“…In conclusion, a significant decrease in estrogen levels disrupts immune homeostasis, particularly the levels of the immune factors TNF-α, IL-1β, IL-4, IL-6, IL-10 and IL-18 through the ERα/ERβ/GPER-associated NLRP3/ NF-κB signaling pathway, which involves many signaling molecules, such as TLR2, TLR4, P2X7R, SIRT1, CREB, MS-KIF18A, PI3K, AKT, Gs, cAMP, PKA, PJA1, Exerted the antidepressant-like effects by regulating the levels of IL-1β, IL-6 and TNF-α in the hippocampus [163] Chaihu-Guizhi-Ganjiang tang Unclear Perimenopausal and postmenopausal women with mood disorder Reduced plasma IL-6 and soluble IL-6 receptor concentrations and improved depressed mood [164] PR, progesterone receptor; AR, androgenic receptor Serpina3n, Src, and MMP-9 [19-24, 41, 43, 44, 47-49, 52, 54-56, 58]. Subsequently, the increase of inflammatory cytokine levels causes BBB destruction [25,[62][63][64][65][66][67][68][69][70][71][72][73][74]165], the dysfunction of neurotransmitters such as 5-HT [80][81][82][83][84][85], DA [86][87][88][89][90][91][92][93][94][95][96][97], NE [98][99][100][101]…”