Monica Grigore, Mihai Andrei Ruscu, Dirk M Hermann, Ivan-Cezar Colita, Thorsten Roland Doeppner, Daniela Glavan, Aurel Popa-Wagner
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Clinicians should use a multifaceted approach, including neurotransmitter analysis, neurotrophic factors, miRNA profiling, and cognitive tasks for early intervention and personalized treatment. Anxiolytics' mechanisms involve various neurotransmitter systems and emerging targets. Research on biomarkers for memory decline in anxiolytic users can lead to early detection and intervention, enhancing clinical practices and aligning with precision medicine. Mood stabilizer users can benefit from early detection of memory decline through RNA, neurophysiological, and inflammatory biomarkers, promoting timely interventions. Performance-enhancing drugs may boost athletic performance in the short term, but their long-term health risks and ethical issues make their use problematic. Long-term use of psychotropic performance enhancers in athletes shows changes in biomarkers of cognitive decline, necessitating ongoing monitoring and intervention strategies. Understanding these genetic influences on memory decline helps pave the way for personalized approaches to prevent or mitigate cognitive deterioration, emphasizing the importance of genetic screening and early interventions based on an individual's genetic profile. Future research should focus on refining these biomarkers and protective measures against cognitive deterioration. Overall, a comprehensive understanding of biomarkers in psychotropic drug users is essential for developing targeted interventions and preventive strategies.</p>","PeriodicalId":16579,"journal":{"name":"Journal of Neural Transmission","volume":" ","pages":"39-59"},"PeriodicalIF":3.2000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11735527/pdf/","citationCount":"0","resultStr":"{\"title\":\"Biomarkers of cognitive and memory decline in psychotropic drug users.\",\"authors\":\"Monica Grigore, Mihai Andrei Ruscu, Dirk M Hermann, Ivan-Cezar Colita, Thorsten Roland Doeppner, Daniela Glavan, Aurel Popa-Wagner\",\"doi\":\"10.1007/s00702-024-02837-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Psychotropic drugs are vital in psychiatry, aiding in the management of mental health disorders. 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Research on biomarkers for memory decline in anxiolytic users can lead to early detection and intervention, enhancing clinical practices and aligning with precision medicine. Mood stabilizer users can benefit from early detection of memory decline through RNA, neurophysiological, and inflammatory biomarkers, promoting timely interventions. Performance-enhancing drugs may boost athletic performance in the short term, but their long-term health risks and ethical issues make their use problematic. Long-term use of psychotropic performance enhancers in athletes shows changes in biomarkers of cognitive decline, necessitating ongoing monitoring and intervention strategies. Understanding these genetic influences on memory decline helps pave the way for personalized approaches to prevent or mitigate cognitive deterioration, emphasizing the importance of genetic screening and early interventions based on an individual's genetic profile. Future research should focus on refining these biomarkers and protective measures against cognitive deterioration. 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引用次数: 0
摘要
精神药物在精神病学中至关重要,有助于治疗精神疾病。使用这些药物需要了解其药理特性、治疗应用和潜在副作用。目前正在进行的研究旨在提高药物的疗效和安全性。生物标志物在了解和预测精神药物使用者记忆力衰退方面起着至关重要的作用。全面了解生物标志物,包括神经影像、生化、遗传和认知评估,对于制定有针对性的干预措施和预防策略至关重要。在这篇叙述性综述中,我们使用综述特定术语在 PubMed 和 Google 上进行了全面搜索。临床医生应采用多方面的方法,包括神经递质分析、神经营养因子、miRNA 分析和认知任务,以进行早期干预和个性化治疗。抗焦虑药的机制涉及多种神经递质系统和新兴靶点。对抗焦虑药使用者记忆力衰退的生物标志物进行研究,可以实现早期检测和干预,从而加强临床实践并与精准医学接轨。通过RNA、神经电生理和炎症生物标志物早期检测记忆力衰退,促进及时干预,可使情绪稳定剂使用者受益。提高成绩的药物可在短期内提高运动成绩,但其长期的健康风险和伦理问题使其使用成为问题。运动员长期使用精神增强剂会导致认知能力下降的生物标志物发生变化,因此有必要对其进行持续监测并采取干预策略。了解这些遗传因素对记忆力衰退的影响有助于为预防或缓解认知能力衰退的个性化方法铺平道路,强调了根据个人遗传特征进行基因筛查和早期干预的重要性。未来的研究应侧重于完善这些生物标志物和针对认知退化的保护措施。总之,全面了解精神药物使用者的生物标志物对于制定有针对性的干预措施和预防策略至关重要。
Biomarkers of cognitive and memory decline in psychotropic drug users.
Psychotropic drugs are vital in psychiatry, aiding in the management of mental health disorders. Their use requires an understanding of their pharmacological properties, therapeutic applications, and potential side effects. Ongoing research aims to improve their efficacy and safety. Biomarkers play a crucial role in understanding and predicting memory decline in psychotropic drug users. A comprehensive understanding of biomarkers, including neuroimaging, biochemical, genetic, and cognitive assessments, is essential for developing targeted interventions and preventive strategies. In this narrative review, we performed a comprehensive search on PubMed and Google using review-specific terms. Clinicians should use a multifaceted approach, including neurotransmitter analysis, neurotrophic factors, miRNA profiling, and cognitive tasks for early intervention and personalized treatment. Anxiolytics' mechanisms involve various neurotransmitter systems and emerging targets. Research on biomarkers for memory decline in anxiolytic users can lead to early detection and intervention, enhancing clinical practices and aligning with precision medicine. Mood stabilizer users can benefit from early detection of memory decline through RNA, neurophysiological, and inflammatory biomarkers, promoting timely interventions. Performance-enhancing drugs may boost athletic performance in the short term, but their long-term health risks and ethical issues make their use problematic. Long-term use of psychotropic performance enhancers in athletes shows changes in biomarkers of cognitive decline, necessitating ongoing monitoring and intervention strategies. Understanding these genetic influences on memory decline helps pave the way for personalized approaches to prevent or mitigate cognitive deterioration, emphasizing the importance of genetic screening and early interventions based on an individual's genetic profile. Future research should focus on refining these biomarkers and protective measures against cognitive deterioration. Overall, a comprehensive understanding of biomarkers in psychotropic drug users is essential for developing targeted interventions and preventive strategies.
期刊介绍:
The investigation of basic mechanisms involved in the pathogenesis of neurological and psychiatric disorders has undoubtedly deepened our knowledge of these types of disorders. The impact of basic neurosciences on the understanding of the pathophysiology of the brain will further increase due to important developments such as the emergence of more specific psychoactive compounds and new technologies.
The Journal of Neural Transmission aims to establish an interface between basic sciences and clinical neurology and psychiatry. It intends to put a special emphasis on translational publications of the newest developments in the field from all disciplines of the neural sciences that relate to a better understanding and treatment of neurological and psychiatric disorders.