Inflammation in Bipolar Disorder: Identification of New Therapeutic Targets
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25756/rpf.v11i4.229 |
Resumo: | Introduction: Bipolar disorder is a mental illness originated from the concept “mania”. It is a chronic, cyclic pathology characterized by the appearance of alternating episodes of mania/hypomania with episodes of euthymia/depression. We intend to identify new therapeutic approaches for treatment of bipolar disorder, taking into account the involvement of inflammation in its pathophysiology.Methods: Literature review linking bipolar disorder with inflammation and possible therapeutic targets, based on review articles. Research of clinical trials to evaluate new therapeutic interventions.Results: The pharmacological treatment of bipolar disorder is complex and periodically adapted to the disease phase. To understand the pathophysiology of bipolar disorder, several hypotheses related to the underlying inflammatory process are proposed, such as pathological activation of microglia, unraveling a wide range of therapeutic targets. Some clinical trials are currently underway to evaluate the effectiveness of new therapeutic strategies.Conclusion: Mental disorders, such as bipolar disorder, have resulted in great concern in the scientific and medical community, due to their social and economic impact. Given the involvement of inflammation in the pathophysiology of bipolar disorder, the immune system is a new therapeutic target. Thus, new treatment options include non-steroidal anti-inflammatory drugs and glutamate antagonists. These new approaches require further study, including clinical trials. |
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Inflammation in Bipolar Disorder: Identification of New Therapeutic TargetsInflamação na Doença Bipolar: Identificação de Novos Alvos TerapêuticosIntroduction: Bipolar disorder is a mental illness originated from the concept “mania”. It is a chronic, cyclic pathology characterized by the appearance of alternating episodes of mania/hypomania with episodes of euthymia/depression. We intend to identify new therapeutic approaches for treatment of bipolar disorder, taking into account the involvement of inflammation in its pathophysiology.Methods: Literature review linking bipolar disorder with inflammation and possible therapeutic targets, based on review articles. Research of clinical trials to evaluate new therapeutic interventions.Results: The pharmacological treatment of bipolar disorder is complex and periodically adapted to the disease phase. To understand the pathophysiology of bipolar disorder, several hypotheses related to the underlying inflammatory process are proposed, such as pathological activation of microglia, unraveling a wide range of therapeutic targets. Some clinical trials are currently underway to evaluate the effectiveness of new therapeutic strategies.Conclusion: Mental disorders, such as bipolar disorder, have resulted in great concern in the scientific and medical community, due to their social and economic impact. Given the involvement of inflammation in the pathophysiology of bipolar disorder, the immune system is a new therapeutic target. Thus, new treatment options include non-steroidal anti-inflammatory drugs and glutamate antagonists. These new approaches require further study, including clinical trials.Introdução: A doença bipolar é um distúrbio mental com origem no conceito “mania”. Trata-se de uma patologia crónica, de natureza cíclica, caracterizada pelo aparecimento de episódios alternados de mania/hipomania com episódios de eutimia/depressão. Com este artigo pretendemos identificar novas abordagens terapêuticas para o tratamento da doença bipolar, tendo em consideração o envolvimento da inflamação na sua fisiopatologia. Métodos: Revisão da literatura que relaciona a doença bipolar com a inflamação e possíveis alvos terapêuticos, baseada em artigos de revisão. Pesquisa de ensaios clínicos que permitam avaliar as novas intervenções terapêuticas.Resultados: O tratamento farmacológico da doença bipolar é complexo, sendo periodicamente adaptado à fase de doença. Para a compreensão da fisiopatologia da doença bipolar são propostas várias hipóteses relacionadas com o processo inflamatório subjacente, como a ativação patológica da microglia, desvendando um vasto leque de alvos terapêuticos. Atualmente estão a decorrer alguns ensaios clínicos que avaliam a eficácia das novas estratégias terapêuticas. Conclusão: Distúrbios mentais como a doença bipolar têm suscitado preocupação na comunidade científica e médica devido ao seu impacto ao nível social e económico. Tendo em conta o envolvimento da inflamação na fisiopatologia da doença bipolar, o sistema imunitário constitui um novo alvo terapêutico. Assim, surgem novas opções de tratamento que incluem fármacos anti-inflamatórios não esteroides e antagonistas do glutamato. Estas novas abordagens requerem mais estudos, nomeadamente a realização de ensaios clínicos.Formifarma2020-03-09info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.25756/rpf.v11i4.229https://doi.org/10.25756/rpf.v11i4.229Revista Portuguesa de Farmacoterapia / Portuguese Journal of Pharmacotherapy; Vol 11 No 4 (2019): October/November/December; 17-28Revista Portuguesa de Farmacoterapia; v. 11 n. 4 (2019): Outubro/Novembro/Dezembro; 17-282183-73411647-354Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttp://revista.farmacoterapia.pt/index.php/rpf/article/view/223http://revista.farmacoterapia.pt/index.php/rpf/article/view/223/241Direitos de Autor (c) 2020 Revista Portuguesa de Farmacoterapiahttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessOliveira, JoanaMadeira, NunoCruz, Maria TeresaPereira, Cláudia Fragão2023-09-01T04:34:14Zoai:ojs.farmacoterapia.pt:article/223Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:11:38.709937Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Inflammation in Bipolar Disorder: Identification of New Therapeutic Targets Inflamação na Doença Bipolar: Identificação de Novos Alvos Terapêuticos |
title |
Inflammation in Bipolar Disorder: Identification of New Therapeutic Targets |
spellingShingle |
Inflammation in Bipolar Disorder: Identification of New Therapeutic Targets Oliveira, Joana |
title_short |
Inflammation in Bipolar Disorder: Identification of New Therapeutic Targets |
title_full |
Inflammation in Bipolar Disorder: Identification of New Therapeutic Targets |
title_fullStr |
Inflammation in Bipolar Disorder: Identification of New Therapeutic Targets |
title_full_unstemmed |
Inflammation in Bipolar Disorder: Identification of New Therapeutic Targets |
title_sort |
Inflammation in Bipolar Disorder: Identification of New Therapeutic Targets |
author |
Oliveira, Joana |
author_facet |
Oliveira, Joana Madeira, Nuno Cruz, Maria Teresa Pereira, Cláudia Fragão |
author_role |
author |
author2 |
Madeira, Nuno Cruz, Maria Teresa Pereira, Cláudia Fragão |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Oliveira, Joana Madeira, Nuno Cruz, Maria Teresa Pereira, Cláudia Fragão |
description |
Introduction: Bipolar disorder is a mental illness originated from the concept “mania”. It is a chronic, cyclic pathology characterized by the appearance of alternating episodes of mania/hypomania with episodes of euthymia/depression. We intend to identify new therapeutic approaches for treatment of bipolar disorder, taking into account the involvement of inflammation in its pathophysiology.Methods: Literature review linking bipolar disorder with inflammation and possible therapeutic targets, based on review articles. Research of clinical trials to evaluate new therapeutic interventions.Results: The pharmacological treatment of bipolar disorder is complex and periodically adapted to the disease phase. To understand the pathophysiology of bipolar disorder, several hypotheses related to the underlying inflammatory process are proposed, such as pathological activation of microglia, unraveling a wide range of therapeutic targets. Some clinical trials are currently underway to evaluate the effectiveness of new therapeutic strategies.Conclusion: Mental disorders, such as bipolar disorder, have resulted in great concern in the scientific and medical community, due to their social and economic impact. Given the involvement of inflammation in the pathophysiology of bipolar disorder, the immune system is a new therapeutic target. Thus, new treatment options include non-steroidal anti-inflammatory drugs and glutamate antagonists. These new approaches require further study, including clinical trials. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-03-09 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25756/rpf.v11i4.229 https://doi.org/10.25756/rpf.v11i4.229 |
url |
https://doi.org/10.25756/rpf.v11i4.229 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
http://revista.farmacoterapia.pt/index.php/rpf/article/view/223 http://revista.farmacoterapia.pt/index.php/rpf/article/view/223/241 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2020 Revista Portuguesa de Farmacoterapia http://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2020 Revista Portuguesa de Farmacoterapia http://creativecommons.org/licenses/by-nc-nd/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Formifarma |
publisher.none.fl_str_mv |
Formifarma |
dc.source.none.fl_str_mv |
Revista Portuguesa de Farmacoterapia / Portuguese Journal of Pharmacotherapy; Vol 11 No 4 (2019): October/November/December; 17-28 Revista Portuguesa de Farmacoterapia; v. 11 n. 4 (2019): Outubro/Novembro/Dezembro; 17-28 2183-7341 1647-354X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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