2016
DOI: 10.2217/fnl-2016-0003
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Inositol depletion, GSK3 inhibition and bipolar disorder

Abstract: Valproic acid and lithium are widely used to treat bipolar disorder, a severe illness characterized by cycles of mania and depression. However, their efficacy is limited, and treatment is often accompanied by serious side effects. The therapeutic mechanisms of these drugs are not understood, hampering the development of more effective treatments. Among the plethora of biochemical effects of the drugs, those that are common to both may be more related to therapeutic efficacy. Two common outcomes include inosito… Show more

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Cited by 42 publications
(42 citation statements)
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References 166 publications
(156 reference statements)
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“…Although the inositol depletion and GSK3 inhibition hypotheses of mood stabilization have been suggested independently based on seemingly unrelated studies, our findings suggest that they may be linked by a common mechanism [ 40 ]. In light of published findings that VPA causes inositol depletion by indirectly inhibiting MIPS [ 18 ], that VPA inhibits GSK3 (23–26), and that yeast cells lacking all four GSK3 homologs ( MCK1 , MDS1 , MRK1 and YGK3 ) exhibit inositol depletion [ 41 ], we hypothesized that VPA inhibits MIPS by a mechanism involving negative regulation of one or more GSK3 homologs, thereby causing inositol depletion.…”
Section: Introductionmentioning
confidence: 71%
“…Although the inositol depletion and GSK3 inhibition hypotheses of mood stabilization have been suggested independently based on seemingly unrelated studies, our findings suggest that they may be linked by a common mechanism [ 40 ]. In light of published findings that VPA causes inositol depletion by indirectly inhibiting MIPS [ 18 ], that VPA inhibits GSK3 (23–26), and that yeast cells lacking all four GSK3 homologs ( MCK1 , MDS1 , MRK1 and YGK3 ) exhibit inositol depletion [ 41 ], we hypothesized that VPA inhibits MIPS by a mechanism involving negative regulation of one or more GSK3 homologs, thereby causing inositol depletion.…”
Section: Introductionmentioning
confidence: 71%
“…The mechanism of action of VPA as a mood stabilizer is not well understood. VPA has been shown to affect the serotonergic [4,5], dopaminergic [6], GABAergic [7] and glutamatergic [8][9][10] pathways as well as intracellular signalling pathways such as those mediated by phosphoinositol [11,12], glycogen kinase-3β/Wnt [13], protein kinase C [14], and ERK/MAPK [15,16] among others [17][18][19].…”
Section: Introductionmentioning
confidence: 99%
“…Inositol is a less used sugar alcohol, similar to the structure of glucose, present in a variety of foods, but at a lower concentration [4]. Theoretically, inositol may have 9 isomers, but now only four species are found in nature.…”
Section: Introductionmentioning
confidence: 99%