Publications by authors named "J S Sapienza"

Background: Shared biological factors may play a role in both the cognitive deficits and the increased prevalence of metabolic syndrome observed in individuals with Schizophrenia (SCZ). These factors could entail disturbances in tryptophan (Trp) to both melatonin (MLT) and kynurenine (Kyn) metabolic pathways, as well as inflammation and alterations in the gut microbiome composition.

Methods: The present research project aims to investigate this hypothesis by recruiting 170 SCZ patients from two different recruitment sites, assessing their cognitive functions and screening for the presence of metabolic syndrome.

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Previous literature showed that people with schizophrenia have difficulties in humor comprehension and might differ from controls in the appreciation of humor, i.e., in perceived funniness.

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Article Synopsis
  • - Psychedelics have been shown to positively impact various psychiatric conditions, but modern clinical trials on schizophrenia are lacking, mostly relying on outdated studies from the 1950s and 1960s that hinted at benefits, particularly for negative symptoms and social cognition.
  • - The old studies on psychedelics suggest potential therapeutic effects, but concerns over their psychomimetic properties may worsen positive symptoms in schizophrenia, making it a controversial area of research.
  • - The paper argues for the reconsideration of psychedelics in treating schizophrenia, proposing low-dose ("microdosing") methods for chronic patients with negative symptoms while emphasizing the importance of safety and feasibility for future trials.
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Background: In the last decade, the kynurenine pathway (KP) has gained attention in the pathogenesis of cognitive impairment in schizophrenia being at the croassroad between neuroinflammation and glutamatergic and cholinergic neurotransmission. However, clinical findings are scarse and conflicting, and the specific contributions of these two systems to the neurobiology of cognitive symptoms are far from being elucidated. Furthermore, little is known about the molecular underpinnings of non-pharmacological interventions for cognitive improvement, including rehabilitation strategies.

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