PMID- 31920936 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 1664-2295 (Print) IS - 1664-2295 (Electronic) IS - 1664-2295 (Linking) VI - 10 DP - 2019 TI - Therapeutic Applications of Cysteamine and Cystamine in Neurodegenerative and Neuropsychiatric Diseases. PG - 1315 LID - 10.3389/fneur.2019.01315 [doi] LID - 1315 AB - Current medications for neurodegenerative and neuropsychiatric diseases such as Alzheimer's disease (AD), Huntington's disease (HD), Parkinson's disease (PD), and Schizophrenia mainly target disease symptoms. Thus, there is an urgent need to develop novel therapeutics that can delay, halt or reverse disease progression. AD, HD, PD, and schizophrenia are characterized by elevated oxidative and nitrosative stress, which play a central role in pathogenesis. Clinical trials utilizing antioxidants to counter disease progression have largely been unsuccessful. Most antioxidants are relatively non-specific and do not adequately target neuroprotective pathways. Accordingly, a search for agents that restore redox balance as well as halt or reverse neuronal loss is underway. The small molecules, cysteamine, the decarboxylated derivative of the amino acid cysteine, and cystamine, the oxidized form of cysteamine, respectively, mitigate oxidative stress and inflammation and upregulate neuroprotective pathways involving brain-derived neurotrophic factor (BDNF) and Nuclear factor erythroid 2-related factor 2 (Nrf2) signaling. Cysteamine can traverse the blood brain barrier, a desirable characteristic of drugs targeting neurodegeneration. This review addresses recent developments in the use of these aminothiols to counter neurodegeneration and neuropsychiatric deficits. CI - Copyright (c) 2019 Paul and Snyder. FAU - Paul, Bindu D AU - Paul BD AD - The Solomon H. Snyder Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD, United States. FAU - Snyder, Solomon H AU - Snyder SH AD - The Solomon H. Snyder Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD, United States. AD - Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States. AD - Department of Pharmacology and Molecular Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States. LA - eng GR - P50 DA044123/DA/NIDA NIH HHS/United States PT - Journal Article PT - Review DEP - 20191212 PL - Switzerland TA - Front Neurol JT - Frontiers in neurology JID - 101546899 PMC - PMC6920251 OTO - NOTNLM OT - BDNF OT - brain OT - cystamine OT - cysteamine OT - cysteine OT - neurodegeneration OT - neuropsychiatric disorder OT - redox EDAT- 2020/01/11 06:00 MHDA- 2020/01/11 06:01 PMCR- 2019/12/12 CRDT- 2020/01/11 06:00 PHST- 2019/09/10 00:00 [received] PHST- 2019/11/27 00:00 [accepted] PHST- 2020/01/11 06:00 [entrez] PHST- 2020/01/11 06:00 [pubmed] PHST- 2020/01/11 06:01 [medline] PHST- 2019/12/12 00:00 [pmc-release] AID - 10.3389/fneur.2019.01315 [doi] PST - epublish SO - Front Neurol. 2019 Dec 12;10:1315. doi: 10.3389/fneur.2019.01315. eCollection 2019.