Cited by 43Schizophrenia research and treatmentTreatment of Major DepressionNeuroscience and Neuropharmacology Research

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Modulation of neuronal plasticity following chronic concomitant administration of the novel antipsychotic lurasidone with the mood stabilizer valproic acid

Abstract

Rationale Combinatory therapy is widely used in psychiatry owing to the possibility that drugs with different mechanisms of action may synergize to improve functions deteriorated in schizophrenia, bipolar disorders, and major depression. While combinatory strategies rely on receptor and synaptic mechanisms, it should also be considered that two drugs may also "interact" on the long-term to determine more robust changes in neuronal plasticity, which represents a downstream target important for functional recovery. Objective The aim of the study is to investigate neuroadaptive changes set in motion by chronic concomitant administration of the novel antipsychotic lurasidone and the mood stabilizer valproate. Methods Animals were chronically treated with lurasidone, valproate, or the combination of the two drugs and killed 24 h after the last injection to evaluate alterations of different measures of neuronal plasticity such as the neurotrophin brain-derived neurotrophic factor (BDNF), the immediate early gene Activity-regulated cytoskeletal associated protein, and the epigenetic regulators HDAC 1, 2, and 5 in dorsal and ventral hippocampus. Results The results suggest that coadministration of lurasidone and valproate produces, when compared to the single drugs, a larger increase in the expression of BDNF in the ventral hippocampus, through the regulation of specific neurotrophin transcripts. We also found that the histone deacetylases were regulated by the drug combination, suggesting that some of the transcriptional changes may be sustained by epigenetic mechanisms. Conclusions Our results suggest that the beneficial effects associated with combinatory treatment between a second-generation antipsychotic and a mood stabilizer could result from the ability to modulate neuroplastic molecules, whose expression and function is deteriorated in different psychiatric conditions.

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Metadata

Authors
Calabrese, F., Luoni, A., Guidotti, G., Racagni, G., Fumagalli, F., & Riva, M. A.
Affiliations
University of Milan (IT)
Corresponding author
Riva, M. A.
Venue
Psychopharmacology
Published
2012-10-24
Volume
226
Issue
1
Pages
101-112
ISSN
  • 0033-3158 (ISSN-L)
  • 1432-2072
OpenAlex
W1976157209
Cited by
43
References
8
Citations by year
2026: 2 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 3 · 2015: 7 · 2014: 7 · 2013: 7
FWCI
4.80
Type
journal article
Language
en
Open access
closed
Locations
  • Psychopharmacology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Sunovion
  • Roche Italia
  • Dainippon Sumitomo Pharma
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
Keywords
lurasidone, valproic acid, combination therapy, neuroplasticity, brain-derived neurotrophic factor, hippocampus, histone deacetylase, epigenetic regulation, atypical antipsychotics, mood stabilizers, neurotrophins
MeSH terms
Lurasidone Hydrochloride, Affect, Animals, Drug Therapy, Combination, Hippocampus, Male, Neuronal Plasticity, Thiazoles, Antipsychotic Agents, Valproic Acid, Gene Expression, Rats, Sprague-Dawley, Brain-Derived Neurotrophic Factor, Rats, Isoindoles, Real-Time Polymerase Chain Reaction

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