S-adenosylmethionine supplementation to alleviate depression symptoms in patients with suboptimal response to standard antidepressive therapy: a perspective

East Asian Arch Psychiatry. 2024 Dec;34(4):141-146. doi: 10.12809/eaap2435.

Abstract

This review aims to determine the role of S-adenosylmethionine (SAMe) supplementation as an alternative therapeutic option, particularly for individuals with inadequate responses to conventional antidepressive treatments. The effects of SAMe on depression are analysed through its role in modulating neurotransmitter metabolism, reducing neuroinflammation, enhancing neuroplasticity, and regulating gene expression. These mechanisms may contribute to the efficacy of SAMe in treating depression, particularly in treatment-resistant cases. The review also addresses SAMe's potential use in managing other psychiatric disorders and neurological diseases.

Keywords: Antidepressive agents; Gene expression regulation; S-adenosylmethionine.

Publication types

  • Review

MeSH terms

  • Antidepressive Agents* / therapeutic use
  • Depressive Disorder, Treatment-Resistant / drug therapy
  • Dietary Supplements
  • Humans
  • S-Adenosylmethionine* / therapeutic use

Substances

  • S-Adenosylmethionine
  • Antidepressive Agents