精神分裂症的肠道微生物组和抗精神病药物诱导的代谢改变:范围综述

IF 3.4 3区 医学 Q2 PHARMACOLOGY & PHARMACY Therapeutic Advances in Psychopharmacology Pub Date : 2022-01-01 DOI:10.1177/20451253221096525
Raghunath Singh, N. Stogios, E. Smith, Jiwon Lee, Kateryna Maksyutynsk, Emily Au, D. Wright, G. De Palma, A. Graff-Guerrero, P. Gerretsen, D. Müller, G. Remington, M. Hahn, S. Agarwal
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引用次数: 13

摘要

精神分裂症(SCZ)是一种严重的精神障碍,具有高发病率和终生致残率。SCZ患者发生代谢合并症(如肥胖和糖尿病)的风险更高,导致死亡率增加。抗精神病药物(APs)是治疗SCZ的主要药物,它增加了这些代谢紊乱的风险。尽管进行了广泛的研究,但SCZ的病理生理和相关代谢合并症的机制仍不清楚。近年来,肠道微生物群(GMB)被认为是一个“密室”,特别是在严重的精神疾病,如SCZ、抑郁症和双相情感障碍的背景下。在这篇综述中,我们旨在研究GMB在SCZ的病理生理和与APs相关的代谢改变中的潜在作用。此外,我们还探讨了益生元和益生菌制剂在管理SCZ和ap诱导的代谢改变方面的治疗益处。系统的文献检索产生了46项临床前和临床研究,符合定性综合的纳入标准。临床前和临床研究的初步证据表明,GMB成分的变化与SCZ发病机制和ap诱导的代谢紊乱有关。从SCZ患者到小鼠的粪便微生物群移植已被证明可诱导SCZ样行为表型,进一步支持GMB在SCZ发病机制中的可能作用。本综述概述了临床前和临床证据,表明GMB在与APs相关的SCZ症状学和代谢不良反应中的作用。此外,本综述还讨论了益生元/益生菌制剂在改善SCZ症状和减轻与APs相关的代谢改变方面的治疗潜力。
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Gut microbiome in schizophrenia and antipsychotic-induced metabolic alterations: a scoping review
Schizophrenia (SCZ) is a severe mental disorder with high morbidity and lifetime disability rates. Patients with SCZ have a higher risk of developing metabolic comorbidities such as obesity and diabetes mellitus, leading to increased mortality. Antipsychotics (APs), which are the mainstay in the treatment of SCZ, increase the risk of these metabolic perturbations. Despite extensive research, the mechanism underlying SCZ pathophysiology and associated metabolic comorbidities remains unclear. In recent years, gut microbiota (GMB) has been regarded as a ‘chamber of secrets’, particularly in the context of severe mental illnesses such as SCZ, depression, and bipolar disorder. In this scoping review, we aimed to investigate the underlying role of GMB in the pathophysiology of SCZ and metabolic alterations associated with APs. Furthermore, we also explored the therapeutic benefits of prebiotic and probiotic formulations in managing SCZ and AP-induced metabolic alterations. A systematic literature search yielded 46 studies from both preclinical and clinical settings that met inclusion criteria for qualitative synthesis. Preliminary evidence from preclinical and clinical studies indicates that GMB composition changes are associated with SCZ pathogenesis and AP-induced metabolic perturbations. Fecal microbiota transplantation from SCZ patients to mice has been shown to induce SCZ-like behavioral phenotypes, further supporting the plausible role of GMB in SCZ pathogenesis. This scoping review recapitulates the preclinical and clinical evidence suggesting the role of GMB in SCZ symptomatology and metabolic adverse effects associated with APs. Moreover, this scoping review also discusses the therapeutic potentials of prebiotic/probiotic formulations in improving SCZ symptoms and attenuating metabolic alterations related to APs.
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来源期刊
CiteScore
7.90
自引率
2.40%
发文量
35
审稿时长
10 weeks
期刊介绍: Therapeutic Advances in Psychopharmacology delivers the highest quality peer-reviewed articles, reviews, and scholarly comment on pioneering efforts and innovative studies across all areas of psychopharmacology. The journal has a strong clinical and pharmacological focus and is aimed at clinicians and researchers in psychopharmacology, providing a forum in print and online for publishing the highest quality articles in this area.
期刊最新文献
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