Christian G Kohler, Daniel H Wolf, Anissa Abi-Dargham, Alan Anticevic, Youngsun T Cho, Clara Fonteneau, Roberto Gil, Ragy R Girgis, David L Gray, Jack Grinband, Jonathan A Javitch, Joshua T Kantrowitz, John H Krystal, Jeffrey A Lieberman, John D Murray, Mohini Ranganathan, Nicole Santamauro, Jared X Van Snellenberg, Zailyn Tamayo, Ruben C Gur, Raquel E Gur, Monica E Calkins
The phenotype of schizophrenia, regardless of etiology, represents the most studied psychotic disorder with respect to neurobiology and distinct phases of illness. The early phase of illness represents a unique opportunity to provide effective and individualized interventions that can alter illness trajectories. Developmental age and illness stage, including temporal variation in neurobiology, can be targeted to develop phase-specific clinical assessment, biomarkers, and interventions. We review an earlier model whereby an initial glutamate signaling deficit progresses through different phases of allostatic adaptation, moving from potentially reversible functional abnormalities associated with early psychosis and working memory dysfunction, and ending with difficult-to-reverse structural changes after chronic illness...
July 2023: Biol Psychiatry Glob Open Sci