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The Potential of Cerebrolysin in the Treatment of Schizophrenia

The Potential of Cerebrolysin in the Treatment of Schizophrenia

作     者:Gonzalo Flores Marco Atzori 

作者机构:Facultad de Ciencias Universidad Autónoma de San Luis Potosí San Luis Potosí Mexico Laboratorio de Neuropsiquiatría Instituto de Fisiología Universidad Autónoma de Puebla Puebla México 

出 版 物:《Pharmacology & Pharmacy》 (药理与制药(英文))

年 卷 期:2014年第5卷第7期

页      面:691-704页

学科分类:1002[医学-临床医学] 10[医学] 

主  题:Cerebrolysin Neurotrophic Factors Schizophrenia Prefrontal Cortex Hippocampus Amygdala 

摘      要:Schizophrenia and psychosis are psychiatric condition whose neural mechanisms are yet incompletely known, and for which pharmacological treatment is too often ineffective in a growing clinical cohort. Recently, dendritic morphological changes in arborization and dendritic spine density in limbic regions has been reported in postmortem tissue from schizophrenic patients and in animal models of schizophrenia, suggesting that the use of medication improving synaptogenesis may be beneficial as additional treatment of psychotic patients. Cerebrolysin (Cbl) is a drug available for clinical with active neuropeptides fragments that mimics the action of endogenous neurotrophic factors such as BDNF, GDNF, CNTF and NGF, which improves the integrity of the neuronal circuits as well as cognitive and behavioral performance by exerting a neuroprotective effect and promoting the generation of new functional synapses. Recent work from our laboratory has shown that Cbl ameliorates synaptic and dendritic pathology in animal models of schizophrenia by increasing synaptic density and restoring neuronal cytoarchitecture. This neuroprotective effect improves the integrity of the neuronal circuits and improves cognitive and behavioral performance. Importantly, Cbl treatment seems to be safe when used in combination with neuroleptics such as risperidone. The present article analyzes the potential of Cbl in the treatment of neurodevelopmental disease, and reviews the current literature on the effects of Cbl in in vivo animal models of neurodevelopmental disorders like schizophrenia.

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