title: Translational research on cognitive and behavioural disorders in neurological and psychiatric diseases.
abstract: The important medical and social burden of nervous system diseases contrasts with the currently limited therapeutic armamentarium and with the difficulty encountered in developing new therapeutic options. These failures can be explained by the conjunction of various phenomena related to the limitations of animal models, the narrow focus of research on precise pathophysiological mechanisms, and methodological issues in clinical trials. It is perhaps the paradigm itself of the way research is conducted that may be the real reason for our incapacity to find effective strategies. The purpose of this workshop was to define overall lines of research that could lead to the development of effective novel therapeutic solutions. Research has long focused on diseases per se rather than on cognitive and behavioural dimensions common to several diseases. Their expression is often partial and variable, but can today be well-characterised using neurophysiological or imaging methods. This dimensional or syndromic vision should enable a new insight to the question, taking a transnosographic approach to re-position research and to propose: translational models exploring the same functions in animal models and in humans; identification of homogeneous groups of patients defined according to the clinical, anatomico-functional and molecular characteristics; and preclinical and clinical developments enriched by the use of cognitive-behavioural, biological neurological, and imaging biomarkers. For this mutation to be successful, it must be accompanied by synchronised action from the public authorities and by ad hoc measures from the regulatory agencies.
authors.affiliation: Inserm UMRS 1127, CIC 1422, CNRS UMR 7225, département des maladies du système nerveux, hôpital Pitié-Salpêtrière, AP-HP, UPMC - université Paris 06, Sorbonne universités, bâtiment ICM, 47/83, boulevard de l'Hôpital, 75013 Paris, France. Electronic address: jean-christophe.corvol@aphp.fr.
authors.forename: Jean-Christophe
authors.initials: JC
authors.lastname: Corvol
authors.affiliation: Lundbeck SAS, 92445 Issy-les-Moulineaux, France.
authors.forename: Sylvia
authors.initials: S
authors.lastname: Goni
authors.affiliation: Inserm U1171, Degenerative and Vascular Cognitive Disorders, CHU, université de Lille, 59000 Lille, France.
authors.forename: Régis
authors.initials: R
authors.lastname: Bordet
mesh_terms: D000328:Adult; D002648:Child; D003072:Cognition Disorders / Q000523:psychology / Q000628:therapy*; D006801:Humans; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D009422:Nervous System Diseases / Q000628:therapy*; D011570:Psychiatry / Q000639:trends*; D057170:Translational Research, Biomedical / Q000639:trends*
keywords: Behaviour; Cognition; Medical devices; Medications; Neurology; Pharmacology; Psychiatrics