Olivares-Berjaga David, Martínez-Pinteño Albert, Rodríguez Natalia, Mas Sergi, Morén Constanza, Parellada Eduard, Gassó Patricia
Department of Basic Clinical Practice, University of Barcelona, Barcelona, Spain.
Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Transl Psychiatry. 2025 Jan 14;15(1):11. doi: 10.1038/s41398-024-03194-2.
Schizophrenia (SZ) is a deleterious brain disorder characterised by its heterogeneity and complex symptomatology consisting of positive, negative and cognitive deficits. Current antipsychotic drugs ameliorate the positive symptomatology, but are inefficient in treating the negative symptomatology and cognitive deficits. The neurodevelopmental glutamate hypothesis of SZ has opened new avenues in the development of drugs targeting the glutamatergic system. One of these new therapies involves the positive allosteric modulators (PAMs) of metabotropic glutamate receptors, mainly types 2/3 (mGluR2/3). mGluR2/3 PAMs are selective for the receptor, present high tolerability and can modulate the activity of the receptor for long periods. There is not much research in clinical trials regarding mGluR2/3 PAMs. However, several lines of evidence from animal models have indicated the efficiency of mGluR2/3 PAMs. In this review, focusing on in vivo animal studies, we will specifically discuss the utilization of SZ animal models and the various methods employed to assess animal behaviour before summarising the evidence obtained to date in the field of mGluR2/3 PAMs. By doing so, we aim to deepen our understanding of the underlying mechanisms and the potential efficiency of mGluR2/3 PAMs in treating SZ. Overall, mGluR2/3 PAMs have demonstrated efficiency in attenuating SZ-like behavioural and molecular deficits in animal models and could be useful for the early management of the disorder or to treat specific subsets of patients.
精神分裂症(SZ)是一种有害的脑部疾病,其特点是具有异质性且症状复杂,包括阳性、阴性和认知缺陷。目前的抗精神病药物可改善阳性症状,但在治疗阴性症状和认知缺陷方面效果不佳。精神分裂症的神经发育谷氨酸假说为开发针对谷氨酸能系统的药物开辟了新途径。其中一种新疗法涉及代谢型谷氨酸受体的正向变构调节剂(PAMs),主要是2/3型(mGluR2/3)。mGluR2/3 PAMs对受体具有选择性,耐受性高,并且可以长时间调节受体的活性。关于mGluR2/3 PAMs的临床试验研究并不多。然而,来自动物模型的一些证据表明了mGluR2/3 PAMs的有效性。在这篇综述中,我们将重点关注体内动物研究,在总结mGluR2/3 PAMs领域迄今获得的证据之前,具体讨论精神分裂症动物模型的利用以及评估动物行为所采用的各种方法。通过这样做,我们旨在加深对mGluR2/3 PAMs治疗精神分裂症的潜在机制和效率的理解。总体而言,mGluR2/3 PAMs已在动物模型中显示出减轻类似精神分裂症的行为和分子缺陷的效果,可能对该疾病的早期管理或治疗特定患者亚组有用。