超越多巴胺:探索抗精神病药物的抗炎机制
Nicole Šafářová1, Marián Kolenič2, Filip Španiel2
1National Institute of Mental Health, Topolová 748, 250 67 Klecany, Czechia; 3rd Faculty of Medicine at Charles University, Ruská 2411, 100 00 Praha 10-Vinohrady, Prague, Czechia; Psychiatric Hospital Bohnice, Prague, Ústavní 91, 181 00 Praha 8, Czechia.
概括
精神分裂症涉及神经炎症,虽然抗精神病药物向多巴胺,但它们的抗炎功能潜力仍未得到充分探索. 未来的研究应该集中在耐火性症状的免疫调节上.
科学领域:
- 神经科学是一个神经科学.
- 免疫学 免疫学 免疫学
- 精神病学是一个精神病学.
背景情况:
- 精神分裂症表现出显著的神经免疫参与,炎症标志物升高.
- 目前的治疗主要通过向多巴胺基通路来解决积极症状,忽视负面和认知症状.
研究的目的:
- 审查关于抗精神病药物 (AP) 是否调节炎症过程的证据.
- 通过免疫调节来评估APs在治疗耐药精神分裂症症状方面的潜力.
主要方法:
- 叙事审查合成体外,动物和人类研究.
- 检查APs对质激活和免疫通路的影响.
主要成果:
- 有希望的发现表明,AP可能具有抗炎作用.
- 不一致的炎症标志物模式和方法变化使解释变得复杂.
结论:
- 需要进一步的研究来澄清AP的抗炎功能,并优化治疗时间.
- 转向生物标志物引导试验和天生的免疫调节的范式转变对于新型精神分裂症疗法至关重要.
相关概念视频
Antipsychotic Drugs: Typical and Atypical Agents
321
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...
321
Antipsychotic Drugs: Therapeutic Uses and Side Effects
387
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...
387
Psychosis and Antipsychotic Drugs: Overview
459
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...
459
Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders
987
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...
987
Drug Therapy
103
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
103
Psychosis: Goals of Pharmacotherapy
210
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.
210


