“…Overexpression of proinflammatory cytokines in microglia is one of the primary factors responsible for the development of depression in diverse situations (Volpato et al, 2001 ; Avitsur et al, 2005 ; Il'yasova et al, 2005 ; De Rekeneire et al, 2006 ; Dunn, 2006 ; Kumagai et al, 2007 ; You et al, 2011 ; Stannus et al, 2013 ; Fenn et al, 2014 ). The related underlying factors include inflammation of neurons (Kumagai et al, 2007 ), neurodegeneration and apoptosis (Cacci et al, 2005 ; Kumagai et al, 2007 ), impaired neurogenesis (Kempermann and Neumann, 2003 ; Sierra et al, 2014 ), production of stress proteins (Goshen et al, 2008 ; Berry et al, 2012 ; Ramirez et al, 2016 ; Tong et al, 2017 ), alteration in brain tryptophan (BosnyĆ”k et al, 2015 ; Dantzer, 2016 ; Parrott et al, 2016 ; Liu et al, 2017 ), and neurotrophins metabolisms (Zhang et al, 2008 ; Ye et al, 2011 ; Ferrini and De Koninck, 2013 ), as well as morphological and functional changes in microglia itself (Fenn et al, 2014 ), all leading to depression. Also, instead of acting directly, microglia may first activate the inflammasomes in more glial cells, in turn releasing an IL-1 family of cytokines, causing neuroinflammation and depression (Arend et al, 2008 ; Chakraborty et al, 2010 ; Alcocer-GĆ³mez et al, 2013 ; Zhang Y. et al, 2014 ), and this could be an ongoing process in psychiatric patients (Hohmann et al, 2014 ).…”