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Erschienen in: Neuroscience Bulletin 8/2021

01.08.2021 | Review

Hypothalamic-Pituitary-End-Organ Axes: Hormone Function in Female Patients with Major Depressive Disorder

verfasst von: Yuncheng Zhu, Xiaohui Wu, Rubai Zhou, Oliver Sie, Zhiang Niu, Fang Wang, Yiru Fang

Erschienen in: Neuroscience Bulletin | Ausgabe 8/2021

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Abstract

Classic hypothalamic-pituitary-end-organ feedback loops – the hypothalamic-pituitary-adrenal axis (HPAA), hypothalamic-pituitary-thyroidal axis (HPTA), and hypothalamic-pituitary-gonadal axis (HPGA) – are associated with the neuroendocrine and immune systems in major depressive disorder (MDD). Female patients with MDD present with evident neuroendocrine and immunological changes. Glucocorticoid, thyroid hormone, and reproductive steroid levels fluctuate with menstrual cycles, which might lead to glucocorticoid receptor resistance, impairment of triiodothyronine conversion, and sex hormone secretion disorders. In this review, we summarize the independent and interactive functions of these three axes in female MDD patients. The similar molecular structure of steroids implies an interrelationship between the hypothalamic-pituitary-end-organ axes and the competitive inhibitory effects at the receptor level, especially when considering the HPAA and HPGA.
Literatur
1.
Zurück zum Zitat Lee EH, Han PL. Reciprocal interactions across and within multiple levels of monoamine and cortico-limbic systems in stress-induced depression: A systematic review. Neurosci Biobehav Rev 2019, 101: 13–31.PubMedCrossRef Lee EH, Han PL. Reciprocal interactions across and within multiple levels of monoamine and cortico-limbic systems in stress-induced depression: A systematic review. Neurosci Biobehav Rev 2019, 101: 13–31.PubMedCrossRef
2.
Zurück zum Zitat Liang X, Zhu Y, Fang Y. COVID-19 and post-traumatic stress disorder: A vicious circle involving immunosuppression. CNS Neurosci Ther 2020, 26: 876–878.PubMedCrossRef Liang X, Zhu Y, Fang Y. COVID-19 and post-traumatic stress disorder: A vicious circle involving immunosuppression. CNS Neurosci Ther 2020, 26: 876–878.PubMedCrossRef
3.
Zurück zum Zitat Cohen S, Janicki-Deverts D, Miller GE. Psychological stress and disease. JAMA 2007, 298: 1685–1687.PubMedCrossRef Cohen S, Janicki-Deverts D, Miller GE. Psychological stress and disease. JAMA 2007, 298: 1685–1687.PubMedCrossRef
4.
Zurück zum Zitat Miller AH, Maletic V, Raison CL. Inflammation and its discontents: the role of cytokines in the pathophysiology of major depression. Biol Psychiatry 2009, 65: 732–741.PubMedPubMedCentralCrossRef Miller AH, Maletic V, Raison CL. Inflammation and its discontents: the role of cytokines in the pathophysiology of major depression. Biol Psychiatry 2009, 65: 732–741.PubMedPubMedCentralCrossRef
5.
Zurück zum Zitat Zunszain PA, Hepgul N, Pariante CM. Inflammation and depression. Curr Top Behav Neurosci 2013, 14: 135–151.PubMedCrossRef Zunszain PA, Hepgul N, Pariante CM. Inflammation and depression. Curr Top Behav Neurosci 2013, 14: 135–151.PubMedCrossRef
6.
Zurück zum Zitat Wang F, Jin J, Wang J, He R, Li K, Hu X. Association between olfactory function and inhibition of emotional competing distractors in major depressive disorder. Sci Rep 2020, 10: 6322.PubMedPubMedCentralCrossRef Wang F, Jin J, Wang J, He R, Li K, Hu X. Association between olfactory function and inhibition of emotional competing distractors in major depressive disorder. Sci Rep 2020, 10: 6322.PubMedPubMedCentralCrossRef
7.
Zurück zum Zitat Dantzer R, O’Connor JC, Freund GG, Johnson RW, Kelley KW. From inflammation to sickness and depression: when the immune system subjugates the brain. Nat Rev Neurosci 2008, 9: 46–56.PubMedPubMedCentralCrossRef Dantzer R, O’Connor JC, Freund GG, Johnson RW, Kelley KW. From inflammation to sickness and depression: when the immune system subjugates the brain. Nat Rev Neurosci 2008, 9: 46–56.PubMedPubMedCentralCrossRef
8.
Zurück zum Zitat Pace TW, Miller AH. Cytokines and glucocorticoid receptor signaling. Relevance to major depression. Ann N Y Acad Sci 2009, 1179: 86–105. Pace TW, Miller AH. Cytokines and glucocorticoid receptor signaling. Relevance to major depression. Ann N Y Acad Sci 2009, 1179: 86–105.
9.
10.
Zurück zum Zitat Horowitz MA, Zunszain PA. Neuroimmune and neuroendocrine abnormalities in depression: two sides of the same coin. Ann N Y Acad Sci 2015, 1351: 68–79.PubMedCrossRef Horowitz MA, Zunszain PA. Neuroimmune and neuroendocrine abnormalities in depression: two sides of the same coin. Ann N Y Acad Sci 2015, 1351: 68–79.PubMedCrossRef
11.
Zurück zum Zitat Bale TL. Neuroendocrine and immune influences on the CNS: it’s a matter of sex. Neuron 2009, 64: 13–16.PubMedCrossRef Bale TL. Neuroendocrine and immune influences on the CNS: it’s a matter of sex. Neuron 2009, 64: 13–16.PubMedCrossRef
12.
Zurück zum Zitat Zhu Y, Ji H, Tao L, Cai Q, Wang F, Ji W, et al. Functional status of hypothalamic–pituitary–thyroid and hypothalamic–pituitary–adrenal axes in hospitalized schizophrenics in Shanghai. Front Psychiatry 2020, 11: 65.PubMedPubMedCentralCrossRef Zhu Y, Ji H, Tao L, Cai Q, Wang F, Ji W, et al. Functional status of hypothalamic–pituitary–thyroid and hypothalamic–pituitary–adrenal axes in hospitalized schizophrenics in Shanghai. Front Psychiatry 2020, 11: 65.PubMedPubMedCentralCrossRef
13.
Zurück zum Zitat Han Y, Ji H, Liu L, Zhu Y, Jiang X. The relationship of functional status of cortisol, testosterone, and parameters of metabolic syndrome in male schizophrenics. Biomed Res Int 2020, 2020: 9124520.PubMedPubMedCentralCrossRef Han Y, Ji H, Liu L, Zhu Y, Jiang X. The relationship of functional status of cortisol, testosterone, and parameters of metabolic syndrome in male schizophrenics. Biomed Res Int 2020, 2020: 9124520.PubMedPubMedCentralCrossRef
15.
Zurück zum Zitat Chen X, Zheng X, Ding Z, Su Y, Wang S, Cui B, et al. Relationship of gender and age on thyroid hormone parameters in a large Chinese population. Arch Endocrinol Metab 2020, 64: 52–58.PubMed Chen X, Zheng X, Ding Z, Su Y, Wang S, Cui B, et al. Relationship of gender and age on thyroid hormone parameters in a large Chinese population. Arch Endocrinol Metab 2020, 64: 52–58.PubMed
17.
Zurück zum Zitat Kudielka BM, Buske-Kirschbaum A, Hellhammer DH, Kirschbaum C. HPA axis responses to laboratory psychosocial stress in healthy elderly adults, younger adults, and children: impact of age and gender. Psychoneuroendocrinology 2004, 29: 83–98.PubMedCrossRef Kudielka BM, Buske-Kirschbaum A, Hellhammer DH, Kirschbaum C. HPA axis responses to laboratory psychosocial stress in healthy elderly adults, younger adults, and children: impact of age and gender. Psychoneuroendocrinology 2004, 29: 83–98.PubMedCrossRef
18.
Zurück zum Zitat Pariante CM, Lightman SL. The HPA axis in major depression: classical theories and new developments. Trends Neurosci 2008, 31: 464–468.PubMedCrossRef Pariante CM, Lightman SL. The HPA axis in major depression: classical theories and new developments. Trends Neurosci 2008, 31: 464–468.PubMedCrossRef
19.
Zurück zum Zitat Pariante CM. Risk factors for development of depression and psychosis. Glucocorticoid receptors and pituitary implications for treatment with antidepressant and glucocorticoids. Ann N Y Acad Sci 2009, 1179: 144–152. Pariante CM. Risk factors for development of depression and psychosis. Glucocorticoid receptors and pituitary implications for treatment with antidepressant and glucocorticoids. Ann N Y Acad Sci 2009, 1179: 144–152.
20.
Zurück zum Zitat Burke HM, Davis MC, Otte C, Mohr DC. Depression and cortisol responses to psychological stress: a meta-analysis. Psychoneuroendocrinology 2005, 30: 846–856.PubMedCrossRef Burke HM, Davis MC, Otte C, Mohr DC. Depression and cortisol responses to psychological stress: a meta-analysis. Psychoneuroendocrinology 2005, 30: 846–856.PubMedCrossRef
21.
Zurück zum Zitat Wang SS, Mu RH, Li CF, Dong SQ, Geng D, Liu Q, et al. microRNA-124 targets glucocorticoid receptor and is involved in depression-like behaviors. Prog Neuropsychopharmacol Biol Psychiatry 2017, 79: 417–425.PubMedCrossRef Wang SS, Mu RH, Li CF, Dong SQ, Geng D, Liu Q, et al. microRNA-124 targets glucocorticoid receptor and is involved in depression-like behaviors. Prog Neuropsychopharmacol Biol Psychiatry 2017, 79: 417–425.PubMedCrossRef
22.
Zurück zum Zitat Pariante CM, Miller AH. Glucocorticoid receptors in major depression: relevance to pathophysiology and treatment. Biol Psychiatry 2001, 49: 391–404.PubMedCrossRef Pariante CM, Miller AH. Glucocorticoid receptors in major depression: relevance to pathophysiology and treatment. Biol Psychiatry 2001, 49: 391–404.PubMedCrossRef
23.
Zurück zum Zitat Bekhbat M, Rowson SA, Neigh GN. Checks and balances: The glucocorticoid receptor and NFkB in good times and bad. Front Neuroendocrinol 2017, 46: 15–31.PubMedPubMedCentralCrossRef Bekhbat M, Rowson SA, Neigh GN. Checks and balances: The glucocorticoid receptor and NFkB in good times and bad. Front Neuroendocrinol 2017, 46: 15–31.PubMedPubMedCentralCrossRef
24.
25.
Zurück zum Zitat Makhija K, Karunakaran S. The role of inflammatory cytokines on the aetiopathogenesis of depression. Aust N Z J Psychiatry 2013, 47: 828–839.PubMedCrossRef Makhija K, Karunakaran S. The role of inflammatory cytokines on the aetiopathogenesis of depression. Aust N Z J Psychiatry 2013, 47: 828–839.PubMedCrossRef
26.
Zurück zum Zitat Niu Z, Yang L, Wu X, Zhu Y, Chen J, Fang Y. The relationship between neuroimmunity and bipolar disorder: Mechanism and translational application. Neurosci Bull 2019, 35: 595–607.PubMedPubMedCentralCrossRef Niu Z, Yang L, Wu X, Zhu Y, Chen J, Fang Y. The relationship between neuroimmunity and bipolar disorder: Mechanism and translational application. Neurosci Bull 2019, 35: 595–607.PubMedPubMedCentralCrossRef
27.
Zurück zum Zitat Silverman MN, Sternberg EM. Glucocorticoid regulation of inflammation and its functional correlates: from HPA axis to glucocorticoid receptor dysfunction. Ann N Y Acad Sci 2012, 1261: 55–63.PubMedPubMedCentralCrossRef Silverman MN, Sternberg EM. Glucocorticoid regulation of inflammation and its functional correlates: from HPA axis to glucocorticoid receptor dysfunction. Ann N Y Acad Sci 2012, 1261: 55–63.PubMedPubMedCentralCrossRef
28.
Zurück zum Zitat Shelton MM, Schminkey DL, Groer MW. Relationships among prenatal depression, plasma cortisol, and inflammatory cytokines. Biol Res Nurs 2015, 17: 295–302.PubMedCrossRef Shelton MM, Schminkey DL, Groer MW. Relationships among prenatal depression, plasma cortisol, and inflammatory cytokines. Biol Res Nurs 2015, 17: 295–302.PubMedCrossRef
29.
30.
Zurück zum Zitat Tynan RJ, Naicker S, Hinwood M, Nalivaiko E, Buller KM, Pow DV, et al. Chronic stress alters the density and morphology of microglia in a subset of stress-responsive brain regions. Brain Behav Immun 2010, 24: 1058–1068.PubMedCrossRef Tynan RJ, Naicker S, Hinwood M, Nalivaiko E, Buller KM, Pow DV, et al. Chronic stress alters the density and morphology of microglia in a subset of stress-responsive brain regions. Brain Behav Immun 2010, 24: 1058–1068.PubMedCrossRef
31.
Zurück zum Zitat Blandino P Jr, Barnum CJ, Deak T. The involvement of norepinephrine and microglia in hypothalamic and splenic IL-1beta responses to stress. J Neuroimmunol 2006, 173: 87–95.PubMedCrossRef Blandino P Jr, Barnum CJ, Deak T. The involvement of norepinephrine and microglia in hypothalamic and splenic IL-1beta responses to stress. J Neuroimmunol 2006, 173: 87–95.PubMedCrossRef
33.
Zurück zum Zitat Walker FR, Nilsson M, Jones K. Acute and chronic stress-induced disturbances of microglial plasticity, phenotype and function. Curr Drug Targets 2013, 14: 1262–1276.PubMedCrossRef Walker FR, Nilsson M, Jones K. Acute and chronic stress-induced disturbances of microglial plasticity, phenotype and function. Curr Drug Targets 2013, 14: 1262–1276.PubMedCrossRef
34.
Zurück zum Zitat Alt SR, Turner JD, Klok MD, Meijer OC, Lakke EA, Derijk RH, et al. Differential expression of glucocorticoid receptor transcripts in major depressive disorder is not epigenetically programmed. Psychoneuroendocrinology 2010, 35: 544–556.PubMedCrossRef Alt SR, Turner JD, Klok MD, Meijer OC, Lakke EA, Derijk RH, et al. Differential expression of glucocorticoid receptor transcripts in major depressive disorder is not epigenetically programmed. Psychoneuroendocrinology 2010, 35: 544–556.PubMedCrossRef
35.
Zurück zum Zitat ter Heegde F, De Rijk RH, Vinkers CH. The brain mineralocorticoid receptor and stress resilience. Psychoneuroendocrinology 2015, 52: 92–110.PubMedCrossRef ter Heegde F, De Rijk RH, Vinkers CH. The brain mineralocorticoid receptor and stress resilience. Psychoneuroendocrinology 2015, 52: 92–110.PubMedCrossRef
36.
Zurück zum Zitat Keller J, Gomez R, Williams G, Lembke A, Lazzeroni L, Murphy GM Jr, et al. HPA axis in major depression: cortisol, clinical symptomatology and genetic variation predict cognition. Mol Psychiatry 2017, 22: 527–536.PubMedCrossRef Keller J, Gomez R, Williams G, Lembke A, Lazzeroni L, Murphy GM Jr, et al. HPA axis in major depression: cortisol, clinical symptomatology and genetic variation predict cognition. Mol Psychiatry 2017, 22: 527–536.PubMedCrossRef
37.
Zurück zum Zitat Raison CL, Miller AH. When not enough is too much: the role of insufficient glucocorticoid signaling in the pathophysiology of stress-related disorders. Am J Psychiatry 2003, 160: 1554–1565.PubMedCrossRef Raison CL, Miller AH. When not enough is too much: the role of insufficient glucocorticoid signaling in the pathophysiology of stress-related disorders. Am J Psychiatry 2003, 160: 1554–1565.PubMedCrossRef
38.
Zurück zum Zitat Anacker C, Zunszain PA, Carvalho LA, Pariante CM. The glucocorticoid receptor: pivot of depression and of antidepressant treatment?. Psychoneuroendocrinology 2011, 36: 415–425.PubMedPubMedCentralCrossRef Anacker C, Zunszain PA, Carvalho LA, Pariante CM. The glucocorticoid receptor: pivot of depression and of antidepressant treatment?. Psychoneuroendocrinology 2011, 36: 415–425.PubMedPubMedCentralCrossRef
39.
Zurück zum Zitat Pochigaeva K, Druzhkova T, Yakovlev A, Onufriev M, Grishkina M, Chepelev A, et al. Hair cortisol as a marker of hypothalamic-pituitary-adrenal axis activity in female patients with major depressive disorder. Metab Brain Dis 2017, 32: 577–583.PubMedCrossRef Pochigaeva K, Druzhkova T, Yakovlev A, Onufriev M, Grishkina M, Chepelev A, et al. Hair cortisol as a marker of hypothalamic-pituitary-adrenal axis activity in female patients with major depressive disorder. Metab Brain Dis 2017, 32: 577–583.PubMedCrossRef
40.
Zurück zum Zitat Young EA, Veldhuis JD. Disordered adrenocorticotropin secretion in women with major depression. J Clin Endocrinol Metab 2006, 91: 1924–1928.PubMedCrossRef Young EA, Veldhuis JD. Disordered adrenocorticotropin secretion in women with major depression. J Clin Endocrinol Metab 2006, 91: 1924–1928.PubMedCrossRef
41.
Zurück zum Zitat Rampp C, Eichelkraut A, Best J, Czamara D, Rex-Haffner M, Uhr M, et al. Sex-related differential response to dexamethasone in endocrine and immune measures in depressed in-patients and healthy controls. J Psychiatr Res 2018, 98: 107–115.PubMedCrossRef Rampp C, Eichelkraut A, Best J, Czamara D, Rex-Haffner M, Uhr M, et al. Sex-related differential response to dexamethasone in endocrine and immune measures in depressed in-patients and healthy controls. J Psychiatr Res 2018, 98: 107–115.PubMedCrossRef
42.
Zurück zum Zitat Roos LE, Beauchamp KG, Giuliano R, Zalewski M, Kim HK, Fisher PA. Children’s biological responsivity to acute stress predicts concurrent cognitive performance. Stress 2018, 21: 347–354.PubMedPubMedCentralCrossRef Roos LE, Beauchamp KG, Giuliano R, Zalewski M, Kim HK, Fisher PA. Children’s biological responsivity to acute stress predicts concurrent cognitive performance. Stress 2018, 21: 347–354.PubMedPubMedCentralCrossRef
43.
Zurück zum Zitat Wei J, Sun G, Zhao L, Yang X, Liu X, Lin D, et al. Analysis of hair cortisol level in first-episodic and recurrent female patients with depression compared to healthy controls. J Affect Disord 2015, 175: 299–302.PubMedCrossRef Wei J, Sun G, Zhao L, Yang X, Liu X, Lin D, et al. Analysis of hair cortisol level in first-episodic and recurrent female patients with depression compared to healthy controls. J Affect Disord 2015, 175: 299–302.PubMedCrossRef
44.
Zurück zum Zitat Kaess M, Whittle S, O’Brien-Simpson L, Allen NB, Simmons JG. Childhood maltreatment, pituitary volume and adolescent hypothalamic-pituitary-adrenal axis - Evidence for a maltreatment-related attenuation. Psychoneuroendocrinology 2018, 98: 39–45.PubMedCrossRef Kaess M, Whittle S, O’Brien-Simpson L, Allen NB, Simmons JG. Childhood maltreatment, pituitary volume and adolescent hypothalamic-pituitary-adrenal axis - Evidence for a maltreatment-related attenuation. Psychoneuroendocrinology 2018, 98: 39–45.PubMedCrossRef
45.
Zurück zum Zitat Zhu Y, Wu Z, Sie O, Cai Y, Huang J, Liu H, et al. Causes of drug discontinuation in patients with major depressive disorder in China. Prog Neuropsychopharmacol Biol Psychiatry 2020, 96: 109755.PubMedCrossRef Zhu Y, Wu Z, Sie O, Cai Y, Huang J, Liu H, et al. Causes of drug discontinuation in patients with major depressive disorder in China. Prog Neuropsychopharmacol Biol Psychiatry 2020, 96: 109755.PubMedCrossRef
46.
Zurück zum Zitat Fischer S, Ehlert U. Hypothalamic-pituitary-thyroid (HPT) axis functioning in anxiety disorders. A systematic review. Depress Anxiety 2018, 35: 98–110.PubMedCrossRef Fischer S, Ehlert U. Hypothalamic-pituitary-thyroid (HPT) axis functioning in anxiety disorders. A systematic review. Depress Anxiety 2018, 35: 98–110.PubMedCrossRef
47.
Zurück zum Zitat Cleare A, Pariante CM, Young AH, Anderson IM, Christmas D, Cowen PJ, et al. Evidence-based guidelines for treating depressive disorders with antidepressants: A revision of the 2008 British Association for Psychopharmacology guidelines. J Psychopharmacol 2015, 29: 459–525.PubMedCrossRef Cleare A, Pariante CM, Young AH, Anderson IM, Christmas D, Cowen PJ, et al. Evidence-based guidelines for treating depressive disorders with antidepressants: A revision of the 2008 British Association for Psychopharmacology guidelines. J Psychopharmacol 2015, 29: 459–525.PubMedCrossRef
48.
Zurück zum Zitat Iosifescu DV, Bolo NR, Nierenberg AA, Jensen JE, Fava M, Renshaw PF. Brain bioenergetics and response to triiodothyronine augmentation in major depressive disorder. Biol Psychiatry 2008, 63: 1127–1134.PubMedCrossRef Iosifescu DV, Bolo NR, Nierenberg AA, Jensen JE, Fava M, Renshaw PF. Brain bioenergetics and response to triiodothyronine augmentation in major depressive disorder. Biol Psychiatry 2008, 63: 1127–1134.PubMedCrossRef
49.
Zurück zum Zitat Tundo A, de Filippis R, Proietti L. Pharmacologic approaches to treatment resistant depression: Evidences and personal experience. World J Psychiatry 2015, 5: 330–341.PubMedPubMedCentralCrossRef Tundo A, de Filippis R, Proietti L. Pharmacologic approaches to treatment resistant depression: Evidences and personal experience. World J Psychiatry 2015, 5: 330–341.PubMedPubMedCentralCrossRef
50.
Zurück zum Zitat Dold M, Bartova L, Mendlewicz J, Souery D, Serretti A, Porcelli S, et al. Clinical correlates of augmentation/combination treatment strategies in major depressive disorder. Acta Psychiatr Scand 2018, 137: 401–412.PubMedPubMedCentralCrossRef Dold M, Bartova L, Mendlewicz J, Souery D, Serretti A, Porcelli S, et al. Clinical correlates of augmentation/combination treatment strategies in major depressive disorder. Acta Psychiatr Scand 2018, 137: 401–412.PubMedPubMedCentralCrossRef
51.
Zurück zum Zitat Martin SS, Daya N, Lutsey PL, Matsushita K, Fretz A, McEvoy JW, et al. Thyroid function, cardiovascular risk factors, and incident atherosclerotic cardiovascular disease: The atherosclerosis risk in communities (ARIC) study. J Clin Endocrinol Metab 2017, 102: 3306–3315.PubMedPubMedCentralCrossRef Martin SS, Daya N, Lutsey PL, Matsushita K, Fretz A, McEvoy JW, et al. Thyroid function, cardiovascular risk factors, and incident atherosclerotic cardiovascular disease: The atherosclerosis risk in communities (ARIC) study. J Clin Endocrinol Metab 2017, 102: 3306–3315.PubMedPubMedCentralCrossRef
52.
Zurück zum Zitat Hage MP, Azar ST. The link between thyroid function and depression. J Thyroid Res 2012, 2012: 590648.PubMedCrossRef Hage MP, Azar ST. The link between thyroid function and depression. J Thyroid Res 2012, 2012: 590648.PubMedCrossRef
53.
Zurück zum Zitat Giynas Ayhan M, Uguz F, Askin R, Gonen MS. The prevalence of depression and anxiety disorders in patients with euthyroid Hashimoto’s thyroiditis: a comparative study. Gen Hosp Psychiatry 2014, 36: 95–98.PubMedCrossRef Giynas Ayhan M, Uguz F, Askin R, Gonen MS. The prevalence of depression and anxiety disorders in patients with euthyroid Hashimoto’s thyroiditis: a comparative study. Gen Hosp Psychiatry 2014, 36: 95–98.PubMedCrossRef
54.
Zurück zum Zitat Saidi S, Iliani Jaafar SN, Daud A, Musa R, Nik Ahmad NNF. Relationship between levels of thyroid stimulating hormone, age, and gender, with symptoms of depression among patients with thyroid disorders as measured by the Depression Anxiety Stress Scale 21 (DASS-21). Enferm Clin 2018, 28(Suppl 1): 180–183.CrossRef Saidi S, Iliani Jaafar SN, Daud A, Musa R, Nik Ahmad NNF. Relationship between levels of thyroid stimulating hormone, age, and gender, with symptoms of depression among patients with thyroid disorders as measured by the Depression Anxiety Stress Scale 21 (DASS-21). Enferm Clin 2018, 28(Suppl 1): 180–183.CrossRef
55.
Zurück zum Zitat Gietka-Czernel M. The thyroid gland in postmenopausal women: physiology and diseases. Prz Menopauzalny 2017, 16: 33–37.PubMedPubMedCentral Gietka-Czernel M. The thyroid gland in postmenopausal women: physiology and diseases. Prz Menopauzalny 2017, 16: 33–37.PubMedPubMedCentral
56.
Zurück zum Zitat Gaberscek S, Zaletel K. Thyroid physiology and autoimmunity in pregnancy and after delivery. Expert Rev Clin Immunol 2011, 7: 697–706; quiz 707. Gaberscek S, Zaletel K. Thyroid physiology and autoimmunity in pregnancy and after delivery. Expert Rev Clin Immunol 2011, 7: 697–706; quiz 707.
57.
Zurück zum Zitat Pedersen C, Leserman J, Garcia N, Stansbury M, Meltzer-Brody S, Johnson J. Late pregnancy thyroid-binding globulin predicts perinatal depression. Psychoneuroendocrinology 2016, 65: 84–93.PubMedCrossRef Pedersen C, Leserman J, Garcia N, Stansbury M, Meltzer-Brody S, Johnson J. Late pregnancy thyroid-binding globulin predicts perinatal depression. Psychoneuroendocrinology 2016, 65: 84–93.PubMedCrossRef
58.
Zurück zum Zitat Kurioka H, Takahashi K, Miyazaki K. Maternal thyroid function during pregnancy and puerperal period. Endocr J 2005, 52: 587–591.PubMedCrossRef Kurioka H, Takahashi K, Miyazaki K. Maternal thyroid function during pregnancy and puerperal period. Endocr J 2005, 52: 587–591.PubMedCrossRef
59.
Zurück zum Zitat Jonklaas J, Kahric-Janicic N, Soldin OP, Soldin SJ. Correlations of free thyroid hormones measured by tandem mass spectrometry and immunoassay with thyroid-stimulating hormone across 4 patient populations. Clin Chem 2009, 55: 1380–1388.PubMedPubMedCentralCrossRef Jonklaas J, Kahric-Janicic N, Soldin OP, Soldin SJ. Correlations of free thyroid hormones measured by tandem mass spectrometry and immunoassay with thyroid-stimulating hormone across 4 patient populations. Clin Chem 2009, 55: 1380–1388.PubMedPubMedCentralCrossRef
60.
Zurück zum Zitat Pedersen CA, Johnson JL, Silva S, Bunevicius R, Meltzer-Brody S, Hamer RM, et al. Antenatal thyroid correlates of postpartum depression. Psychoneuroendocrinology 2007, 32: 235–245.PubMedCrossRef Pedersen CA, Johnson JL, Silva S, Bunevicius R, Meltzer-Brody S, Hamer RM, et al. Antenatal thyroid correlates of postpartum depression. Psychoneuroendocrinology 2007, 32: 235–245.PubMedCrossRef
61.
Zurück zum Zitat Rubinow DR, Schmidt PJ. Sex differences and the neurobiology of affective disorders. Neuropsychopharmacology 2019, 44: 111–128.PubMedCrossRef Rubinow DR, Schmidt PJ. Sex differences and the neurobiology of affective disorders. Neuropsychopharmacology 2019, 44: 111–128.PubMedCrossRef
62.
Zurück zum Zitat Barut MU, Coksuer H, Sak S, Bozkurt M, Agacayak E, Hamurcu U, et al. Evaluation of sexual function in women with hypogonadotropic hypogonadism using the female sexual function index (FSFI) and the beck depression inventory (BDI). Med Sci Monit 2018, 24: 5610–5618.PubMedPubMedCentralCrossRef Barut MU, Coksuer H, Sak S, Bozkurt M, Agacayak E, Hamurcu U, et al. Evaluation of sexual function in women with hypogonadotropic hypogonadism using the female sexual function index (FSFI) and the beck depression inventory (BDI). Med Sci Monit 2018, 24: 5610–5618.PubMedPubMedCentralCrossRef
63.
Zurück zum Zitat Sakinci M, Ercan CM, Olgan S, Coksuer H, Karasahin KE, Kuru O. Comparative analysis of copper intrauterine device impact on female sexual dysfunction subtypes. Taiwan J Obstet Gynecol 2016, 55: 460–461.PubMedCrossRef Sakinci M, Ercan CM, Olgan S, Coksuer H, Karasahin KE, Kuru O. Comparative analysis of copper intrauterine device impact on female sexual dysfunction subtypes. Taiwan J Obstet Gynecol 2016, 55: 460–461.PubMedCrossRef
64.
Zurück zum Zitat Basson R, Rees P, Wang R, Montejo AL, Incrocci L. Sexual function in chronic illness. J Sex Med 2010, 7: 374–388.PubMedCrossRef Basson R, Rees P, Wang R, Montejo AL, Incrocci L. Sexual function in chronic illness. J Sex Med 2010, 7: 374–388.PubMedCrossRef
65.
Zurück zum Zitat Berman JR, Bassuk J. Physiology and pathophysiology of female sexual function and dysfunction. World J Urol 2002, 20: 111–118.PubMedCrossRef Berman JR, Bassuk J. Physiology and pathophysiology of female sexual function and dysfunction. World J Urol 2002, 20: 111–118.PubMedCrossRef
66.
Zurück zum Zitat Atis G, Dalkilinc A, Altuntas Y, Atis A, Caskurlu T, Ergenekon E. Sexual dysfunction in women with clinical hypothyroidism and subclinical hypothyroidism. J Sex Med 2010, 7: 2583–2590.PubMedCrossRef Atis G, Dalkilinc A, Altuntas Y, Atis A, Caskurlu T, Ergenekon E. Sexual dysfunction in women with clinical hypothyroidism and subclinical hypothyroidism. J Sex Med 2010, 7: 2583–2590.PubMedCrossRef
67.
Zurück zum Zitat Bhasin S, Enzlin P, Coviello A, Basson R. Sexual dysfunction in men and women with endocrine disorders. Lancet 2007, 369: 597–611.PubMedCrossRef Bhasin S, Enzlin P, Coviello A, Basson R. Sexual dysfunction in men and women with endocrine disorders. Lancet 2007, 369: 597–611.PubMedCrossRef
68.
Zurück zum Zitat Goldstein JM, Hale T, Foster SL, Tobet SA, Handa RJ. Sex differences in major depression and comorbidity of cardiometabolic disorders: impact of prenatal stress and immune exposures. Neuropsychopharmacology 2019, 44: 59–70.PubMedCrossRef Goldstein JM, Hale T, Foster SL, Tobet SA, Handa RJ. Sex differences in major depression and comorbidity of cardiometabolic disorders: impact of prenatal stress and immune exposures. Neuropsychopharmacology 2019, 44: 59–70.PubMedCrossRef
69.
70.
Zurück zum Zitat Santoro N. Perimenopause: From research to practice. J Womens Health (Larchmt) 2016, 25: 332–339.CrossRef Santoro N. Perimenopause: From research to practice. J Womens Health (Larchmt) 2016, 25: 332–339.CrossRef
71.
Zurück zum Zitat Naheed B, Kuiper JH, Uthman OA, O'Mahony F, O'Brien PM. Non-contraceptive oestrogen-containing preparations for controlling symptoms of premenstrual syndrome. Cochrane Database Syst Rev 2017, 3: CD010503. Naheed B, Kuiper JH, Uthman OA, O'Mahony F, O'Brien PM. Non-contraceptive oestrogen-containing preparations for controlling symptoms of premenstrual syndrome. Cochrane Database Syst Rev 2017, 3: CD010503.
72.
Zurück zum Zitat Biggs WS, Demuth RH. Premenstrual syndrome and premenstrual dysphoric disorder. Am Fam Physician 2011, 84: 918–924.PubMed Biggs WS, Demuth RH. Premenstrual syndrome and premenstrual dysphoric disorder. Am Fam Physician 2011, 84: 918–924.PubMed
73.
Zurück zum Zitat Carrier J, Semba K, Deurveilher S, Drogos L, Cyr-Cronier J, Lord C, et al. Sex differences in age-related changes in the sleep-wake cycle. Front Neuroendocrinol 2017, 47: 66–85.PubMedCrossRef Carrier J, Semba K, Deurveilher S, Drogos L, Cyr-Cronier J, Lord C, et al. Sex differences in age-related changes in the sleep-wake cycle. Front Neuroendocrinol 2017, 47: 66–85.PubMedCrossRef
74.
Zurück zum Zitat Schiller CE, Meltzer-Brody S, Rubinow DR. The role of reproductive hormones in postpartum depression. CNS Spectr 2015, 20: 48–59.PubMedCrossRef Schiller CE, Meltzer-Brody S, Rubinow DR. The role of reproductive hormones in postpartum depression. CNS Spectr 2015, 20: 48–59.PubMedCrossRef
75.
Zurück zum Zitat Gordon JL, Girdler SS, Meltzer-Brody SE, Stika CS, Thurston RC, Clark CT, et al. Ovarian hormone fluctuation, neurosteroids, and HPA axis dysregulation in perimenopausal depression: a novel heuristic model. Am J Psychiatry 2015, 172: 227–236.PubMedPubMedCentralCrossRef Gordon JL, Girdler SS, Meltzer-Brody SE, Stika CS, Thurston RC, Clark CT, et al. Ovarian hormone fluctuation, neurosteroids, and HPA axis dysregulation in perimenopausal depression: a novel heuristic model. Am J Psychiatry 2015, 172: 227–236.PubMedPubMedCentralCrossRef
76.
77.
Zurück zum Zitat Studd JW. A guide to the treatment of depression in women by estrogens. Climacteric 2011, 14: 637–642.PubMedCrossRef Studd JW. A guide to the treatment of depression in women by estrogens. Climacteric 2011, 14: 637–642.PubMedCrossRef
78.
Zurück zum Zitat Whedon JM, KizhakkeVeettil A, Rugo NA, Kieffer KA. Bioidentical estrogen for menopausal depressive symptoms: A systematic review and meta-analysis. J Womens Health (Larchmt) 2017, 26: 18–28.CrossRef Whedon JM, KizhakkeVeettil A, Rugo NA, Kieffer KA. Bioidentical estrogen for menopausal depressive symptoms: A systematic review and meta-analysis. J Womens Health (Larchmt) 2017, 26: 18–28.CrossRef
79.
Zurück zum Zitat Wang F, Wu X, Gao J, Li Y, Zhu Y, Fang Y. The relationship of olfactory function and clinical traits in major depressive disorder. Behav Brain Res 2020, 386: 112594.PubMedCrossRef Wang F, Wu X, Gao J, Li Y, Zhu Y, Fang Y. The relationship of olfactory function and clinical traits in major depressive disorder. Behav Brain Res 2020, 386: 112594.PubMedCrossRef
80.
Zurück zum Zitat Rodgers S, Vandeleur CL, Ajdacic-Gross V, Aleksandrowicz AA, Strippoli MF, Castelao E, et al. Tracing the associations between sex, the atypical and the combined atypical-melancholic depression subtypes: A path analysis. J Affect Disord 2016, 190: 807–818.PubMedCrossRef Rodgers S, Vandeleur CL, Ajdacic-Gross V, Aleksandrowicz AA, Strippoli MF, Castelao E, et al. Tracing the associations between sex, the atypical and the combined atypical-melancholic depression subtypes: A path analysis. J Affect Disord 2016, 190: 807–818.PubMedCrossRef
81.
Zurück zum Zitat Herzog DP, Wegener G, Lieb K, Muller MB, Treccani G. Decoding the mechanism of action of rapid-acting antidepressant treatment strategies: Does gender matter?. Int J Mol Sci 2019, 20: 949.PubMedCentralCrossRef Herzog DP, Wegener G, Lieb K, Muller MB, Treccani G. Decoding the mechanism of action of rapid-acting antidepressant treatment strategies: Does gender matter?. Int J Mol Sci 2019, 20: 949.PubMedCentralCrossRef
82.
Zurück zum Zitat Skovlund CW, Morch LS, Kessing LV, Lidegaard O. Association of hormonal contraception with depression. JAMA Psychiatry 2016, 73: 1154–1162.PubMedCrossRef Skovlund CW, Morch LS, Kessing LV, Lidegaard O. Association of hormonal contraception with depression. JAMA Psychiatry 2016, 73: 1154–1162.PubMedCrossRef
83.
Zurück zum Zitat Sharma V, Al-Farayedhi M, Doobay M, Baczynski C. Should all women with postpartum depression be screened for bipolar disorder?. Med Hypotheses 2018, 118: 26–28.PubMedCrossRef Sharma V, Al-Farayedhi M, Doobay M, Baczynski C. Should all women with postpartum depression be screened for bipolar disorder?. Med Hypotheses 2018, 118: 26–28.PubMedCrossRef
84.
Zurück zum Zitat Studd J. Spotlight on severe premenstrual syndrome and bipolar disorder: a frequent tragic confusion. Climacteric 2011, 14: 602.PubMed Studd J. Spotlight on severe premenstrual syndrome and bipolar disorder: a frequent tragic confusion. Climacteric 2011, 14: 602.PubMed
85.
Zurück zum Zitat Sharma V, Burt VK, Ritchie HL. Assessment and treatment of bipolar II postpartum depression: a review. J Affect Disord 2010, 125: 18–26.PubMedCrossRef Sharma V, Burt VK, Ritchie HL. Assessment and treatment of bipolar II postpartum depression: a review. J Affect Disord 2010, 125: 18–26.PubMedCrossRef
86.
Zurück zum Zitat Barth C, Villringer A, Sacher J. Sex hormones affect neurotransmitters and shape the adult female brain during hormonal transition periods. Front Neurosci 2015, 9: 37.PubMedPubMedCentralCrossRef Barth C, Villringer A, Sacher J. Sex hormones affect neurotransmitters and shape the adult female brain during hormonal transition periods. Front Neurosci 2015, 9: 37.PubMedPubMedCentralCrossRef
87.
Zurück zum Zitat Frieder A, Fersh M, Hainline R, Deligiannidis KM. Pharmacotherapy of postpartum depression: Current approaches and novel drug development. CNS Drugs 2019, 33: 265–282.PubMedPubMedCentralCrossRef Frieder A, Fersh M, Hainline R, Deligiannidis KM. Pharmacotherapy of postpartum depression: Current approaches and novel drug development. CNS Drugs 2019, 33: 265–282.PubMedPubMedCentralCrossRef
88.
Zurück zum Zitat Patte-Mensah C, Meyer L, Taleb O, Mensah-Nyagan AG. Potential role of allopregnanolone for a safe and effective therapy of neuropathic pain. Prog Neurobiol 2014, 113: 70–78.PubMedCrossRef Patte-Mensah C, Meyer L, Taleb O, Mensah-Nyagan AG. Potential role of allopregnanolone for a safe and effective therapy of neuropathic pain. Prog Neurobiol 2014, 113: 70–78.PubMedCrossRef
89.
Zurück zum Zitat Andreen L, Nyberg S, Turkmen S, van Wingen G, Fernandez G, Backstrom T. Sex steroid induced negative mood may be explained by the paradoxical effect mediated by GABAA modulators. Psychoneuroendocrinology 2009, 34: 1121–1132.PubMedCrossRef Andreen L, Nyberg S, Turkmen S, van Wingen G, Fernandez G, Backstrom T. Sex steroid induced negative mood may be explained by the paradoxical effect mediated by GABAA modulators. Psychoneuroendocrinology 2009, 34: 1121–1132.PubMedCrossRef
90.
Zurück zum Zitat Baka J, Csakvari E, Huzian O, Dobos N, Siklos L, Leranth C, et al. Stress induces equivalent remodeling of hippocampal spine synapses in a simulated postpartum environment and in a female rat model of major depression. Neuroscience 2017, 343: 384–397.PubMedCrossRef Baka J, Csakvari E, Huzian O, Dobos N, Siklos L, Leranth C, et al. Stress induces equivalent remodeling of hippocampal spine synapses in a simulated postpartum environment and in a female rat model of major depression. Neuroscience 2017, 343: 384–397.PubMedCrossRef
91.
Zurück zum Zitat Schule C, Eser D, Baghai TC, Nothdurfter C, Kessler JS, Rupprecht R. Neuroactive steroids in affective disorders: target for novel antidepressant or anxiolytic drugs?. Neuroscience 2011, 191: 55–77.PubMedCrossRef Schule C, Eser D, Baghai TC, Nothdurfter C, Kessler JS, Rupprecht R. Neuroactive steroids in affective disorders: target for novel antidepressant or anxiolytic drugs?. Neuroscience 2011, 191: 55–77.PubMedCrossRef
92.
Zurück zum Zitat Brown SB, MacLatchy DL, Hara TJ, Eales JG. Effects of cortisol on aspects of 3,5,3’-triiodo-L-thyronine metabolism in rainbow trout (Oncorhynchus mykiss). Gen Comp Endocrinol 1991, 81: 207–216.PubMedCrossRef Brown SB, MacLatchy DL, Hara TJ, Eales JG. Effects of cortisol on aspects of 3,5,3’-triiodo-L-thyronine metabolism in rainbow trout (Oncorhynchus mykiss). Gen Comp Endocrinol 1991, 81: 207–216.PubMedCrossRef
93.
Zurück zum Zitat Sahoo M, Subho C. Cortisol hypersecretion in unipolar major depression with melancholic and psychotic features: dopaminergic, noradrenergic and thyroid correlates. Psychoneuroendocrinology 2007, 32: 210; author reply 211–212. Sahoo M, Subho C. Cortisol hypersecretion in unipolar major depression with melancholic and psychotic features: dopaminergic, noradrenergic and thyroid correlates. Psychoneuroendocrinology 2007, 32: 210; author reply 211–212.
94.
Zurück zum Zitat Evans J, Sun Y, McGregor A, Connor B. Allopregnanolone regulates neurogenesis and depressive/anxiety-like behaviour in a social isolation rodent model of chronic stress. Neuropharmacology 2012, 63: 1315–1326.PubMedCrossRef Evans J, Sun Y, McGregor A, Connor B. Allopregnanolone regulates neurogenesis and depressive/anxiety-like behaviour in a social isolation rodent model of chronic stress. Neuropharmacology 2012, 63: 1315–1326.PubMedCrossRef
95.
Zurück zum Zitat Block T, Petrides G, Kushner H, Kalin N, Belanoff J, Schatzberg A. Mifepristone plasma level and glucocorticoid receptor antagonism associated with response in patients with psychotic depression. J Clin Psychopharmacol 2017, 37: 505–511.PubMedPubMedCentralCrossRef Block T, Petrides G, Kushner H, Kalin N, Belanoff J, Schatzberg A. Mifepristone plasma level and glucocorticoid receptor antagonism associated with response in patients with psychotic depression. J Clin Psychopharmacol 2017, 37: 505–511.PubMedPubMedCentralCrossRef
96.
Zurück zum Zitat Mason BL, Pariante CM. The effects of antidepressants on the hypothalamic-pituitary-adrenal axis. Drug News Perspect 2006, 19: 603–608.PubMedCrossRef Mason BL, Pariante CM. The effects of antidepressants on the hypothalamic-pituitary-adrenal axis. Drug News Perspect 2006, 19: 603–608.PubMedCrossRef
97.
Zurück zum Zitat DeBattista C, Belanoff J, Glass S, Khan A, Horne RL, Blasey C, et al. Mifepristone versus placebo in the treatment of psychosis in patients with psychotic major depression. Biol Psychiatry 2006, 60: 1343–1349.PubMedCrossRef DeBattista C, Belanoff J, Glass S, Khan A, Horne RL, Blasey C, et al. Mifepristone versus placebo in the treatment of psychosis in patients with psychotic major depression. Biol Psychiatry 2006, 60: 1343–1349.PubMedCrossRef
98.
Zurück zum Zitat Soria V, Gonzalez-Rodriguez A, Huerta-Ramos E, Usall J, Cobo J, Bioque M, et al. Targeting hypothalamic-pituitary-adrenal axis hormones and sex steroids for improving cognition in major mood disorders and schizophrenia: a systematic review and narrative synthesis. Psychoneuroendocrinology 2018, 93: 8–19.PubMedCrossRef Soria V, Gonzalez-Rodriguez A, Huerta-Ramos E, Usall J, Cobo J, Bioque M, et al. Targeting hypothalamic-pituitary-adrenal axis hormones and sex steroids for improving cognition in major mood disorders and schizophrenia: a systematic review and narrative synthesis. Psychoneuroendocrinology 2018, 93: 8–19.PubMedCrossRef
99.
Zurück zum Zitat Bjorn I, Sundstrom-Poromaa I, Bixo M, Nyberg S, Backstrom G, Backstrom T. Increase of estrogen dose deteriorates mood during progestin phase in sequential hormonal therapy. J Clin Endocrinol Metab 2003, 88: 2026–2030.PubMedCrossRef Bjorn I, Sundstrom-Poromaa I, Bixo M, Nyberg S, Backstrom G, Backstrom T. Increase of estrogen dose deteriorates mood during progestin phase in sequential hormonal therapy. J Clin Endocrinol Metab 2003, 88: 2026–2030.PubMedCrossRef
100.
Zurück zum Zitat Khorsand I, Kashef R, Ghazanfarpour M, Mansouri E, Dashti S, Khadivzadeh T. The beneficial and adverse effects of raloxifene in menopausal women: A mini review. J Menopausal Med 2018, 24: 183–187.PubMedPubMedCentralCrossRef Khorsand I, Kashef R, Ghazanfarpour M, Mansouri E, Dashti S, Khadivzadeh T. The beneficial and adverse effects of raloxifene in menopausal women: A mini review. J Menopausal Med 2018, 24: 183–187.PubMedPubMedCentralCrossRef
101.
Zurück zum Zitat Hoyer J, Burmann I, Kieseler ML, Vollrath F, Hellrung L, Arelin K, et al. Menstrual cycle phase modulates emotional conflict processing in women with and without premenstrual syndrome (PMS) - a pilot study. Plos One 2013, 8: e59780.PubMedPubMedCentralCrossRef Hoyer J, Burmann I, Kieseler ML, Vollrath F, Hellrung L, Arelin K, et al. Menstrual cycle phase modulates emotional conflict processing in women with and without premenstrual syndrome (PMS) - a pilot study. Plos One 2013, 8: e59780.PubMedPubMedCentralCrossRef
102.
Zurück zum Zitat Wolfram M, Bellingrath S, Kudielka BM. The cortisol awakening response (CAR) across the female menstrual cycle. Psychoneuroendocrinology 2011, 36: 905–912.PubMedCrossRef Wolfram M, Bellingrath S, Kudielka BM. The cortisol awakening response (CAR) across the female menstrual cycle. Psychoneuroendocrinology 2011, 36: 905–912.PubMedCrossRef
103.
Zurück zum Zitat Kiesner J, Granger DA. A lack of consistent evidence for cortisol dysregulation in premenstrual syndrome/premenstrual dysphoric disorder. Psychoneuroendocrinology 2016, 65: 149–164.PubMedCrossRef Kiesner J, Granger DA. A lack of consistent evidence for cortisol dysregulation in premenstrual syndrome/premenstrual dysphoric disorder. Psychoneuroendocrinology 2016, 65: 149–164.PubMedCrossRef
Metadaten
Titel
Hypothalamic-Pituitary-End-Organ Axes: Hormone Function in Female Patients with Major Depressive Disorder
verfasst von
Yuncheng Zhu
Xiaohui Wu
Rubai Zhou
Oliver Sie
Zhiang Niu
Fang Wang
Yiru Fang
Publikationsdatum
01.08.2021
Verlag
Springer Singapore
Erschienen in
Neuroscience Bulletin / Ausgabe 8/2021
Print ISSN: 1673-7067
Elektronische ISSN: 1995-8218
DOI
https://doi.org/10.1007/s12264-021-00689-6

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