Velickovic Uros, Selakovic Dragica, Jovicic Nemanja, Mitrovic Marina, Janjic Vladimir, Rosic Sara, Randjelovic Suzana, Milovanovic Dragan, Rosic Gvozden
Department of Physiology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Department of Histology and Embryology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Biomedicines. 2025 Feb 18;13(2):512. doi: 10.3390/biomedicines13020512.
After 70 years of clinical practice with antipsychotics in the treatment of some specific serious mental disorders, much information has been accumulated considering their efficiency as a first-line evidence-based schizophrenia therapy, but also on their adverse effects within the range from minor to life-threatening issues. In this paper, we highlight motor impairment as a frequent limiting factor. Despite the diversity of side effects following antipsychotics usage, many of those who suffer share the same pathophysiological background issues, such as oxidative damage, neuroinflammation, apoptosis, and neurodegeneration (observed in the brain regions involved in motor control). The obvious need to solve these limitations is facing restraints in clinical studies due to the ethical issues. Therefore, it seems reasonable to address the importance of preclinical investigations to overcome the adverse effects of antipsychotics. For that purpose, we analyzed the antipsychotics-induced dyskinesia seen in rodent models, with a special focus on attempts to highlight the benefits of antioxidant supplementation. Our analysis has revealed that antioxidant supplementation, with various antioxidant-rich compounds, confirms the clear neuroprotective effects of the therapy of this iatrogenic dyskinesia. Given their accessibility and safety, it seems that the administration of antioxidant-rich compounds in various forms, as an adjuvant therapy, may be beneficial in patients by lowering the risk of secondary Parkinsonism. Also, it seems that the strategy for further investigations in this field of preclinical studies should be standardized and should include more antipsychotics employed in the clinical practice.
在抗精神病药物用于治疗某些特定严重精神障碍的70年临床实践之后,人们已经积累了大量信息,这些信息不仅涉及它们作为基于证据的一线精神分裂症疗法的疗效,还包括从轻微到危及生命的不良反应。在本文中,我们强调运动障碍是一个常见的限制因素。尽管使用抗精神病药物后副作用多种多样,但许多患者都存在相同的病理生理背景问题,如氧化损伤、神经炎症、细胞凋亡和神经退行性变(在参与运动控制的脑区观察到)。由于伦理问题,解决这些限制的明显需求在临床研究中面临制约。因此,重视临床前研究以克服抗精神病药物的不良反应似乎是合理的。为此,我们分析了在啮齿动物模型中出现的抗精神病药物诱发的运动障碍,特别关注突出抗氧化剂补充益处的尝试。我们的分析表明,补充各种富含抗氧化剂的化合物进行抗氧化治疗,证实了对这种医源性运动障碍治疗具有明确的神经保护作用。鉴于其可及性和安全性,以各种形式给予富含抗氧化剂的化合物作为辅助治疗,可能通过降低继发性帕金森症的风险而对患者有益。此外,该领域临床前研究的进一步调查策略似乎应标准化,且应纳入更多临床实践中使用的抗精神病药物。