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The high affinity inositol transport system--implications for the pathophysiology and treatment of bipolar disorder.
van Calker, D; Belmaker, R H.
Afiliación
  • van Calker D; Department of Psychiatry, University of Freiburg, Germany. calker@psyallg.ukl.uni-freiburg.de
Bipolar Disord ; 2(2): 102-7, 2000 Jun.
Article en En | MEDLINE | ID: mdl-11252649
The 'inositol-depletion hypothesis' postulates that the therapeutic effects of lithium are due to inhibition of inositol monophosphatase, which leads to depletion of brain cells of myo-inositol and consequently to dampening of phosphoinositide (PI) signaling. This article examines the potential relevance of an alternative mechanism for inositol depletion: inhibition of myo-inositol uptake that proceeds via the sodium/myo-inositol cotransport (SMIT). We discuss recent in vitro experiments that show a pronounced downregulation of SMIT after chronic treatment with lithium, carbamazepine, and valproate at therapeutically relevant concentrations. It is concluded that downregulation of SMIT could represent a common mechanism of action of mood stabilizers.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastorno Bipolar / Proteínas Portadoras / Compuestos de Litio / Antimaníacos / Simportadores / Proteínas de Choque Térmico / Inositol / Proteínas de la Membrana Límite: Humans Idioma: En Revista: Bipolar Disord Asunto de la revista: PSIQUIATRIA Año: 2000 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Dinamarca
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastorno Bipolar / Proteínas Portadoras / Compuestos de Litio / Antimaníacos / Simportadores / Proteínas de Choque Térmico / Inositol / Proteínas de la Membrana Límite: Humans Idioma: En Revista: Bipolar Disord Asunto de la revista: PSIQUIATRIA Año: 2000 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Dinamarca