Inhibition of the High Affinity Myo-Inositol Transport System: A Common Mechanism of Action of Antibipolar Drugs?

The mechanism of action of antibipolar drugs like lithium, carbamazepine, and valproate that are used in the treatment of manic-depressive illness, is unknown. Lithium is believed to act through uncompetitive inhibition of inositolmonophosphatase, which results in a depletion of neural cells of inos...

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Veröffentlicht in:Neuropsychopharmacology (New York, N.Y.) N.Y.), 1999-10, Vol.21 (4), p.519-529
Hauptverfasser: Lubrich, Beate, van Calker, Dietrich
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description The mechanism of action of antibipolar drugs like lithium, carbamazepine, and valproate that are used in the treatment of manic-depressive illness, is unknown. Lithium is believed to act through uncompetitive inhibition of inositolmonophosphatase, which results in a depletion of neural cells of inositol and a concomitant modulation of phosphoinositol signaling. Here, we show that lithium ions, carbamazepine, and valproate, but not the tricyclic antidepressant amitriptyline, inhibit at therapeutically relevant concentrations and with a time course similar to their clinical actions the high affinity myo-inositol transport in astrocyte-like cells and downregulate the level of the respective mRNA. Inhibition of inositol uptake could thus represent an additional pathway for inositol depletion, which might be relevant in the mechanism of action of all three antibipolar drugs.
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Psychiatry</topic><topic>Psychopharmacology</topic><topic>Rats</topic><topic>Rats, Wistar</topic><topic>RNA, Messenger - drug effects</topic><topic>RNA, Messenger - metabolism</topic><topic>SMIT</topic><topic>Symporters</topic><topic>Time Factors</topic><topic>Tumor Cells, Cultured</topic><topic>Valproic Acid - pharmacology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lubrich, Beate</creatorcontrib><creatorcontrib>van Calker, Dietrich</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neuropsychopharmacology (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lubrich, Beate</au><au>van Calker, Dietrich</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inhibition of the High Affinity Myo-Inositol Transport System: A Common Mechanism of Action of Antibipolar Drugs?</atitle><jtitle>Neuropsychopharmacology (New York, N.Y.)</jtitle><addtitle>Neuropsychopharmacology</addtitle><date>1999-10-01</date><risdate>1999</risdate><volume>21</volume><issue>4</issue><spage>519</spage><epage>529</epage><pages>519-529</pages><issn>0893-133X</issn><eissn>1740-634X</eissn><coden>NEROEW</coden><abstract>The mechanism of action of antibipolar drugs like lithium, carbamazepine, and valproate that are used in the treatment of manic-depressive illness, is unknown. 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subjects Adrenergic Uptake Inhibitors - pharmacology
Affective disorders
Amitriptyline - pharmacology
Animals
Antimanic Agents - pharmacology
Astrocytes - drug effects
Astrocytes - metabolism
Biological and medical sciences
Biological Transport - drug effects
Brain - cytology
Brain - drug effects
Carbamazepine - pharmacology
Carrier Proteins - drug effects
Carrier Proteins - genetics
Carrier Proteins - metabolism
Heat-Shock Proteins - drug effects
Heat-Shock Proteins - genetics
Heat-Shock Proteins - metabolism
Humans
Inositol - metabolism
Lithium - pharmacology
Medical sciences
Membrane Proteins
Mood stabilizer
Neuropharmacology
Pharmacology. Drug treatments
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease)
Psychology. Psychoanalysis. Psychiatry
Psychopharmacology
Rats
Rats, Wistar
RNA, Messenger - drug effects
RNA, Messenger - metabolism
SMIT
Symporters
Time Factors
Tumor Cells, Cultured
Valproic Acid - pharmacology
title Inhibition of the High Affinity Myo-Inositol Transport System: A Common Mechanism of Action of Antibipolar Drugs?
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