Schizophrenia and neuroinflammation: Pathogenetic and therapeutic aspects DOI Creative Commons
A. V. Chugunov, A A Shmilovich,

D. V. Nikolaeva

et al.

Published: March 23, 2025

Introduction. Schizophrenia is a complex mental disorder with heterogeneous symptoms, including psychotic, negative, cognitive, affective, and psychomotor symptoms. Although the pathogenesis of schizophrenia mainly associated neurotransmitter imbalance, recent studies have suggested importance neuroinflammation in this disease. Objective. To study involvement prognostic assessment potential anti-inflammatory effect antipsychotic medications. Discussion. Current data indicate significant role development course schizophrenia. At initial stages its development, number lymphocytes level some proinflammatory cytokines (IL-1, IL-6, TNF-α, IL-1β) increase, which can be decreased by therapy. Studies involving experimental models maternal immune activation (MIA) obtained immunohistochemical PET confirm an abnormal microglia, indicating innate cells. Adaptive response cells also play Thus, increased Th17 increase production cytokines, correlating disease severity, were revealed. The neurotransmitters modulating immune-inflammatory discussed. Available suggest that participation dopamine mediated immunomodulatory effect. indicated clinical effectiveness treatment On other hand, antipsychotics has been established, which, at least part, may mediate their Conclusions. Given pathogenesis, further into both properties effects drugs are promising order to optimize

Language: Английский

Increased risk of chronic diseases and multimorbidity in middle-aged and elderly individuals with early vision, hearing, or dual sensory impairments: insights from prospective cohort studies and Mendelian randomization analysis DOI Creative Commons

Yaoling Wang,

Cheng Fang, Niuniu Hou

et al.

BMC Medicine, Journal Year: 2025, Volume and Issue: 23(1)

Published: Feb. 25, 2025

Sensory impairments (SI), including vision (VI), hearing (HI), and dual sensory (DSI), are prevalent with aging, but their impact on disease risk remains unclear. This study investigates the epidemiological genetic associations between SIs 10 chronic categories multimorbidity. Using CHARLS study, participants were classified by self-reported VI/HI/DSI status in 2011 2013 into groups: "new onset, remission, persistent, no SI." Their incidence was tracked until 2018 sub-cohorts respectively. Mendelian randomization (MR) analyses used instruments from UK Biobank GWAS data 88,250/504,307 individuals for vision/hearing loss, outcome datasets consortia FinnGen, DIAMANTE, CKDGen, PGC, Catalog, International Parkinson's Disease Genomics Consortium. The cohort revealed that persistent HI significantly increased of heart (P < 0.001, HR 1.63, 95% CI 1.31–2.03), stroke 0.004, 1.59, 1.16–2.18), lung 0.002, 1.53, 1.17–1.99), emotional, nervous, or psychiatric problems 0.016, 2.03, 1.14–3.60). Persistent VI associated diabetes high blood sugar (DM/Hglu) 0.012, 1.11–2.38) 0.042, 1.02–2.31). MR confirmed these strong suggestive associations, indicating cardiovascular cerebrovascular events 61–170%, bronchitis 160%, schizophrenia 36%. In addition, raised hyperglycemia 2–4% function decline. Additionally, studies early DSI multiple diseases, while identified links hepatic failure, Parkinson's, Alzheimer's disease, hypertension, kidney renal failure. provides evidence perspectives demonstrates exposure to HI/VI/DSI increases developing diseases. These findings underscore need continuous monitoring timely intervention SI manage risks aging populations.

Language: Английский

Citations

0

Treatments for weight gain in schizophrenia DOI
Igor Elman

Current Opinion in Psychiatry, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 13, 2025

Purpose of review Obesity and related metabolic disorders are extremely common in psychiatric patients, particularly those with schizophrenia. Elucidating this link's neurobiology may inform clinicians researchers rational therapeutic approaches necessary to optimize clinical outcomes. Recent findings Current literature highlights the pivotal role inflammation-oxidative stress-insulin resistance loop pathophysiology both neuropsychiatric disorders. The concept ‘diabetophrenia’ is put forward highlight overlapping neurobiological mechanisms underlying dysfunction schizophrenia symptoms. Innovative treatments, including combination xanomeline trospium incretin-based medicines, demonstrate encouraging potential addressing such complex health challenges. Summary nuanced dynamics chronic inflammation symptomatology underscore significance mental factors a cohesive fashion while considering unique psychosocial contexts, dietary preferences, lifestyle choices. A multidisciplinary strategy essential for incorporating counseling, interventions, behavioral therapies, pharmacotherapy into management ensuing enhanced collaboration among healthcare professionals render obsolete prevailing siloed conceptualizations disorders, opening new vistas generating synergistic insights mind-body systems leading improved quality life patients other conditions.

Language: Английский

Citations

0

Optical Coherence Tomography in Patients with Schizophrenia: An Exploratory Study DOI

Shashidhara Munivenkatappa,

Pratyusha Ganne,

Muralidhar Parri

et al.

Psychiatry Research Neuroimaging, Journal Year: 2025, Volume and Issue: 349, P. 111972 - 111972

Published: March 5, 2025

Language: Английский

Citations

0

Clinical Evidence for the Use of Ashwagandha, Withania somnifera DOI
Khara Lucius

Integrative and Complementary Therapies, Journal Year: 2025, Volume and Issue: unknown

Published: March 24, 2025

Language: Английский

Citations

0

Schizophrenia and neuroinflammation: Pathogenetic and therapeutic aspects DOI Creative Commons
A. V. Chugunov, A A Shmilovich,

D. V. Nikolaeva

et al.

Published: March 23, 2025

Introduction. Schizophrenia is a complex mental disorder with heterogeneous symptoms, including psychotic, negative, cognitive, affective, and psychomotor symptoms. Although the pathogenesis of schizophrenia mainly associated neurotransmitter imbalance, recent studies have suggested importance neuroinflammation in this disease. Objective. To study involvement prognostic assessment potential anti-inflammatory effect antipsychotic medications. Discussion. Current data indicate significant role development course schizophrenia. At initial stages its development, number lymphocytes level some proinflammatory cytokines (IL-1, IL-6, TNF-α, IL-1β) increase, which can be decreased by therapy. Studies involving experimental models maternal immune activation (MIA) obtained immunohistochemical PET confirm an abnormal microglia, indicating innate cells. Adaptive response cells also play Thus, increased Th17 increase production cytokines, correlating disease severity, were revealed. The neurotransmitters modulating immune-inflammatory discussed. Available suggest that participation dopamine mediated immunomodulatory effect. indicated clinical effectiveness treatment On other hand, antipsychotics has been established, which, at least part, may mediate their Conclusions. Given pathogenesis, further into both properties effects drugs are promising order to optimize

Language: Английский

Citations

0