Pharmaceuticals,
Journal Year:
2023,
Volume and Issue:
16(10), P. 1424 - 1424
Published: Oct. 8, 2023
Psychiatric
and
neurodegenerative
disorders
are
amongst
the
most
prevalent
debilitating
diseases,
but
current
treatments
either
have
low
success
rates,
greatly
due
to
permeability
of
blood–brain
barrier,
and/or
connected
severe
side
effects.
Hence,
new
strategies
extremely
important,
here
is
where
liposome-derived
nanosystems
come
in.
Niosomes,
transfersomes,
ethosomes
nanometric
vesicular
structures
that
allow
drug
encapsulation,
protecting
them
from
degradation,
increasing
their
solubility,
permeability,
brain
targeting,
bioavailability.
This
review
highlighted
great
potential
these
for
treatment
Alzheimer’s
disease,
Parkinson’s
schizophrenia,
bipolar
disorder,
anxiety,
depression.
Studies
regarding
encapsulation
synthetic
natural-derived
molecules
in
systems,
intravenous,
oral,
transdermal,
or
intranasal
administration,
led
an
increased
bioavailability
when
compared
conventional
pharmaceutical
forms.
Moreover,
developed
formulations
proved
neuroprotective,
anti-inflammatory,
antioxidant
effects,
including
neurotransmitter
level
restoration
oxidative
status
improvement,
improved
locomotor
activity
enhancement
recognition
working
memories
animal
models.
albeit
being
relatively
technologies,
niosomes,
already
proven
increase
psychoactive
drugs,
leading
effectiveness
decreased
showing
promise
as
future
therapeutics.
JAMA,
Journal Year:
2024,
Volume and Issue:
332(2), P. 141 - 141
Published: June 10, 2024
Importance
Approximately
9%
of
US
adults
experience
major
depression
each
year,
with
a
lifetime
prevalence
approximately
17%
for
men
and
30%
women.
Observations
Major
is
defined
by
depressed
mood,
loss
interest
in
activities,
associated
psychological
somatic
symptoms
lasting
at
least
2
weeks.
Evaluation
should
include
structured
assessment
severity
as
well
risk
self-harm,
suspected
bipolar
disorder,
psychotic
symptoms,
substance
use,
co-occurring
anxiety
disorder.
First-line
treatments
specific
psychotherapies
antidepressant
medications.
A
network
meta-analysis
randomized
clinical
trials
reported
cognitive
therapy,
behavioral
activation,
problem-solving
interpersonal
brief
psychodynamic
mindfulness-based
psychotherapy
all
had
medium-sized
effects
symptom
improvement
over
usual
care
without
(standardized
mean
difference
[SMD]
ranging
from
0.50
[95%
CI,
0.20-0.81]
to
0.73
0.52-0.95]).
21
medications
small-
placebo
(SMD
0.23
0.19-0.28]
fluoxetine
0.48
0.41-0.55]
amitriptyline).
Psychotherapy
combined
medication
may
be
preferred,
especially
more
severe
or
chronic
depression.
greater
treatment
than
alone
(SMD,
0.30
0.14-0.45])
0.33
0.20-0.47]).
When
initial
not
effective,
second-line
includes
changing
medication,
adding
second
antidepressant,
augmenting
nonantidepressant
which
have
equal
likelihood
success
based
on
meta-analysis.
Collaborative
programs,
including
systematic
follow-up
outcome
assessment,
improve
effectiveness,
1
reporting
significantly
compared
0.42
0.23-0.61]).
Conclusions
Relevance
Effective
first-line
forms
20
Close
monitoring
improves
the
success.
General Psychiatry,
Journal Year:
2024,
Volume and Issue:
37(1), P. e101374 - e101374
Published: Feb. 1, 2024
The
gut
microbiota
is
a
complex
and
dynamic
ecosystem
known
as
the
‘second
brain’.
Composing
microbiota-gut-brain
axis,
its
metabolites
regulate
central
nervous
system
through
neural,
endocrine
immune
pathways
to
ensure
normal
functioning
of
organism,
tuning
individuals’
health
disease
status.
Short-chain
fatty
acids
(SCFAs),
main
bioactive
microbiota,
are
involved
in
several
neuropsychiatric
disorders,
including
depression.
SCFAs
have
essential
effects
on
each
component
axis
In
present
review,
roles
major
(acetate,
propionate
butyrate)
pathophysiology
depression
summarised
with
respect
chronic
cerebral
hypoperfusion,
neuroinflammation,
host
epigenome
neuroendocrine
alterations.
Concluding
remarks
biological
mechanisms
related
will
hopefully
address
clinical
value
microbiota-related
treatments
for
European Archives of Psychiatry and Clinical Neuroscience,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Feb. 27, 2024
The
growing
interest
in
the
rapid
and
sustained
antidepressant
effects
of
dissociative
anesthetic
ketamine
classic
psychedelics,
such
as
psilocybin,
is
remarkable.
However,
both
psychedelics
are
known
to
induce
acute
mystical
experiences;
can
cause
symptoms
out-of-body
experience,
while
typically
bring
about
hallucinogenic
experiences,
like
a
profound
sense
unity
with
universe
or
nature.
role
these
experiences
enhancing
outcomes
for
patients
depression
currently
an
area
ongoing
investigation
debate.
Clinical
studies
have
shown
that
following
administration
(S)-ketamine
(esketamine)
not
directly
linked
their
properties.
In
contrast,
potential
(R)-ketamine
(arketamine),
thought
lack
side
effects,
has
yet
be
conclusively
proven
large-scale
clinical
trials.
Moreover,
although
activation
serotonin
5-HT
BMJ,
Journal Year:
2024,
Volume and Issue:
unknown, P. e078218 - e078218
Published: April 10, 2024
Abstract
Objective
To
determine
whether
a
single
low
dose
of
esketamine
administered
after
childbirth
reduces
postpartum
depression
in
mothers
with
prenatal
depression.
Design
Randomised,
double
blind,
placebo
controlled
trial
two
parallel
arms.
Setting
Five
tertiary
care
hospitals
China,
19
June
2020
to
3
August
2022.
Participants
364
aged
≥18
years
who
had
at
least
mild
as
indicated
by
Edinburgh
postnatal
scale
scores
≥10
(range
0-30,
higher
indicating
worse
depression)
and
were
admitted
hospital
for
delivery.
Interventions
randomly
assigned
1:1
receive
either
0.2
mg/kg
or
infused
intravenously
over
40
minutes
once
the
umbilical
cord
been
clamped.
Main
outcome
measures
The
primary
was
prevalence
major
depressive
episode
42
days
post
partum,
diagnosed
using
mini-international
neuropsychiatric
interview.
Secondary
outcomes
included
score
seven
partum
17
item
Hamilton
rating
0-52,
depression).
Adverse
events
monitored
until
24
hours
childbirth.
Results
A
total
(mean
age
31.8
(standard
deviation
4.1)
years)
enrolled
randomised.
At
observed
6.7%
(12/180)
participants
group
compared
25.4%
(46/181)
(relative
risk
0.26,
95%
confidence
interval
(CI)
0.14
0.48;
P<0.001).
lower
(median
difference
−3,
CI
−4
−2;
P<0.001)
(−3,
also
(−4,
−6
−3;
overall
incidence
adverse
(45.1%
(82/182)
v
22.0%
(40/182);
P<0.001);
however,
symptoms
lasted
less
than
day
none
required
drug
treatment.
Conclusions
For
depression,
decreases
episodes
about
three
quarters.
Neuropsychiatric
more
frequent
but
transient
did
not
require
intervention.
Trial
registration
ClinicalTrials.gov
NCT04414943
.
Pharmacological Research,
Journal Year:
2024,
Volume and Issue:
206, P. 107300 - 107300
Published: July 9, 2024
Depression
is
a
serious
global
mental
disorder.
Numerous
studies
have
found
that
depression
may
be
closely
related
to
decreased
neurogenesis,
neuroinflammation,
neurotransmitter
imbalance,
and
synaptic
plasticity
dysfunction.
The
pathogenesis
of
complex
involves
multiple
signal
transduction
pathways
molecular
changes.
PI3K/AKT
pathway
an
essential
signaling
in
neurons,
which
widely
expressed
emotion-related
regions
the
brain.
Therefore,
play
moderating
role
mood
disorders.
However,
mechanism
not
been
fully
described.
This
review
systematically
summarized
discussed
its
potential
treatment
depression.
will
help
development
antidepressants.
Cells,
Journal Year:
2024,
Volume and Issue:
13(10), P. 790 - 790
Published: May 7, 2024
Translational
research
in
neurological
and
psychiatric
diseases
is
a
rapidly
advancing
field
that
promises
to
redefine
our
approach
these
complex
conditions
[...]
The
editorial
explores
the
realm
of
emerging
translational
research
in
neurology
and
psychiatry,
providing
insights
into
various
subjects,
including
neurodegenerative
disorders
innovative
therapeutic
methods.
main
objective
is
to
study
neurological
psychiatric
disorders,
such
as
Alzheimer's
disease,
with
a
particular
emphasis
on
techniques
for
neural
regeneration
repair.
highlights
importance
taking
comprehensive
approach
studying
treating
complex
conditions.
This
involves
thoroughly
reviewing
papers
causes,
development,
biomarkers,
treatment
options
these
emphasizes
necessity
using
multidisciplinary
integrative
methods
gain
deeper
understanding
improve
development
an
animal
model
recurrent
primary
dysmenorrhea
showcases
employed
investigation
gynecological
illustrating
capacity
connect
fundamental
scientific
knowledge
practical
medical
applications.
cooperative
endeavors
researchers
clinicians
emphasized
this
lay
foundation
revolutionary
advancements
that
hold
potential
enhance
outcomes
individuals
afflicted
globally.