“…The innate immune system, composed mainly of macrophages and microglia, is an effective defense system that can maintain homeostasis and protect the body from harmful stress. Its over-activation is known to be one of the main causes of various types of disorders, such as sepsis (Wen et al ., 2022), multiple sclerosis (Tian et al ., 2023), Alzheimer’s disease (Princiotta Cariddi et al ., 2022), and Parkinson’s disease (Lee et al ., 2022). In the pathogenesis of depression, over-activation of macrophages or microglia-mediated innate immune response in the brain, which may be associated with an abnormal hypothalamic-pituitary-adrenal (HPA) axis response that cues a higher risk to treatment resistance (Berardelli et al ., 2020), is also considered an important pathological process for the progression of depressive symptoms (Gallagher et al ., 2019; Wang et al ., 2022a).…”