Assignment 2: Article Critique
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Record: 1 Developing biomarkers in mood disorders research through the use of rapid‐acting antidepressants. Niciu, Mark J.. Experimental Therapeutics & Pathophysiology Branch, Intramural Research Program, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, US Mathews, Daniel C.. Lundbeck, LLC, Deerfield, IL, US Nugent, Allison C., ORCID 0000000325692480. Experimental Therapeutics & Pathophysiology Branch, Intramural Research Program, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, US Ionescu, Dawn F.. Experimental Therapeutics & Pathophysiology Branch, Intramural Research Program, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, US Furey, Maura L.. Experimental Therapeutics & Pathophysiology Branch, Intramural Research Program, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, US Richards, Erica M.. Experimental Therapeutics & Pathophysiology Branch, Intramural Research Program, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, US Machado‐Vieira, Rodrigo. Experimental Therapeutics & Pathophysiology Branch, Intramural Research Program, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, US Zarate, Carlos A. Jr.. Experimental Therapeutics & Pathophysiology Branch, Intramural Research Program, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, US, [email protected]
Zarate, Carlos A. Jr., Experimental Therapeutics & Pathophysiology Branch, Intramural Research Program, National Institute of Mental Health, National Institutes of Health, 10 Center Drive, MSC 1282, Building 10CRC, Room 75342, Bethesda, MD, US, 20892, [email protected]
Depression and Anxiety, Vol 31(4), Apr, 2014. pp. 297307.
Depress Anxiety
11
US : John Wiley & Sons
10914269 (Print) 15206394 (Electronic)
English
mood disorders, antidepressants, biomarkers, treatment responses, neuroimaging
An impediment to progress in mood disorders research is the lack of analytically valid and qualified diagnostic and treatment biomarkers. Consistent with the National Institute of Mental Health (NIMH)'s Research Domain Criteria (RDoC) initiative, the lack of diagnostic
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biomarkers has precluded us from moving away from a purely subjective (symptom‐based) toward a more objective diagnostic system. In addition, treatment response biomarkers in mood disorders would facilitate drug development and move beyond trial‐and‐error toward more personalized treatments. As such, biomarkers identified early in the pathophysiological process are proximal biomarkers (target engagement), while those occurring later in the disease process are distal (disease pathway components). One strategy to achieve this goal in biomarker development is to increase efforts at the initial phases of biomarker development (i.e. exploration and validation) at single sites with the capability of integrating multimodal approaches across a biological systems level. Subsequently, resultant putative biomarkers could then undergo characterization and surrogacy as these latter phases require multisite collaborative efforts. We have used multimodal approaches – genetics, proteomics/metabolomics, peripheral measures, multimodal neuroimaging, neuropsychopharmacological challenge paradigms and clinical predictors – to explore potential predictor and mediator/moderator biomarkers of the rapid‐acting antidepressants ketamine and scopolamine. These exploratory biomarkers may then be used for a priori stratification in larger multisite controlled studies during the validation and characterization phases with the ultimate goal of surrogacy. In sum, the combination of target engagement and well‐qualified disease‐related measures are crucial to improve our pathophysiological understanding, personalize treatment selection, and expand our armamentarium of novel therapeutics. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
Journal Article
*Affective Disorders; *Antidepressant Drugs; *Biological Markers; *Neuroimaging; Treatment Outcomes
Analgesics; Antidepressive Agents; Biomarkers; Cholinergic Antagonists; Genomics; Humans; Ketamine; Metabolomics; Mood Disorders; Multimodal Imaging; Neuroimaging; Research Design; Scopolamine Hydrobromide
Medical Treatment of Physical Illness (3363)
Human
Sponsor: National Institutes of Health, National Institute of Mental Health, Intramural Research Program Recipients: No recipient indicated
Sponsor: Department of Health & Human Services Recipients: No recipient indicated
Sponsor: National Alliance for Research on Schizophrenia and Depression Other Details: Independent Investigator Recipients: No recipient indicated
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Sponsor: Sponsor name not included Other Details: Brain & Behavior Mood Disorders Research Award Recipients: Zarate, Carlos A. Jr.
Electronic
Journal; Peer Reviewed Journal
First Posted: Dec 18, 2013; Accepted: Nov 20, 2013; Revised: Nov 18, 2013; First Submitted: Aug 27, 2013
20140915
Wiley Periodicals, Inc.. 2013
http://dx.doi.org.ezp.waldenulibrary.org/10.1002/da.22224
24353110
201413622005
57
PsycINFO