5-HT1B receptors: a novel target for lithium.
Possible involvement in mood
disorders
by
Massot O, Rousselle JC, Fillion MP,
Januel D, Plantefol M, Fillion G
Unite de Pharmacologie Neuro-Immuno-Endocrinienne,
Institut Pasteur, Paris,
France.
Neuropsychopharmacology 1999 Oct; 21(4):530-41
ABSTRACT
Lithium ion is widely used to treat depressive patients, often as an initial
helper for antidepressant drugs or as a mood stabilizer; however, the toxicity
of the drug raises serious problems, because the toxic doses of lithium are
quite close to the therapeutic ones. Thus, precise characterization of the
target(s) involved in the therapeutic activity of lithium is of importance. The
present work, carried out at molecular, cellular, and in vivo levels,
demonstrates that 5-HT1B receptor constitutes a molecular target for lithium.
Several reasons suggest that this interaction is more likely related to the
therapeutic properties of lithium than to its undesirable effects. First, the
observed biochemical and functional interaction occurs at concentrations that
precisely correspond to effective therapeutic doses of lithium. Second, 5-HT1B
receptors are well characterized as controlling the activity of the serotonergic
system, which is known to be involved in affective disorders and the mechanism
of action of various antidepressants. These findings represent progress in our
knowledge of the mechanism of action of lithium that may facilitate clinical use
of the ion and also open new directions in the research of antidepressant
therapies.
Mania
Lithium
Serotonin
Bipolar disorders
5-HT1b and reward
Lithium prophylaxis
Lithium augmenation
Lithium versus divalproex
Lithium versus carbamazepine
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