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@ARTICLE{Siafis:279165,
author = {Siafis, Spyridon and Nomura, Nobuyuki and Schneider-Thoma,
Johannes and Bighelli, Irene and Bannach-Brown, Alexandra
and Ramage, Fiona J and Tinsdeall, Francesca and Mantas,
Ioannis and Jauhar, Sameer and Natesan, Sridhar and Vernon,
Anthony C and de Bartolomeis, Andrea and Hölter, Sabine M
and Drude, Natascha I and Tölch, Ulf and Hansen, Wulf-Peter
and Chiocchia, Virginia and Howes, Oliver D and Priller,
Josef and Macleod, Malcolm R and Salanti, Georgia and
Leucht, Stefan},
title = {{M}uscarinic receptor agonists and positive allosteric
modulators in animal models of psychosis: protocol for a
systematic review and meta-analysis [version 2; peer review:
1 approved, 2 approved with reservations]},
journal = {F1000Research},
volume = {13},
issn = {2046-1402},
address = {London},
publisher = {F1000 Research Ltd},
reportid = {DZNE-2025-00693},
pages = {1017},
year = {2025},
abstract = {Muscarinic receptor agonism and positive allosteric
modulation is a promising mechanism of action for treating
psychosis, not present in most D2R-blocking antipsychotics.
Xanomeline, an M1/M4-preferring agonist, has shown efficacy
in late-stage clinical trials, with more compounds being
investigated. Therefore, we aim to synthesize evidence on
the preclinical efficacy of muscarinic receptor agonists and
positive allosteric modulators in animal models of psychosis
to provide unique insights and evidence-based information to
guide drug development.We plan a systematic review and
meta-analysis of in vivo animal studies comparing muscarinic
receptor agonists or positive allosteric modulators with
control conditions and existing D2R-blocking antipsychotics
in animals subjected to any method that induces behavioural
changes of relevance for psychosis. We will identify
eligible studies by searching multiple electronic databases.
At least two independent reviewers will conduct the study
selection and data extraction using prespecified forms and
assess the risk of bias with the SYRCLE's tool. Our primary
outcomes include locomotor activity and prepulse inhibition
measured with standardized mean differences. We will examine
other behavioural readouts of relevance for psychosis as
secondary outcomes, such as social interaction and cognitive
function. We will synthesize the data using multi-level
meta-analysis with a predefined random-effects structure,
considering the non-independence of the data. In
meta-regressions we will explore potential sources of
heterogeneity from a predefined list of characteristics of
the animal population, model, and intervention. We will
assess the confidence in the evidence considering a
self-developed instrument thatconsiders the internal and
external validity of the evidence.PROSPERO-ID:
CRD42024520914.},
keywords = {Animals / Systematic Reviews as Topic / Psychotic
Disorders: drug therapy / Disease Models, Animal /
Meta-Analysis as Topic / Allosteric Regulation: drug effects
/ Muscarinic Agonists: therapeutic use / Muscarinic
Agonists: pharmacology / Antipsychotic Agents: therapeutic
use / Antipsychotic Agents: pharmacology / antipsychotic;
schizophrenia; psychosis; muscarinic receptor;
acetylcholine; meta-analysis (Other) / Muscarinic Agonists
(NLM Chemicals) / Antipsychotic Agents (NLM Chemicals)},
cin = {AG Priller},
ddc = {610},
cid = {I:(DE-2719)5000007},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:39844929},
pmc = {pmc:PMC11751611},
doi = {10.12688/f1000research.155356.2},
url = {https://pub.dzne.de/record/279165},
}