Cross-diagnostic determinants of cognitive functioning: the muscarinic cholinergic receptor as a model system.


Journal

Translational psychiatry
ISSN: 2158-3188
Titre abrégé: Transl Psychiatry
Pays: United States
ID NLM: 101562664

Informations de publication

Date de publication:
27 03 2023
Historique:
received: 11 01 2022
accepted: 17 03 2023
revised: 15 03 2023
medline: 29 3 2023
entrez: 27 3 2023
pubmed: 28 3 2023
Statut: epublish

Résumé

Cognitive impairment is a predictor of disability across different neuropsychiatric conditions, and cognitive abilities are also strongly related to educational attainment and indices of life success in the general population. Previous attempts at drug development for cognitive enhancement have commonly attempted to remedy defects in transmitters systems putatively associated with the conditions of interest such as the glutamate system in schizophrenia. Recent studies of the genomics of cognitive performance have suggested influences that are common in the general population and in different neuropsychiatric conditions. Thus, it seems possible that transmitter systems that are implicated for cognition across neuropsychiatric conditions and the general population would be a viable treatment target. We review the scientific data on cognition and the muscarinic cholinergic receptor system (M1 and M4) across different diagnoses, in aging, and in the general population. We suggest that there is evidence suggesting potential beneficial impacts of stimulation of critical muscarinic receptors for the enhancement of cognition in a broad manner, as well as the treatment of psychotic symptoms. Recent developments make stimulation of the M1 receptor more tolerable, and we identify the potential benefits of M1 and M4 receptor stimulation as a trans-diagnostic treatment model.

Identifiants

pubmed: 36973270
doi: 10.1038/s41398-023-02400-x
pii: 10.1038/s41398-023-02400-x
pmc: PMC10042838
doi:

Substances chimiques

Receptor, Muscarinic M4 0
Receptor, Muscarinic M1 0
Cholinergic Agents 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

100

Informations de copyright

© 2023. The Author(s).

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Auteurs

Sara E Jones (SE)

Department of Psychiatry, University of Miami Miller School of Medicine, Miami, FL, USA.
Department of Psychiatry, Washington University School of Medicine, St Louis, MO, USA.

Philip D Harvey (PD)

Department of Psychiatry, University of Miami Miller School of Medicine, Miami, FL, USA. pharvey@miami.edu.
Research Service, Bruce W. Carter VA Medical Center, Miami, FL, USA. pharvey@miami.edu.

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