Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-10T05:42:26.497Z Has data issue: false hasContentIssue false

Depression and reduced natural killer cytotoxicity: a longitudinal study of depressed patients and control subjects

Published online by Cambridge University Press:  09 July 2009

Michael Irwin*
Affiliation:
Departments of Psychiatry, San Diego Veterans' Affairs Medical Center and University of California, USA
Ute Lacher
Affiliation:
Departments of Psychiatry, San Diego Veterans' Affairs Medical Center and University of California, USA
Cindy Caldwell
Affiliation:
Departments of Psychiatry, San Diego Veterans' Affairs Medical Center and University of California, USA
*
1 Address for correspondence: Dr M. Irwin, Department of Psychiatry (V-116A), San Diego Veterans' Affairs Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161, USA.

Synopsis

Cross-sectional studies have demonstrated that natural killer (NK) cell activity is reduced in depression. To extend these observations and examine further the association between severity of depressive symptoms and values of NK activity, this study used a longitudinal case control design and assessed NK cytotoxicity at intake and at follow-up 6 months after discharge from the hospital in depressed patients and control subjects. From acute hospitalization to follow-up, depression scores significantly (P < 0·01) decreased following treatment in the depressed patients but did not change in the control subjects. NK activity significantly (P < 0·05) increased from intake to follow-up in the depressives while lytic activity did not change in the controls. At intake NK activity was significantly (P < 0·01) reduced in the depressed patients as compared to values in the controls, while at follow-up cytotoxicity was similar between the two groups. These longitudinal data suggest that a reduction of NK cytotoxicity is temporally associated with the state of acute depression.

Type
Brief Communication
Copyright
Copyright © Cambridge University Press 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Ader, R., Felten, D. & Cohen, N. (1990). Interactions between the brain and the immune system. In Annual Review of Pharmacology and Toxicology, vol. 30 (ed. George, R., Cho, A. K. and Blaschke, T. F.). pp. 561602. Annual Reviews, Inc.: Palo Alto, CA.Google Scholar
American Psychiatric Association, Committee on Nomenclature and Statistics (1987). Diagnostic and Statistical Manual of Mental Disorders, 3rd edn. American Psychiatric Association: Washington, DC.Google Scholar
Bancroft, G. J., Shellam, G. R. & Chalmer, J. E. (1981). Genetic influences on the augmentation of natural killer cells (NK) during murine cytomegalovirus infection: correlation with patterns of resistance. Journal of Immunology 124, 988994.CrossRefGoogle Scholar
Biron, C. A., Byron, K. S. & Sullivan, J. L. (1989). Severe herpes virus infections in an adolescent without natural killer cells. New England Journal of Medicine 320, 17311735.CrossRefGoogle Scholar
Bukowski, J. F., Warner, J. F., Dennert, G. & Welsh, R. M. (1985). Adoptive transfer studies demonstrating the antiviral effect of natural killer cells in vivo. Journal of Experiment Medicine 161, 4052.Google Scholar
Caldwell, C. L., Irwin, M. & Lohr, J. (1991). Reduced natural killer cell cytoloxicity in depression but not in schizophrenia. Biological Psychiatry 30, 11311138.Google Scholar
Cappell, R., Gregoire, F., Thiry, L. & Sprecher, S. (1978). Antibody and cell-mediated immunity to herpes simplex virus in psychotic depression. Journal of Clinical Psychiatry 39, 266268.Google Scholar
Cleobury, J. F., Skinner, G. R. B., Thouless, M. E. & Widly, P. (1971). Association between psychopathic disorders and serum antibody to herpes simplex virus (type 1). British Medical Journal i, 438439.CrossRefGoogle Scholar
Endicott, J. & Spitzer, R. L. (1978). A diagnostic interview: the Schedule for Affective Disorders and Schizophrenia. Archives of General Psychiatry 35, 837841.Google Scholar
Endicott, J., Cohen, J., Nee, J., Fleiss, J. & Sarantakos, S. (1981). Hamilton Depression Rating Scale: extracted from regular and changed versions of the Schedule for Affective Disorders and Schizophrenia. Archives of General Psychiatry 38, 98103.CrossRefGoogle ScholarPubMed
Evans, D. L., Petitto, J. M., Folds, J. D., Golden, R. N., Pederson, C. A., Corrigan, M., Gilmore, J. H., Silva, S. G., Quade, D. & Ozer, H. (1990). Altered natural killer cell populations in major depression: relationship to cytotoxicity and severity of depression.In: Abstracts of Posters and Panels of the 29th Annual Meeting of the American College of Neuropsychopharmacology;December 10–14, p. 147. San Juan, Puerto Rico.Google Scholar
Fu, T.-K., Jarvik, L. F., Yen, F.-S. & Matsuyama, S. S. (1977). In vitro effects of imipramine on proliferation of human leukocytes. Archives of General Psychiatry 34, 728730.Google Scholar
Glaser, R., Kiecolt-Glaser, J. K., Speicher, C. E. & Holliday, J. E. (1985). Stress, loneliness and changes in herpes virus latency. Journal of Behavioral Medicine 8, 249260.CrossRefGoogle Scholar
Habu, S., Akamatsu, K., Tamaoki, N. & Okumura, K. (1984). In vivo significance of NK cell in resistance against (HSV-1) infections in mice. Journal of Immunology 133, 27432747.CrossRefGoogle ScholarPubMed
Irwin, M., Smith, T. L. & Gillin, J. C. (1987). Low natural killer cytotoxicity in major depression. Life Sciences 41, 21272133.CrossRefGoogle ScholarPubMed
Irwin, M., Caldwell, C., Smith, T. L., Brown, S., Schuckit, M. A. & Gillin, J. C. (1990 a). Major depressive disorder, alcoholism, and reduced natural killer cytotoxicity: role of severity of depressive symptoms and alcohol consumption. Archives of General Psychiatry 47, 713719.CrossRefGoogle ScholarPubMed
Irwin, M., Patterson, T., Smith, T. L., Caldwell, C., Brown, S. A., Gillin, J. C. & Grant, I. (1990 b). Reduction of immune function in life stress and depression. Biological Psychiatry 27, 2230.Google Scholar
Kemeny, M. E., Zegans, L. & Cohen, F. (1987). Stress, mood, immunity and recurrence of genital herpes. Annals of the New York Academy of Sciences 496, 735736.Google Scholar
Kruesi, M. J. P., Dale, J. & Straus, S. E. (1989). Psychiatric diagnoses in patients who have chronic fatigue syndrome. Journal of Clinical Psychiatry 50, 5356.Google ScholarPubMed
Levenson, J. L., Hamer, R. M., Myers, T., Hart, R. P. & Kaplowitz, L. G. (1987). Psychological factors predict symptoms of severe recurrent genital herpes infection. Journal of Psychosomatic Research 31, 153159.Google Scholar
Lycke, E., Norbby, R. & Roos, B. E. (1974). A serological study on mentally ill patients. British Journal of Psychiatry 124, 273279.Google Scholar
Maes, M., Stevens, W., Peters, D., DeClerkck, L., Scharper, S., Bridts, C., Schotte, C. & Cosyns, P. (1992). A study on the blunted natural killer cell activity in severely depressed patients. Life Sciences (in the press).Google Scholar
Mohl, P. C., Huang, L., Bowden, C., Fischbach, M., Vogtsberer, K. & Talel, N. (1987). Natural killer cell activity in major depression (letter). American Journal of Psychiatry 144, 1619.Google Scholar
Nerozzi, D., Santoni, A., Bersani, G., Magnani, A., Bressan, A., Passini, A., Antonozzi, I. & Frajese, G. (1989). Reduced natural killer cell activity in major depression: neuroendocrine implications. Psychoneuroendocrinology 14, 295302.CrossRefGoogle ScholarPubMed
Padgett, G. A., Reiquam, C. W., Henson, J. B. & Gorham, J. R. (1968). Comparative studies of susceptibility to infection in the Chediak-Higashi syndrome. Journal of Pathology and Bacteriology 95, 509522.Google Scholar
Pross, H. F. & Maroun, V. A. (1984). The standardization of natural killer cell assays for use in studies of biological response modifiers. Journal of Immunological Methods 68, 235249.Google Scholar
Rimon, R. & Halonen, P. (1969). Herpes simplex virus infection and depressive illness. Diseases of the Nervous System 30, 338340.Google Scholar
Rimon, R., Halonen, P., Anttinen, E. & Evola, E. (1971). Complement fixing antibody to herpes simplex virus in patients with psychotic depression. Diseases of the Nervous System 32, 822824.Google Scholar
Ritz, J. (1989). The role of natural killer cells in immune surveillance. New England Journal of Medicine 320, 17481749.Google Scholar
Schleifer, S. J., Keller, S. E., Bond, R. N., Cohen, J. & Stein, M. (1989). Major depressive disorder and immunity. Archives of General Psychiatry 46, 8187.Google Scholar
Stein, M., Miller, A. H. & Trestman, R. L. (1991). Depression, the immune system, and health and illness. Archives of General Psychiatry 48, 171177.CrossRefGoogle ScholarPubMed
Sullivan, J. L., Byron, K. S., Brewster, F. E. & Purtilo, D. T. (1980). Deficient natural killer activity in X-linked lymphoproliferative syndrome. Science 210, 535538.Google Scholar
Urch, A., Muller, C. H., Aschauer, H., Resch, F. & Zielinski, C. C. (1988). Lytic effector cell function in schizophrenia and depression. Journal of Neuroimmunology 18, 291301.Google Scholar