# Experimental model of depression in aging: anxiety, inflammation, and reward mechanisms

> **NIH NIH K01** · UNIVERSITY OF CALIFORNIA LOS ANGELES · 2024 · $129,006

## Abstract

PROJECT SUMMARY/ABSTRACT
Depression in late life is prevalent, affects nearly one fifth of older adults, and exacts an enormous burden on
public health. One hallmark of late-life depression is a loss in the ability to experience pleasure and reduced
motivation to seek rewarding experiences. Loss of pleasure and motivation limits engagement in activities that
could improve physical and mental health, leads to social isolation, and increases risk of suicide and early
mortality. These devastating impairments in reward function are also notoriously difficult to detect and treat,
due in part to a limited understanding of the mechanisms that contribute to impaired reward function. Elevated
inflammation, which is closely linked to depression, has been implicated as a biological mechanism of reward
dysregulation in preclinical models. Translational work has shown that pro-inflammatory challenges, such as
endotoxin administration, also alter reward behavior and reward neurocircuitry in healthy human adults. Our
laboratory has extended this line of inquiry to older adults, and preliminary data show that endotoxin
administration reduces motivational behavior in non-depressed older adults with elevated, but not low, anxiety.
Anxiety is prevalent in older adults, a risk factor for depression, and increases vulnerability to inflammation-
induced negative mood; moreover, aging increases exposure to inflammation (e.g., higher susceptibility to
infection, chronic disease, inflammaging). As such, anxiety and inflammation are risk factors that may comprise
“two hits” to impair reward behavior in older adults. Yet, no studies have tested whether such behavioral effects
are driven by alterations in reward neurocircuitry to help clarify mechanistic pathways and identify intervention
targets. The objective of the current study is to use multilevel analysis of reward function and an experimental
design to test effects of experimentally induced inflammation on reward behavior (Aim 1) and reward
neurocircuitry (Aim 2) as a function of anxiety in older adults. A double-blind, placebo-controlled, inflammatory
challenge with endotoxin in older adults (60-80 y) with (n=40) and without (n=40) anxiety symptoms will
evaluate whether anxious older adults are especially vulnerable to inflammation-induced deficits in reward
function and should be prioritized for monitoring and intervention. Insights from multilevel analysis of reward
can be used to inform the development of precision-based and personalized medicine strategies for the
prevention and treatment of late-life depression. With the support of the K01 Award, I will use this study to
launch an independent research program that uses experimental methods to identify mechanisms of late-life
depression to improve health and well-being in older adults. To this end, I am seeking 1) advanced training in
experimental clinical trial methodology using the endotoxin model to accelerate my development as an
independent investigator; 2)...

## Key facts

- **NIH application ID:** 10790009
- **Project number:** 5K01AG072049-03
- **Recipient organization:** UNIVERSITY OF CALIFORNIA LOS ANGELES
- **Principal Investigator:** Chloe Boyle
- **Activity code:** K01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $129,006
- **Award type:** 5
- **Project period:** 2022-03-15 → 2027-02-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10790009

## Citation

> US National Institutes of Health, RePORTER application 10790009, Experimental model of depression in aging: anxiety, inflammation, and reward mechanisms (5K01AG072049-03). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10790009. Licensed CC0.

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