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Publication Name World Journal of Psychiatry
Manuscript ID 118149
Country Japan
Received
2025-12-25 01:45
Peer-Review Started
2025-12-25 01:45
First Decision by Editorial Office Director
2026-01-28 07:59
Return for Revision
2026-01-28 07:59
Revised
2026-01-28 23:35
Publication Fee Transferred
Second Decision by Editor
2026-02-26 02:44
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-02-26 03:12
Articles in Press
2026-02-26 03:12
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-04-27 08:14
Publish the Manuscript Online
2026-05-28 08:52
ISSN 2220-3206 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright © Author(s) (or their employer(s)) 2026. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Psychiatry
Manuscript Type Opinion Review
Article Title Double-edged sword of antipsychotic therapy: Navigating the intersection of psychiatric recovery, endoplasmic reticulum stress, and cardiovascular survival
Manuscript Source Invited Manuscript
All Author List Takahiko Nagamine
ORCID
Author(s) ORCID Number
Takahiko Nagamine http://orcid.org/0000-0002-0690-6271
Funding Agency and Grant Number
Corresponding Author Takahiko Nagamine, MD, PhD, Professor, Psychiatric Internal Medicine, Sunlight Brain Research Center, 4-13-18 Jiyugaoka, Hofu 7470066, Yamaguchi, Japan. anagamine@yahoo.co.jp
Key Words Schizophrenia; Antipsychotics; Obesity; Cardiovascular disease; Endoplasmic reticulum stress; Insulin resistance; Integrated care
Core Tip Cardiovascular mortality in schizophrenia is a systemic failure that cannot be solved by psychiatric or medical intervention in isolation. Effective care requires managing the molecular risks of medication alongside the functional necessity of psychiatric stability to enable life-saving lifestyle changes. Clinicians must recognize that antipsychotics like olanzapine pose dual risks: Chronic insulin resistance and acute, ketosis-prone diabetic emergencies.
Publish Date 2026-05-28 08:52
Citation

Nagamine T. Double-edged sword of antipsychotic therapy: Navigating the intersection of psychiatric recovery, endoplasmic reticulum stress, and cardiovascular survival. World J Psychiatry 2026; 16(6): 118149

URL https://www.wjgnet.com/2220-3206/full/v16/i6/118149.htm
DOI https://dx.doi.org/10.5498/wjp.v16.i6.118149
Full Article (PDF) WJP-16-118149-with-cover.pdf
Manuscript File 118149_Auto_Edited_052351-YJP.docx
Answering Reviewers 118149-answering-reviewers.pdf
Audio Core Tip 118149-audio.mp3
Conflict-of-Interest Disclosure Form 118149-conflict-of-interest-statement.pdf
Copyright License Agreement 118149-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 118149-non-native-speakers.pdf
Peer-review Report 118149-peer-reviews.pdf
Scientific Misconduct Check 118149-scientific-misconduct-check.png
Scientific Editor Work List 118149-scientific-editor-work-list.pdf
CrossCheck Report 118149-crosscheck-report.pdf