disease and stroke statistics—2010 update: a report from the American Heart Association. Circulation 121:e46–e215

    Article  PubMed  Google Scholar 

  12. Hunt SA, Abraham WT, Chin MH et al (2009) 2009 Focused update incorporated into the ACC/AHA 2005 guidelines for the diagnosis and management of heart failure in adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines Developed in Collaboration with the International Society for Heart and Lung Transplantation. J Am Coll Cardiol 53:e1–e90

    Article  PubMed  Google Scholar 

  13. Bristow MR (2000) ß-adrenergic receptor blockade in chronic heart failure. Circulation 101:558–569

    Article  PubMed  CAS  Google Scholar 

  14. Rutledge T, Reis VA, Linke SE et al (2006) Depression in heart failure: a meta-analytic review of prevalence, intervention effects, and associations with clinical outcomes. J Am Coll Cardiol 48:1527–1537

    Article  PubMed  Google Scholar 

  15. Kessler RC, Berglund P, Demler O et al (2003) The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA 289:3095–3105

    Article  PubMed  Google Scholar 

  16. Gottlieb SS, Khatta M, Friedmann E et al (2004) The influence of age, gender, and race on the prevalence of depression in heart failure patients. J Am Coll Cardiol 43:1542–1549

    Article  PubMed  Google Scholar 

  17. Havranek EP, Spertus JA, Masoudi FA et al (2004) Predictors of the onset of depressive symptoms in patients with heart failure. J Am Coll Cardiol 44:2333–2338

    Article  PubMed  Google Scholar 

  18. Tousoulis D, Antonopoulos AS, Antoniades C et al (2010) Role of depression in heart ­failure—choosing the right antidepressive ­treatment. Int J Cardiol 140:12–18

    Article  PubMed  Google Scholar 

  19. Sherwood A, Blumenthal JA, Trivedi R et al (2007) Relationship of depression to death or hospitalization in patients with heart failure. Arch Intern Med 167:367–373

    Article  PubMed  Google Scholar 

  20. Jiang W, Alexander J, Christopher E et al (2001) Relationship of depression to increased risk of mortality and rehospitalization in patients with congestive heart failure. Arch Intern Med 161:1849–1856

    Article  PubMed  CAS  Google Scholar 

  21. Jiang W, Kuchibhatla M, Clary GL et al (2007) Relationship between depressive symptoms and long-term mortality in patients with heart failure. Am Heart J 154:102–108

    Article  PubMed  Google Scholar 

  22. Vaccarino V, Kasl SV, Abramson J et al (2001) Depressive symptoms and risk of functional decline and death in patients with heart failure. J Am Coll Cardiol 38:199–205

    Article  PubMed  CAS  Google Scholar 

  23. Frasure-Smith N, Lesperance F, Habra M et al (2009) Elevated depression symptoms predict long-term cardiovascular mortality in patients with atrial fibrillation and heart failure. Circulation 120:134–140

    Article  PubMed  CAS  Google Scholar 

  24. Sherwood A, Blumenthal JA, Hinderliter AL et al (2011) Worsening depressive symptoms are associated with adverse clinical outcomes in patients with heart failure. J Am Coll Cardiol 57:418–423

    Article  PubMed  Google Scholar 

  25. Sullivan M, Levy WC, Russo JE et al (2004) Depression and health status in patients with advanced heart failure: a prospective study in tertiary care. J Card Fail 10:390–396

    Article  PubMed  Google Scholar 

  26. Jiang W, Kuchibhatla M, Cuffe MS et al (2004) Prognostic value of anxiety and depression in patients with chronic heart failure. Circulation 110:3452–3456

    Article  PubMed  CAS  Google Scholar 

  27. Hallas CN, Wray J, Andreou P et al (2011) Depression and perceptions about heart failure predict quality of life in patients with advanced heart failure. Heart Lung 40:111–121

    Article  PubMed  Google Scholar 

  28. Gottlieb SS, Kop WJ, Ellis SJ et al (2009) Relation of depression to severity of illness in heart failure (from Heart Failure and a Controlled Trial Investigating Outcomes of Exercise Training (HF-ACTION)). J Am Coll Cardiol 103:1285–1289

    Google Scholar 

  29. Maes M (2001) Psychological stress and the inflammatory response system. Clin Sci 101:193–194

    Article  PubMed  CAS  Google Scholar 

  30. Penninx BW, Kritchevsky SB, Yaffe K et al (2003) Inflammatory markers and depressed mood in older persons: results from the health, aging and body composition study. Biol Psychiatry 54:566–572

    Article  PubMed  CAS  Google Scholar 

  31. Bremmer MA, Beekman AT, Deeg DJ et al (2008) Inflammatory markers in late-life depression: results from a population-based study. J Affect Disord 106:249–255

    Article  PubMed  CAS  Google Scholar 

  32. Beck A, Steer RA (1987) Manual for the revised Beck Depression Inventory. Psychological Corportation, San Antonio

    Google Scholar 

  33. Linke SE, Rutledge T, Johnson BD et al (2009) Depressive symptom dimensions and cardiovascular prognosis among women with suspected myocardial ischemia: a report from the National Heart, Lung, and Blood Institute-Sponsored Women’s Ischemia Syndrome Evaluation. Arch Gen Psychiatry 66:499–507

    Article  PubMed  Google Scholar 

  34. Wirtz PH, Hong S, Redwine LS et al (2009) Depressive symptoms are associated with soluble P-selectin reactivity to acute exercise in heart failure. Biol Psychiatry 65:801–807

    Article  PubMed  CAS  Google Scholar 

  35. Wirtz PH, Redwine LS, Mills PJ (2010) Response regarding inflammation as a predictor of depression in heart failure. Brain Behav Immun 24:174–175

    Article  Google Scholar 

  36. Szabo MC, Butcher EC, McIntyre BW et al (1997) RANTES stimulation of T lymphocyte adhesion and activation: role for LFA-1 and ICAM-3. Eur J Immunol 27:1061–1068

    Article  PubMed  CAS  Google Scholar 

  37. Chen J, Fujimoto C, Vistica BP et al (2006) Active participation of antigen-nonspecific lymphoid cells in immune-mediated inflammation. J Immunol 177:3362–3368

    PubMed  CAS  Google Scholar 

  38. Adamopoulos S, Parissis J, Kroupis C et al (2001) Physical training reduces peripheral markers of inflammation in patients with chronic heart failure. Eur Heart J 22:791–797

    Article  PubMed  CAS  Google Scholar 

  39. Pyo RT, Sui J, Dhume A et al (2006) CXCR4 modulates contractility in adult cardiac myocytes. J Mol Cell Cardiol 41:834–844

    Article  PubMed  CAS  Google Scholar 

  40. Frangogiannis NG, Dewald O, Xia Y et al (2007) Critical role of monocyte chemoattractant protein-1/CC chemokine ligand 2 in the pathogenesis of ischemic cardiomyopathy. Circulation 115:584–592

    Article  PubMed  CAS  Google Scholar 

  41. Linden W, Gerin W, Davidson K (2003) Cardiovascular reactivity: status quo and a research agenda for the new millennium. Psychosom Med 65:5–8

    Article  PubMed  Google Scholar 

  42. Redwine LS, Wirtz PH, Hong S et al (2009) Potential shift from adaptive immune activity to nonspecific inflammatory activation associated with higher depression symptoms in chronic heart failure patients. J Card Fail 15:607–615

    Article  PubMed  Google Scholar 

  43. Redwine LS, Wirtz PH, Hong S et al (2010) Depression as a potential modulator of beta-adrenergic-associated leukocyte mobilization in heart failure patients. J Am Coll Cardiol 56:1720–1727

    Article  PubMed  Google Scholar 

  44. Bot A, Smith KA, von Herrath M (2004) Molecular and cellular control of T1/T2 immunity at the interface between antimicrobial defense and immune pathology. DNA Cell Biol 23:341–350

    Article  PubMed  CAS  Google Scholar 

  45. Elenkov IJ (2004) Glucocorticoids and the Th1/Th2 balance. Ann N Y Acad Sci 1024:138–146

    Article  PubMed  CAS  Google Scholar 

  46. Fairweather D, Frisancho-Kiss S, Yusung SA et al (2004) Interferon-γ protects against chronic viral myocarditis by reducing mast cell degranulation, fibrosis, and the profibrotic cytokines transforming growth factor-β1, Interleukin-1β, and Interleukin-4 in the Heart. Am J Pathol 165:1883–1894

    Article  PubMed  CAS  Google Scholar 

  47. Afanasyeva M, Georgakopoulos D, Belardi DF et al (2005) Impaired up-regulation of CD25 on CD4+ T cells in IFN-γ knockout mice is associated with progression of myocarditis to heart failure. Proc Natl Acad Sci USA 102:180–185

    Article  PubMed  CAS  Google Scholar 

  48. Redwine LS, Mills PJ, Hong S et al (2007) Cardiac-related hospitalization and/or death associated with immune dysregulation and symptoms of depression in heart failure patients. Psychosom Med 69:23–29

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paul J. Mills .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this protocol

Cite this protocol

Jiménez, J.A., Mills, P.J. (2012). Neuroimmune Mechanisms of Depression in Heart Failure. In: Yan, Q. (eds) Psychoneuroimmunology. Methods in Molecular Biology, vol 934. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-071-7_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-62703-071-7_9

  • Published:

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-62703-070-0

  • Online ISBN: 978-1-62703-071-7

  • eBook Packages: Springer Protocols

Publish with us

Policies and ethics