“…GSK3β has been centrally implicated in AD pathogenesis (Forlenza et al, 2014;Kerr et al, 2018;Hampel et al, 2019), affecting both the overproduction of the amyloid-beta peptide (Aβ) and hyperphosphorylation of microtubule-associated protein Tau, mechanisms that respectively lead to the formation of senile plaques and neurofibrillary tangles-pathological hallmarks of AD (Tan et al, 2010;Forlenza et al, 2014;Kerr et al, 2018;Hampel et al, 2019;Li et al, 2020). Lithium is a potent inhibitor of GSK3β activity (Engel et al, 2006;Tan et al, 2010;Forlenza et al, 2014;Kerr et al, 2018;Hampel et al, 2019;Li et al, 2020) and, in animal models of AD, chronic lithium treatment was associated with reduced hyperphosphorylation of Tau and Aβ accumulation (Su et al, 2004;Noble et al, 2005;Engel et al, 2006;Forlenza et al, 2014). Clinical extrapolations of these effects are scarce, but the available evidence from a small number of clinical trials seem to be in line with experimental findings (Forlenza et al, 2011b,c;Ladeira et al, 2013).…”