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N-acetylcysteine as a potentially useful medication to prevent conversion to schizophrenia in at-risk individuals

  • Elson Asevedo

    Asevedo: Graduated in Medicine at the Federal University of Triangulo Mineiro (2007), residency in Psychiatry from the Federal University of São Paulo (2012). Participates as researcher in the Program of Intervention in Risk Mental States (PRISMA), Federal University of São Paulo (UNIFESP).

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    , Graccielle R. Cunha

    Cunha: Graduated in Medicine at the Federal University of Triangulo Mineiro (2007). Residency in Psychiatry at the Hospital do Servidor Público Estadual (2012). She is currently researcher in the Program of Intervention in Risk Mental States (PRISMA), Federal University of São Paulo (UNIFESP).

    , André Zugman

    Zugman: Graduated in medicine from the Federal University of Paraná (2008), residency in Psychiatry at the Federal University of Sao Paulo (2012). He is currently a researcher in the Program of Intervention in Risk Mental States (PRISMA), Federal University of São Paulo (UNIFESP).

    , Rodrigo B. Mansur

    Mansur: Graduated in Medicine from the Federal University of São Paulo (2008), residency in Psychiatry at the Federal University of Sao Paulo (2012). He is an associated researcher of the Program of Intervention in Risk Mental States (PRISMA), Federal University of São Paulo (UNIFESP). Conducts research in collaboration with the Unit of Mood Disorders Psychopharmacology at the University of Toronto.

    and Elisa Brietzke

    Brietzke: Graduated in Medicine from the Federal University of Rio Grande do Sul (1996), residency in Psychiatry at the Federal University of Medical Sciences of Porto Alegre (2007). PhD in Psychiatry from Federal University of Rio Grande do Sul (2010) and Post-PhD in Psychiatry from Federal University of São Paulo (2012). She is the scientific coordinator of the Program of Intervention in Risk Mental States (PRISMA), Federal University of São Paulo (UNIFESP). Conducts research in collaboration with the Unit of Mood Disorders Psychopharmacology at the University of Toronto and the group of Developmental Cognitive Neuroscience PUCRS.

Abstract

Schizophrenia is a chronic and often severe psychotic disorder. Its causes include imbalances in mediators involved in neuroplasticity, apoptosis, cell resilience and dendritic arborization. Among these mediators, oxidative species are particularly relevant for the pathophysiology of the disease, and this is the rationale for experimental use of antioxidant medications, such as N-acetylcysteine (NAC). Onset of schizophrenia is usually preceded by a period of subtle and unspecific symptoms, the prodrome, in which preventive interventions could delay or even stop the progression to full-blown psychosis. In this article, we propose that NAC could be a useful medication to prevent evolution of schizophrenia in individuals at risk for psychosis.


Corresponding author: Elson Asevedo, Rua Pedro de Toledo, 669. Edifício de Pesquisas II, Third floor, Vila Clementino, São Paulo-SP, CEP 04039-032, Brazil

About the authors

Elson Asevedo

Asevedo: Graduated in Medicine at the Federal University of Triangulo Mineiro (2007), residency in Psychiatry from the Federal University of São Paulo (2012). Participates as researcher in the Program of Intervention in Risk Mental States (PRISMA), Federal University of São Paulo (UNIFESP).

Graccielle R. Cunha

Cunha: Graduated in Medicine at the Federal University of Triangulo Mineiro (2007). Residency in Psychiatry at the Hospital do Servidor Público Estadual (2012). She is currently researcher in the Program of Intervention in Risk Mental States (PRISMA), Federal University of São Paulo (UNIFESP).

André Zugman

Zugman: Graduated in medicine from the Federal University of Paraná (2008), residency in Psychiatry at the Federal University of Sao Paulo (2012). He is currently a researcher in the Program of Intervention in Risk Mental States (PRISMA), Federal University of São Paulo (UNIFESP).

Rodrigo B. Mansur

Mansur: Graduated in Medicine from the Federal University of São Paulo (2008), residency in Psychiatry at the Federal University of Sao Paulo (2012). He is an associated researcher of the Program of Intervention in Risk Mental States (PRISMA), Federal University of São Paulo (UNIFESP). Conducts research in collaboration with the Unit of Mood Disorders Psychopharmacology at the University of Toronto.

Elisa Brietzke

Brietzke: Graduated in Medicine from the Federal University of Rio Grande do Sul (1996), residency in Psychiatry at the Federal University of Medical Sciences of Porto Alegre (2007). PhD in Psychiatry from Federal University of Rio Grande do Sul (2010) and Post-PhD in Psychiatry from Federal University of São Paulo (2012). She is the scientific coordinator of the Program of Intervention in Risk Mental States (PRISMA), Federal University of São Paulo (UNIFESP). Conducts research in collaboration with the Unit of Mood Disorders Psychopharmacology at the University of Toronto and the group of Developmental Cognitive Neuroscience PUCRS.

Received: 2012-6-3
Accepted: 2012-6-5
Published Online: 2012-08-01
Published in Print: 2012-08-01

©2012 by Walter de Gruyter Berlin Boston

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