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Opportunities and Challenges in Precision Neurotherapeutics.

Lilianne R Mujica-Parodi1,2, Dost Öngür3, R Mark Richardson4

  • 1Department of Biomedical Engineering and Laufer Center for Physical and Quantitative Biology, State University of New York at Stony Brook, Stony Brook, New York, USA;

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Summary
This summary is machine-generated.

Precision neurotherapeutics tailors treatments for neurological disorders using individual patient data. This personalized approach enhances treatment efficacy by moving beyond one-size-fits-all methods.

Keywords:
central nervous systemmedical deviceneuroimagingneuromodulatoryneurotransmitterpharmaceutical

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Area of Science:

  • Neuroscience
  • Pharmacology
  • Biotechnology

Background:

  • Traditional treatments for neurological, neurodegenerative, and psychiatric disorders have limited response rates (30-60%).
  • A paradigm shift towards precision neurotherapeutics is needed, leveraging patient-specific biological, behavioral, and physiological data.
  • Individual differences in genetics, brain structure/function, and treatment response necessitate personalized strategies.

Purpose of the Study:

  • To review advances in precision neurotherapeutics across pharmaceutical, neuromodulation, and biomarker domains.
  • To highlight the potential of personalized interventions for neurological and psychiatric conditions.
  • To identify challenges and opportunities in developing mechanistically informed biomarkers for personalized mental health care.

Main Methods:

  • Review of pharmaceutical approaches: fragment-based drug discovery, pharmacokinetic modeling, quantitative systems pharmacology.
  • Examination of neuromodulation technologies: evolution from open-loop to adaptive closed-loop systems with real-time biomarker feedback.
  • Analysis of biomarker development: neuroimaging, pharmacogenomics, digital health applications.

Main Results:

  • Advances in pharmaceutical strategies offer more targeted drug discovery and modeling.
  • Neuromodulation is evolving towards adaptive, real-time feedback systems for enhanced efficacy.
  • Biomarker development integrates diverse data sources for a comprehensive patient profile.

Conclusions:

  • Precision neurotherapeutics offers a transformative approach to treating complex brain disorders.
  • Integration of AI, computational modeling, and regulatory shifts facilitates personalized mental health care.
  • Mechanistically informed biomarkers are crucial for guiding individualized treatment strategies.