How a Concussion Can Lead to Depression Years Later
COLUMBUS, Ohio A head injury can lead immune-system brain cells to go on high alert and overreact to later immune challenges by becoming excessively inflammatory a condition linked with depressive complications, a new animal study suggests.
The findings could help explain some of the midlife mental-health issues suffered by individuals who experience multiple concussions as young adults, researchers say. And these depressive symptoms are likely inflammation-related, which means they may not respond to common antidepressants.
An added complication is that aging already increases brain inflammation. So on top of normal aging concerns, people who have had a traumatic brain injury (TBI) experience added inflammation caused by magnified immune responses to so-called secondary challenges, such as a second head injury, infections or other stressors.
In mice, these high-alert cells in the brain called microglia had an exaggerated response to an immune challenge one month after a moderate brain injury. This increased brain inflammation corresponded with the development of depressive behaviors that were not observed in uninjured mice.
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