Archives of Evidence-Based Medicine,
Journal Year:
2023,
Volume and Issue:
1(2), P. 37 - 55
Published: Dec. 30, 2023
La
esquizofrenia
es
un
trastorno
psiquiátrico
crónico
con
etiología
multifactorial.
Es
una
de
las
10
causas
más
frecuentes
discapacidad
en
adultos
y
el
psicótico
primario
común.
Se
caracteriza
por
la
alteración
5
dominios
mentales
que
hacen
al
individuo
intercambiar
información
su
medio
erróneamente,
se
expresa
como
combinación
síntomas
positivos,
cognitivos,
negativos,
agresivos
afectivos.
El
incluye
alteraciones
regulación
neurotransmisores
(dopamina,
serotonina,
GABA)
estructurales
(lóbulos
frontales,
hipocampo,
etc.).
progresivo
causa
deterioro
significativo
diversas
áreas,
lo
genera
mayor
disfunción
psicosocial,
riesgo
sufrir
consumo
alcohol,
depresión,
violencia
suicidio.
tratamiento
multidisciplinario,
cual
consta
desde
medidas
farmacológicas
no
farmacológicas,
incluyendo
terapias
novedosas
musicoterapia,
yogaterapia,
agonistas
del
receptor
serotonina
5-HT2C,
oxitocina,
entre
otras.
objetivo
este
artículo
revisión
presentar
panorama
general
sobre
estado
actual
los
lineamientos
diagnósticos
terapéuticos
existentes
para
esquizofrenia,
así
medicamentos
innovadores
farmacológicas.
Biomedicines,
Journal Year:
2024,
Volume and Issue:
12(3), P. 574 - 574
Published: March 5, 2024
Neurodegeneration
poses
a
significant
challenge
for
the
fields
of
neuroscience
and
medicine,
as
it
is
underlying
cause
development
advancement
numerous
neurodegenerative
psychiatric
disorders
[...]
Frontiers in Bioscience-Landmark,
Journal Year:
2025,
Volume and Issue:
30(1)
Published: Jan. 20, 2025
Backgrounds:
Memory
and
emotion
are
especially
vulnerable
to
psychiatric
disorders
such
as
post-traumatic
stress
disorder
(PTSD),
which
is
linked
disruptions
in
serotonin
(5-HT)
metabolism.
Over
90%
of
the
5-HT
precursor
tryptophan
(Trp)
metabolized
via
Trp-kynurenine
(KYN)
metabolic
pathway,
generates
a
variety
bioactive
molecules.
Dysregulation
KYN
metabolism,
particularly
low
levels
kynurenic
acid
(KYNA),
appears
be
neuropsychiatric
disorders.
The
majority
KYNA
produced
by
aadat
(kat2)
gene-encoded
mitochondrial
kynurenine
aminotransferase
(KAT)
isotype
2.
Little
known
about
consequences
deleting
enzyme
gene.
Methods:
In
CRISPR/Cas9-induced
knockout
(kat2-/-)
mice,
we
examined
effects
on
emotion,
memory,
motor
function,
Trp
its
metabolite
levels,
activities
plasma
urine
8-week-old
males
compared
wild-type
mice.
Results:
Transgenic
mice
showed
more
depressive-like
behaviors
forced
swim
test,
but
not
tail
suspension,
anxiety,
or
memory
tests.
They
also
had
fewer
center
field
corner
entries,
shorter
walking
distances,
jumping
counts
open
test.
Plasma
generally
consistent
with
those
urine:
antioxidant
KYNs,
5-hydroxyindoleacetic
acid,
indole-3-acetic
were
lower;
KATs,
kynureninase,
monoamine
oxidase/aldehyde
dehydrogenase
lower,
3-monooxygenase
was
higher;
oxidative
excitotoxicity
indices
higher.
displayed
depression-like
behavior
learned
helplessness
model,
emotional
indifference,
deficits,
coupled
decrease
KYNA,
shift
metabolism
toward
KYN-3-hydroxykynurenine
partial
gut
microbial
Trp-indole
pathway
metabolite.
Conclusions:
This
first
evidence
that
gene
induces
uniquely
experiences
despair,
appear
associated
excitatory
neurotoxic
stresses.
may
lead
development
double-hit
preclinical
model
despair-based
depression,
better
understanding
these
complex
conditions,
effective
therapeutic
strategies
elucidating
relationship
between
PTSD
pathogenesis.
Cells,
Journal Year:
2023,
Volume and Issue:
12(22), P. 2649 - 2649
Published: Nov. 17, 2023
Migraine
is
a
neurovascular
disorder
that
can
be
debilitating
for
individuals
and
society.
Current
research
focuses
on
finding
effective
analgesics
management
strategies
migraines
by
targeting
specific
receptors
neuropeptides.
Nonetheless,
newly
approved
calcitonin
gene-related
peptide
(CGRP)
monoclonal
antibodies
(mAbs)
have
50%
responder
rate
ranging
from
27
to
71.0%,
whereas
CGRP
receptor
inhibitors
56
71%.
To
address
the
need
novel
therapeutic
targets,
researchers
are
exploring
potential
of
another
secretin
family
peptide,
pituitary
adenylate
cyclase-activating
polypeptide
(PACAP),
as
ground-breaking
treatment
avenue
migraine.
Preclinical
models
revealed
how
PACAP
affects
trigeminal
system,
which
implicated
in
headache
disorders.
Clinical
studies
demonstrated
significance
migraine
pathophysiology;
however,
few
clinical
trials
remain
inconclusive:
1
mAb,
AMG
301
showed
no
benefit
prevention,
while
ligand
Lu
AG09222
significantly
reduced
number
monthly
days
over
placebo
phase
2
trial.
Meanwhile,
vasoactive
intestinal
(VIP)
gaining
interest
new
target.
In
light
recent
advances
research,
we
emphasize
promising
target
treatment,
highlighting
member
antimigraine
armamentarium,
especially
patients
who
do
not
respond
or
contraindicated
anti-CGRP
therapies.
By
updating
our
knowledge
its
unique
contribution
pathophysiology,
pave
way
reinforcing
other
peptides,
including
VIP,
option
migraines.
The
central
nervous
system
(CNS)
is
the
final
frontier
in
drug
delivery
because
of
blood-brain
barrier
(BBB),
which
poses
significant
barriers
to
access
most
drugs
their
targets.
Kynurenic
acid
(KYNA),
a
tryptophan
(Trp)
metabolite,
plays
an
important
role
behavioral
functions
and
abnormal
KYNA
levels
have
been
observed
neuropsychiatric
conditions.
current
challenge
lies
delivering
CNS
owing
its
polar
side
chain.
Recently,
C-3
chain
modified
analogs
shown
cross
BBB;
however,
it
unclear
whether
they
retain
biological
parent
molecule.
This
study
examined
impact
analogs,
specifically
SZR-72,
SZR-104,
newly
developed
SZRG-21,
on
behavior.
were
administered
intracerebroventricularly
(i.c.v.),
effects
motor
domain
compared
with
those
KYNA.
Specifically,
open
field
(OF)
rotarod
(RR)
tests
employed
assess
activity
skills.
SZR-104
increased
horizontal
exploratory
OF
test
at
dose
0.04
μmol/4
μL,
while
SZR-72
decreased
vertical
doses
0.1
μL.
In
RR
test,
neither
nor
showed
any
differences
skills
either
dose.
Side
modification
affects
affective
performance
behavior,
as
results
show
for
first
time.
this
study,
we
that
alter
emotional
components
such
motor-associated
curiosity
emotions.
Consequently,
design
necessitates
development
precise
strategies
traverse
BBB
paying
close
attention
modifications
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(6), P. 3394 - 3394
Published: March 16, 2024
The
central
nervous
system
(CNS)
is
the
final
frontier
in
drug
delivery
because
of
blood–brain
barrier
(BBB),
which
poses
significant
barriers
to
access
most
drugs
their
targets.
Kynurenic
acid
(KYNA),
a
tryptophan
(Trp)
metabolite,
plays
an
important
role
behavioral
functions,
and
abnormal
KYNA
levels
have
been
observed
neuropsychiatric
conditions.
current
challenge
lies
delivering
CNS
owing
its
polar
side
chain.
Recently,
C-3
chain-modified
analogs
shown
cross
BBB;
however,
it
unclear
whether
they
retain
biological
functions
parent
molecule.
This
study
examined
impact
analogs,
specifically,
SZR-72,
SZR-104,
newly
developed
SZRG-21,
on
behavior.
were
administered
intracerebroventricularly
(i.c.v.),
effects
motor
domain
compared
with
those
KYNA.
Specifically,
open-field
(OF)
rotarod
(RR)
tests
employed
assess
activity
skills.
SZR-104
increased
horizontal
exploratory
OF
test
at
dose
0.04
μmol/4
μL,
while
SZR-72
decreased
vertical
doses
0.1
μL.
In
RR
test,
neither
nor
showed
any
differences
skills
either
dose.
Side
chain
modification
affects
affective
performance
behavior,
as
results
show
for
first
time.
this
study,
we
that
alter
emotional
components
such
motor-associated
curiosity
emotions.
Consequently,
design
necessitates
development
precise
strategies
traverse
BBB
paying
close
attention
modifications
Biomedicines,
Journal Year:
2025,
Volume and Issue:
13(1), P. 167 - 167
Published: Jan. 12, 2025
Background/Objectives:
The
dual
forces
of
structured
inquiry
and
serendipitous
discovery
have
long
shaped
neuropsychiatric
research,
with
groundbreaking
treatments
such
as
lithium
ketamine
resulting
from
unexpected
discoveries.
However,
relying
on
chance
is
becoming
increasingly
insufficient
to
address
the
rising
prevalence
mental
health
disorders
like
depression
schizophrenia,
which
necessitate
precise,
innovative
approaches.
Emerging
technologies
artificial
intelligence,
induced
pluripotent
stem
cells,
multi-omics
potential
transform
this
field
by
allowing
for
predictive,
patient-specific
interventions.
Despite
these
advancements,
traditional
methodologies
animal
models
single-variable
analyses
continue
be
used,
frequently
failing
capture
complexities
human
conditions.
Summary:
This
review
critically
evaluates
transition
serendipity
precision-based
in
research.
It
focuses
key
innovations
dynamic
systems
modeling
network-based
approaches
that
use
genetic,
molecular,
environmental
data
identify
new
therapeutic
targets.
Furthermore,
it
emphasizes
importance
interdisciplinary
collaboration
human-specific
overcoming
limitations
Conclusions:
We
highlight
precision
psychiatry’s
transformative
revolutionizing
care.
paradigm
shift,
combines
cutting-edge
systematic
frameworks,
promises
increased
diagnostic
accuracy,
reproducibility,
efficiency,
paving
way
tailored
better
patient
outcomes
Migraine
is
a
neurovascular
disorder
that
can
be
debilitating
for
individuals
and
society.
Current
research
focuses
on
finding
effective
analgesics
management
strategies
migraines
by
targeting
specific
receptors
neuropeptides.
Nevertheless,
the
responder
rates
of
recently
approved
calcitonin
gene-related
peptide
(CGRP)
monoclonal
antibodies
(mAbs)
receptor
inhibitors
remain
around
50
percent.
To
address
need
novel
therapeutic
targets,
researchers
are
exploring
potential
another
secretin
family
peptide,
pituitary
adenylate
cyclase-activating
polypeptide
(PACAP),
as
ground-breaking
treatment
avenue
migraine.
Preclinical
models
have
revealed
how
PACAP
affects
trigeminal
system,
which
implicated
in
headache
disorders.
Clinical
studies
demonstrated
significance
migraine
pathophysiology;
however,
few
clinical
trials
inconclusive:
1
mAb,
AMG
301
showed
no
benefit
prevention,
while
ligand
Lu
AG09222
significantly
reduced
number
monthly
days
over
placebo
phase
2
trial.
Meanwhile,
vasoactive
intestinal
(VIP)
gaining
interest
new
target.
In
light
recent
advances
research,
we
emphasize
promising
target
treatment,
highlighting
member
antimigraine
armamentarium,
especially
patients
who
do
not
respond
to
or
contraindicated
anti-CGRP
therapies.
By
updating
our
knowledge
its
unique
contribution
pathophysiology,
pave
way
reinforcing
other
peptides,
including
VIP,
option
migraines.
Psychiatry and Clinical Neurosciences,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 18, 2024
Background
Recent
advances
in
multivariate
pattern
recognition
have
fostered
the
search
for
reliable
neuroimaging‐based
biomarkers
psychiatric
conditions,
including
schizophrenia.
These
approaches
consider
complex
of
alterations
brain
function
and
structure,
overcoming
limitations
traditional
univariate
methods.
To
assess
reliability
contribution
study
characteristics
distinguishing
individuals
with
schizophrenia
spectrum
disorder
(SSD)
from
healthy
controls
(HCs),
we
conducted
a
systematic
review
studies
that
used
this
objective.
Methods
We
systematically
searched
PubMed,
Scopus,
Web
Science
on
SSD
classification
using
analysis
magnetic
resonance
imaging
data.
employed
bivariate
random‐effects
meta‐analytic
model
to
explore
sensitivity
(SE)
specificity
(SP)
across
while
also
evaluating
moderator
effects
clinical
non‐clinical
variables.
Results
A
total
119
(with
12,723
patients
13,196
HCs)
were
identified.
The
meta‐analysis
estimated
SE
79.1%
(95%
confidence
interval
[CI],
77.1%–81.0%)
SP
80.0%
CI,
77.8%–82.0%).
In
particular,
Positive
Negative
Syndrome
Scale
Global
Assessment
Functioning
scores,
age,
age
onset,
duration
untreated
psychosis,
deep
learning,
algorithm
type,
features
selection,
validation
methods
had
significant
performance.
Conclusions
Multivariate
reliably
identifies
SSD,
achieving
∼80%
SP.
Despite
heterogeneity,
discernible
modifications
effectively
differentiate
HCs.
Classification
performance
depends
patient‐related
methodological
factors
crucial
development,
validation,
application
prospective
models
settings.