对抗精神病药物的全表观基因组研究:系统性审查和途径元分析
Thomas Rowbal1, Megan Kajy1, Kyle J Burghardt1
1Eugene Applebaum College of Pharmacy & Health Sciences, Wayne State University, 259 Mack Avenue, Detroit, MI 48202, USA.
Epigenomics
|November 7, 2023
概括
对抗精神病药物的表观遗传学研究显示出不同的结果. 这次审查强调了异质性,并建议在未来对个性化治疗反应的研究中关注共同的基因路径.
科学领域:
- 药物基因组学 药物基因组学
- 神经科学是一个神经科学.
- 表观遗传学 在表观遗传学中,表观遗传学是指表观遗传学.
背景情况:
- 了解抗精神病机制对于预测患者反应至关重要.
- 表观遗传研究,特别是DNA甲基化,为这些机制提供了洞察力.
- 关于抗精神病药物和表观遗传学的现有研究显示出显著的变异性,阻碍了进展.
研究的目的:
- 系统地审查人类抗精神病治疗的全表观基因组关联研究 (EWAS).
- 为了确定常见的表观遗传途径受抗精神病药物的影响.
- 为未来更一致,更有信息性的研究提供基础.
主要方法:
- 进行了针对抗精神病治疗的人类表观基因组研究的系统审查.
- 从包含的研究中利用甲基化地点进行路径和缩地图分析.
- 从七项研究中对82个甲基化位点进行了探索性途径元分析.
主要成果:
- 通过对甲基化位点的元分析,确定了六个不同的途径集群.
- 在现有的抗精神病药物的全表观基因组研究中证实了实质性的异质性.
- 突出了特定的基因组和途径,可能通过抗精神病治疗来调节.
结论:
- 使用表观遗传学进行的抗精神病治疗研究具有很高的异质性.
- 未来的研究应该专注于交叉基因组和途径,以更好地理解.
- 这些发现可以指导开发更有针对性,更有效的抗精神病疗法.
更多相关视频
相关概念视频
Psychosis and Antipsychotic Drugs: Overview
289
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
289
Antipsychotic Drugs: Typical and Atypical Agents
221
Antipsychotic drugs are classified into first-generation (typical) drugs including phenothiazines; and second-generation (atypical) drugs. Chlorpromazine hydrochloride (Thorazine), a phenothiazine derivative, broadly impacts the central, autonomic, and endocrine systems. This drug, along with typical agents like haloperidol (Haldol), primarily works by antagonizing D2 receptors, thus reducing dopaminergic neurotransmission. However, typical antipsychotics can cause side effects such as sedation...
221
Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders
690
Schizophrenia is a neurodevelopmental disorder whose origins are rooted in complex genetic components. Despite our burgeoning understanding, the pathophysiology of this disorder remains incompletely deciphered.
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
690
Psychosis: Goals of Pharmacotherapy
143
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
143
Drug Therapy
47
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
47
Antipsychotic Drugs: Therapeutic Uses and Side Effects
229
Antipsychotic drugs primarily block dopamine and serotonin receptors and cholinergic, adrenergic, and histaminergic receptors, thereby reducing hallucinations and delusions in conditions like schizophrenia. However, they can trigger unwanted extrapyramidal effects such as dystonias, Parkinson-like symptoms, and tardive dyskinesia.
Despite these side effects, antipsychotics are used therapeutically for various purposes, including managing schizophrenia, preventing nausea and vomiting, curbing...
Despite these side effects, antipsychotics are used therapeutically for various purposes, including managing schizophrenia, preventing nausea and vomiting, curbing...
229


