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. 2021 Nov 10;27(4):1886–1897. doi: 10.1038/s41380-021-01374-w

Fig. 2. Potential points of action of various molecules capable of interrupting the diverse vicious circles.

Fig. 2

a Treatments with compounds such as NAC, sulforaphane or omega-3 type polyunsaturated fatty acids (PUFAS)—which possess both anti-oxidative and anti-inflammatory properties with mild side-effect profiles [202, 218221] are known to exert their effects through the redox system thus representing good candidates for preventive interventions targeting individuals at high-risk for schizophrenia. Sulforaphane works through the NRF2 system to trigger the anti-oxidant defence system [222]. b MitoQ and other mitochondria-targeted antioxidants could support compromised energy metabolism and mitochondria function [116]. c For NMDAR hypofunction, several strategies using compounds (e.g., D-serine, sarcosine, glycine transporter inhibitor and benzoate) that modulate NMDAR activity have been tried in schizophrenia patients with mixed success [217, 223229]. d In terms of neuro-inflammation, estrogens, minocycline and NAC showed efficacy, with greater beneficial results on symptom severity in first-episode psychosis patients or during early-phase of schizophrenia [216].