Capatina Tudor-Florentin, Oatu Anamaria, Babasan Casandra, Trifu Simona
Department of Psychiatry, "Titu Maiorescu" University, 031593 Bucharest, Romania.
Department of Psychiatry, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Int J Mol Sci. 2025 May 1;26(9):4285. doi: 10.3390/ijms26094285.
In this review, we explore the biomarkers of different psychiatric disorders, such as major depressive disorder, generalized anxiety disorder, schizophrenia, and bipolar disorder. Moreover, we show the interplay between genetic and environmental factors. Novel techniques such as genome-wide association studies (GWASs) have identified numerous risk loci and single-nucleotide polymorphisms (SNPs) implicated in these conditions, contributing to a better understanding of their mechanisms. Moreover, the impact of genetic variations on drug metabolisms, particularly through cytochrome P450 (CYP450) enzymes, highlights the importance of pharmacogenomics in optimizing psychiatric treatment. This review also explores the role of neurotransmitter regulation, immune system interactions, and metabolic pathways in psychiatric disorders. As the technology advances, integrating genetic markers into clinical practice will be crucial in advancing precision psychiatry, improving diagnostic accuracy and therapeutic interventions for individual patients.
在本综述中,我们探讨了不同精神疾病的生物标志物,如重度抑郁症、广泛性焦虑症、精神分裂症和双相情感障碍。此外,我们展示了遗传因素和环境因素之间的相互作用。全基因组关联研究(GWAS)等新技术已经确定了与这些疾病相关的众多风险位点和单核苷酸多态性(SNP),有助于更好地理解其发病机制。此外,遗传变异对药物代谢的影响,特别是通过细胞色素P450(CYP450)酶的影响,凸显了药物基因组学在优化精神疾病治疗中的重要性。本综述还探讨了神经递质调节、免疫系统相互作用和代谢途径在精神疾病中的作用。随着技术的进步,将遗传标记整合到临床实践中对于推进精准精神病学、提高个体患者的诊断准确性和治疗干预至关重要。