The antidepressants effects on microbiota: unobvious possibilities Research article

Despite the emergence of new antidepressants with different mechanisms of action, a large number of problems in antidepressant therapy remain. Considering the known antimicrobial activity of antidepressants, the role of the microbiota in the thymoanaleptic activity of these drugs is of high interest...

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Main Authors: G. V. Rukavishnikov, L. V. Leonova, E. D. Kasyanov, N. G. Neznanov, G. E. Mazo
Format: Article
Language:Russian
Published: Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation 2021-12-01
Series:Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
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Online Access:https://www.bekhterevreview.com/jour/article/view/616
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author G. V. Rukavishnikov
L. V. Leonova
E. D. Kasyanov
N. G. Neznanov
G. E. Mazo
author_facet G. V. Rukavishnikov
L. V. Leonova
E. D. Kasyanov
N. G. Neznanov
G. E. Mazo
author_sort G. V. Rukavishnikov
collection DOAJ
description Despite the emergence of new antidepressants with different mechanisms of action, a large number of problems in antidepressant therapy remain. Considering the known antimicrobial activity of antidepressants, the role of the microbiota in the thymoanaleptic activity of these drugs is of high interest. In recent years, important data have been obtained on the role of the gut microbiota in the regulation of behavior and the pathophysiology of a number of mental disorders, including depression. Of particular interest is the assessment of the normal intestinal microbiota role in the course of the therapeutic process. The emerging bi-directional interactions between drugs and microorganisms may be critical for personalized drug selection and future drug development. However, at the present time, this problem remains poorly understood. The proposed manuscript articulates the main directions that are of clinical importance and can become an object for further study in this area.The research results indicate that the effect of antidepressants on the microbiota is a promising area, the study of which could provide many important findings for clinical practice. This type of therapeutic manipulation can provide an opportunity for intervention in order to potentiate the activity of antidepressants or to minimize side effects. The problem with this method of intervention is enormous complexity, when manipulations can have both positive and negative effects simultaneously, depending on different strains of microorganisms influencing different therapeutic effects. More research is needed to understand what changes occur in the microbiome with acute and chronic administration of specific antidepressants. Perhaps this will contribute to the development of microbiomodulatory tactics for individualized interventions.
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institution Kabale University
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language Russian
publishDate 2021-12-01
publisher Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation
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series Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
spelling doaj-art-1d73185dc3a34c4eb8040e8c10ad19d32025-08-20T03:42:06ZrusFederal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian FederationОбозрение психиатрии и медицинской психологии имени В.М. Бехтерева2313-70532713-055X2021-12-0155481410.31363/2313-7053-2021-57-4-8-14415The antidepressants effects on microbiota: unobvious possibilities Research articleG. V. Rukavishnikov0L. V. Leonova1E. D. Kasyanov2N. G. Neznanov3G. E. Mazo4V.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyV.M. Bekhterev National Medical Research Center for Psychiatry and Neurology; I.P. Pavlov First Saint-Petersburg State Medical UniversityV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyDespite the emergence of new antidepressants with different mechanisms of action, a large number of problems in antidepressant therapy remain. Considering the known antimicrobial activity of antidepressants, the role of the microbiota in the thymoanaleptic activity of these drugs is of high interest. In recent years, important data have been obtained on the role of the gut microbiota in the regulation of behavior and the pathophysiology of a number of mental disorders, including depression. Of particular interest is the assessment of the normal intestinal microbiota role in the course of the therapeutic process. The emerging bi-directional interactions between drugs and microorganisms may be critical for personalized drug selection and future drug development. However, at the present time, this problem remains poorly understood. The proposed manuscript articulates the main directions that are of clinical importance and can become an object for further study in this area.The research results indicate that the effect of antidepressants on the microbiota is a promising area, the study of which could provide many important findings for clinical practice. This type of therapeutic manipulation can provide an opportunity for intervention in order to potentiate the activity of antidepressants or to minimize side effects. The problem with this method of intervention is enormous complexity, when manipulations can have both positive and negative effects simultaneously, depending on different strains of microorganisms influencing different therapeutic effects. More research is needed to understand what changes occur in the microbiome with acute and chronic administration of specific antidepressants. Perhaps this will contribute to the development of microbiomodulatory tactics for individualized interventions.https://www.bekhterevreview.com/jour/article/view/616antidepressantsmicrobiotapharmacomicrobiomicspre-/probiotic effects
spellingShingle G. V. Rukavishnikov
L. V. Leonova
E. D. Kasyanov
N. G. Neznanov
G. E. Mazo
The antidepressants effects on microbiota: unobvious possibilities Research article
Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
antidepressants
microbiota
pharmacomicrobiomics
pre-/probiotic effects
title The antidepressants effects on microbiota: unobvious possibilities Research article
title_full The antidepressants effects on microbiota: unobvious possibilities Research article
title_fullStr The antidepressants effects on microbiota: unobvious possibilities Research article
title_full_unstemmed The antidepressants effects on microbiota: unobvious possibilities Research article
title_short The antidepressants effects on microbiota: unobvious possibilities Research article
title_sort antidepressants effects on microbiota unobvious possibilities research article
topic antidepressants
microbiota
pharmacomicrobiomics
pre-/probiotic effects
url https://www.bekhterevreview.com/jour/article/view/616
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