Publications by authors named "Amanda Gollo Bertollo"

In 2019, coronavirus disease 2019 (COVID-19) started a global health crisis and was associated with high rates of depression and anxiety. Both mental disorders and COVID-19 exhibit similarities in pathophysiology, characterized by immune system overactivation, involvement of the purinergic system, and oxidative stress, besides additional factors and systems likely contributing to the complexities of these conditions. The purinergic system contributes to the disease-influenced immune response, an essential strategy for controlling pathophysiological effects.

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  • Major depressive disorder (MDD) significantly impacts individuals' quality of life, with tryptophan being a key precursor to serotonin, which helps regulate mood.
  • The kynurenine pathway (KP) primarily degrades free tryptophan, producing metabolites like quinolinic acid (QA) and kynurenic acid (KynA), with an imbalance between them linked to MDD pathophysiology.
  • Proinflammatory cytokines activate the enzyme indoleamine 2,3-dioxygenase (IDO), leading to increased QA release and neuroinflammation, thereby affecting stress-related physiological mechanisms and suggesting new therapeutic targets for treatment.
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  • Major depressive disorder (MDD) significantly impacts quality of life, particularly linked to stress from maternal deprivation (MD), and traditional treatments often have serious side effects.
  • Centella asiatica (C. asiatica) and its compound madecassic acid show promise for alleviating depressive-like behaviors and reducing inflammation and oxidative stress in young rats subjected to MD.
  • The study demonstrated that treatment with C. asiatica extracts led to improvements in behavior, decreased inflammatory markers, and reduced oxidative stress in the brain and serum, suggesting their potential as antidepressant agents.
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Dementia is an umbrella term for a broad group of age-associated neurodegenerative diseases. It is estimated that dementia affects 50 million people worldwide and that Alzheimer's disease (AD) is responsible for up to 75% of cases. Small extracellular senile plaques composed of filamentous aggregates of amyloid β (Aβ) protein tend to bind to neuronal receptors, affecting cholinergic, serotonergic, dopaminergic and noradrenergic neurotransmission, leading to neuroinflammation, among other pathophysiologic processes and subsequent neuronal death, followed by dementia.

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Early life stress (ELS), characterized as abuse, neglect, and abandonment, can cause several adverse consequences in the lives of affected individuals. ELS experiences can affect an individual's development in variable ways, persisting in the long term and promoting lasting impacts, considering that early exposure to stressors can be biologically incorporated, as prolonged stimulation of stress response systems affects the development of the brain structure and other body systems, increasing the risk of diseases associated with stress and cognitive impairment. This type of stress increases the risk of developing major depressive disorder (MDD) in a severe form that does not respond adequately to traditional antidepressant treatments.

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The COVID-19 pandemic generated, in addition to severe symptoms, hospitalizations and deaths worldwide, as well as stress from the fear of the disease and social uncertainties, from restriction measures and social isolation. Stress from social isolation impacts mental health, aggravating existing conditions and triggering neuropsychiatric symptoms in individuals with biopsychosocial vulnerability. During and immediately after the period of social restriction imposed by the pandemic, the scientific community carried out several research protocols.

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Major depressive disorder (MDD) is one of the most prevalent disorders and causes severe damage to people's quality of life. Lifelong stress is one of the major villains in triggering MDD. Studies have shown that both stress and MDD, especially the more severe conditions of the disorder, are associated with inflammation and neuroinflammation and the relationship to an imbalance in tryptophan metabolism towards the kynurenine pathway (KP) through the enzymes indoleamine-2,3-dioxygenase (IDO), which is mainly stimulated by pro-inflammatory cytokines and tryptophan-2,3-dioxygenase (TDO) which is activated primarily by glucocorticoids.

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Anxiety and depression are prevalent mental disorders around the world. The etiology of both diseases is multifactorial, involving biological and psychological issues. The COVID-19 pandemic settled in 2020 and culminated in several changes in the routine of individuals around the world, affecting mental health.

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Major depressive disorder (MDD) etiology is still not completely understood, and many individuals resist the traditional treatments. Chronic exposure to stressful events can contribute to development and progression and be involved in biological changes underlying MDD. Among the biological mechanisms involved, inflammatory changes and oxidative balance are associated with MDD pathophysiology.

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COVID-19 is associated with oxidative stress, peripheral hyper inflammation, and neuroinflammation, especially in individuals with a more severe form of the disease. Some studies provide evidence on the onset or exacerbation of major depressive disorder (MDD), among other psychiatric disorders due to COVID-19. Oxidative stress and neuroinflammation are associated conditions, especially in the more severe form of MDD and in refractoriness to available therapeutic strategies.

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Article Synopsis
  • The study investigates purinergic signaling and immune responses in COVID-19 patients, assessing differences between moderate and severe cases.
  • Blood samples were analyzed for ectonucleotidase activities and extracellular ATP levels, revealing significant changes in ATP and AMP hydrolysis among patient groups.
  • Findings highlight the potential therapeutic targets in the purinergic system for COVID-19 treatment, emphasizing the connection between severity of illness and alterations in immune response.
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Since December 2019, the world has been experiencing the challenge of facing coronavirus disease-19 (COVID-19), a severe infectious disease caused by the new coronavirus, SARS-CoV-2. The individuals with the most severe symptoms and the highest risk of death are the elderly and those with chronic illness. Among chronic conditions, those with a certain degree of chronic inflammation may predispose to a more severe evolution of COVID-19.

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