Inositol-deficient food augments a behavioral effect of long-term lithium treatment mediated by inositol monophosphatase inhibition: an animal model with relevance for bipolar disorder

J Clin Psychopharmacol. 2015 Apr;35(2):175-7. doi: 10.1097/JCP.0000000000000284.

Abstract

Lithium treatment in rodents markedly enhances cholinergic agonists such as pilocarpine. This effect can be reversed in a stereospecific manner by administration of inositol, suggesting that the effect of lithium is caused by inositol monophosphatase inhibition and consequent inositol depletion. If so, inositol-deficient food would be expected to enhance lithium effects. Inositol-deficient food was prepared from inositol-free ingredients. Mice with a homozygote knockout of the inositol monophosphatase 1 gene unable to synthesize inositol endogenously and mimicking lithium-treated animals were fed this diet or a control diet. Lithium-treated wild-type animals were also treated with the inositol-deficient diet or control diet. Pilocarpine was administered after 1 week of treatment, and behavior including seizures was assessed using rating scale. Inositol-deficient food-treated animals, both lithium treated and with inositol monophosphatase 1 knockout, had significantly elevated cholinergic behavior rating and significantly increased or earlier seizures compared with the controls. The effect of inositol-deficient food supports the role of inositol depletion in the effects of lithium on pilocarpine-induced behavior. However, the relevance of this behavior to other more mood-related effects of lithium is not clear.

MeSH terms

  • Animals
  • Antimanic Agents / therapeutic use*
  • Behavior / drug effects*
  • Behavior, Animal / drug effects
  • Bipolar Disorder / drug therapy*
  • Bipolar Disorder / psychology
  • Diet
  • Enzyme Inhibitors / pharmacology
  • Inositol / deficiency*
  • Lithium Compounds / therapeutic use*
  • Mice
  • Mice, Inbred ICR
  • Phosphoric Monoester Hydrolases / antagonists & inhibitors*
  • Pilocarpine
  • Vitamin B Deficiency / psychology*

Substances

  • Antimanic Agents
  • Enzyme Inhibitors
  • Lithium Compounds
  • Pilocarpine
  • Inositol
  • Phosphoric Monoester Hydrolases
  • myo-inositol-1 (or 4)-monophosphatase