2022
DOI: 10.3390/ijms231810489
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MicroRNAs, Stem Cells in Bipolar Disorder, and Lithium Therapeutic Approach

Abstract: Bipolar disorder (BD) is a severe, chronic, and disabling neuropsychiatric disorder characterized by recurrent mood disturbances (mania/hypomania and depression, with or without mixed features) and a constellation of cognitive, psychomotor, autonomic, and endocrine abnormalities. The etiology of BD is multifactorial, including both biological and epigenetic factors. Recently, microRNAs (miRNAs), a class of epigenetic regulators of gene expression playing a central role in brain development and plasticity, have… Show more

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Cited by 12 publications
(7 citation statements)
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“…We assume that the mechanisms behind this finding may be Li‐induced microRNA expression and epigenetic changes. Several microRNAs are known to be altered by Li treatment, among which mirR‐144 is widely expressed in the brain and is upregulated by Li, and its target is considered to be the PTEN pathway 42 . In addition, mood stabilizers, including Li, have been suggested to potentially alter the DNA methylation status 43 in many regions, which were also altered in the postmortem brains of patients with BD in this study, suggesting that Li may affect the expression of several genes involved in BD's pathology by altering their DNA methylation.…”
Section: Discussionmentioning
confidence: 99%
“…We assume that the mechanisms behind this finding may be Li‐induced microRNA expression and epigenetic changes. Several microRNAs are known to be altered by Li treatment, among which mirR‐144 is widely expressed in the brain and is upregulated by Li, and its target is considered to be the PTEN pathway 42 . In addition, mood stabilizers, including Li, have been suggested to potentially alter the DNA methylation status 43 in many regions, which were also altered in the postmortem brains of patients with BD in this study, suggesting that Li may affect the expression of several genes involved in BD's pathology by altering their DNA methylation.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, anxiety, depression risk, neuroticism, and serotonergic neurotransmission have all been linked to altered serum BDNF levels and BDNF gene polymorphism [ 2 ]. Lithium augmentation refers to the addition of lithium to an antidepressant in the acute treatment phase of depression [ 41 , 42 ]. Antidepressant augmentation with lithium is a well-studied augmentation therapy for patients with depression who have not been responding well to antidepressant therapy [ 41 ].…”
Section: Growth Factors Involved In Depressionmentioning
confidence: 99%
“…They have been associated with BD etiology in expression studies of postmortem brain tissue of BD patients (18). Furthermore, lithium and valproic acid (VPA), the primary mood stabilizers used in BD treatment, affect miRNA expression (19,20). Variants in miRNA genes associated with a higher risk of BD have been identified (21), and manipulation of one of these miRNAs (miR-499-5p) caused cognitive impairments and mood disorder-related endophenotypes in rats (14,22).…”
Section: Introductionmentioning
confidence: 99%