Expanding the Therapeutic Potential of Neuroactive Steroids: A Promising Strategy for Hyperdopaminergic Behavioral Phenotypes

    Simona Scheggi, Luca Concas, Sara Corsi, Manolo Carta, Miriam Melis, Roberto Frau
    Studysummary This review discusses the role of neuro(active)steroids, particularly those in the 5α reductase pathway, in modulating dopamine signaling and their impact on neuropsychiatric disorders characterized by dopamine imbalances, including addiction, schizophrenia, and Parkinson's Disease.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    Neuro(active)steroids, particularly those in the 5α reductase pathway, play a significant role in modulating dopamine activity, which is crucial in the pathophysiology of neuropsychiatric disorders such as addiction, ADHD, schizophrenia, impulse control disorders, and Parkinson's Disease. This review emphasizes the neuromodulatory effects of neuro(active)steroids like pregnenolone, progesterone, and allopregnanolone on dopamine signaling and their potential therapeutic benefits. It also explores pharmacological interventions targeting 5α reductase activity to address conditions with excessive dopaminergic activation, including psychotic phenotypes, motor complications, decision-making issues, and addiction.
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