ACTIONS OF LITHIUM ON THE CYCLIC-AMP SIGNALING SYSTEM IN VARIOUS REGIONS OF THE BRAIN - POSSIBLE RELATIONS TO ITS PSYCHOTROPIC ACTIONS - A STUDY ON THE ADENYLATE-CYCLASE IN RATE CEREBRAL-CORTEX, CORPUS STRIATUM AND HIPPOCAMPUS
A. Mork, ACTIONS OF LITHIUM ON THE CYCLIC-AMP SIGNALING SYSTEM IN VARIOUS REGIONS OF THE BRAIN - POSSIBLE RELATIONS TO ITS PSYCHOTROPIC ACTIONS - A STUDY ON THE ADENYLATE-CYCLASE IN RATE CEREBRAL-CORTEX, CORPUS STRIATUM AND HIPPOCAMPUS, Pharmacology & toxicology, 73, 1993, pp. 1-47
It has been estimated that in most industrialized countries 1 person o
ut of every 1000 in the population is undergoing lithium treatment to
stabilize their episodic mood disturbances due to manic-depressive ill
ness. Lithium may stabilize mood swings by altering the action of cert
ain neurotransmitters at the synaptic level in the brain. Recent resea
rch suggests that lithium alters neurotransmission by affecting neurot
ransmitter-coupled second messenger systems. A major second messenger
system is the adenylate cyclase, which generates intracellular cAMP fr
om ATP. The adenylate cyclases (type I-IV) are regulated by stimulator
y and inhibitory receptors, which either stimulate or inhibit the aden
ylate cyclase activity. The stimulatory and inhibitory neurotransmitte
r-receptor signals are transferred to the catalytic unit of the adenyl
ate cyclase by G(s) and G(i), respectively. The activated receptor ind
uces GTP stimulation of the heterotrimeric G protein, leading to a dis
sociation of the protein into the active alpha(GTP) and the beta gamm
a complex. The former stimulates the catalytic unit of adenylate cycla
se. The stimulation is terminated by a GTPase located on the ct subuni
t that converts GTP to inactive GDP. At present, G proteins are known
to play a central role in coupling receptors to effector proteins. In
addition to extracellular regulation due to neurotransmitters, some ad
enylate cyclases (type I, III) are regulated by CaM as a consequence o
f enhanced intracellular concentrations of free Ca2+ The Ca2+-dependen
tstimulation of adenylate cyclase by CaM is assumed to occur by a dire
ct effect on the catalytic unit. The catalytic units sensitive to Ca2-CaM are also subjected to regulation by stimulatory and inhibitory ne
urotransmitter stimuli. Magnesium is essential for adenylate cyclase a
ctivity, since MgATP(2-) is the enzyme substrate. Furthermore, one Mg2
+ site located on the G protein regulates both the receptor agonist af
finity and the dissociation of the G protein during the activation cyc
le, A second Mg2+ site on the catalytic unit is responsible for Mg2+ r
egulation of the catalytic activity. The present work aimed at investi
gating the mechanisms by which lithium in vitro and after chronic trea
tment (ex vivo) affects adenylate cyclase activities in various region
s of the rat brain. Lithium in vitro and ex vivo inhibited the selecti
ve stimulation of adenylate cyclase by Ca2+-CaM in the cerebral cortex
. Furthermore, lithium in vitro interacted directly with the catalytic
unit of adenylate cyclase. The data suggest that the in vitro action
of lithium on the adenylate cyclase activity stimulated through the re
ceptor, G(s) or the catalytic unit is due to a displacement of Mg2+ fr
om the cation site, which modulates the catalytic activity. However, t
he lithium-Mg2+ interaction did not seem to be involved in the ex vivo
action of lithium. Accordingly, the in vitro and ex vivo effects of l
ithium on the cAMP production were exerted by distinct mechanisms. The
present work, furthermore, revealed that lithium ex vivo exerts regio
n-specific effects in the rat brain. Thus, after chronic lithium treat
ment Ca2+-CaM-stimulated adenylate cyclase activity was decreased in t
he cerebral cortex and corpus striatum, but increased in the hippocamp
us. Similarly, lithium ex vivo decreased isoprenaline- and dopamine-st
imulated adenylate cyclase activity in the cerebral cortex and corpus
striatum, respectively; but tended to increase 5-HT-stimulated adenyla
te cyclase in the hippocampus. The latter actions were dependent on th
e concentrations of GTP. This indicates that lithium affects the recep
tor-G(s) coupling or the receptor-induced stimulation of G(s). Lithium
did not seem to affect the rate of activation of G(s). In hippocampus
, lithium ex vivo was found to attenuate 5-HT-induced G(i) inhibition
of Ca2+-CaM-stimulated adenylate cyclase activity. This 5-HT-mediated
inhibition of adenylate cyclase was demonstrated to be mediated throug
h the 5-HT1A receptor subtype.