Anissa Abi-Dargham

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Anissa Abi-Dargham is an American psychiatrist and researcher. She is a psychiatry professor and vice-chair of research at Stony Brook University and professor emerita at the Columbia University College of Physicians and Surgeons.

Contents

She was previously the Chief of the Division of Translational Imaging in the Psychiatry Department at Columbia. She also served as Director of Clinical and Imaging Research in the Lieber Center for Schizophrenia Research, and Director of the Silvio O. Conte Center for the study of "Dopamine Dysfunction in Schizophrenia", both based at the New York State Psychiatric Institute.

Research

Abi-Dargham has used molecular imaging techniques, such as single photon emission computed tomography (SPECT) and positron emission tomography (PET), to study the pathophysiology of schizophrenia, schizophrenia-related spectrum disorders, and addiction. With her collaborators, Abi-Dargham has done PET and fMRI studies on dopamine receptor density and network connectivity in both healthy individuals and patients with schizophrenia. [1] Her work has resulted in seminal publications describing the complex alterations of dopamine transmission in schizophrenia and their relationship to clinical symptoms, cognition and response to treatment, as well as their interrelatedness to glutamate dysfunction in schizophrenia.

These studies showed increased striatal dopamine release in schizophrenia, which has become one of the most established findings of schizophrenia research and is now being tested as a biomarker for risk to develop schizophrenia in prodromal patients.

The work with cortical D1 receptor has provided added rationale for testing D1 agonists in schizophrenia. A new direction for work in her imaging group now is dual diagnosis patients with comorbid schizophrenia and cannabis abuse. She and her team found that most drug addictions blunt dopamine release during the chronic phase of drug dependence, which results in poor outcomes. [2] In a popular interview, she explained, "The bottom line is that long-term, heavy cannabis use may impair the dopaminergic system, which could have a variety of negative effects on learning and behavior." [3] Ultimately this work is relevant to developing biomarkers and more focused treatment interventions for these disorders.

Awards and honors

Abi-Dargham has received numerous awards, and published over 165 articles in major scientific journals. She is the deputy editor of imaging for both neuropsychopharmacology and biological psychiatry, President of the American College of Neuropsychopharmacology, and former president of the Brain Imaging Council for the Society of Nuclear Medicine. Additionally, she has a large portfolio of federal, charitable and industry-funded studies.

In 2016, she was elected to membership in the National Academy of Medicine. [4]

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<span class="mw-page-title-main">Aripiprazole</span> Atypical antipsychotic

Aripiprazole, sold under the brand names Abilify and Aristada, among others, is an atypical antipsychotic. It is primarily used in the treatment of schizophrenia and bipolar disorder; other uses include as an add-on treatment in major depressive disorder and obsessive compulsive disorder (OCD), tic disorders, and irritability associated with autism. Aripiprazole is taken by mouth or via injection into a muscle. A Cochrane review found low-quality evidence of effectiveness in treating schizophrenia.

The dopamine hypothesis of schizophrenia or the dopamine hypothesis of psychosis is a model that attributes the positive symptoms of schizophrenia to a disturbed and hyperactive dopaminergic signal transduction. The model draws evidence from the observation that a large number of antipsychotics have dopamine-receptor antagonistic effects. The theory, however, does not posit dopamine overabundance as a complete explanation for schizophrenia. Rather, the overactivation of D2 receptors, specifically, is one effect of the global chemical synaptic dysregulation observed in this disorder.

<span class="mw-page-title-main">Dopamine receptor</span> Class of G protein-coupled receptors

Dopamine receptors are a class of G protein-coupled receptors that are prominent in the vertebrate central nervous system (CNS). Dopamine receptors activate different effectors through not only G-protein coupling, but also signaling through different protein interactions. The neurotransmitter dopamine is the primary endogenous ligand for dopamine receptors.

<span class="mw-page-title-main">Dopamine antagonist</span> Drug which blocks dopamine receptors

A dopamine antagonist, also known as an anti-dopaminergic and a dopamine receptor antagonist (DRA), is a type of drug which blocks dopamine receptors by receptor antagonism. Most antipsychotics are dopamine antagonists, and as such they have found use in treating schizophrenia, bipolar disorder, and stimulant psychosis. Several other dopamine antagonists are antiemetics used in the treatment of nausea and vomiting.

Neuropharmacology is the study of how drugs affect function in the nervous system, and the neural mechanisms through which they influence behavior. There are two main branches of neuropharmacology: behavioral and molecular. Behavioral neuropharmacology focuses on the study of how drugs affect human behavior (neuropsychopharmacology), including the study of how drug dependence and addiction affect the human brain. Molecular neuropharmacology involves the study of neurons and their neurochemical interactions, with the overall goal of developing drugs that have beneficial effects on neurological function. Both of these fields are closely connected, since both are concerned with the interactions of neurotransmitters, neuropeptides, neurohormones, neuromodulators, enzymes, second messengers, co-transporters, ion channels, and receptor proteins in the central and peripheral nervous systems. Studying these interactions, researchers are developing drugs to treat many different neurological disorders, including pain, neurodegenerative diseases such as Parkinson's disease and Alzheimer's disease, psychological disorders, addiction, and many others.

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<span class="mw-page-title-main">Hypofrontality</span> State of decreased cerebral blood flow

Hypofrontality is a state of decreased cerebral blood flow (CBF) in the prefrontal cortex of the brain. Hypofrontality is symptomatic of several neurological medical conditions, such as schizophrenia, attention deficit hyperactivity disorder (ADHD), bipolar disorder, and major depressive disorder. This condition was initially described by Ingvar and Franzén in 1974, through the use of xenon blood flow technique with 32 detectors to image the brains of patients with schizophrenia. This finding was confirmed in subsequent studies using the improved spatial resolution of positron emission tomography with the fluorodeoxyglucose (18F-FDG) tracer. Subsequent neuroimaging work has shown that the decreases in prefrontal CBF are localized to the medial, lateral, and orbital portions of the prefrontal cortex. Hypofrontality is thought to contribute to the negative symptoms of schizophrenia.

Dopamine therapy is the regulation of levels of the neurotransmitter dopamine through the use of either agonists, or antagonists; and has been used in the treatment of disorders characterized by a dopamine imbalance. Dopamine replacement therapy (DRT) is an effective treatment for patients with decreased levels of dopamine. Often dopamine antagonists, compounds that activate dopamine receptors in the absence of that receptor's physiological ligand, the neurotransmitter dopamine, are used in this therapy. DRT has been shown to reduce symptoms and increase lifespan for patients with Parkinson's disease. Dopamine regulation plays a critical role in human mental and physical health. The neurons that contain the neurotransmitter are clustered in the midbrain region in an area called the substantia nigra. In Parkinson's patients, the death of dopamine-transmitting neurons in this area leads to abnormal nerve-firing patterns that cause motor problems. Research in patients with schizophrenia indicates abnormalities in dopamine receptor structure and function.

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References

  1. "How Dopamine Tunes Working Memory". The Scientist. Retrieved 2018-02-03.
  2. "Marijuana use may reduce dopamine in the brain". Medical News Today. Retrieved 2018-02-03.
  3. "www.capitalbay.news/news/1020640-heavy-cannabis-use-does-affect-learning-and-memory.html". www.capitalbay.news. Retrieved 2018-02-03.
  4. "National Academy of Medicine elects 79 new members". National Academy of Medicine . Retrieved December 10, 2016.