Skip to main content
Log in

Increased plasma levels of soluble TNF receptor I in patients with bipolar disorder

  • Short Communication
  • Published:
European Archives of Psychiatry and Clinical Neuroscience Aims and scope Submit manuscript

Abstract

Bipolar disorder (BD) has been associated with a proinflammatory state in which TNF-α seems to play a relevant role. The aim of the present study was to evaluate the plasma levels of TNF-α and its soluble receptors (sTNFR1 and sTNFR2) in BD patients in mania and euthymia in comparison with control subjects. We evaluated 53 BD patients (34 in mania and 19 in euthymia) and 38 healthy subjects. All subjects were assessed by the Mini-International Neuropsychiatry Interview (MINI-Plus). Patients were also evaluated by the Young Mania Rating Scale (YMRS) and by Hamilton Depression Rating Scale (HDRS). Plasma TNF-α and its soluble receptors were measured by ELISA. The plasma TNF-α and sTNFR2 levels did not differ between groups, but higher sTNFR1 levels were found in BD patients. Of note, BD patients in mania had higher sTNFR1 levels than BD patients in euthymia and controls. The sTNFR1 and sTNFR2 levels correlated with BD duration, and sTNFR2 levels correlated with age of patients. Our data indicate a proinflammatory status in BD patients during mania and further suggest that inflammatory mechanisms may be involved with the physiopathology of BD.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  1. Cunha AB, Andreazza AC, Gomes FA, Frey BN, da Silveira LE, Gonçalves CA, Kapczinski F (2008) Investigation of serum high-sensitive C-reactive protein levels across all mood states in bipolar disorder. Eur Arch Psychiatry Clin Neurosci 258(5):300–304

    Article  PubMed  Google Scholar 

  2. Goldstein BI, Kemp DE, Soczynska JK, McIntyre RS (2009) Inflammation and the phenomenology, pathophysiology, comorbidity, and treatment of bipolar disorder: a systematic review of the literature. J Clin Psychiatry 70(8):1078–1090

    Article  PubMed  Google Scholar 

  3. Müller N, Schwarz MJ (2008) A psychoneuroimmunological perspective to Emil Kraepelins dichotomy: schizophrenia and major depression as inflammatory CNS disorders. Eur Arch Psychiatry Neurosci 258(Suppl 2):97–106

    Article  Google Scholar 

  4. Kupfer DJ (2005) The increasing medical burden in bipolar disorder. JAMA 293:2528–2530

    Article  CAS  PubMed  Google Scholar 

  5. Brietzke E, Kapczinski F (2008) TNF-alpha as a molecular target in bipolar disorder. Prog Neuropsychopharmacol Biol Psychiatry 32(6):1355–1361

    Article  CAS  PubMed  Google Scholar 

  6. Fingiel I (2008) Pro-inflammatory cytokine TNF-α as a neuroprotective agent in the brain. Acta Neurobiol Exp 68:526–534

    Google Scholar 

  7. Aderka D (1996) The potential biological and clinical significance of the soluble tumor necrosis factor receptors. Cytokine Growth Factor Rev 7:231–240

    Article  CAS  PubMed  Google Scholar 

  8. Kauer-Sant’anna M, Kapczinski F, Andreazza AC, Bond DJ, Lam RW, Young LT, Yatham LN (2009) Brain-derived neurotrophic factor and inflammatory markers in patients with early- vs. late-stage bipolar disorder. Int J Neuropsychopharmacol 12(4):447–458

    Article  PubMed  Google Scholar 

  9. O’Brien SM, Scully P, Scott LV, Dinan TG (2006) Cytokine profiles in bipolar affective disorder: focus on acutely ill patients. J Affect Disord 90:263–267

    Article  PubMed  Google Scholar 

  10. Ortiz-Domínguez A, Hernández ME, Berlanga C, Gutiérrez-Mora D, Moreno J, Heinze G, Pavón L (2007) Immune variations in bipolar disorder: phasic differences. Bipolar Disord 9:596–602

    Article  PubMed  Google Scholar 

  11. Kim YK, Jung HG, Myint AM, Kim H, Park SH (2007) Imbalance between pro-inflammatory and anti-inflammatory cytokines in bipolar disorder. J Affect Disord 104:91–95

    Article  CAS  PubMed  Google Scholar 

  12. Hung YJ, Hsieh CH, Chen YJ, Pei D, Kuo SW, Shen DC, Shen WH, Chen YC (2007) Insulin sensitivity, proinflammatory markers and adiponectin in young males with different subtypes of depressive disorder. Clin Endocrinol (Oxf) 67(5):784–789

    Article  CAS  Google Scholar 

  13. Brietzke E, Stertz L, Fernandes BS, Kauer-Sant’anna M, Mascarenhas M, Escosteguy Vargas A, Chies JÁ, Kapczinski F (2009) Comparison of cytokine levels in depressed, manic and euthymic patients with bipolar disorder. J Affect Disord 116(3):214–217

    Article  CAS  PubMed  Google Scholar 

  14. Kronfol Z, Remick DG (2000) Cytokines and the brain: implications for clinical psychiatry. Am J Psychiatry 157:683–694

    Article  CAS  PubMed  Google Scholar 

  15. Himmerich H, Fulda S, Linseisen J, Seiler H, Wolfram G, Himmerich S, Gedrich K, Kloiber S, Lucae S, Ising M, Uhr M, Holsboer F, Pollmächer T (2008) Depression, comorbidities and the TNF-alpha system. Eur Psychiatry 23(6):421–429

    Article  CAS  PubMed  Google Scholar 

  16. Grassi-Oliveira R, Brietzke E, Pezzi JC, Lopes RP, Teixeira AL, Bauer ME (2009) Increased soluble tumor necrosis factor-alpha receptors in patients with major depressive disorder. Psychiatry Clin Neuroci 63:202–208

    Article  CAS  Google Scholar 

  17. Coelho FM, Reis HJ, Nicolato R, Romano-Silva MA, Teixeira MM, Bauer ME, Teixeira AL (2008) Increased serum levels of inflammatory markers in chronic institutionalized patients with schizophrenia. Neuroimmunomodulation 15(2):140–144

    CAS  PubMed  Google Scholar 

  18. Scalzo P, Kummer A, Cardoso F, Teixeira AL (2009) Increased serum levels of soluble tumor necrosis factor-α receptor-1 in patients with Parkinson’s disease. J Neuroimmunol 216(1–2):122–125

    Article  CAS  PubMed  Google Scholar 

  19. Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59:4–57

    Google Scholar 

  20. Young RC, Biggs JT, Ziegler VE, Meyer DA (1978) A rating scale for mania: reliability, validity and sensitivity. Br J Psychiatry 133:429–435

    Article  CAS  PubMed  Google Scholar 

  21. Hamilton M (1976) Development of a rating scale for primary depressive illness. Br J Soc Clin Psychol 6:278–296

    Google Scholar 

  22. Byer LJ (2008) An evidence-based medicine strategy for achieving remission in bipolar disorder. J Clin Psychiatry 69:31–37

    Article  Google Scholar 

  23. Himmerich H, Koethe D, Schuld A, Yassouridis A, Pollmächer T (2005) Plasma levels of leptin and endogenous immune modulators during treatment with carbamazepine or lithium. Psychopharmacology (Berl) 179(2):447–451

    Article  CAS  Google Scholar 

  24. Haack M, Hinze-Selch D, Fenzel T, Kraus T, Kühn M, Schuld A, Pollmächer T (1999) Plasma levels of cytokines and soluble cytokines receptors in psychiatric patients upon hospital admission: effects of confounding factors and diagnosis. J Psychiatr Res 33(5):407–418

    Article  CAS  PubMed  Google Scholar 

  25. Dean B, Tawadros N, Scarr E, Gibbons AS (2010) Regionally-specific changes in levels of tumor necrosis factor in the dorsolateral prefrontal cortex obtained postmortem from subjects with major depressive disorder. J Affect Disord 120:245–248

    Article  CAS  PubMed  Google Scholar 

  26. Hauner H, Bender M, Haastert B, Hube F (1998) Plasma concentrations of soluble TNF-alpha receptors in obese subjects. Int J Obes Relat Metab Disord 22(12):1239–1243

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported by grants from CAPES, CNPq and Rede Instituto Brasileiro de Neurociência (IBNet), Brazil.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Antônio Lúcio Teixeira.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Barbosa, I.G., Huguet, R.B., Mendonça, V.A. et al. Increased plasma levels of soluble TNF receptor I in patients with bipolar disorder. Eur Arch Psychiatry Clin Neurosci 261, 139–143 (2011). https://doi.org/10.1007/s00406-010-0116-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00406-010-0116-z

Keywords

Navigation