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- W1600644808 abstract "Summary. Pegylated interferon (IFN), the basis for chronic hepatitis C virus (HCV) treatment, causes depression in 30–40% of patients. The potential for cytokine mRNA patterns from baseline into early treatment to associate with the onset of treatment‐induced depression (TID) was examined. Depression was measured by the Beck Depression Inventory at baseline and weeks 2, 4, 8 and 12 of treatment ( n = 38). At baseline and weeks 2 and 4, peripheral blood mononuclear cell (PMBC, n = 28), isolated ex vivo , were examined for tumour neurosis factor (TNF)‐alpha, interleukin (IL)‐1beta and IL‐10 mRNA expression. In patients that developed treatment‐induced depression, pro‐inflammatory TNF‐alpha mRNA levels from baseline into week 4 of therapy remained constant (1.1‐fold increase); whereas IL‐1beta transcripts decreased 3.5 fold. However, corresponding TNF‐alpha (3‐fold, P < 0.05) and IL‐1beta (7.5‐fold) transcript expression diminished to a greater extent in the absence of TID. Changes in TNF‐alpha mRNA values correlated to the average change in BDI scores over the 12 weeks ( r = 0.56, P < 0.05). Concomitantly, anti‐inflammatory IL‐10 transcript levels decreased in (TID), relative to increased expression in the absence of TID ( P < 0.05). The potential influence of IL‐10 was observed upon calculation of individual pro‐ verses anti‐inflammatory mRNA ratios. Stable in the presence of depression, TNF‐alpha/IL‐10 and IL‐1beta/IL‐10 mRNA ratios declined significantly over time in its absence ( P < 0.05). This study suggests that in chronic HCV infection, upon pegylated IFN administration persistent pro‐inflammatory cytokine MRNA expression associates with TID. In contrast, therapeutic activation of mechanisms that decrease pro‐inflammatory immunity may protect against depression during therapy." @default.
- W1600644808 created "2016-06-24" @default.
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- W1600644808 date "2010-12-08" @default.
- W1600644808 modified "2023-09-25" @default.
- W1600644808 title "Persistent pro‐inflammatory cytokines following the initiation of pegylated IFN therapy in hepatitis C infection is associated with treatment‐induced depression" @default.
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- W1600644808 doi "https://doi.org/10.1111/j.1365-2893.2010.01408.x" @default.
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