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DOI: 10.1055/s-0038-1644931
Translating Curry Extract to Novel Therapeutic Approach in Schizophrenia: the Emerging Role of Epigenetics Signaling
Publication History
Publication Date:
13 April 2018 (online)
Despite pharmacotherapeutic advances in schizophrenia, persistent negative symptoms and cognitive impairment often persist in patients diagnosed as schizophnrenia. Growing evidence suggesting that epigenetic dysregulation may play a pivotal role in schizophrenia. No study has been conducted to examine whether targeting epigenetics with HDAC (histone deacetylase) translates to efficacious treatment in schizophrenia. Curcumin (Diferuloylmethane), extracted from Curcuma Longata, exhibits HDAC inhibition and hence may be beneficial in the treatment of schizophrenia. We chose standardized Curcumin C-3 complex combined with Bioperine™: SupercuminTM to examine the efficacy of Curcumin C-3 complex in improving core symptoms and cognitive deficits as assessed with Vital Sign-CNS neurocognitive tests in patients diagnosed as schizophrenia. We recruited community dwelling patients diagnosed as schizophrenia with persistent negative symptoms (Scale for Assessment of Negative Symptoms: SANS score> 30) to participate in the open-label parallel-group randomized study. We randomized 17 subjects into Group 1 (1 g daily) and Group 2 (4 g daily) respectively for 16 weeks. The subjects were maintained on current antipsychotic therapy throughout the study. We found that Supercurcumin™ 1 g (Group 1) and 4 g (Group 2) groups significantly improved the total, and general psychopathology sub-scales PANSS-(Positive and Negative Symptoms scale). Within group analysis favored statistically significant (p < 0.05) mean changes in total PANSS score, PANSS-negative and PANSS-general psychopathology compared with baseline. Both groups improved in cognition. SupercurcuminTM was well tolerated. We conclude curcumin in targeting HDAC opens new therapeutics frontier in schizophrenia.
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No conflict of interest has been declared by the author(s).