“…At least a subgroup of individuals with MDD also display putative signs of inflammation such as elevated circulating concentrations of C-reactive protein (CRP), interleukin-6 (IL-6), and interleukin-1b (IL-1b) (Dowlati et al, 2010;Howren et al, 2009). Inflammation can also lead to the activation of the tryptophan (TRP)-degrading enzyme indoleamine 2,3 dioxygenase (IDO), ultimately increasing the formation of kynurenine (KYN) metabolites, including kynurenic acid (KA), a putatively neuroprotective antagonist of N-methyl-D-aspartate (NMDA) receptors that also decreases glutamate levels via inhibition of a7 nicotinic receptors 3-hydroxykynurenine (3HK), a free radical generator, and quinolinic acid (QA), an NMDA receptor agonist that also exerts neurotoxic effects via lipid peroxidation, and disruption of the blood-brain barrier (Dantzer et al, 2011;Maes et al, 2011;Perkins and Stone, 1982;Schwarcz et al, 2012;Schwarcz et al, 1983) (Figure 1).…”