Translational Neuroscience :Applications in Psychiatry, Neurology, and Neurodevelopmental Disorders

Publication subTitle :Applications in Psychiatry, Neurology, and Neurodevelopmental Disorders

Author: James E. Barrett; Joseph T. Coyle; Michael Williams  

Publisher: Cambridge University Press‎

Publication year: 2012

E-ISBN: 9781139511995

P-ISBN(Paperback): 9780521519762

Subject: R741 Neurology

Keyword: 神经病学与精神病学

Language: ENG

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Translational Neuroscience

Description

Translational neuroscience is at the heart of clinical advancement in the fields of psychiatry, neurology and neurodevelopmental disorders. Written and edited by leading scientists and clinicians, this is a comprehensive and authoritative analysis of this emerging strategy for developing more effective treatments for brain disorders. Introductory chapters bring together perspectives from both academia and industry, while subsequent sections focus on disease groups, including bipolar disorder and depression, attention deficit hyperactivity disorder, substance abuse, autism, Alzheimer's disease, pain, epilepsy, Parkinson's disease and multiple sclerosis. Each section includes topical introductory and summary chapters, providing an overview and synthesis of the field. Translational Neuroscience: Applications in Psychiatry, Neurology, and Neurodevelopmental Disorders is an important text for clinicians, scientists and students in academic settings, government agencies and industry, as well as those working in the fields of public health and the behavioural sciences.

Chapter

Chapter 3: Mood disorders

Novel leads from preclinical and clinical studies

Molecular targets of existing antidepressants and mood stabilizers: beyond the monoamine systems

Neuroactive cytokines

The glutamatergic system

Long-term changes induced by early life events

Neurogenesis

Dendritic spine remodeling

Functional neuroanatomy, translational neuroimaging, and new therapeutic approaches

Neurocircuitry underlying the pathophysiology of mood disorders

Networks involving the orbital and medial prefrontal cortex

Neurophysiological imaging studies of patients with mood disorders

Neuropathological correlations with neuroimaging abnormalities

MRS measures of glutamate, glutamine, and GABA

Relationship to rodent stress models

Implications of neurocircuitry-based models of depression for treatment mechanisms

Conclusions

References

Chapter 4: Schizophrenia

History of drug discovery for treating schizophrenia

Introduction

Neurobiology

Synaptic changes and dysconnectivity

Neurotransmitter systems

Intermediate phenotypes

Electrophysiological measures

Prepulse inhibition

Cognitive abnormalities

Latent inhibition

Social abnormalities

Genetics

DISC1

Neuregulin

Dysbindin

Akt1

BDNF

NMDA receptor

Animal models of schizophrenia

Pharmacological models

Genetic models

Novel therapeutic targets

Non-D2 receptors

Glutamatergic receptors

GABAA receptors

Antiapoptotic targets

Conclusions and future directions

References

Chapter 5: Addictive disorders

Validity of animal models

Strategies for medication-assisted treatment of addictive disorders

Cross-tolerance as a therapeutic strategy

Receptor antagonists to block drug effects

The partial agonist strategy

Medication strategies for nicotine addiction

A new strategy aimed at blocking an endogenous system activated by a drug of abuse

Activation of inhibitory systems

Future goals: understanding plasticity

Conclusions

References

Chapter 6: Section summary and perspectives: Translational medicine in psychiatry

Schizophrenia

Anxiety disorders

Mood disorders

Substance abuse

Neuroplasticity

Future directions

Elimination of current diagnostic schemata

Genome-wide association studies

Copy number variants

MicroRNAs

Epigenetics

Human induced pluripotent stem cells (hiPSCs)

Conclusions

References

Chapter 7: Historical perspectives on the discovery and development of drugs to treat neurological disorders

Introduction

Historical perspective

Environmental factors

Current treatments

Hurdles to new therapeutics

Biomarkers

Genetics of neurodegenerative diseases

Genetic factors

Alzheimer's disease – the a myloid and tau hypotheses

Alzheimer's disease and anti-inflammatory drugs

Alzheimer's disease and metabolic syndrome

New approaches to treat Parkinson's disease

Clinical score card for neurodegenerative diseases

Common themes in neurodegenerative disease drug discovery

Gene-based drug discovery in neurodegenerative diseases

Future translational aspects

Acknowledgments

References

Chapter 8: Alzheimer's disease

Clinical and laboratory features of individuals with MCI and AD

Clinical features, neuropathology, and biochemistry

Current treatment

Amyloidogenesis, APP, and amyloid precursor-like proteins (APLPs)

BACE1 and BACE2

γ-Secretase

α-Secretase

Genetics

FAD and influences of risk factors

Other risk genes

Transgenic models of Aβ amyloidosis and tauopathies

Experimental manipulations and potential therapeutic strategies

Conclusions

Acknowledgments

References

Chapter 9: Pain therapeutics

Overview of pain states

Current pharmacological approaches to pain management

Nociceptive pain

Inflammatory pain

Neuropathic pain

Research and development in pain therapeutics

Animal models of pain

Acute or nociceptive pain models

Inflammatory pain models

Neuropathic pain models

Cancer pain

Animal models of pain: are they translational models?

Use of translational medicine for the discovery of novel treatments of pain

Experimental pain models in humans

Neuroimaging

Conclusions

References

Chapter 10: Multiple sclerosis

A historical perspective on the evolution of disease-modifying treatments

Pathogenesis

Factors that improve the efficiency of translational medicine

The identification of drug targets within well-validated biological pathways

The use of pharmacodynamic markers, especially in early proof-of-concept and dose-ranging clinical trials

The appropriate use of animal models of disease

The availability of imaging surrogate biomarkers of disease activity in proof-of-concept trials

The use of validated clinical outcome measures that confirm clinically meaningful treatment effects

The future of disease-modifying therapies

Conclusions

References

Chapter 11: Parkinson's disease

Clinical and pathological characteristics

Motor symptoms

Nonmotor symptoms

Etiology: environmental and genetic factors

Environmental factors

Genetic factors

Current clinical treatment

L-dopa and dopamine agonists

Nondopaminergic treatment strategies

Deep brain stimulation for the treatment of L-dopa-induced motor complications

Medical needs not met by current therapies

Opportunities for diagnosis and therapeutic biomarkers

Biomarkers for diagnosis

Biomarkers for progression

New molecular and therapeutic approaches: a case study of adenosine A2A antagonists

Preclinical studies

Clinical trials with the A2A antagonist istradefylline

Disease-modifying effect of adenosine A2A receptor antagonists

Translation from animal models to the clinic in developing neuroprotective strategies

Relevance of apoptosis pathway to neurodegeneration in Parkinsons disease

Conclusions

References

Chapter 12: Amyotrophic lateral sclerosis

The challenges of translational medicine

Heterogeneity of sporadic amyotrophic lateral sclerosis

Mouse models: shortcomings

Absence of biomarkers for diagnosis or determining therapeutic efficacy

Advances in identifying relevant therapeutic targets

Genetic advances

Cell-specific targets for drug intervention and discovery

Role of translational medicine

Potential opportunities for translational medicine

Clinical trial design

Traditional drug targets and deliveries

Gene therapies

Stem-cell therapies for transplantation and drug discovery

Interfering RNA and antisense oligonucleotides

Conclusions

References

Chapter 13: Epilepsy

Currently available preclinical screening models

Seizure test vs. epilepsy model

Characteristics of an ideal seizure assay

The preclinical discovery of antiepileptic drugs

The maximal electroshock and subcutaneous pentylenetetrazol tests

Spike-wave discharges

Electrical kindling

Epileptogenesis

Genetic models of human epilepsy

Drug resistance

Combination therapy

Side effects of antiepileptic drugs

Strategies for discovery of new antiepileptic drugs

Preclinical assessment of seizure liability

Beyond small molecules for epilepsy treatment

Antiepileptic drugs for the treatment of nonepileptic conditions

Translating into humans: proof-of-concept studies, regulatory pathways, and future directions

Proof-of-concept studies

Regulatory pathways and requirements

Future directions

Conclusions

References

Chapter 14: Section summary and perspectives: Translational medicine in neurology

Biomarkers

Preclinical animal models

Clinical trial design

Pathophysiology and combination therapies

Summary and conclusions

References

Chapter 15: Historical perspectives on the use of therapeutic agents to treat neurodevelopmental disorders

Neurobiology and pharmacotherapy of autistic disorder

Historical perspectives

Summary

The pharmacology of fragile X syndrome

Historical perspectives

Summary

Emergence of drug therapy in attention-deficit/hyperactivity disorder

Historical perspectives

Biochemical studies

Summary

Conclusions

Acknowledgments

References

Chapter 16: Autism spectrum disorders

Electrophysiological signatures and imaging biomarkers of autism

Magnetoencephalographic studies of auditory processing – M100, magnetic mismatch field

Resting state magnetoencephalography

Diffusion tensor imaging

Magnetic resonance spectroscopy of γ-aminobutyric acid

Heterogeneity and strategies for translational research in autism

Translational models of autism

Criteria for validating preclinical models of autism

Developing animal models

Behavioral phenotypes in preclinical models

Assessing model specificity

Translational approaches to preclinical investigation

Therapeutic development

Conclusions

References

Chapter 17: Attention deficit hyperactivity disorder

Attention deficit hyperactivity disorder and the prefrontal cortex

Catecholamines and prefrontal cortex function

Pharmacology of attention deficit hyperactivity disorder

Psychostimulants

Therapeutic actions of stimulants are not paradoxical

Neurochemical actions of low-dose psychostimulants

Effects of low-dose psychostimulants on noradrenergic neuronal discharge

Effects of low-dose psychostimulants on prefrontal cortex neuronal activity

Cognition-enhancing actions of low-dose stimulants involve α2 and D1 receptors

Summary: neurobiology of low-dose psychostimulants

Nonstimulant medications

Tricyclic antidepressants and selective norepinephrine reuptake inhibitors

α2 Agonists

Monoamine oxidase inhibitors

Summary: pharmacology of attention deficit hyperactivity disorder

Potential use of selective dopamine reuptake inhibitors

Pharmacology vs. etiology of attention deficit hyperactivity disorder

Heterogeneity of attention deficit hyperactivity disorder

Conclusions

Acknowledgments

Disclosure statement

References

Chapter 18: Epigenetic mechanisms in central nervous system disorders

Brief overview of epigenetic chromatin remodeling mechanisms

Covalent post-translational histone modifications

Covalent modifications of DNA

Neurological disorders

Alzheimer's disease

Parkinson's disease

Epilepsy

Neurodevelopmental and neuropsychiatric disorders

Anxiety disorders

Depression

Schizophrenia

Fragile X syndrome

Autism

Substance abuse

Future directions and conclusions

Acknowledgments

References

Chapter 19: Section summary and perspectives: Neurodevelopmental disorders and regulation of epigenetic changes

Epigenetics

Epigenetics and neurodevelopmental disorders

Micro RNAs and neurodevelopmental regulation

Conclusions

References

Chapter 20: Promises and challenges of translational research in neuropsychiatry

Definition and promises of translational neuropsychiatric research

How is the term translational research actually used?

What are the first steps and first blocks in bench-to-bedside T1 research?

Scientific conundrums and blocks

Translational neuropsychiatry: from a simple disorder (HD) to a very complex disorder (schizophrenia)

Huntington´s disease

Schizophrenia: a complex disorder

Animal models

Translating psychosocial and behavioral interventions to their neurobiological substrates: a novel and underutilized translational strategy

Anatomy of the translational neuropsychiatric revolution

Pretense of wisdom syndrome

Summary and conclusions

Acknowledgments

References

Index

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