Genetic-epigenetic-neuropeptide associations in mood and anxiety disorders: Toward personalized medicine

IF 3.3 3区 心理学 Q1 BEHAVIORAL SCIENCES Pharmacology Biochemistry and Behavior Pub Date : 2024-10-16 DOI:10.1016/j.pbb.2024.173897
Maryam Gilani , Niloofar Abak , Mostafa Saberian
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Abstract

Mood and anxiety disorders are complex psychiatric conditions shaped by the multifactorial interplay of genetic, epigenetic, and neuropeptide factors. This review aims to elucidate the intricate interactions among these factors and their potential in advancing personalized medicine. We examine the genetic underpinnings, emphasizing key heritability studies and specific gene associations. The role of epigenetics is discussed, focusing on how environmental factors can modify gene expression and contribute to these disorders. Neuropeptides, including substance P, CRF, AVP, NPY, galanin, and kisspeptin, are evaluated for their involvement in mood regulation and their potential as therapeutic targets. Additionally, we address the emerging role of the gut microbiome in modulating neuropeptide activity and its connection to mood disorders. This review integrates findings from genetic, epigenetic, and neuropeptide research, offering a comprehensive overview of their collective impact on mood and anxiety disorders. By highlighting novel insights and potential clinical applications, we underscore the importance of a multi-omics approach in developing personalized treatment strategies. Future research directions are proposed to address existing knowledge gaps and translate these findings into clinical practice. Our review provides a fresh perspective on the pathophysiology of mood and anxiety disorders, paving the way for more effective and individualized therapies.
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情绪和焦虑症中的遗传-表观遗传-神经肽关联:迈向个性化医疗
情绪和焦虑障碍是一种复杂的精神疾病,由遗传、表观遗传和神经肽等多因素相互作用形成。本综述旨在阐明这些因素之间错综复杂的相互作用及其在推进个性化医疗方面的潜力。我们研究了遗传基础,强调了关键的遗传性研究和特定基因关联。我们还讨论了表观遗传学的作用,重点关注环境因素如何改变基因表达并导致这些疾病。我们还评估了神经肽(包括 P 物质、CRF、AVP、NPY、galanin 和 kisspeptin)在情绪调节中的作用以及作为治疗靶点的潜力。此外,我们还探讨了肠道微生物组在调节神经肽活性方面的新作用及其与情绪障碍的联系。本综述整合了遗传学、表观遗传学和神经肽研究的成果,全面概述了它们对情绪和焦虑症的共同影响。通过强调新的见解和潜在的临床应用,我们强调了多组学方法在开发个性化治疗策略中的重要性。我们提出了未来的研究方向,以弥补现有的知识差距,并将这些发现转化为临床实践。我们的综述为情绪和焦虑症的病理生理学提供了一个全新的视角,为更有效的个性化治疗铺平了道路。
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来源期刊
CiteScore
6.40
自引率
2.80%
发文量
122
审稿时长
38 days
期刊介绍: Pharmacology Biochemistry & Behavior publishes original reports in the areas of pharmacology and biochemistry in which the primary emphasis and theoretical context are behavioral. Contributions may involve clinical, preclinical, or basic research. Purely biochemical or toxicology studies will not be published. Papers describing the behavioral effects of novel drugs in models of psychiatric, neurological and cognitive disorders, and central pain must include a positive control unless the paper is on a disease where such a drug is not available yet. Papers focusing on physiological processes (e.g., peripheral pain mechanisms, body temperature regulation, seizure activity) are not accepted as we would like to retain the focus of Pharmacology Biochemistry & Behavior on behavior and its interaction with the biochemistry and neurochemistry of the central nervous system. Papers describing the effects of plant materials are generally not considered, unless the active ingredients are studied, the extraction method is well described, the doses tested are known, and clear and definite experimental evidence on the mechanism of action of the active ingredients is provided.
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