Carbamazepine (CBZ) has been widely used for treatment of manic states. Because amphetamine produces effects in humans similar to those of idiopathic mania, acute methamphetamine administration could serve as a model of this condition. To elucidate the neurobiological substrates responsible for the antimanic effects of carbamazepine, this study investigated the effects of chronic carbamazepine administration on regional Fos protein expression induced by a single dose of methamphetamine (2mg/kg). Chronic treatment with CBZ (0.25% in Carbamazepine is a widely used tricyclic anticonvulsant drug. It shares a common clinical profile with lithium for its acute and prophylactic therapeutic effects in bipolar affective disorder (Emilien et al. 1996;Post and Ballenger 1990). Although a wide variety of biochemical and neurophysiological effects (including stabilizing the sodium and potassium channel, reducing calcium fluxes, antagonizing peripheral-type benzodiazepine receptors, up-regulating GABA B receptors, and acting as an adenosine antagonist or agonist) have been described for this drug, the precise mechanism of its mood-stabilizing effects remains unknown (Post et al. 1994). Moreover, the neuroanatomic substrates responsible for the antimanic effects of carbamazepine have not yet been identified.Because such psychostimulants as d-amphetamine and cocaine produce effects in humans that are very similar to the symptoms of idiopathic mania de Wit 1996, 1997;Smith and Davis 1977), it has been proposed that administration of these agents may serve as a model of this condition (Robbins and SaFrom the Department of Neuropsychiatry (YL, TH, KO, MM, SK), Okayama University Medical School, Okayama, Japan; and Takaoka Hospital (YF), Himeji, Japan.Address correspondence to: Dr. T. Hamamura, Department of Neuropsychiatry, Okayama University Medical School, 2-5-1 Shikata-cho, Okayama, 700-8558 Japan.Received June 28, 1999; revised October 26, 1999; accepted November 1, 1999. N EUROPSYCHOPHARMACOLOGY 2000 -VOL . 22 , NO . 5 Carbamazepine Suppresses MAP-Induced Fos 531 hakian 1980). Quantification of changes in the expression of the immediate early gene c-fos has proved to be a very useful method of mapping the distribution of neurons that are activated by physiological or pharmacological stimuli (Dragunow and Faull 1989;Morgan and Curran 1991;Sagar et al. 1988). In our previous study (Lee et al. 1999), we investigated the neurobiological substrates involved in the antimanic effects of lithium in a methamphetamine-manic model using Fos mapping. Chronic lithium administration significantly reduced the number of Fos-like immunoreactivity (Fos-LI)-positive nuclei induced by methamphetamine administration in the prefrontal cortex, the nucleus accumbens, the caudate/putamen, and the amygdala.In the previous study, it was hypothesized that these regions were possible neural targets for the antimanic efficacy of lithium. The next step was to identify the specific antimanic target region. The objective of the present study was to...