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  1. Article: Fight the Fire: Association of Cytokine Genomic Markers and Suicidal Behavior May Pave the Way for Future Therapies.

    Gonda, Xenia / Serafini, Gianluca / Dome, Peter

    Journal of personalized medicine

    2023  Volume 13, Issue 7

    Abstract: The fight against suicide is highly challenging as it may be one of the most complex and, at the same time, most threatening among all psychiatric phenomena. In spite of its huge impact, and despite advances in neurobiology research, understanding and ... ...

    Abstract The fight against suicide is highly challenging as it may be one of the most complex and, at the same time, most threatening among all psychiatric phenomena. In spite of its huge impact, and despite advances in neurobiology research, understanding and predicting suicide remains a major challenge for both researchers and clinicians. To be able to identify those patients who are likely to engage in suicidal behaviors and identify suicide risk in a reliable and timely manner, we need more specific, novel biological and genetic markers/indicators to develop better screening and diagnostic methods, and in the next step to utilize these molecules as intervention targets. One such potential novel approach is offered by our increasing understanding of the involvement of neuroinflammation based on multiple observations of increased proinflammatory states underlying various psychiatric disorders, including suicidal behavior. The present paper overviews our existing understanding of the association between suicide and inflammation, including peripheral and central biomarkers, genetic and genomic markers, and our current knowledge of intervention in suicide risk using treatments influencing inflammation; also overviewing the next steps to be taken and obstacles to be overcome before we can utilize cytokines in the treatment of suicidal behavior.
    Language English
    Publishing date 2023-06-29
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662248-8
    ISSN 2075-4426
    ISSN 2075-4426
    DOI 10.3390/jpm13071078
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: How to save a life: From neurobiological underpinnings to psychopharmacotherapies in the prevention of suicide.

    Gonda, Xenia / Dome, Peter / Serafini, Gianluca / Pompili, Maurizio

    Pharmacology & therapeutics

    2023  Volume 244, Page(s) 108390

    Abstract: The impact of suicide on our societies, mental healthcare, and public health is beyond questionable. Every year approximately 700 000 lives are lost due to suicide around the world (WHO, 2021); more people die by suicide than by homicide and war. ... ...

    Abstract The impact of suicide on our societies, mental healthcare, and public health is beyond questionable. Every year approximately 700 000 lives are lost due to suicide around the world (WHO, 2021); more people die by suicide than by homicide and war. Although suicide is a key issue and reducing suicide mortality is a global imperative, suicide is a highly complex biopsychosocial phenomenon, and in spite of several suicidal models developed in recent years and a high number of suicide risk factors identified, we still have neither a sufficient understanding of underpinnings of suicide nor adequate management strategies to reduce its prevalence. The present paper first overviews the background of suicidal behavior including its epidemiology, age and gender correlations, and its association with neuropsychiatric disorders as well as its clinical assessment. Then we give an overview of the etiological background, including its biopsychosocial contexts, genetics and neurobiology. Based on the above, we then provide a critical overview of the currently available intervention options to manage and reduce risk of suicide, including psychotherapeutic modalities, traditional medication classes also providing an up-to-date overview on the antisuicidal effects of lithium, as well as novel molecules such as esketamine and emerging medications and further molecules in development. Finally we give a critical overview on our current knowledge on using neuromodulatory and biological therapies, such as ECT, rTMS, tDCS, and other options.
    MeSH term(s) Humans ; Suicide Prevention ; Neurobiology ; Suicide/psychology ; Suicidal Ideation
    Language English
    Publishing date 2023-03-20
    Publishing country England
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 194735-7
    ISSN 1879-016X ; 0163-7258
    ISSN (online) 1879-016X
    ISSN 0163-7258
    DOI 10.1016/j.pharmthera.2023.108390
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The use of modern dopamine partial agonists in bipolar depression: is the evidence sound?

    Serafini, Gianluca / Nasrallah, Henry A / Amore, Mario

    Current medical research and opinion

    2022  Volume 38, Issue 5, Page(s) 773–775

    MeSH term(s) Antipsychotic Agents/therapeutic use ; Bipolar Disorder/drug therapy ; Dopamine/therapeutic use ; Dopamine Agonists/adverse effects ; Humans ; Piperazines/therapeutic use
    Chemical Substances Antipsychotic Agents ; Dopamine Agonists ; Piperazines ; Dopamine (VTD58H1Z2X)
    Language English
    Publishing date 2022-04-12
    Publishing country England
    Document type Editorial
    ZDB-ID 80296-7
    ISSN 1473-4877 ; 0300-7995
    ISSN (online) 1473-4877
    ISSN 0300-7995
    DOI 10.1080/03007995.2022.2059973
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book ; Online: Interval Logic Tensor Networks

    Badreddine, Samy / Apriceno, Gianluca / Passerini, Andrea / Serafini, Luciano

    2023  

    Abstract: In this paper, we introduce Interval Real Logic (IRL), a two-sorted logic that interprets knowledge such as sequential properties (traces) and event properties using sequences of real-featured data. We interpret connectives using fuzzy logic, event ... ...

    Abstract In this paper, we introduce Interval Real Logic (IRL), a two-sorted logic that interprets knowledge such as sequential properties (traces) and event properties using sequences of real-featured data. We interpret connectives using fuzzy logic, event durations using trapezoidal fuzzy intervals, and fuzzy temporal relations using relationships between the intervals' areas. We propose Interval Logic Tensor Networks (ILTN), a neuro-symbolic system that learns by propagating gradients through IRL. In order to support effective learning, ILTN defines smoothened versions of the fuzzy intervals and temporal relations of IRL using softplus activations. We show that ILTN can successfully leverage knowledge expressed in IRL in synthetic tasks that require reasoning about events to predict their fuzzy durations. Our results show that the system is capable of making events compliant with background temporal knowledge.
    Keywords Computer Science - Artificial Intelligence
    Publishing date 2023-03-31
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Drug-drug interactions between COVID-19 therapeutics and psychotropic medications.

    Cuomo, Alessandro / Barillà, Giovanni / Serafini, Gianluca / Aguglia, Andrea / Amerio, Andrea / Cattolico, Matteo / Carmellini, Pietro / Spiti, Alessandro / Fagiolini, Andrea

    Expert opinion on drug metabolism & toxicology

    2024  Volume 19, Issue 12, Page(s) 925–936

    Abstract: Introduction: The coronavirus (COVID-19) pandemic has led to as well as exacerbated mental health disorders, leading to increased use of psychotropic medications. Co-administration of COVID-19 and psychotropic medications may result in drug-drug ... ...

    Abstract Introduction: The coronavirus (COVID-19) pandemic has led to as well as exacerbated mental health disorders, leading to increased use of psychotropic medications. Co-administration of COVID-19 and psychotropic medications may result in drug-drug interactions (DDIs), that may compromise both the safety and efficacy of both medications.
    Areas covered: This review provides an update of the current evidence on DDIs between COVID-19 and psychotropic medications. The interactions are categorized into pharmacokinetic, pharmacodynamic, and other relevant types. A thorough literature search was conducted using electronic databases to identify relevant studies, and extract data to highlight potential DDIs, clinical implications, and management strategies.
    Expert opinion: Understanding and managing potential DDIs between COVID-19 and psychotropic medications is paramount to ensuring safe and effective treatment of patients with COVID-19 and mental illness. Awareness of the diverse spectrum of DDIs, vigilant monitoring, and judicious dose modifications, while choosing pharmacotherapeutic options with low risk of interaction whenever possible, are necessary. Ongoing and future investigations should continue to review the dynamic landscape of COVID-19 therapeutic modalities and their interactions with psychotropic medications.
    MeSH term(s) Humans ; COVID-19 ; Drug Interactions ; Psychotropic Drugs/adverse effects ; Pharmaceutical Preparations ; Mental Disorders/drug therapy ; Mental Disorders/chemically induced
    Chemical Substances Psychotropic Drugs ; Pharmaceutical Preparations
    Language English
    Publishing date 2024-01-12
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2214462-6
    ISSN 1744-7607 ; 1742-5255
    ISSN (online) 1744-7607
    ISSN 1742-5255
    DOI 10.1080/17425255.2023.2288681
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Neuroplasticity and major depression, the role of modern antidepressant drugs.

    Serafini, Gianluca

    World journal of psychiatry

    2013  Volume 2, Issue 3, Page(s) 49–57

    Abstract: The pathophysiology of depression has been traditionally attributed to a chemical imbalance and critical interactions between genetic and environmental risk factors, and antidepressant drugs suggested to act predominantly amplifying monoaminergic ... ...

    Abstract The pathophysiology of depression has been traditionally attributed to a chemical imbalance and critical interactions between genetic and environmental risk factors, and antidepressant drugs suggested to act predominantly amplifying monoaminergic neurotransmission. This conceptualization may be currently considered reductive. The current literature about the pathophysiological mechanisms underlying depression, stress-related disorders and antidepressant treatment was examined. In order to provide a critical overview about neuroplasticity, depression and antidepressant drugs, a detailed Pubmed/Medline, Scopus, PsycLit, and PsycInfo search to identify all papers and book chapters during the period between 1980 and 2011 was performed. Pathological stress and depression determine relevant brain changes such as loss of dendritic spines and synapses, dendritic atrophy as well as reduction of glial cells (both in number and size) in specific areas such as the hippocampus and prefrontal cortex. An increased dendritic arborisation and synaptogenesis may instead be observed in the amygdala as a consequence of depression and stress-related disorders. While hippocampal and prefrontal functioning was impaired, amygdala functioning was abnormally amplified. Most of molecular abnormalities and biological changes of aberrant neuroplasticity may be explained by the action of glutamate. Antidepressant treatment is associated with neurogenesis, gliogenesis, dendritic arborisation, new synapse formation and cell survival both in the hippocampus and prefrontal cortex. Antidepressants (ADs) induce neuroplasticity mechanisms reversing the pathological effects of depression and stress-related disorders. The neuroplasticity hypothesis may explain the therapeutic and prophylactic action of ADs representing a new innovative approach to the pathophysiology of depression and stress-related disorders.
    Language English
    Publishing date 2013-07-01
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2220-3206
    ISSN 2220-3206
    DOI 10.5498/wjp.v2.i3.49
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Long-acting Injectable Antipsychotics and Stigma: Some Considerations and Future Perspectives.

    Natale, Antimo / Fusar-Poli, Laura / Amerio, Andrea / Escelsior, Andrea / Serafini, Gianluca / Aguglia, Eugenio / Amore, Mario / Aguglia, Andrea

    Current pharmaceutical design

    2023  Volume 29, Issue 13, Page(s) 981–983

    MeSH term(s) Humans ; Antipsychotic Agents/therapeutic use ; Schizophrenia/drug therapy ; Delayed-Action Preparations
    Chemical Substances Antipsychotic Agents ; Delayed-Action Preparations
    Language English
    Publishing date 2023-04-24
    Publishing country United Arab Emirates
    Document type Editorial
    ZDB-ID 1304236-1
    ISSN 1873-4286 ; 1381-6128
    ISSN (online) 1873-4286
    ISSN 1381-6128
    DOI 10.2174/1381612829666230406102039
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Aged Patients With Mental Disorders in the COVID-19 Era: The Experience of Northern Italy.

    Serafini, Gianluca / Bondi, Emi / Locatelli, Clara / Amore, Mario

    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry

    2020  Volume 28, Issue 7, Page(s) 794–795

    MeSH term(s) Age Factors ; Aged ; Aging/physiology ; Aging/psychology ; Betacoronavirus ; COVID-19 ; Change Management ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/psychology ; Health Services for the Aged/organization & administration ; Health Services for the Aged/trends ; Humans ; Infection Control/methods ; Infection Control/organization & administration ; Italy/epidemiology ; Mental Disorders/epidemiology ; Mental Disorders/physiopathology ; Mental Disorders/therapy ; Mental Health Services/organization & administration ; Mental Health Services/trends ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/psychology ; Risk Assessment ; Risk Factors ; SARS-CoV-2 ; Vulnerable Populations/psychology
    Keywords covid19
    Language English
    Publishing date 2020-04-22
    Publishing country England
    Document type Letter
    ZDB-ID 1278145-9
    ISSN 1545-7214 ; 1064-7481
    ISSN (online) 1545-7214
    ISSN 1064-7481
    DOI 10.1016/j.jagp.2020.04.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Microglia and Other Cellular Mediators of Immunological Dysfunction in Schizophrenia: A Narrative Synthesis of Clinical Findings.

    Nguyen, Khoa D / Amerio, Andrea / Aguglia, Andrea / Magnani, Luca / Parise, Alberto / Conio, Benedetta / Serafini, Gianluca / Amore, Mario / Costanza, Alessandra

    Cells

    2023  Volume 12, Issue 16

    Abstract: Schizophrenia is a complex psychiatric condition that may involve immune system dysregulation. Since most putative disease mechanisms in schizophrenia have been derived from genetic association studies and fluid-based molecular analyses, this review aims ...

    Abstract Schizophrenia is a complex psychiatric condition that may involve immune system dysregulation. Since most putative disease mechanisms in schizophrenia have been derived from genetic association studies and fluid-based molecular analyses, this review aims to summarize the emerging evidence on clinical correlates to immune system dysfunction in this psychiatric disorder. We conclude this review by attempting to develop a unifying hypothesis regarding the relative contributions of microglia and various immune cell populations to the development of schizophrenia. This may provide important translational insights that can become useful for addressing the multifaceted clinical presentation of schizophrenia.
    MeSH term(s) Humans ; Schizophrenia ; Microglia ; Genetic Association Studies
    Language English
    Publishing date 2023-08-19
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2661518-6
    ISSN 2073-4409 ; 2073-4409
    ISSN (online) 2073-4409
    ISSN 2073-4409
    DOI 10.3390/cells12162099
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Neuropsychiatric Disorders and Frailty in Older Adults over the Spectrum of Cancer: A Narrative Review.

    Muzyka, Mariya / Tagliafico, Luca / Serafini, Gianluca / Baiardini, Ilaria / Braido, Fulvio / Nencioni, Alessio / Monacelli, Fiammetta

    Cancers

    2022  Volume 14, Issue 1

    Abstract: Background: The interplay between different neuropsychiatric conditions, beyond dementia, in the presence of a diagnosis of cancer in older adults may mediate patients' fitness and cancer-related outcomes. Here, we aimed to investigate the presence of ... ...

    Abstract Background: The interplay between different neuropsychiatric conditions, beyond dementia, in the presence of a diagnosis of cancer in older adults may mediate patients' fitness and cancer-related outcomes. Here, we aimed to investigate the presence of depression, sleep disturbances, anxiety, attitude, motivation, and support in older adults receiving a diagnosis of cancer and the dimension of frailty in order to understand the magnitude of the problem.
    Methods: This review provides an update of the state of the art based on references from searches of PubMed between 2000 and June 2021.
    Results: The evidence obtained underscored the tight association between frailty and unfavorable clinical outcomes in older adults with cancer. Given the intrinsic correlation of neuropsychiatric disorders with frailty in the realm of cancer survivorship, the evidence showed they might have a correlation with unfavorable clinical outcomes, late-life geriatric syndromes and higher degree of frailty.
    Conclusions: The identification of common vulnerabilities among neuropsychiatric disorders, frailty, and cancer may hold promise to unmask similar shared pathways, potentially intercepting targeted new interventions over the spectrum of cancer with the delivery of better pathways of care for older adults with cancer.
    Language English
    Publishing date 2022-01-05
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers14010258
    Database MEDical Literature Analysis and Retrieval System OnLINE

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