糖皮质激素诱导的神经精神障碍的最新进展以及通过基因编辑工具实现的诊疗进展

Recent Updates on Corticosteroid-Induced Neuropsychiatric Disorders and Theranostic Advancements through Gene Editing Tools.

作者信息

Singh Manisha, Agarwal Vinayak, Jindal Divya, Pancham Pranav, Agarwal Shriya, Mani Shalini, Tiwari Raj Kumar, Das Koushik, Alghamdi Badrah S, Abujamel Tukri S, Ashraf Ghulam Md, Jha Saurabh Kumar

机构信息

Department of Biotechnology, Jaypee Institute of Information Technology (JIIT), Noida 201309, India.

Department of Molecular Sciences, Macquarie University, Macquarie Park, NSW 2109, Australia.

出版信息

Diagnostics (Basel). 2023 Jan 17;13(3):337. doi: 10.3390/diagnostics13030337.

Abstract

The vast use of corticosteroids (CCSs) globally has led to an increase in CCS-induced neuropsychiatric disorders (NPDs), a very common manifestation in patients after CCS consumption. These neuropsychiatric disorders range from depression, insomnia, and bipolar disorders to panic attacks, overt psychosis, and many other cognitive changes in such subjects. Though their therapeutic importance in treating and improving many clinical symptoms overrides the complications that arise after their consumption, still, there has been an alarming rise in NPD cases in recent years, and they are seen as the greatest public health challenge globally; therefore, these potential side effects cannot be ignored. It has also been observed that many of the neuronal functional activities are regulated and controlled by genomic variants with epigenetic factors (DNA methylation, non-coding RNA, and histone modeling, etc.), and any alterations in these regulatory mechanisms affect normal cerebral development and functioning. This study explores a general overview of emerging concerns of CCS-induced NPDs, the effective molecular biology approaches that can revitalize NPD therapy in an extremely specialized, reliable, and effective manner, and the possible gene-editing-based therapeutic strategies to either prevent or cure NPDs in the future.

摘要

全球范围内皮质类固醇(CCSs)的广泛使用导致了CCS诱发的神经精神障碍(NPDs)的增加,这是CCS使用后患者中非常常见的表现。这些神经精神障碍包括抑郁症、失眠症、双相情感障碍,以及惊恐发作、明显的精神病,以及此类患者的许多其他认知变化。尽管它们在治疗和改善许多临床症状方面的治疗重要性超过了使用后出现的并发症,但近年来NPD病例仍惊人地增加,它们被视为全球最大的公共卫生挑战;因此,这些潜在的副作用不容忽视。还观察到,许多神经元功能活动受基因组变异与表观遗传因素(DNA甲基化、非编码RNA和组蛋白建模等)的调节和控制,这些调节机制的任何改变都会影响正常的大脑发育和功能。本研究探讨了CCS诱发NPDs新出现问题的总体概况、能够以极其专业、可靠和有效的方式振兴NPD治疗的有效分子生物学方法,以及未来预防或治疗NPDs的基于基因编辑的可能治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae21/9914305/6d417837c286/diagnostics-13-00337-g001.jpg

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