Disturbances of events associated with intracellular signaling pathways have been suspected of involvement in the development or progression of affective disorders. Often, heterotrimeric G proteins are located at the beginning of these pathways as modulators of extracellular messages. For this reason, messenger RNA expression of three G protein ␣-subunits and of phosphatidylinositol-3 kinase (PI-3 K) regulatory subunit p85 was examined in granulocytes from patients with bipolar or unipolar affective disorder and compared to healthy controls. Messenger RNA expression of the G protein subunit ␣ q and of p85 was identical in unipolar and bipolar patients and in controls. Furthermore, mRNAs of G protein subunits ␣ s and ␣ i2 were not different in unipolar patients as compared to healthy controls. Alpha s mRNA, however, was markedly increased in bipolar patients. This increase was observed in lithiumtreated (more than 12 months) and in unmedicated patients. Elevated levels of ␣ i2 mRNA in unmedicated bipolar patients did not reach statistical significance, whereas mRNA in bipolar patients receiving lithium was significantly above controls. Finally, long-term medication of unipolar patients with lithium had no influence on ␣ i2 mRNA levels. The data reveal elevated mRNA levels of G␣ s as a robust feature of bipolar affective disorder. Moreover, despite responsiveness of ␣ i2 gene expression to cAMP-related events, no substantial upregulation of ␣ i2 mRNA was observed in bipolar patients. The lack of ␣ i2 mRNA upregulation, hence, could be an additional abnormality in these patients. Even though lithium was able to reinstate this upregulation, there was no feedback downregulation of ␣ s . This strongly supports the notion of major disturbances of the cAMP signaling system in bipolar illness.