Book contents
- Frontmatter
- Contents
- Contributors
- Foreword
- Credits and acknowledgements
- Section 1 Introduction
- Section 2 Cancer Symptom Mechanisms and Models: Clinical and Basic Science
- 4 The clinical science of cancer pain assessment and management
- 5 Pain: basic science
- 5a Mechanisms of disease-related pain in cancer: insights from the study of bone tumors
- 5b The physiology of neuropathic pain
- 6 Cognitive dysfunction: is chemobrain real?
- 7 Cognitive impairment: basic science
- 8 Depression in cancer: pathophysiology at the mind-body interface
- 9 Depressive illness: basic science
- 9a Animal models of depressive illness and sickness behavior
- 9b From inflammation to sickness and depression: the cytokine connection
- 10 Cancer-related fatigue: clinical science
- 11 Developing translational animal models of cancer-related fatigue
- 12 Cancer anorexia/weight loss syndrome: clinical science
- 13 Appetite loss/cachexia: basic science
- 14 Sleep and its disorders: clinical science
- 15 Sleep and its disorders: basic science
- 16 Proteins and symptoms
- 17 Genetic approaches to treating and preventing symptoms in patients with cancer
- 18 Functional imaging of symptoms
- 19 High-dose therapy and posttransplantation symptom burden: striking a balance
- Section 3 Clinical Perspectives In Symptom Management and Research
- Section 4 Symptom Measurement
- Section 5 Government and Industry Perspectives
- Section 6 Conclusion
- Index
- Plate section
9 - Depressive illness: basic science
from Section 2 - Cancer Symptom Mechanisms and Models: Clinical and Basic Science
Published online by Cambridge University Press: 05 August 2011
- Frontmatter
- Contents
- Contributors
- Foreword
- Credits and acknowledgements
- Section 1 Introduction
- Section 2 Cancer Symptom Mechanisms and Models: Clinical and Basic Science
- 4 The clinical science of cancer pain assessment and management
- 5 Pain: basic science
- 5a Mechanisms of disease-related pain in cancer: insights from the study of bone tumors
- 5b The physiology of neuropathic pain
- 6 Cognitive dysfunction: is chemobrain real?
- 7 Cognitive impairment: basic science
- 8 Depression in cancer: pathophysiology at the mind-body interface
- 9 Depressive illness: basic science
- 9a Animal models of depressive illness and sickness behavior
- 9b From inflammation to sickness and depression: the cytokine connection
- 10 Cancer-related fatigue: clinical science
- 11 Developing translational animal models of cancer-related fatigue
- 12 Cancer anorexia/weight loss syndrome: clinical science
- 13 Appetite loss/cachexia: basic science
- 14 Sleep and its disorders: clinical science
- 15 Sleep and its disorders: basic science
- 16 Proteins and symptoms
- 17 Genetic approaches to treating and preventing symptoms in patients with cancer
- 18 Functional imaging of symptoms
- 19 High-dose therapy and posttransplantation symptom burden: striking a balance
- Section 3 Clinical Perspectives In Symptom Management and Research
- Section 4 Symptom Measurement
- Section 5 Government and Industry Perspectives
- Section 6 Conclusion
- Index
- Plate section
Summary
The two sections of this chapter provide complementary expositions of our complex, and as yet incomplete, understanding of the biology of depression. In the first section, Adrian Dunn offers a brief historical overview of antidepressant treatments to introduce the need for conducting more extensive animal-based pharmacological validation studies of new antidepressant drugs. He describes with vivid clarity the most important behavioral tests available today to measure depressive-like symptoms in animals, such as the forced-swim test, tail-suspension test, and sucrose preference test. In addition, he discusses important biological processes that are potential markers or inducers of depression, such as the enhanced metabolism of brain tryptophan and serotonin, the inhibition of nerve regeneration in the hippocampus, and the sickness behavior induced by tumor burden and inflammatory cytokines. In the second section, Robert Dantzer and Keith Kelley offer a detailed account of the possible neuroimmune mechanisms of sickness and depression that are induced by inflammatory cytokines. They begin by describing some of the cellular changes in the brain that follow infection and inflammation in the periphery, with particular emphasis on the role of interleukin (IL)-1 and lipopolysaccharide (LPS) in the induction of neuroimmune pathways of communication. Motivational changes triggered by sensory pathways and their involvement in sickness and depression are discussed, along with the difficult task of discriminating between the two phenotypes. A detailed description is given of the possible role of indoleamine 2,3 dioxygenase (IDO) and tryptophan metabolism as one of the key molecular mechanisms that may link inflammation with depression.
- Type
- Chapter
- Information
- Cancer Symptom ScienceMeasurement, Mechanisms, and Management, pp. 81Publisher: Cambridge University PressPrint publication year: 2010