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Therapeutic & Molecular Ontology

Drug, Gene & Biomarker Index

Navigate peer-reviewed breakthroughs by pharmacological class, genetic target, circulating biomarker, or diagnostic modality. Select any clinical entity to inspect all linked studies.

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Indexed Entities (24)

Drug / Therapy8 Peer-Reviewed Briefings

Neuropsychiatric & Synaptic Therapeutics

Rapid-acting antidepressants, serotonergic/glutamatergic modulators, and neuromodulation protocols.

Active Specialties:NeurologyPsychiatry
NEUROLOGY · CLINICAL PRACTICE

Daily Caffeinated Coffee Intake Linked to Reduced Dementia Risk

Daily consumption of 2-3 cups of caffeinated coffee is strongly associated with a dramatically lower long-term risk of dementia and better cognitive function, independently of genetic predisposition. Dementia currently lacks effective preventative pharmacological interventions, making lifestyle modifications a cornerstone of risk reduction strategies.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readScienceDaily
NEUROLOGY · PRECLINICAL

Psilocybin Rapidly Induces Neuroplasticity, Reversing Stress-Induced Brain Circuit Damage

Psilocybin rapidly induces neuroplasticity, repairing stress-damaged brain circuits, and future therapeutic strategies may harness this effect without the associated psychedelic experience. Current pharmacological interventions for chronic stress-related disorders, such as major depressive disorder (MDD) and post-traumatic stress disorder (PTSD), often have a delayed onset of action (weeks to months) and achieve remission in only a fraction of patients.

2/5 Preclinical
Evidence Meter · 2/5

Animal & Preclinical Data

Demonstrated in living animal models before large-scale human safety and dosing trials begin.

1 min readScienceDaily
PSYCHIATRY · META-ANALYSIS

Comparative efficacy and tolerability of pharmacological interventions for the acute treatment of obsessive-compulsive disorder across the lifespan: a systematic review and network meta-analysis

Clomipramine showed the largest estimated efficacy (real-world effectiveness in the trial) for obsessive-compulsive disorder but had a lower tolerability than SSRIs. The evidence of its superiority over individual SSRIs was more pronounced in children and adolescents.

5/5 Gold Standard
Evidence Meter · 5/5

Gold-Standard Human Evidence

Backed by randomized controlled human trials or a formal meta-analysis pooling multiple clinical studies.

1 min readThe Lancet Psychiatry
PSYCHIATRY · META-ANALYSIS

Comparative efficacy and acceptability of antidepressants in the long-term treatment of major depressive disorder: a systematic review and network meta-analysis

Antidepressants can differ in their efficacy (real-world effectiveness in the trial) for achieving sustained response and in their acceptability. These findings can inform the shared decision making for patients, prescribers, and carers in real-world practice.

5/5 Gold Standard
Evidence Meter · 5/5

Gold-Standard Human Evidence

Backed by randomized controlled human trials or a formal meta-analysis pooling multiple clinical studies.

1 min readThe Lancet Psychiatry
PSYCHIATRY · REAL-WORLD COHORT

Dynamic epigenetic changes during antidepressant pharmacotherapy in major depressive disorder

This study provides first longitudinal evidence of regionally coordinated DNA methylation changes during antidepressant pharmacotherapy, revealing alterations in genes involved in neuroplasticity and inflammatory processes that are associated with clinical response. Baseline methylation levels were associated with depressive symptom severity at day 28 and day 56 through two and six DMRs, respectively (e.g., TNRC6C, CAT), whereas no single DMP reached significance.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readMolecular Psychiatry
PSYCHIATRY · RANDOMIZED CLINICAL TRIAL

State-dependent effects of rTMS on cognitive function in bipolar II disorder: A randomized, double-blind, sham-controlled trial

This exploratory trial did not provide statistically robust evidence that concurrent complex cognitive engagement enhanced the acute working-memory effects of IPL-targeted 10-Hz rTMS in euthymic bipolar II disorder, suggesting that task type, cognitive load, and stimulation-task coupling warrant further systematic optimization in future neuromodulation studies. Repetitive transcranial magnetic stimulation (rTMS) is a promising neuromodulatory approach for cognitive improvement in psychiatric disorders.

5/5 Gold Standard
Evidence Meter · 5/5

Gold-Standard Human Evidence

Backed by randomized controlled human trials or a formal meta-analysis pooling multiple clinical studies.

1 min readMolecular Psychiatry
NEUROLOGY · PRECLINICAL

Filamin-A links transcriptional disruption to dopaminergic decline in progressive supranuclear palsy

Together, these findings suggest that filamin-A-dependent cytoskeletal stress acts as an upstream molecular context in which immediate early gene-centred transcriptional dysregulation emerges and becomes linked to dopaminergic vulnerability in progressive supranuclear palsy. Multi-layered analyses revealed cortical monoamine depletion together with early striatal dopaminergic sensitization, indicating a close association between immediate early gene dysregulation and dopaminergic circuit imbalance.

2/5 Preclinical
Evidence Meter · 2/5

Animal & Preclinical Data

Demonstrated in living animal models before large-scale human safety and dosing trials begin.

1 min readBrain: A Journal of Neurology
PSYCHIATRY · CLINICAL PRACTICE

Online Sports Betting Legalization and Behavioral Health Care Use

Results of this quasi-experimental difference-in-differences study suggest that online sports betting legalization was associated with an increase in outpatient and prescription mental health care use among people with employer-sponsored health insurance. These findings underscore the importance of prevention and treatment of potential adverse health consequences of legalized online sports betting.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readJAMA Psychiatry

Patient & Student Companion

Everyday Lab & Drug Translator

Instant plain-English guides for common blood tests and prescriptions—what normal ranges mean, what high/low values signal, and what to ask your clinician.

Lab Marker3-Month Blood Sugar

HbA1c

Measures the percentage of red blood cell hemoglobin coated with glucose over roughly 90 days.

Normal: below 5.7% · Prediabetes: 5.7%–6.4%

6.5% or higher on two tests diagnoses diabetes; very low values can occur alongside hypoglycemia or hemolytic anemia.

Ask your doctor: “Does my HbA1c match my daily fasting/post-meal glucose trends?”

Lab MarkerArtery Plaque Carrier

LDL Cholesterol

Low-density lipoprotein particles that carry cholesterol into blood vessel walls when circulating in excess.

General optimal: < 100 mg/dL (< 70 or < 55 mg/dL in high-risk hearts)

Sustained elevated LDL accelerates arterial plaque buildup; alongside ApoB, lowering LDL consistently cuts heart attack risk.

Ask your doctor: “Should we also check ApoB or Lipoprotein(a) to gauge my true plaque risk?”

Lab MarkerBone & Immune Hormone

Vitamin D (25-OH)

Blood storage marker reflecting sun-made and dietary vitamin D essential for calcium absorption and bone remodeling.

Sufficient: 20–50 ng/mL (50–125 nmol/L)

Levels under 12–20 ng/mL risk bone softening and secondary hyperparathyroidism; mega-dosing rarely beats correcting true deficiency.

Ask your doctor: “Do my labs actually show deficiency, or is a standard maintenance dose enough?”

Lab MarkerThyroid Thermostat

TSH

Pituitary hormone that signals your thyroid gland to speed up or slow down metabolism.

Typical adult range: ~0.4–4.5 mIU/L

Paradoxically, HIGH TSH usually signals an underactive thyroid (hypothyroidism), while LOW TSH points toward an overactive thyroid.

Ask your doctor: “If my TSH is borderline, should we re-test Free T4 before adjusting anything?”

Lab MarkerKidney Filter Rate

eGFR

Estimated glomerular filtration rate—how many milliliters of blood your kidneys filter every minute.

Healthy adult filter rate: 90+ mL/min/1.73m²

Values persistently below 60 for 3+ months (or elevated urine albumin) mark chronic kidney disease; single dips can simply reflect dehydration or NSAID use.

Ask your doctor: “Should we pair eGFR with a urine albumin-to-creatinine test (uACR)?”

Lab MarkerInflammation Signal

hs-CRP

High-sensitivity C-reactive protein released by the liver in response to infection, tissue stress, or vascular inflammation.

Low cardiovascular risk: < 1.0 mg/L · Elevated: > 3.0 mg/L

Mild chronic elevations flag vascular inflammation; readings above 10 mg/L usually reflect an acute cold, injury, or autoimmune flare.

Ask your doctor: “Was my CRP elevated because of a recent infection, or is it worth repeating when healthy?”

MedicationIncretin Agonists

GLP-1s

Medications (e.g., semaglutide, tirzepatide) mimicking gut satiety hormones to lower blood sugar, slow stomach emptying, and quiet brain appetite signals.

Major RCTs show 12%–22% average weight loss & 20% fewer CV events in high-risk adults

Common early effects include nausea or reflux; maintaining protein intake and resistance exercise helps preserve lean muscle mass.

Ask your doctor: “If I start a GLP-1, how do we protect lean muscle and plan long-term dosing?”

MedicationHMG-CoA Reductase Inhibitors

Statins

First-line daily medications that curb liver cholesterol synthesis and boost LDL plaque particle clearance.

Lowers LDL 30%–55% depending on dose intensity

Decades of randomized trials confirm durable reductions in heart attack, stroke, and cardiovascular death; true severe muscle injury is rare.

Ask your doctor: “What is my 10-year cardiovascular risk score, and what LDL target fits me?”

MedicationFirst-Line Metabolic Therapy

Metformin

Oldest, safest first-line type 2 diabetes drug that reduces excess liver glucose output and improves insulin sensitivity.

Lowers HbA1c by ~1.0%–1.5% without causing low blood sugar alone

Extended-release tablets cut stomach upset dramatically; long-term users should periodically monitor Vitamin B12 and kidney function (eGFR).

Ask your doctor: “Should we check my Vitamin B12 level if I have been on metformin for several years?”

MedicationSerotonin Reuptake Inhibitors

SSRIs

Medications that increase synaptic serotonin availability over 2–6 weeks to treat major depression, OCD, and anxiety disorders.

Full clinical response typically emerges at weeks 4–8

Stopping abruptly can trigger temporary brain-zap withdrawal symptoms; tapering slowly with a clinician avoids discontinuation discomfort.

Ask your doctor: “How long should we evaluate a dose before deciding whether to adjust or combine with CBT?”

SupplementCofactor Mineral

Magnesium

Essential mineral powering 300+ enzymes across nerve firing, muscle relaxation, blood pressure, and ATP energy metabolism.

Adult daily target: 310–420 mg/day from food + supplements

Standard blood serum tests miss mild tissue depletion; glycinate/citrate absorb better than oxide, while high supplemental doses can loosen stools.

Ask your doctor: “Are any of my prescription medicines lowering my magnesium stores?”