Gregory de Boer, Robertus Maria Alfonsius de Bie, Bart Erik Kris Sylvain Swinnen
{"title":"Symptomatic Treatment of Extrapyramidal Hyperkinetic Movement Disorders.","authors":"Gregory de Boer, Robertus Maria Alfonsius de Bie, Bart Erik Kris Sylvain Swinnen","doi":"10.2174/1570159X22666240517161444","DOIUrl":"https://doi.org/10.2174/1570159X22666240517161444","url":null,"abstract":"<p><p>Extrapyramidal hyperkinetic movement disorders comprise a broad range of phenotypic phenomena, including chorea, dystonia, and tics. Treatment is generally challenging and individualized, given the overlapping phenomenology, limited evidence regarding efficacy, and concerns regarding the tolerability and safety of most treatments. Over the past decade, the treatment has become even more intricate due to advancements in the field of deep brain stimulation as well as optimized dopamine- depleting agents. Here, we review the current evidence for treatment modalities of extrapyramidal hyperkinetic movement disorders and provide a comprehensive and practical overview to aid the choice of therapy. Mechanism of action and practical intricacies of each treatment modality are discussed, focusing on dosing and adverse effect management. Finally, future therapeutic developments are also discussed.</p>","PeriodicalId":10905,"journal":{"name":"Current Neuropharmacology","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141283238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Valentina Tedeschi, Silvia Sapienza, Raffaella Ciancio, Lorella Maria Teresa Canzoniero, Anna Pannaccione, Agnese Secondo
{"title":"Lysosomal Channels as New Molecular Targets in the Pharmacological Therapy of Neurodegenerative Diseases via Autophagy Regulation.","authors":"Valentina Tedeschi, Silvia Sapienza, Raffaella Ciancio, Lorella Maria Teresa Canzoniero, Anna Pannaccione, Agnese Secondo","doi":"10.2174/1570159X22666240517101846","DOIUrl":"https://doi.org/10.2174/1570159X22666240517101846","url":null,"abstract":"<p><p>Besides controlling several organellar functions, lysosomal channels also guide the catabolic \"self-eating\" process named autophagy, which is mainly involved in protein and organelle quality control. Neuronal cells are particularly sensitive to the rate of autophagic flux either under physiological conditions or during the degenerative process. Accordingly, neurodegeneration occurring in Parkinson's (PD), Alzheimer's (AD), and Huntington's Diseases (HD), and Amyotrophic Lateral Sclerosis (ALS) as well as Lysosomal Storage Diseases (LSD) is partially due to defective autophagy and accumulation of toxic aggregates. In this regard, dysfunction of lysosomal ionic homeostasis has been identified as a putative cause of aberrant autophagy. From a therapeutic perspective, Transient Receptor Potential Channel Mucolipin 1 (TRPML1) and Two-Pore Channel isoform 2 (TPC2), regulating lysosomal homeostasis, are now considered promising druggable targets in neurodegenerative diseases. Compelling evidence suggests that pharmacological modulation of TRPML1 and TPC2 may rescue the pathological phenotype associated with autophagy dysfunction in AD, PD, HD, ALS, and LSD. Although pharmacological repurposing has identified several already used drugs with the ability to modulate TPC2, and several tools are already available for the modulation of TRPML1, many efforts are necessary to design and test new entities with much higher specificity in order to reduce dysfunctional autophagy during neurodegeneration.</p>","PeriodicalId":10905,"journal":{"name":"Current Neuropharmacology","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriele Sani, T. Callovini, O. M. Ferrara, Daniele Segatori, Stella Margoni, A. Simonetti, Francesco Maria Lisci, G. Marano, Alessia Fischetti, G. Kotzalidis, Federica Di Segni, Federica Fiaschè, D. Janiri, L. Moccia, G. Manfredi, Alessandro Alcibiade, Caterina Brisi, F. Grisoni, Gianmarco Stella, E. Bernardi, Andrea Brugnami, M. Ciliberto, M. C. Spera, R. Caso, Sara Rossi, Gianluca Boggio, Giulia Mastroeni, Francesca Abate, E. Conte, Anna Quintano, L. D. Chiara, Laura Monti, Giovanni Camardese, Lucio Rinaldi, A. Koukopoulos, D. Chieffo, G. Angeletti, Marianna Mazza
{"title":"Is Antipsychotic Drug Use During Pregnancy Associated with Increased\u0000Malformation Rates and Worsening of Maternal and Infant Outcomes? A\u0000Systematic Review","authors":"Gabriele Sani, T. Callovini, O. M. Ferrara, Daniele Segatori, Stella Margoni, A. Simonetti, Francesco Maria Lisci, G. Marano, Alessia Fischetti, G. Kotzalidis, Federica Di Segni, Federica Fiaschè, D. Janiri, L. Moccia, G. Manfredi, Alessandro Alcibiade, Caterina Brisi, F. Grisoni, Gianmarco Stella, E. Bernardi, Andrea Brugnami, M. Ciliberto, M. C. Spera, R. Caso, Sara Rossi, Gianluca Boggio, Giulia Mastroeni, Francesca Abate, E. Conte, Anna Quintano, L. D. Chiara, Laura Monti, Giovanni Camardese, Lucio Rinaldi, A. Koukopoulos, D. Chieffo, G. Angeletti, Marianna Mazza","doi":"10.2174/1570159x22666240516151449","DOIUrl":"https://doi.org/10.2174/1570159x22666240516151449","url":null,"abstract":"\u0000\u0000There is much debate about continuing antipsychotic medication in patients who need it when\u0000they become pregnant because benefits must be weighed against potential teratogenic and malformation\u0000effects related to antipsychotics themselves. To address this, we conducted a systematic review on the\u0000PubMed, PsycINFO and CINHAL databases and the ClinicalTrials.gov register using the following strategy:\u0000(toxicity OR teratogenicity OR malformation* OR \"birth defect*\" OR \"congenital abnormality\" OR\u0000\"congenital abnormalities\" OR \"brain changes\" OR \"behavioral abnormalities\" OR \"behavioral abnormalities\")\u0000AND antipsychotic* AND (pregnancy OR pregnant OR lactation OR delivery OR prenatal OR\u0000perinatal OR post-natal OR puerperium) on September 27, 2023. We found 38 studies to be eligible. The\u0000oldest was published in 1976, while most articles were recent. Most studies concluded that the antipsychotics,\u0000especially the second-generation antipsychotics, were devoid of teratogenic potential, while few\u0000studies were inconclusive and recommended replication. Most authoritative articles were from the Boston\u0000area, where large databases were implemented to study the malformation potential of psychiatric drugs.\u0000Other reliable databases are from Northern European registers. Overall conclusions are that antipsychotics\u0000are no more related to malformations than the disorders themselves; most studies recommend that\u0000there are no reasons to discontinue antipsychotic medications in pregnancy.\u0000","PeriodicalId":10905,"journal":{"name":"Current Neuropharmacology","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140965759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}