Pharmacological Research,
Journal Year:
2024,
Volume and Issue:
unknown, P. 107561 - 107561
Published: Dec. 1, 2024
Gut
microbial
dysbiosis
or
altered
gut
consortium,
in
schizophrenia
suggests
a
pathogenic
role
through
the
gut-brain
axis,
influencing
neuroinflammatory
and
neurotransmitter
pathways
critical
to
psychotic,
affective,
cognitive
symptoms.
Paradoxically,
conventional
psychotropic
interventions
may
exacerbate
this
dysbiosis,
with
antipsychotics,
particularly
olanzapine,
demonstrating
profound
effects
on
architecture
disruption
of
bacterial
phyla
ratios,
diminished
taxonomic
diversity,
attenuated
short-chain
fatty
acid
synthesis.
To
address
these
challenges,
novel
therapeutic
strategies
targeting
microbiome,
encompassing
probiotic
supplementation,
prebiotic
compounds,
faecal
microbiota
transplantation,
rationalised
co-pharmacotherapy,
show
promise
attenuating
antipsychotic-induced
metabolic
disruptions
while
enhancing
efficacy.
Harnessing
such
insights,
precision
medicine
approaches
transform
antipsychotic
prescribing
practices
by
identifying
patients
at
risk
side
based
their
profiles.
This
IUPHAR
review
collates
current
literature
landscape
axis
its
intricate
relationship
advocating
for
integrating
microbiome
assessments
management.
Such
fundamental
shift
proposing
microbiome-informed
prescriptions
optimise
efficacy
reduce
adverse
impacts
would
align
treatments
safety,
prioritising
'gut-neutral'
gut-favourable
drugs
safeguard
long-term
patient
outcomes
therapy.
Vestnik nevrologii psihiatrii i nejrohirurgii (Bulletin of Neurology Psychiatry and Neurosurgery),
Journal Year:
2025,
Volume and Issue:
1, P. 80 - 90
Published: Jan. 15, 2025
Positive
symptoms
in
paranoid
schizophrenia
are
caused
by
mutations
a
separate
group
of
genes
common
with
bipolar
disorder
type
I.
This
fact
suggests
the
presence
genetically
determined
substrate
severe
psychopathological
syndromes
within
schizophrenia,
such
as
affective-delusional
and
hallucinatory-paranoid
syndromes.
Dysfunction
expression
involved
processes
brain
formation
development
is
considered
one
possible
causes
mental
illness.
Objective.
Based
on
results
examining
patients
leading
hallucinatory-delusional
syndromes,
identify
correlation
genomic
variants
rs1944294‑T
CDH2
gene,
rs11935573‑G
rs12500437‑G/T
DCHS2
gene
associated
syndrome.
Material
methods.
The
study
participants
were
Caucasian,
not
blood
relatives
lived
Russia.
diagnosis
(F20.00
F20.01)
was
established
during
clinical
interview.
Two
groups
formed
to
conduct
study.
first
included
(n=27)
an
second
(n=45)
Results.
Statistical
analysis
distribution
identified
alleles
did
reveal
significant
rs6265
BDNF
syndrome
schizophrenia.
absence
reliable
indicates
presumed
role
for
picture
part
symptom
complex
BACKGROUND
Free-text
clinical
data
that
is
unstructured
and
narrative
in
nature
can
provide
a
rich
source
of
patient
information.
However,
the
information
contained
within
routinely
collected
health
typically
captured
as
free-text,
extracting
research
quality
phenotypes
from
these
remains
challenge.
Manually
reviewing
free-text
notes
time-consuming
process
not
suitable
for
large
scale
datasets.
On
other
hand,
automatically
be
challenging
task
due
to
medical
researchers
lacking
gold-standard
annotated
references
purpose-built
resources
including
software.
Recent
language
models
(LLMs)
have
ability
understand
natural
instructions
(prompts)
which
helps
them
adapt
different
domains
tasks
without
need
specific
training
data.
This
makes
applications,
though
their
use
this
field
still
limited.
OBJECTIVE
In
paper,
we
analyse
how
in-context-learning
techniques
utilised
text
classification
real-world
scenario,
where
only
few
examples
are
available.
For
this,
sought
develop
pipeline,
based
on
“few-shot”
learning
framework,
summaries
derived
discharge
interviews
cohort
1121
individuals
with
severe
mental
illnesses.
Our
main
aim
was
identify
those
confirmed
or
strongly
suspected
comorbid
intellectual
disability
(ID).
A
secondary
take
advantage
complementary
independent
cohort,
form
high-quality
genomic
dataset.
designed
proof-of-concept
study
assess
whether
identified
by
our
LLM-based
having
ID
were
also
carriers
genetic
variants
known
confer
risk
general
population.
METHODS
We
explore
novel
approaches
performing
summaries,
using
an
intermediate
Information
Extraction
step
human-in-the-loop
approach
order
maximise
performance
LLMs.
perform
experiments
two
models,
Flan-T5
LLaMA,
dataset
free
diagnosed
illness.
genetics-based
experiment,
published
de
novo
mutations
been
called.
rare
variant
association
analyses
through
Firth’s
penalised
likelihood
approach,
logistic
regression
framework
appropriate
sparse
RESULTS
Results
show
two-stage
consisting
extraction
manual
validation
effective
identifying
disabilities
information,
needing
single
example
per
label.
further
validated
demonstrating
classified
LLMs
significantly
enriched
genes
associated
disability.
CONCLUSIONS
Recently
developed
in-context
combined
approaches,
highly
beneficial
categorisation
when
there
lack
study,
used
illness
who
disability,
biologically
clinically
meaningful
subgroup
patients.
showcases
one
applications
method
suggests
broad
uses
supporting
records.
Brain medicine :,
Journal Year:
2025,
Volume and Issue:
unknown, P. 1 - 7
Published: Feb. 11, 2025
This
study
investigated
the
presence
of
manic
symptoms
in
stable
patients
diagnosed
with
schizophrenia
spectrum
disorders
(SSDs)
aiming
to
identify
their
association
clinical
symptoms.
A
total
75
out-patients,
41.3%
female
[47.81
(±10.521)
year-old]
were
assessed
using
Young
Mania
Rating
Scale
(YMRS),
Positive
and
Negative
Syndrome
(PANSS),
Generalized
Anxiety
Disorder-7
scale
(GAD-7),
Risk
Assessment
Suicidality
(RASS).
Participants
divided
into
two
groups
based
on
YMRS
scores:
Group
1,
without
or
minimal
mania
(YMRS
≤
10)
2,
distinct
>
10).
We
performed
statistical
analysis
IBM
SPSS
version
29.0.
Our
revealed
a
positive
significant
correlation
between
score
PANSS
(
r
2
=
0.516,
p
2.15
×
10
−6
),
PANSS-Positive
subscore
0.600,
1.31
−8
)
PANSS-General
Psychopathology
0.444,
6.646
−5
Bonferroni
corrected
at
0.0004.
Moreover,
as
by
subscale
differed
significantly
[
t
(73)
3.982,
0.00016,
d
1.040].
Linear
regression
showed
that
severity
predicted
occurrence
could
serve
pilot
study,
observing
SSDs
recruitment
goes
on,
it
is
expected
yield
more
robust
evidence
prevalence
associations
forming
phenotypic
characterization
basis
for
further
dimensional
research
psychopathology
etiopathogenesis
SSDs.
ABSTRACT
Aims
The
challenges
in
identifying
functional
variants
from
genome‐wide
association
studies
(GWAS)
and
unraveling
regulatory
mechanisms
schizophrenia
research
persist,
particularly
intronic
regions.
A
non‐coding
variant,
rs1399178,
associated
with
risk,
is
identified
its
impact
on
NRF1
binding
investigated.
Methods
This
study
focuses
GWAS
risk
loci,
using
genomics,
expression
analyses
structural
analysis
to
identify
736
single‐nucleotide
polymorphisms
(SNPs)
that
disrupt
transcription
factor
(TF)
binding.
Results
Among
these
SNPs,
rs1399178
stands
out
as
a
bifunctional
intergenic
SNP
can
switch
between
acting
promoter
an
enhancer,
potentially
influencing
MLH1
LRRFIP2
via
quantitative
trait
loci
analysis.
Importantly,
mutation
of
the
G
allele
significantly
diminishes
affinity
nuclear
respiratory
1
(NRF1).
Structural
provides
further
insight
into
this
alteration
protein–nucleic
acid
complex
formation.
Conclusion
Based
our
data,
model
proposed
which
confers
by
modifying
profiles,
thereby
regulating
abundance
target
genes
through
promoter‐enhancer
switching.
novel
insights
variants,
highlighting
intricate
nature
genetic
interactions
potential
therapeutic
targets.
Genes,
Journal Year:
2025,
Volume and Issue:
16(4), P. 371 - 371
Published: March 24, 2025
Neuropsychiatric
disorders
are
complex
conditions
with
multifactorial
etiologies,
in
which
genetics
play
a
pivotal
role.
Despite
significant
advancements
psychiatric
research,
traditional
treatment
options
remain
largely
symptomatic,
focusing
on
clinical
signs
without
fully
addressing
the
underlying
biological
causes.
However,
recent
developments
precision
medicine—an
approach
that
tailors
treatments
based
genetic,
environmental,
and
lifestyle
factors—hold
great
promise
for
transforming
of
these
disorders.
By
identifying
specific
genetic
markers
understanding
gene–environment
interactions,
medicine
can
offer
more
personalized
effective
treatments,
leading
to
better
patient
outcomes.
Our
primary
aim
was
explore
how
integrating
data
environmental
factors
could
enhance
neuropsychiatric
such
as
schizophrenia,
bipolar
disorder,
depression.
The
secondary
examine
potential
pharmacogenomics
gene
therapy
improving
therapeutic
strategies.
results
indicate
while
progress
has
been
made,
challenges
remain,
including
complexity
interactions
need
granular
phenotypic
data.
In
conclusion,
revolutionize
by
providing
individualized
care
considers
makeup,
influences,
factors,
paving
way
therapies
improved
Psychiatric Genetics,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 25, 2025
Although
numerous
copy
number
variants
(CNVs)
are
considered
pathogenic
with
respect
to
the
development
of
schizophrenia,
only
eight
loci
have
reached
genome-wide
significance.
Reviews/studies
characterizing
antipsychotic
use
in
this
context
exist
for
three
corresponding
CNV
syndromes.
As
these
disorders
also
predispose
neurodevelopmental
anomalies
and
various
medical
comorbidities,
affected
individuals
may
be
particularly
sensitive
side
effects
medications.
such,
review
sought
identify
describe
all
reports
among
other
significant
schizophrenia
risk
CNVs
(2p16.3
deletions/NRXN1
variants,
15q13.3
16p11.2
deletions,
7q11.23
duplications,
1q21.1
deletions
or
duplications).
Only
10
eligible
articles
describing
29
were
included.
While
treatment
response
was
reasonably
good
most
individuals,
despite
variability
existing
across
specific
syndromes,
rarely
reported.
Above
all,
highlights
need
more
case
reports/series
published.