Brian Fuehrlein, MD, PhD
Associate Professor of PsychiatryCards
About
Research
Publications
2025
Pharmacoepigenomics in Personalized Medicine: A Hypothesis-Generating Approach to Introduce CpG-PGx SNPs as New Candidates for a Systematic Insight into Genomic-Epigenomic-Phenomic-Pharmacogenomics (G-E-Ph-PGx) Axis
Sharafshah A, Blum K, Lewandrowski K, Elman I, Fuehrlein B, Baron D, Pinhasov A, Thanos P, Fiorelli R, Schmidt S, Gardner E, Lorio M, Lewandrowski A, Gold M. Pharmacoepigenomics in Personalized Medicine: A Hypothesis-Generating Approach to Introduce CpG-PGx SNPs as New Candidates for a Systematic Insight into Genomic-Epigenomic-Phenomic-Pharmacogenomics (G-E-Ph-PGx) Axis. Journal Of Personalized Medicine 2025, 15: 579. PMID: 41440942, PMCID: PMC12734362, DOI: 10.3390/jpm15120579.Peer-Reviewed Original ResearchCpG-SNPsTop genesImpact of SNPsPGx associationsSynonymous variantsRegulatory regionsCandidate genesEpigenetic interactionsSNPsEpigenetic processesPharmacoepigenomicsGenesCpGHypothesis-generating approachPGxGWASPersonalized medicineTherapeutic opportunitiesVariantsSystematic insightPharmGKBEpigeneticsGeneCardsPhenotypeAccess regionCorrection: Targeting pro-dopaminergic agonism to attenuate depression in patients displaying genetic/epigenetic predisposition to hypodopaminergia
Lewandrowski K, Blum K, Lewandrowski A, Thanos P, Pinhasov A, Sharafshah A, Baron D, Gold M, Dennen C, Elman I, Bowirrat A, Modestino E, Zeine F, Jafari N, Sunder K, Makale M, Giordano J, Gondre-Lewis M, Lindenau M, Fuehrlein B, Badgaiyan R, Levin C, Schmidt S, Fiorelli R. Correction: Targeting pro-dopaminergic agonism to attenuate depression in patients displaying genetic/epigenetic predisposition to hypodopaminergia. Frontiers In Public Health 2025, 13: 1737084. PMID: 41334398, PMCID: PMC12667608, DOI: 10.3389/fpubh.2025.1737084.Peer-Reviewed Original ResearchTargeting pro-dopaminergic agonism to attenuate depression in patients displaying genetic/epigenetic predisposition to hypodopaminergia
Lewandrowski K, Blum K, Lewandrowski A, Thanos P, Pinhasov A, Sharafshah A, Baron D, Gold M, Dennen C, Elman I, Bowirrat A, Modestino E, Zeine F, Jafari N, Sunder K, Makale M, Giordano J, Gondre-Lewis M, Lindenau M, Fuehrlein B, Badgaiyan R, Levin C, Schmidt S, Fiorelli R. Targeting pro-dopaminergic agonism to attenuate depression in patients displaying genetic/epigenetic predisposition to hypodopaminergia. Frontiers In Public Health 2025, 13: 1594872. PMID: 41080838, PMCID: PMC12512667, DOI: 10.3389/fpubh.2025.1594872.Peer-Reviewed Original ResearchPGx-Based in silico Analyses Identifies the Interactive Role of Genes, Glucose Metabolism and Dopaminergic Dysfunctional Pathways with Chronic Cocaine use and Misuse.
Sharafshah A, Thanos P, Pinhasov A, Bowirrat A, Hanna C, Lewandrowski K, Rowan C, Elman I, Gold M, Dennen C, Modestino E, Badgaiyan R, Baron D, Fuehrlein B, Gupta A, Cadet J, Pollack A, Khalsa J, Makale M, Lewandrowski A, Blum K. PGx-Based in silico Analyses Identifies the Interactive Role of Genes, Glucose Metabolism and Dopaminergic Dysfunctional Pathways with Chronic Cocaine use and Misuse. Current Neuropharmacology 2025, 23 PMID: 40993956, DOI: 10.2174/011570159x390146250831143523.Peer-Reviewed Original ResearchProtein-protein interactionsGene-miRNA interactionsProtein-coding genesBrain-expressed genesIn silico analysisPGx analysisSubstance use disordersConnected genesPGxSilico analysisGene-miRNAChronic cocaine useGlucose metabolismDysfunction pathwayEnrichment analysisGenesComputational predictionsCocaine useDopamine functionDopaminergic pathwaysHsa-miR-16Hsa-miR-16-5pCocaineCOMT geneUse disorderGWAS meta-meta-analysis and related analyses revealed a shared genetic background between ADHD and narcolepsy
Modestino E, Sharafshah A, Lewandrowski K, Carey E, Mohankumar K, Thanos P, Pinhasov A, Bowirrat A, Baron D, Gold M, Elman I, Gardner E, Fuehrlein B, Zeine F, Jafari N, Dennen C, Lewandrowski A, Badgaiyan R, Blum K. GWAS meta-meta-analysis and related analyses revealed a shared genetic background between ADHD and narcolepsy. Academia Molecular Biology And Genomics 2025, 2 DOI: 10.20935/acadmolbiogen7751.Peer-Reviewed Original ResearchProtein-protein interactionsGene listsAttention-deficit hyperactivity disorderReward Deficiency SyndromeGWAS meta-analysesGWAS Catalog databasePGx analysisPGx dataFamily genesSystems biologyGenetic basisGWASShared genesSusceptibility to narcolepsyGenesGenetic backgroundRBFOX1PGxMeta-meta-analysisComprehensive data miningDopaminergic reward systemTherapeutic targetFOXP2Potential endophenotypesAddictive behaviorsPre-addiction phenotype is associated with dopaminergic dysfunction: Evidence from 88.8 million genome-wide association study-based samples
Blum K, Sharafshah A, Lewandrowski K, Schmidt S, Alvim Fiorelli R, Pinhasov A, Bowirrat A, Gold M, Gardner E, Thanos P, Fuehrlein B, Baron D, Elman I, Dennen C, Jafari N, Zeine F, Lewandrowski A, Makale M, Modestino E, Sunder K, Murphy K, Fliegelman C, Mahajan S, Mahajan Y, Badgaiyan R. Pre-addiction phenotype is associated with dopaminergic dysfunction: Evidence from 88.8 million genome-wide association study-based samples. Gene & Protein In Disease 2025, 4: 8090. DOI: 10.36922/gpd.8090.Peer-Reviewed Original ResearchGenetic Addiction Risk SeverityReward Deficiency SyndromeDopaminergic dysfunctionEarly genetic testingAssociated with dopaminergic dysfunctionStandardized treatment algorithmSubstance use disordersHypodopaminergic stateOpioid dependenceOpioid prescribingAddiction biologyTreatment algorithmDeficiency syndromeDopaminergic pathwaysGenetic testingNeurobiological vulnerabilityRelapse preventionAddiction medicineAddictive behaviorsComorbid behaviorsFunctional neuroimagingUse disorderDepressive symptomsPainBehavioral expressionA Review of the Evidence Surrounding Popular Cognitive Enhancers
Draghmeh K, Elmarasi M, Fuehrlein B. A Review of the Evidence Surrounding Popular Cognitive Enhancers. Current Psychopharmacologye 2025, 13 DOI: 10.2174/0122115560363501250609121229.Peer-Reviewed Original ResearchMulti-Locus Pro-Dopaminergic Restoration of Reward Brain Circuitry in Reward Deficiency Rescinds Mono-Pharmaceutical Targeting.
Blum K, Mohankumar K, Bagchi D, Lewandrowski K, Sharafshah A, Elman I, Gold M, Dennen C, Thanos P, Pinhasov A, Bowirrat A, Lewandrowski A, Baron D, Modestino E, Fuehrlein B, Khalsa J, Gastelu D, Fliegelman C, Sunder K, Murphy K, Makale M, Madigan M, Lindenau M, Swaroop A, Badgaiyan R. Multi-Locus Pro-Dopaminergic Restoration of Reward Brain Circuitry in Reward Deficiency Rescinds Mono-Pharmaceutical Targeting. EC Neurology 2025, 17 PMID: 41019658, PMCID: PMC12463428.Peer-Reviewed Original ResearchReward circuitryBrain circuitryFunctional connectivityReward-related regionsBrain reward circuitryHeroin-dependent individualsAnterior cingulate gyrusCognitive brain areasSubstance-related disordersAnterior thalamic nucleiNucleus accumbensDopaminergic functionAddictive behaviorsDopaminergic modulationBOLD activityPsychiatric disordersDopaminergic dysfunctionCingulate gyrusDopamine homeostasisBrain areasKB220Brain regionsCognitive functionMental illnessNeural activityA Review of Relapse in Opioid Use Disorder
Draghmeh K, Gold M, Fuehrlein B. A Review of Relapse in Opioid Use Disorder. Current Addiction Reports 2025, 12: 58. DOI: 10.1007/s40429-025-00672-5.Peer-Reviewed Original ResearchUse disorderEnhance treatment retentionMindfulness-based therapyStress system dysregulationRelapse vulnerabilityOpioid use disorderNeurobiological mechanismsDopamine deficitMedication-Assisted TreatmentContingency managementTreatment retentionPsychosocial interventionsMechanisms of relapseReduce relapseBehavioral componentsReviewOpioid use disorderSignificant public health challengeSystem dysregulationPublic health challengeRelapse rateAt-risk populationsSocietal burdenEmergency therapyAt-riskRelapseExploring dopamine as the master regulator of brain circuitry and mental health genome
Blum K, Braverman E, Sharafshah A, Elman I, Lewandrowski K, Bowirrat A, Pinhasov A, Thanos P, Gold M, Dennen C, Modestino E, Badgaiyan R, Baron D, Fuehrlein B, Sipple D, Ashford J, Sunder K, Makale M, Murphy K, Jafari N, Zeine F, Pollack A, Lewandrowski A, Khalsa J. Exploring dopamine as the master regulator of brain circuitry and mental health genome. Gene & Protein In Disease 2025, 5: 10.36922/gpd.6557. PMID: 40746483, PMCID: PMC12311831, DOI: 10.36922/gpd.6557.Peer-Reviewed Original ResearchBrain circuitryDopamine transmissionDopaminergic activityPsychiatric disordersDopamineBrain functionCircuitryLong-term influenceNeurobiologyAddictionImmediate effectsIntracellular signaling pathwaysPotential therapeutic targetDisordersNeurotransmitterBrainClinical relevanceTherapeutic targetSignaling pathwaySubstances
Academic Achievements & Community Involvement
News
News
- November 24, 2025
Fuehrlein to Receive 2025 Pillar of Excellence Award
- December 12, 2024
Fuehrlein, Pérez Palmer, Wilkins Promoted at VA
- August 27, 2024Source: Psychology Today
Smoking Hard Drugs Is Now Killing Many Users
- April 02, 2024
Fuehrlein Appointed Chief Mental Health Consultant at VA Central Office
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Contacts
Mailing Address
Psychiatry
VA Connecticut Healthcare System, 950 Campbell Ave
West Haven, CT 06516
United States