Literature DB >> 25130303

N-acetyl-aspartate (NAA) as a correlate of pharmacological treatment in psychiatric disorders: a systematic review.

Georgios Paslakis1, Frank Träber2, Jens Roberz1, Wolfgang Block2, Frank Jessen3.   

Abstract

The amino-acid N-acetyl-aspartate (NAA) is located in neurons and the concentration of NAA correlates with neuronal mitochondrial function. The signal of NAA, as measured with proton magnetic resonance spectroscopy (1H-MRS), is considered to reflect both, neuronal density and integrity of neuronal mitochondria. A reduction of the NAA concentrations has been found in several psychiatric disorders. Newer studies report reversal of decreased NAA concentration with treatment. The objective of this review is to summarize the literature on NAA changes in association with psychopharmacological treatment in psychiatric disorders (affective disorders, obsessive-compulsive disorder, schizophrenia and dementia). The majority of studies identified increased NAA concentrations in response to treatment, while a smaller number of studies did not find this effect. The NAA increase seems to be neither specific for a certain disorder nor for a specific intervention. This suggests that the reduction of NAA may represent an altered functional (metabolic) state of neurons common to different psychiatric disorders and the increase after treatment to indicate functional restoration as one general effect of interventions.
Copyright © 2014 Elsevier B.V. and ECNP. All rights reserved.

Entities:  

Keywords:  Affective disorder; Alzheimer dementia; N-acetyl-aspartate; Obsessive compulsive disorder; Proton-MR-spectroscopy; Schizophrenia

Mesh:

Substances:

Year:  2014        PMID: 25130303     DOI: 10.1016/j.euroneuro.2014.06.004

Source DB:  PubMed          Journal:  Eur Neuropsychopharmacol        ISSN: 0924-977X            Impact factor:   4.600


  12 in total

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Authors:  C Silaidos; U Pilatus; R Grewal; S Matura; B Lienerth; J Pantel; G P Eckert
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Journal:  Brain Sci       Date:  2020-03-13
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