Evidence map›Paper›PMID 33167370›Full record

ReviewPharmaceuticals (Basel, Switzerland)2020

Dopamine, Cognitive Impairments and Second-Generation Antipsychotics: From Mechanistic Advances to More Personalized Treatments.

Sebastiano Alfio Torrisi, Samuele Laudani, Gabriella Contarini, Angelina De Luca, Federica Geraci, Francesca Managò, Francesco Papaleo, Salvatore Salomone, Filippo Drago, Gian Marco Leggio

Open access · goldAbstract readReview
In one paragraph

Review in Pharmaceuticals (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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  19. Effects of the selective dopamine DBehavioural brain research · 2021
    Article
  20. Cognitive Deficit in Schizophrenia: From Etiology to Novel Treatments.International journal of molecular sciences · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Sebastiano Alfio TorrisiDepartment of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy.ORCID 0000-0002-6920-439X
Samuele LaudaniDepartment of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy.
Gabriella ContariniDepartment of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy.ORCID 0000-0002-9537-777X
Angelina De LucaDepartment of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy.
Federica GeraciDepartment of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy.
Francesca ManagòGenetics of Cognition laboratory, Neuroscience area, Istituto Italiano di Tecnologia, 16163 Genova, Italy.
Francesco PapaleoGenetics of Cognition laboratory, Neuroscience area, Istituto Italiano di Tecnologia, 16163 Genova, Italy.ORCID 0000-0002-6326-0657
Salvatore SalomoneDepartment of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy.
Filippo DragoDepartment of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy.
Gian Marco LeggioDepartment of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy.ORCID 0000-0002-7280-4871
University of Catania · ITItalian Institute of Technology · IT

Funding

Italian Ministry of University and Research - PRIN 2017 N 2017- Prot. 2017K2NEF4 to FDItalian Ministry of University and Research - PRIN 2017 Prot. 201779W93T to GMLUniversity of Catania intramural funds (Starting Grant 2020 to GML); Starting Grant 2020 to GML
6 · The paper itself

Abstract

The pharmacological treatment of cognitive impairments associated with schizophrenia is still a major unmet clinical need. Indeed, treatments with available antipsychotics generate highly variable cognitive responses among patients with schizophrenia. This has led to the general assumption that antipsychotics are ineffective on cognitive impairment, although personalized medicine and drug repurposing approaches might scale down this clinical issue. In this scenario, evidence suggests that cognitive improvement exerted by old and new atypical antipsychotics depends on dopaminergic mechanisms. Moreover, the newer antipsychotics brexpiprazole and cariprazine, which might have superior clinical efficacy on cognitive deficits over older antipsychotics, mainly target dopamine receptors. It is thus reasonable to assume that despite more than 50 years of elusive efforts to develop novel non-dopaminergic antipsychotics, dopamine receptors remain the most attractive and promising pharmacological targets in this field. In the present review, we discuss preclinical and clinical findings showing dopaminergic mechanisms as key players in the cognitive improvement induced by both atypical antipsychotics and potential antipsychotics. We also emphasize the concept that these mechanistic advances, which help to understand the heterogeneity of cognitive responses to antipsychotics, may properly guide treatment decisions and address the unmet medical need for the management of cognitive impairment associated with schizophrenia.

Indexed as

cognitiondopamine receptorsschizophreniasecond-generation antipsychotics

Identifiers

PMID33167370
PMCPMC7694365
OpenAlexW3097399084

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.