Immuno-psychiatry: an agenda for clinical practice and innovative research
Identifieur interne : 001D17 ( Main/Exploration ); précédent : 001D16; suivant : 001D18Immuno-psychiatry: an agenda for clinical practice and innovative research
Auteurs : Marion Leboyer [France] ; Michael Berk [Australie] ; Robert H. Yolken [États-Unis] ; Ryad Tamouza [France] ; David Kupfer [États-Unis] ; Laurent Groc [France]Source :
- BMC Medicine [ 1741-7015 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- analyse : Marqueurs biologiques.
- diagnostic : Troubles mentaux.
- immunologie : Troubles mentaux.
- psychologie : Troubles mentaux.
- Allergie et immunologie, Humains, Pronostic, Psychiatrie.
English descriptors
- KwdEn :
- MESH :
- chemical , analysis : Biomarkers.
- diagnosis : Mental Disorders.
- immunology : Mental Disorders.
- methods : Psychiatry.
- psychology : Mental Disorders.
- Allergy and Immunology, Humans, Prognosis.
Abstract
The diagnostic scheme for psychiatric disorders is currently based purely on descriptive nomenclature given that biomarkers subtypes and clearly defined causal mechanisms are lacking for the vast majority of disorders. The emerging field of “immuno-psychiatry” has the potential to widen the exploration of a mechanism-based nosology, possibly leading to the discovery of more effective personalised treatment strategies.
Disturbances in immuno-inflammatory and related systems have been implicated in the aetiology, pathophysiology, phenomenology and comorbidity of several psychiatric disorders, including major mood disorders and schizophrenia. A fundamental challenge in their clinical management is to identify bio-signatures that might indicate risk, state, trait, prognosis or theragnosis. Here, we provide the rationale for a clinical and research agenda to refine future clinical practice and conceptual views, and to delineate pathways toward innovative treatment discovery.
The development of bio-signatures will allow clinicians to tailor interventions to the abovementioned biomarker subtypes – a major translational goal for research in this field.
Url:
DOI: 10.1186/s12916-016-0712-5
PubMed: 27788673
PubMed Central: 5084344
Affiliations:
- Australie, France, États-Unis
- Maryland, Pennsylvanie, Victoria (État), Île-de-France
- Baltimore, Créteil, Melbourne, Paris
- Université de Melbourne
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Le document en format XML
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research</title><author><name sortKey="Leboyer, Marion" sort="Leboyer, Marion" uniqKey="Leboyer M" first="Marion" last="Leboyer">Marion Leboyer</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Psychiatry Department, University Paris-Est-Créteil, Mondor hospital, AP-HP, DHU PePSY, Translational Psychiatry laboratory, INSERM U955, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Psychiatry Department, University Paris-Est-Créteil, Mondor hospital, AP-HP, DHU PePSY, Translational Psychiatry laboratory, INSERM U955, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">Fondation FondaMental, Creteil, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Fondation FondaMental, Creteil</wicri:regionArea><placeName><region 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Mental Health, Parkville, VIC Australia</nlm:aff><wicri:noCountry code="subfield">VIC Australia</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff6">Department of Psychiatry, University of Melbourne, Royal Melbourne Hospital, Parkville, VIC Australia</nlm:aff><orgName type="university">Université de Melbourne</orgName><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Yolken, Robert H" sort="Yolken, Robert H" uniqKey="Yolken R" first="Robert H." last="Yolken">Robert H. Yolken</name><affiliation wicri:level="3"><nlm:aff id="Aff7">Stanley Division of Developmental Neurovirology, The Johns Hopkins University School of Medicine, Baltimore, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Stanley Division of Developmental Neurovirology, The Johns Hopkins University School of Medicine, Baltimore</wicri:regionArea><placeName><settlement type="city">Baltimore</settlement><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Tamouza, Ryad" sort="Tamouza, Ryad" uniqKey="Tamouza R" first="Ryad" last="Tamouza">Ryad Tamouza</name><affiliation wicri:level="3"><nlm:aff id="Aff2">Fondation FondaMental, Creteil, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Fondation FondaMental, Creteil</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement 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Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Groc, Laurent" sort="Groc, Laurent" uniqKey="Groc L" first="Laurent" last="Groc">Laurent Groc</name><affiliation wicri:level="3"><nlm:aff id="Aff2">Fondation FondaMental, Creteil, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Fondation FondaMental, Creteil</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Créteil</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">University of Bordeaux, UMR 5297, 33000 Bordeaux, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>University of Bordeaux, UMR 5297, 33000 Bordeaux</wicri:regionArea><wicri:noRegion>33000 Bordeaux</wicri:noRegion><wicri:noRegion>33000 Bordeaux</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff11">Interdisciplinary Institute for Neuroscience, CNRS UMR 5297, 33077 Bordeaux, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Interdisciplinary Institute for Neuroscience, CNRS UMR 5297, 33077 Bordeaux</wicri:regionArea><wicri:noRegion>33077 Bordeaux</wicri:noRegion><wicri:noRegion>33077 Bordeaux</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Medicine</title><idno type="eISSN">1741-7015</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Allergy and Immunology</term><term>Biomarkers (analysis)</term><term>Humans</term><term>Mental Disorders (diagnosis)</term><term>Mental Disorders (immunology)</term><term>Mental Disorders (psychology)</term><term>Prognosis</term><term>Psychiatry (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Allergie et immunologie</term><term>Humains</term><term>Marqueurs biologiques (analyse)</term><term>Pronostic</term><term>Psychiatrie ()</term><term>Troubles mentaux (diagnostic)</term><term>Troubles mentaux (immunologie)</term><term>Troubles mentaux (psychologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>Biomarkers</term></keywords><keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>Marqueurs biologiques</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Mental Disorders</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Troubles mentaux</term></keywords><keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Troubles mentaux</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Mental Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Psychiatry</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Troubles mentaux</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Mental Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Allergy and Immunology</term><term>Humans</term><term>Prognosis</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Allergie et immunologie</term><term>Humains</term><term>Pronostic</term><term>Psychiatrie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The diagnostic scheme for psychiatric disorders is currently based purely on descriptive nomenclature given that biomarkers subtypes and clearly defined causal mechanisms are lacking for the vast majority of disorders. The emerging field of “immuno-psychiatry” has the potential to widen the exploration of a mechanism-based nosology, possibly leading to the discovery of more effective personalised treatment strategies.</p></sec><sec><title>Discussion</title><p>Disturbances in immuno-inflammatory and related systems have been implicated in the aetiology, pathophysiology, phenomenology and comorbidity of several psychiatric disorders, including major mood disorders and schizophrenia. A fundamental challenge in their clinical management is to identify bio-signatures that might indicate risk, state, trait, prognosis or theragnosis. Here, we provide the rationale for a clinical and research agenda to refine future clinical practice and conceptual views, and to delineate pathways toward innovative treatment discovery.</p></sec><sec><title>Conclusion</title><p>The development of bio-signatures will allow clinicians to tailor interventions to the abovementioned biomarker subtypes – a major translational goal for research in this field.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Berk, M" uniqKey="Berk M">M Berk</name></author><author><name sortKey="Nierenberg, Aa" uniqKey="Nierenberg A">AA Nierenberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Berk, M" uniqKey="Berk M">M Berk</name></author><author><name sortKey="Williams, Lj" uniqKey="Williams L">LJ Williams</name></author><author><name sortKey="Jacka, Fn" uniqKey="Jacka F">FN Jacka</name></author><author><name sortKey="O Neil, A" uniqKey="O Neil A">A 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B">BM Elmer</name></author><author><name sortKey="Mcallister, Ak" uniqKey="Mcallister A">AK McAllister</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abazyan, B" uniqKey="Abazyan B">B Abazyan</name></author><author><name sortKey="Nomura, J" uniqKey="Nomura J">J Nomura</name></author><author><name sortKey="Kannan, G" uniqKey="Kannan G">G Kannan</name></author><author><name sortKey="Ishizuka, K" uniqKey="Ishizuka K">K Ishizuka</name></author><author><name sortKey="Tamashiro, Kl" uniqKey="Tamashiro K">KL Tamashiro</name></author><author><name sortKey="Nucifora, F" uniqKey="Nucifora F">F Nucifora</name></author><author><name sortKey="Pogorelov, V" uniqKey="Pogorelov V">V Pogorelov</name></author><author><name sortKey="Ladenheim, B" uniqKey="Ladenheim B">B Ladenheim</name></author><author><name sortKey="Yang, C" uniqKey="Yang C">C Yang</name></author><author><name sortKey="Krasnova, In" uniqKey="Krasnova I">IN Krasnova</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li><li>France</li><li>États-Unis</li></country><region><li>Maryland</li><li>Pennsylvanie</li><li>Victoria (État)</li><li>Île-de-France</li></region><settlement><li>Baltimore</li><li>Créteil</li><li>Melbourne</li><li>Paris</li></settlement><orgName><li>Université de Melbourne</li></orgName></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Leboyer, Marion" sort="Leboyer, Marion" uniqKey="Leboyer M" first="Marion" last="Leboyer">Marion Leboyer</name></region><name sortKey="Groc, Laurent" sort="Groc, Laurent" uniqKey="Groc L" first="Laurent" last="Groc">Laurent Groc</name><name sortKey="Groc, Laurent" sort="Groc, Laurent" uniqKey="Groc L" first="Laurent" last="Groc">Laurent Groc</name><name sortKey="Groc, Laurent" sort="Groc, Laurent" uniqKey="Groc L" first="Laurent" last="Groc">Laurent Groc</name><name sortKey="Leboyer, Marion" sort="Leboyer, Marion" uniqKey="Leboyer M" first="Marion" last="Leboyer">Marion Leboyer</name><name sortKey="Leboyer, Marion" sort="Leboyer, Marion" uniqKey="Leboyer M" first="Marion" last="Leboyer">Marion Leboyer</name><name sortKey="Tamouza, Ryad" sort="Tamouza, Ryad" uniqKey="Tamouza R" first="Ryad" last="Tamouza">Ryad Tamouza</name></country><country name="Australie"><region name="Victoria (État)"><name sortKey="Berk, Michael" sort="Berk, Michael" uniqKey="Berk M" first="Michael" last="Berk">Michael Berk</name></region></country><country name="États-Unis"><region name="Maryland"><name sortKey="Yolken, Robert H" sort="Yolken, Robert H" uniqKey="Yolken R" first="Robert H." last="Yolken">Robert H. Yolken</name></region><name sortKey="Kupfer, David" sort="Kupfer, David" uniqKey="Kupfer D" first="David" last="Kupfer">David Kupfer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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