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Elevation of cerebrospinal fluid interleukin-1 beta in bipolar disorder
Karolinska Institute.
Karolinska Institute.
Linköping University, Department of Clinical and Experimental Medicine, Psychiatry. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Psychiatry.
Karolinska Institute.
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2011 (English)In: JOURNAL OF PSYCHIATRY and NEUROSCIENCE, ISSN 1180-4882, Vol. 36, no 2, 114-118 p.Article in journal (Refereed) Published
Abstract [en]

Background: In recent years, a role for the immune system in the pathogenesis of psychiatric diseases has gained increased attention. Although bipolar disorder appears to be associated with altered serum cytokine levels, a putative immunological contribution to its pathophysiology remains to be established. Hitherto, no direct analyses of cerebrospinal fluid (CSF) cytokines in patients with bipolar disorder have been performed. Methods: We analyzed CSF cytokine concentrations in euthymic patients with diagnosed bipolar disorder type I (n = 15) or type II (n = 15) and healthy volunteers (n = 30) using an immunoassay-based protein array multiplex system. Results: The mean interleukin (IL)-1 beta level (4.2 pg/mL, standard error of the mean [SEMI 0.5) was higher and the IL-6 level (1.5 pg/mL, SEM 0.2) was lower in euthymic bipolar patients than in healthy volunteers (0.8 pg/mL, SEM 0.04, and 2.6 pg/mL, SEM 0.2, respectively). Patients with 1 or more manic/hypomanic episodes during the last year showed significantly higher levels of IL-1 beta (6.2 pg/mL, SEM 0.8; n = 9) than patients without a recent manic/hypomanic episode (3.1 pg/mL, SEM 1.0; n = 10). Limitations: All patients were in an euthymic state at the time of sampling. Owing to the large variety of drugs prescribed to patients in the present study, influence of medication on the cytokine profile cannot be ruled out. Conclusion: Our findings show an altered brain cytokine profile associated with the manifestation of recent manic/hypomanic episodes in patients with bipolar disorder. Although the causality remains to be established, these findings may suggest a pathophysiological role for IL-1 beta in bipolar disorder.

Place, publisher, year, edition, pages
Journal of Psychiatry and Neuroscience / Canadian Medical Association , 2011. Vol. 36, no 2, 114-118 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-67304DOI: 10.1503/jpn.100080ISI: 000288644000004OAI: diva2:409397
Available from: 2011-04-08 Created: 2011-04-08 Last updated: 2011-04-08

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Samuelsson, Martin
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PsychiatryFaculty of Health SciencesDepartment of Psychiatry
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