Copyright: ©Author(s) 2026.
World J Nephrol. Sep 25, 2026; 15(3): 121696
Published online Sep 25, 2026. doi: 10.5527/wjn.121696
Published online Sep 25, 2026. doi: 10.5527/wjn.121696
Table 1 Role of inflammatory mediators in depression pathogenesis in chronic kidney disease
| Inflammatory mediator | Depression mechanism | Key impact | Variation across different CKD stages |
| IL-6 | Microglial activation, BBB permeability | HPA dysregulation, hippocampal loss | Increases progressively; significantly higher in stages 3-5 |
| TNF-α | Serotonin ↓, NO ↑ | Anhedonia, neuroinflammation | Mild progressive increase from stage 1 to stage 3, not always significant |
| CRP | Vascular damage, endothelial dysfunction | Cerebral hypoperfusion | Elevated in advanced stages (stage 4 and 5) |
- Citation: Yadav M, Kumar A, Pandey A, Singh S, Kumar R, Verma H, Mahajan S, Sharma S, Prasad P, Agarwal A. Depression in chronic kidney disease and dialysis: A psychonephrology narrative review. World J Nephrol 2026; 15(3): 121696
- URL: https://www.wjgnet.com/2220-6124/full/v15/i3/121696.htm
- DOI: https://dx.doi.org/10.5527/wjn.121696