Pub Date : 2026-01-01Epub Date: 2025-11-22DOI: 10.1016/j.euroneuro.2025.11.003
Natalia E. Fares-Otero , Monika Budde , Jonathan Laatsch , Mathias Harrer , Teuntje Pelgrim , Alexandra Philipsen , Urs Heilbronner , Eduard Vieta , Roos van Westrhenen , PSY-PGx Consortium
{"title":"Reply to the commentary on “Efficacy of pharmacogenetic (PGx)-guided antidepressant treatment on functional outcomes and quality of life in adults with anxiety and affective disorders: A systematic review and meta-analysis”","authors":"Natalia E. Fares-Otero , Monika Budde , Jonathan Laatsch , Mathias Harrer , Teuntje Pelgrim , Alexandra Philipsen , Urs Heilbronner , Eduard Vieta , Roos van Westrhenen , PSY-PGx Consortium","doi":"10.1016/j.euroneuro.2025.11.003","DOIUrl":"10.1016/j.euroneuro.2025.11.003","url":null,"abstract":"","PeriodicalId":12049,"journal":{"name":"European Neuropsychopharmacology","volume":"102 ","pages":"Pages 14-16"},"PeriodicalIF":6.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145586545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01Epub Date: 2025-11-26DOI: 10.1016/j.euroneuro.2025.11.002
Simon Braak , Marianne Oldehinkel , Maarten Mennes , Tanja Su , Yolande Pijnenburg , Celso Arango , José Luis Ayuso-Mateos , Nic van der Wee , Gerard R. Dawson , Hugh M. Marston , Christian F. Beckmann , Martien J.H. Kas , Brenda W.J.H. Penninx
Structural and functional default mode network (DMN) alterations are common in neuropsychiatric disorders and may contribute transdiagnostically to social dysfunction. Normative modelling enables assessment of DMN alterations at the individual level. This study investigates whether individual deviations in cortical thickness, surface area, and between-network functional connectivity of the DMN differ between schizophrenia (SZ), major depressive disorder (MDD), Alzheimer’s disease (AD), and healthy controls (HC), and whether these deviations transdiagnostically relate to social dysfunction. Social dysfunction was assessed using a composite score from the Social Functioning Scale and De Jong-Gierveld Loneliness scale. Structural MRI data was collected for 329 participants (SZ=86, MDD=44, AD=82, HC=117) and resting-state fMRI data for 317 participants. Individual deviation scores of DMN integrity were computed by adapting existing normative models of cortical thickness (N = 58,836), surface area (N = 43,524), and between-network functional connectivity (N = 21,515). Extreme deviations were quantified using a z-threshold of ±1.96. DMN deviation scores were not transdiagnostically associated with social dysfunction across the sample (ps>0.05). AD patients had more extreme negative deviations in DMN cortical thickness than all other groups (ps<0.0001; z = -4.14 to -6.34) and fewer extreme positive deviations in DMN surface area relative to SZ and HC (ps<0.05; z = 2.10 to 2.71). For between-network functional connectivity of the DMN, AD and SZ patients had more extreme negative deviations than MDD and HC (ps<0.05; z = -2.09 to -3.54). To conclude, normative modelling reveals differences in individual deviations of DMN integrity between neuropsychiatric groups, but these deviations do not transdiagnostically relate to social dysfunction.
结构和功能默认模式网络(DMN)的改变在神经精神疾病中很常见,并可能导致社会功能障碍。规范建模可以在个人层面上评估DMN的变化。本研究探讨了精神分裂症(SZ)、重度抑郁症(MDD)、阿尔茨海默病(AD)和健康对照组(HC)在DMN皮质厚度、表面积和网络间功能连接方面的个体偏差是否存在差异,以及这些偏差是否与社会功能障碍相关。使用社会功能量表和De Jong-Gierveld孤独量表的综合评分来评估社会功能障碍。收集329名参与者(SZ=86, MDD=44, AD=82, HC=117)的结构MRI数据和317名参与者的静息状态fMRI数据。通过采用现有的皮质厚度(N = 58,836)、表面积(N = 43,524)和网络间功能连通性(N = 21,515)的规范模型,计算DMN完整性的个体偏差评分。极值偏差采用±1.96的z阈值进行量化。在整个样本中,DMN偏差评分与社交功能障碍没有跨诊断相关性(ps>0.05)。AD患者DMN皮质厚度的极端负向偏差高于其他各组(ps<0.0001; z = -4.14 ~ -6.34), DMN表面积的极端正向偏差低于SZ和HC (ps<0.05; z = 2.10 ~ 2.71)。对于DMN的网络间功能连通性,AD和SZ患者比MDD和HC患者有更极端的负偏差(ps<0.05; z = -2.09 ~ -3.54)。综上所述,规范模型揭示了神经精神组之间DMN完整性个体偏差的差异,但这些偏差与社会功能障碍无关。
{"title":"Default mode network integrity across neuropsychiatric disorders and its relation to social dysfunction: A normative modelling approach","authors":"Simon Braak , Marianne Oldehinkel , Maarten Mennes , Tanja Su , Yolande Pijnenburg , Celso Arango , José Luis Ayuso-Mateos , Nic van der Wee , Gerard R. Dawson , Hugh M. Marston , Christian F. Beckmann , Martien J.H. Kas , Brenda W.J.H. Penninx","doi":"10.1016/j.euroneuro.2025.11.002","DOIUrl":"10.1016/j.euroneuro.2025.11.002","url":null,"abstract":"<div><div>Structural and functional default mode network (DMN) alterations are common in neuropsychiatric disorders and may contribute transdiagnostically to social dysfunction. Normative modelling enables assessment of DMN alterations at the individual level. This study investigates whether individual deviations in cortical thickness, surface area, and between-network functional connectivity of the DMN differ between schizophrenia (SZ), major depressive disorder (MDD), Alzheimer’s disease (AD), and healthy controls (HC), and whether these deviations transdiagnostically relate to social dysfunction. Social dysfunction was assessed using a composite score from the Social Functioning Scale and De Jong-Gierveld Loneliness scale. Structural MRI data was collected for 329 participants (SZ=86, MDD=44, AD=82, HC=117) and resting-state fMRI data for 317 participants. Individual deviation scores of DMN integrity were computed by adapting existing normative models of cortical thickness (<em>N</em> = 58,836), surface area (<em>N</em> = 43,524), and between-network functional connectivity (<em>N</em> = 21,515). Extreme deviations were quantified using a z-threshold of ±1.96. DMN deviation scores were not transdiagnostically associated with social dysfunction across the sample (<em>ps</em>>0.05). AD patients had more extreme negative deviations in DMN cortical thickness than all other groups (<em>ps<</em>0.0001; <em>z</em> = -4.14 to -6.34) and fewer extreme positive deviations in DMN surface area relative to SZ and HC (<em>ps</em><0.05; <em>z</em> = 2.10 to 2.71). For between-network functional connectivity of the DMN, AD and SZ patients had more extreme negative deviations than MDD and HC (<em>ps</em><0.05; <em>z</em> = -2.09 to -3.54). To conclude, normative modelling reveals differences in individual deviations of DMN integrity between neuropsychiatric groups, but these deviations do not transdiagnostically relate to social dysfunction.</div></div>","PeriodicalId":12049,"journal":{"name":"European Neuropsychopharmacology","volume":"102 ","pages":"Pages 28-38"},"PeriodicalIF":6.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145616607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Activating β2-adrenergic receptor is a potential cross-disease therapeutic strategy for Alzheimer’s disease, obesity and type 2 diabetes","authors":"Ruonan Zhou , Mengli Luo , Jiaxin Lv , Wenbin Shang","doi":"10.1016/j.euroneuro.2025.11.006","DOIUrl":"10.1016/j.euroneuro.2025.11.006","url":null,"abstract":"","PeriodicalId":12049,"journal":{"name":"European Neuropsychopharmacology","volume":"102 ","pages":"Pages 12-13"},"PeriodicalIF":6.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01Epub Date: 2025-11-21DOI: 10.1016/j.euroneuro.2025.11.001
Joe Kwun-Nam Chan, Wing-Chung Chang
{"title":"Persistent mortality gap in schizophrenia: current challenges and future directions","authors":"Joe Kwun-Nam Chan, Wing-Chung Chang","doi":"10.1016/j.euroneuro.2025.11.001","DOIUrl":"10.1016/j.euroneuro.2025.11.001","url":null,"abstract":"","PeriodicalId":12049,"journal":{"name":"European Neuropsychopharmacology","volume":"102 ","pages":"Pages 1-2"},"PeriodicalIF":6.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01Epub Date: 2025-12-03DOI: 10.1016/j.euroneuro.2025.11.014
Nini de Boer , Zara Vučko , Derek IJ. Koster , Marte van der Horst , Michael Davidson , Wiepke Cahn , Jurjen J. Luykx
Antipsychotic-induced weight gain (AiWG) is a common, burdensome adverse effect. Switching to antipsychotics with lower metabolic risks, such as aripiprazole, is recommended, but long-term data is limited. Long-acting injectables (LAIs) may offer metabolic benefits over oral formulations, yet evidence is inconsistent. We compared long-term effects of switching to aripiprazole versus paliperidone on bodyweight, considering administration route and smoking. To that end, we analyzed data from 241 participants (mean age = 31.0; 32 % female) in the European Long-acting Antipsychotics in Schizophrenia Trial (EULAST), a multicentre, open-label, randomized trial. Participants received aripiprazole (n = 119) or paliperidone (n = 122), orally or as LAIs. Bodyweight was assessed over 18 months. Secondary outcomes included changes in BMI and cardiometabolic parameters. Both groups showed progressive weight gain: over 18 months, body weight increased by 4.7 kgs (95 % CI 3.0–6.5). Weight gain was 4.5 kgs with aripiprazole (95 % CI 2.1–7.0) and 4.9 kgs with paliperidone (95 % CI 2.3–7.4). Clinically significant weight gain (≥5 %) occurred in 41.1 % and 58.7 % of users, respectively (NNH = 5; p = 0.06). Weight gain was more pronounced among participants receiving LAIs (difference of 5.57 kgs; 95 % CI: 0.8–10.4; p = 0.02). Smoking was associated with greater weight gain (+2.3 kgs; 95 % CI: 0.9–3.6; p = 0.001). In conclusion, switching to aripiprazole or paliperidone did not prevent AiWG and LAIs showed no metabolic advantage relative to oral counterparts. The association between smoking and increased weight gain suggests smoking may represent a modifiable risk factor, warranting further investigation of smoking cessation as a potential intervention in AiWG management.
抗精神病药物引起的体重增加(AiWG)是一种常见的、沉重的不良反应。建议改用代谢风险较低的抗精神病药物,如阿立哌唑,但长期数据有限。长效注射剂(LAIs)可能比口服制剂提供代谢益处,但证据不一致。考虑给药途径和吸烟,我们比较了阿立哌唑和帕利哌酮对体重的长期影响。为此,我们分析了来自欧洲精神分裂症长效抗精神病药物试验(EULAST)的241名参与者(平均年龄31.0岁,32%为女性)的数据,这是一项多中心、开放标签、随机试验。参与者服用阿立哌唑(n = 119)或帕利哌酮(n = 122),口服或作为LAIs。体重评估持续了18个月。次要结局包括BMI和心脏代谢参数的变化。两组均表现出进行性体重增加:18个月后,体重增加4.7公斤(95% CI 3.0-6.5)。阿立哌唑组体重增加4.5公斤(95% CI 2.1-7.0),帕利潘酮组体重增加4.9公斤(95% CI 2.3-7.4)。临床显著体重增加(≥5%)分别发生在41.1%和58.7%的使用者中(NNH = 5; p = 0.06)。接受LAIs的参与者体重增加更为明显(差异为5.57公斤;95% CI: 0.8-10.4; p = 0.02)。吸烟与体重增加较多相关(+2.3 kg; 95% CI: 0.9-3.6; p = 0.001)。综上所述,改用阿立哌唑或帕利哌酮并不能预防AiWG,与口服同类药物相比,LAIs没有代谢优势。吸烟与体重增加之间的联系表明,吸烟可能是一个可改变的危险因素,因此有必要进一步研究戒烟作为AiWG管理的潜在干预措施。
{"title":"The effect of switching antipsychotics to aripiprazole versus paliperidone on weight/cardiometabolic parameters: 18-month follow-up findings from the European Long-acting Antipsychotics in Schizophrenia Trial (EULAST)","authors":"Nini de Boer , Zara Vučko , Derek IJ. Koster , Marte van der Horst , Michael Davidson , Wiepke Cahn , Jurjen J. Luykx","doi":"10.1016/j.euroneuro.2025.11.014","DOIUrl":"10.1016/j.euroneuro.2025.11.014","url":null,"abstract":"<div><div>Antipsychotic-induced weight gain (AiWG) is a common, burdensome adverse effect. Switching to antipsychotics with lower metabolic risks, such as aripiprazole, is recommended, but long-term data is limited. Long-acting injectables (LAIs) may offer metabolic benefits over oral formulations, yet evidence is inconsistent. We compared long-term effects of switching to aripiprazole versus paliperidone on bodyweight, considering administration route and smoking. To that end, we analyzed data from 241 participants (mean age = 31.0; 32 % female) in the European Long-acting Antipsychotics in Schizophrenia Trial (EULAST), a multicentre, open-label, randomized trial. Participants received aripiprazole (<em>n</em> = 119) or paliperidone (<em>n</em> = 122), orally or as LAIs. Bodyweight was assessed over 18 months. Secondary outcomes included changes in BMI and cardiometabolic parameters. Both groups showed progressive weight gain: over 18 months, body weight increased by 4.7 kgs (95 % CI 3.0–6.5). Weight gain was 4.5 kgs with aripiprazole (95 % CI 2.1–7.0) and 4.9 kgs with paliperidone (95 % CI 2.3–7.4). Clinically significant weight gain (≥5 %) occurred in 41.1 % and 58.7 % of users, respectively (NNH = 5; <em>p</em> = 0.06). Weight gain was more pronounced among participants receiving LAIs (difference of 5.57 kgs; 95 % CI: 0.8–10.4; <em>p</em> = 0.02). Smoking was associated with greater weight gain (+2.3 kgs; 95 % CI: 0.9–3.6; <em>p</em> = 0.001). In conclusion, switching to aripiprazole or paliperidone did not prevent AiWG and LAIs showed no metabolic advantage relative to oral counterparts. The association between smoking and increased weight gain suggests smoking may represent a modifiable risk factor, warranting further investigation of smoking cessation as a potential intervention in AiWG management.</div></div>","PeriodicalId":12049,"journal":{"name":"European Neuropsychopharmacology","volume":"102 ","pages":"Pages 49-57"},"PeriodicalIF":6.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145676738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-10-27DOI: 10.1016/j.euroneuro.2025.10.004
Yuxuan Gao, Weili Wang, Jiapeng Leng
{"title":"Commentary on the article \"Efficacy of pharmacogenetic-guided antidepressant treatment on functional outcomes and quality of life in adults with anxiety and affective disorders: A systematic review and meta-analysis\"","authors":"Yuxuan Gao, Weili Wang, Jiapeng Leng","doi":"10.1016/j.euroneuro.2025.10.004","DOIUrl":"10.1016/j.euroneuro.2025.10.004","url":null,"abstract":"","PeriodicalId":12049,"journal":{"name":"European Neuropsychopharmacology","volume":"101 ","pages":"Pages 20-21"},"PeriodicalIF":6.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145388258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-11-07DOI: 10.1016/j.euroneuro.2025.09.011
Mikkel Højlund , Helin Y. Kafali , Begüm Kırmızı , Paolo Fusar-Poli , Christoph U. Correll , Samuele Cortese , Michel Sabé , Jess Fiedorowicz , Gayatri Saraf , Josephine Zein , Michael Berk , Muhammad I. Husain , Joshua D. Rosenblat , Ruby Rubaiyat , Kim Corace , Stanley Wong , Simon Hatcher , Mark Kaluzienski , Lakshmi N. Yatham , Andrea Cipriani , Marco Solmi
Serotonergic psychedelics and 3,4-methylendioxtmethamphetamine (MDMA) are promising treatments for mental disorders with a continuously evolving evidence base. We searched Pubmed/Scopus/clinical trial registries up to 08july2025 for double-blind randomized controlled trials (RCTs) testing MDMA or serotonergic psychedelics in patients with mental disorders. Primary outcomes were change in disease-specific symptoms and all-cause discontinuation. Standardized mean differences (SMD) and relative risk (RR) were estimated using random-effects meta-analysis. Risk of bias (RoB) was assessed with Cochrane’s RoB-tool version 2 and certainty of evidence with GRADE. The review is maintained as living systematic review (https://ebipsyche-database.org/). We included 30 RCTs (1480 participants; female=45.8 %; with psychological support=83.3 %; high RoB=83.3 %). In post-traumatic stress disorder (PTSD), MDMA reduced PTSD symptoms compared to any control (k = 11; SMD=-0.85 [-1.09; -0.60]; I2=0 %; GRADE=low). In major depressive disorder (MDD), psilocybin/ayahuasca/LSD reduced depressive symptoms (k = 8; SMD=-0.62 [-0.97; -0.28]; I2=55 %; GRADE=very low). In anxiety disorders, both MDMA and serotonergic psychedelics reduced anxiety symptoms (SMDMDMA=-1.18 [-2.04; -0.32]; I2=0 %; k = 2; GRADE=low and SMDserotonergic=-0.88 [-1.70; -0.06]; I2=54 %;k = 5; GRADE=very low). In alcohol use disorder, neither psilocybin nor LSD reduced abstinence rates (k = 6; RR=1.42 [0.89; 2.26]; I2=7 %; GRADE=very low). In attention-deficit hyperactivity disorder (ADHD), LSD did not reduce ADHD symptoms (k = 1; SMD=0.22 [-0.32; 0.76]; GRADE=very low). Moderate certainty in evidence was only found for MDMA on PTSD symptoms when compared to placebo. MDMA/serotonergic psychedelics were not associated with higher risk of all-cause discontinuation (RRMDMA=0.74 [0.32; 1.72]; RRserotonergic=0.81 [0.56; 1.15]). Overall, MDMA/serotonergic psychedelics are promising for the treatment of PTSD, MDD, and anxiety disorders with moderate to large effect sizes. Pragmatic trials, long-term, head-to-head trials exploring the role of psychological support, aiming to identify predictors of response, and accounting for expectancy and functional unblinding are needed. Studies addressing these limitations will likely be required for regulatory approval of psychedelic drugs.
{"title":"Efficacy, all-cause discontinuation, and safety of serotonergic psychedelics and MDMA to treat mental disorders: A living systematic review with meta-analysis","authors":"Mikkel Højlund , Helin Y. Kafali , Begüm Kırmızı , Paolo Fusar-Poli , Christoph U. Correll , Samuele Cortese , Michel Sabé , Jess Fiedorowicz , Gayatri Saraf , Josephine Zein , Michael Berk , Muhammad I. Husain , Joshua D. Rosenblat , Ruby Rubaiyat , Kim Corace , Stanley Wong , Simon Hatcher , Mark Kaluzienski , Lakshmi N. Yatham , Andrea Cipriani , Marco Solmi","doi":"10.1016/j.euroneuro.2025.09.011","DOIUrl":"10.1016/j.euroneuro.2025.09.011","url":null,"abstract":"<div><div>Serotonergic psychedelics and 3,4-methylendioxtmethamphetamine (MDMA) are promising treatments for mental disorders with a continuously evolving evidence base. We searched Pubmed/Scopus/clinical trial registries up to 08july2025 for double-blind randomized controlled trials (RCTs) testing MDMA or serotonergic psychedelics in patients with mental disorders. Primary outcomes were change in disease-specific symptoms and all-cause discontinuation. Standardized mean differences (SMD) and relative risk (RR) were estimated using random-effects meta-analysis. Risk of bias (RoB) was assessed with Cochrane’s RoB-tool version 2 and certainty of evidence with GRADE. The review is maintained as living systematic review (<span><span>https://ebipsyche-database.org/</span><svg><path></path></svg></span>). We included 30 RCTs (1480 participants; female=45.8 %; with psychological support=83.3 %; high RoB=83.3 %). In post-traumatic stress disorder (PTSD), MDMA reduced PTSD symptoms compared to any control (<em>k</em> = 11; SMD=-0.85 [-1.09; -0.60]; I<sup>2</sup>=0 %; GRADE=low). In major depressive disorder (MDD), psilocybin/ayahuasca/LSD reduced depressive symptoms (<em>k</em> = 8; SMD=-0.62 [-0.97; -0.28]; I<sup>2</sup>=55 %; GRADE=very low). In anxiety disorders, both MDMA and serotonergic psychedelics reduced anxiety symptoms (SMD<sub>MDMA</sub>=-1.18 [-2.04; -0.32]; I<sup>2</sup>=0 %; <em>k</em> = 2; GRADE=low and SMD<sub>serotonergic</sub>=-0.88 [-1.70; -0.06]; I<sup>2</sup>=54 %;<em>k</em> = 5; GRADE=very low). In alcohol use disorder, neither psilocybin nor LSD reduced abstinence rates (<em>k</em> = 6; RR=1.42 [0.89; 2.26]; I<sup>2</sup>=7 %; GRADE=very low). In attention-deficit hyperactivity disorder (ADHD), LSD did not reduce ADHD symptoms (<em>k</em> = 1; SMD=0.22 [-0.32; 0.76]; GRADE=very low). Moderate certainty in evidence was only found for MDMA on PTSD symptoms when compared to placebo. MDMA/serotonergic psychedelics were not associated with higher risk of all-cause discontinuation (RR<sub>MDMA</sub>=0.74 [0.32; 1.72]; RR<sub>serotonergic</sub>=0.81 [0.56; 1.15]). Overall, MDMA/serotonergic psychedelics are promising for the treatment of PTSD, MDD, and anxiety disorders with moderate to large effect sizes. Pragmatic trials, long-term, head-to-head trials exploring the role of psychological support, aiming to identify predictors of response, and accounting for expectancy and functional unblinding are needed. Studies addressing these limitations will likely be required for regulatory approval of psychedelic drugs.</div></div>","PeriodicalId":12049,"journal":{"name":"European Neuropsychopharmacology","volume":"101 ","pages":"Pages 41-55"},"PeriodicalIF":6.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145475443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-10-26DOI: 10.1016/j.euroneuro.2025.09.010
Mandy Meijer , Marieke Klein , Doretta Caramaschi , Shaunna L. Clark , Marta Cosin-Tomas , Nastassja Koen , Xueling Lu , Rosa H. Mulder , Stefan W. Röder , Yining Zhang , Lea Zilich , Mariona Bustamente , Michael Deuschle , Janine F. Felix , Juan Ramos González , Regina Gražulevičiene , Fabian Streit , John Wright , Angel Carracedo , Charlotte A.M. Cecil , Edwin J.C.G. van den Oord
Studying DNA methylation (DNAm) can provide insights into gene-regulatory mechanisms underlying attention-deficit/hyperactivity disorder (ADHD). While most DNAm studies were performed in bulk tissue, this study used statistical deconvolution to identify cell type-specific DNAm profiles, from five major blood cell types, associated with childhood ADHD symptoms. We performed meta-analyses of methylome-wide association studies (MWAS) for ADHD symptoms (agerange=4–16 years) in peripheral blood collected during childhood and in cord blood. The investigated cohorts included seven array-based methylation datasets assaying up to 450 K CpGs from the Pregnancy And Childhood Epigenetics Consortium (N=2 934 peripheral blood; N=2 546 cord blood) and a sequencing-based methylation dataset assaying nearly all 28 million CpGs in blood from the Great Smoky Mountain Study (GSMS; N=583). The meta-analyses resulted in methylome-wide significant (FDR<0.05) ADHD associations in CD8T cells (RPL31P11 and KCNJ5) for peripheral blood, and, in cord blood, in monocytes (PDE6B), CD8T cells (KCNA3 and HAND2), and NK cells (KIFC1). Notably, several significant sites detected in peripheral blood (RPL31P11 and KCNJ5) were also detected in cord blood. Furthermore, extended MWAS of all sites available for GSMS detected 69 and 17 additional CpGs in monocytes and granulocytes, respectively. In this first cell type-specific MWAS for ADHD, we identified DNAm associations for ADHD symptoms; some associations were seen in both peripheral blood and cord blood, suggesting potential susceptibility markers for increased ADHD risk. These findings show that cell type-specific analyses and sequencing-based approaches can increase insights into the epigenetic patterns associated with ADHD symptoms in childhood.
研究DNA甲基化(DNAm)可以深入了解注意力缺陷/多动障碍(ADHD)的基因调控机制。虽然大多数DNAm研究是在大块组织中进行的,但本研究使用统计反褶积来确定与儿童多动症症状相关的五种主要血细胞类型的细胞类型特异性DNAm谱。我们对儿童时期收集的外周血和脐带血中ADHD症状(年龄范围为4-16岁)的甲基组全关联研究(MWAS)进行了荟萃分析。研究队列包括七个基于阵列的甲基化数据集,分析了来自妊娠和儿童表观遗传学协会(N=2 934外周血;N=2 546脐带血)的多达450 K CpGs,以及一个基于测序的甲基化数据集,分析了来自大烟山研究(GSMS; N=583)的几乎所有2800万CpGs血液。荟萃分析结果显示,外周血CD8T细胞(RPL31P11和KCNJ5)、脐带血单核细胞(PDE6B)、CD8T细胞(KCNA3和HAND2)和NK细胞(KIFC1)在甲基组范围内存在显著(FDR<0.05) ADHD关联。值得注意的是,在外周血中检测到的几个重要位点(RPL31P11和KCNJ5)也在脐带血中检测到。此外,GSMS所有可用位点的扩展MWAS分别在单核细胞和粒细胞中检测到69和17个额外的CpGs。在这首个针对ADHD的细胞类型特异性MWAS中,我们确定了DNAm与ADHD症状的关联;在外周血和脐带血中都发现了一些关联,提示ADHD风险增加的潜在易感性标记。这些发现表明,细胞类型特异性分析和基于测序的方法可以增加对与儿童多动症症状相关的表观遗传模式的了解。
{"title":"Cell type-specific methylome-wide association studies of childhood ADHD symptoms","authors":"Mandy Meijer , Marieke Klein , Doretta Caramaschi , Shaunna L. Clark , Marta Cosin-Tomas , Nastassja Koen , Xueling Lu , Rosa H. Mulder , Stefan W. Röder , Yining Zhang , Lea Zilich , Mariona Bustamente , Michael Deuschle , Janine F. Felix , Juan Ramos González , Regina Gražulevičiene , Fabian Streit , John Wright , Angel Carracedo , Charlotte A.M. Cecil , Edwin J.C.G. van den Oord","doi":"10.1016/j.euroneuro.2025.09.010","DOIUrl":"10.1016/j.euroneuro.2025.09.010","url":null,"abstract":"<div><div>Studying DNA methylation (DNAm) can provide insights into gene-regulatory mechanisms underlying attention-deficit/hyperactivity disorder (ADHD). While most DNAm studies were performed in bulk tissue, this study used statistical deconvolution to identify cell type-specific DNAm profiles, from five major blood cell types, associated with childhood ADHD symptoms. We performed meta-analyses of methylome-wide association studies (MWAS) for ADHD symptoms (age<sub>range</sub>=4–16 years) in peripheral blood collected during childhood and in cord blood. The investigated cohorts included seven array-based methylation datasets assaying up to 450 K CpGs from the Pregnancy And Childhood Epigenetics Consortium (N=2 934 peripheral blood; N=2 546 cord blood) and a sequencing-based methylation dataset assaying nearly all 28 million CpGs in blood from the Great Smoky Mountain Study (GSMS; N=583). The meta-analyses resulted in methylome-wide significant (FDR<0.05) ADHD associations in CD8T cells (<em>RPL31P11</em> and <em>KCNJ5)</em> for peripheral blood, and, in cord blood, in monocytes (<em>PDE6B</em>), CD8T cells (<em>KCNA3</em> and <em>HAND2</em>), and NK cells (<em>KIFC1</em>). Notably, several significant sites detected in peripheral blood (<em>RPL31P11</em> and <em>KCNJ5</em>) were also detected in cord blood. Furthermore, extended MWAS of all sites available for GSMS detected 69 and 17 additional CpGs in monocytes and granulocytes, respectively. In this first cell type-specific MWAS for ADHD, we identified DNAm associations for ADHD symptoms; some associations were seen in both peripheral blood and cord blood, suggesting potential susceptibility markers for increased ADHD risk. These findings show that cell type-specific analyses and sequencing-based approaches can increase insights into the epigenetic patterns associated with ADHD symptoms in childhood.</div></div>","PeriodicalId":12049,"journal":{"name":"European Neuropsychopharmacology","volume":"101 ","pages":"Pages 7-17"},"PeriodicalIF":6.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145361431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-10-25DOI: 10.1016/j.euroneuro.2025.09.013
Nathan T.M. Huneke , Blanca Bolea-Alamañac
{"title":"Toward rigorous control conditions in trials of digital therapeutics","authors":"Nathan T.M. Huneke , Blanca Bolea-Alamañac","doi":"10.1016/j.euroneuro.2025.09.013","DOIUrl":"10.1016/j.euroneuro.2025.09.013","url":null,"abstract":"","PeriodicalId":12049,"journal":{"name":"European Neuropsychopharmacology","volume":"101 ","pages":"Pages 1-2"},"PeriodicalIF":6.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145361429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}