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表观遗传药物和迷幻剂作为治疗酒精使用障碍的新兴疗法:来自临床前研究的见解。

Epigenetic drugs and psychedelics as emerging therapies for alcohol use disorder: insights from preclinical studies.

机构信息

INSERM UMR 1247-Research Group on Alcohol and Pharmacodependences (GRAP), Université de Picardie Jules Verne, Chemin du Thil - Centre Universitaire de Recherche en Santé, 80025, Amiens, France.

出版信息

J Neural Transm (Vienna). 2024 May;131(5):525-561. doi: 10.1007/s00702-024-02757-3. Epub 2024 Mar 30.

DOI:10.1007/s00702-024-02757-3
PMID:38554193
Abstract

Alcohol use disorder (AUD) is a public health issue that affects millions of people worldwide leading to physical, mental and socio-economic consequences. While current treatments for AUD have provided relief to individuals, their effectiveness on the long term is often limited, leaving a number of affected individuals without sustainable solutions. In this review, we aim to explore two emerging approaches for AUD: psychedelics and epigenetic drugs (i.e., epidrugs). By examining preclinical studies, different animal species and procedures, we delve into the potential benefits of each of these treatments in terms of addictive behaviors (alcohol drinking and seeking, motivation to drink alcohol and prevention of relapse). Because psychedelics and epidrugs may share common and complementary mechanisms of action, there is an exciting opportunity for exploring synergies between these approaches and their parallel effectiveness in treating AUD and the diverse associated psychiatric conditions.

摘要

酒精使用障碍(AUD)是一个影响全球数百万人的公共卫生问题,导致身体、心理和社会经济后果。虽然目前针对 AUD 的治疗方法为个人提供了缓解,但它们的长期效果往往有限,使许多受影响的人没有可持续的解决方案。在这篇综述中,我们旨在探索 AUD 的两种新兴方法:迷幻剂和表观遗传药物(即表药)。通过检查临床前研究、不同的动物物种和程序,我们深入探讨了这些治疗方法在成瘾行为(饮酒和寻求、饮酒动机和预防复发)方面的潜在益处。由于迷幻剂和表药可能具有共同和互补的作用机制,因此有机会探索这些方法之间的协同作用及其在治疗 AUD 和相关各种精神疾病方面的平行有效性。

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本文引用的文献

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Molecular and Medical Aspects of Psychedelics.迷幻剂的分子和医学方面
Int J Mol Sci. 2023 Dec 23;25(1):241. doi: 10.3390/ijms25010241.
2
[Interest and mechanisms of action of ketamine in alcohol addiction- A review of clinical and preclinical studies].[氯胺酮在酒精成瘾中的作用机制及研究进展——临床与临床前研究综述]
Biol Aujourdhui. 2023;217(3-4):161-182. doi: 10.1051/jbio/2023028. Epub 2023 Nov 29.
3
Assessing potential of psilocybin for depressive disorders.评估裸盖菇素治疗抑郁障碍的潜力。
Expert Opin Investig Drugs. 2023 Jul-Dec;32(10):887-900. doi: 10.1080/13543784.2023.2273493. Epub 2023 Nov 6.
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Mechanisms and molecular targets surrounding the potential therapeutic effects of psychedelics.迷幻剂潜在治疗作用的相关机制和分子靶点。
Mol Psychiatry. 2023 Sep;28(9):3595-3612. doi: 10.1038/s41380-023-02274-x. Epub 2023 Sep 27.
5
DNA methylation and the opposing NMDAR dysfunction in schizophrenia and major depression disorders: a converging model for the therapeutic effects of psychedelic compounds in the treatment of psychiatric illness.精神分裂症和重度抑郁症中的 DNA 甲基化和相反的 NMDA 功能障碍:致幻化合物治疗精神疾病的疗效的汇聚模型。
Mol Psychiatry. 2023 Nov;28(11):4553-4567. doi: 10.1038/s41380-023-02235-4. Epub 2023 Sep 7.
6
Hallucinogenic potential: a review of psychoplastogens for the treatment of opioid use disorder.致幻潜力:用于治疗阿片类物质使用障碍的精神活性物质综述。
Front Pharmacol. 2023 Aug 22;14:1221719. doi: 10.3389/fphar.2023.1221719. eCollection 2023.
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Medications for treating alcohol use disorder: A narrative review.治疗酒精使用障碍的药物:一项叙述性综述。
Alcohol Clin Exp Res (Hoboken). 2023 Jul;47(7):1224-1237. doi: 10.1111/acer.15118. Epub 2023 Jun 8.
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DNA Methylation in Alcohol Use Disorder.酒精使用障碍中的 DNA 甲基化。
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