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转化精神病学——隧道尽头的曙光。

Translational psychiatry--light at the end of the tunnel.

作者信息

Jones Kenneth A, Menniti Frank S, Sivarao Digavalli V

机构信息

Cyanaptic LLC, Glen Rock, New Jersey.

出版信息

Ann N Y Acad Sci. 2015 May;1344:1-11. doi: 10.1111/nyas.12725. Epub 2015 Mar 9.

Abstract

Neuroscience has made tremendous progress delineating the cellular and molecular processes important for understanding neuronal development and behavior, but this knowledge has been slow to translate to new treatments for psychiatric illness. To accelerate this transfer of knowledge to the human condition requires the wide-scale adoption of biomarkers that can bridge preclinical and clinical discoveries, and serve as surrogate measures of efficacy before commencing expensive phase III studies. Several biomarker methodologies, including imaging, electroencephalography (EEG), and blood transcriptomics/proteomics, are now showing promise. From an industry perspective, we highlight the utility of quantitative EEG as one example of a translatable biomarker applicable to psychiatric drug development and discuss recent insights into glutamate system dysfunction in schizophrenia and depression gained through translational studies of the drug ketamine.

摘要

神经科学在描绘对于理解神经元发育和行为至关重要的细胞和分子过程方面取得了巨大进展,但这些知识转化为精神疾病的新疗法却进展缓慢。要加速将这些知识转化应用于人类疾病,需要广泛采用能够弥合临床前和临床发现差距的生物标志物,并在开展昂贵的III期研究之前作为疗效的替代指标。包括成像、脑电图(EEG)以及血液转录组学/蛋白质组学在内的几种生物标志物方法目前都显示出了前景。从行业角度来看,我们强调定量脑电图作为一种可转化生物标志物在精神科药物研发中的实用性,并讨论通过药物氯胺酮的转化研究获得的关于精神分裂症和抑郁症中谷氨酸系统功能障碍的最新见解。

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