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Bipolar Disorder: Role of Inflammation and the Development of Disease Biomarkers.
| Content Provider | Europe PMC |
|---|---|
| Author | Muneer, Ather |
| Copyright Year | 2016 |
| Abstract | Bipolar disorder is a severe and enduring psychiatric condition which in many cases starts during early adulthood and follows a relapsing and remitting course throughout life. In many patients the disease follows a progressive path with brief periods of inter-episode recovery, sub-threshold symptoms, treatment resistance and increasing functional impairment in the biopsychosocial domains. Knowledge about the neurobiology of bipolar disorder is increasing steadily and evidence from several lines of research implicates immuno-inflammatory mechanisms in the brain and periphery in the etiopathogenesis of this illness and its comorbidities. The main findings are an increase in the levels of proinflammatory cytokines during acute episodes with a decrease in neurotrophic support. Related to these factors are glial cell dysfunction, neuro-endocrine abnormalities and neurotransmitter aberrations which together cause plastic changes in the mood regulating areas of the brain and neuroprogression of the bipolar diathesis. Research in the above mentioned areas is providing an opportunity to discover novel biomarkers for the disease and the field is reaching a point where major breakthroughs can be expected in the not too distant future. It is hoped that with new discoveries fresh avenues will be found to better treat an otherwise recalcitrant disease. |
| ISSN | 17383684 |
| Journal | Psychiatry Investigation |
| Volume Number | 13 |
| PubMed Central reference number | PMC4701682 |
| Issue Number | 1 |
| PubMed reference number | 26766943 |
| e-ISSN | 19763026 |
| DOI | 10.4306/pi.2016.13.1.18 |
| Language | English |
| Publisher | Korean Neuropsychiatric Association |
| Publisher Date | 2015-11-20 |
| Access Restriction | Open |
| Rights License | This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2016 Korean Neuropsychiatric Association |
| Subject Keyword | Bipolar disorder Inflammation Biomarkers Cytokines Neurotrophins |
| Content Type | Text |
| Resource Type | Article |
| Subject | Biological Psychiatry Psychiatry and Mental Health |