O'Donnell Kelley C, Gould Todd D
The Laboratory of Molecular Pathophysiology, Mood and Anxiety Disorders Program, National Institute of Mental Health, NIH, HHS, Bldg 35, Rm 1C-912, 35 Convent Drive, Bethesda, MD 20892 3711, USA.
Neurosci Biobehav Rev. 2007;31(6):932-62. doi: 10.1016/j.neubiorev.2007.04.002. Epub 2007 Apr 13.
For nearly as long as lithium has been in clinical use for the treatment of bipolar disorder, depression, and other conditions, investigators have attempted to characterize its effects on behaviors in rodents. Lithium consistently decreases exploratory activity, rearing, aggression, and amphetamine-induced hyperlocomotion; and it increases the sensitivity to pilocarpine-induced seizures, decreases immobility time in the forced swim test, and attenuates reserpine-induced hypolocomotion. Lithium also predictably induces conditioned taste aversion and alterations in circadian rhythms. The modulation of stereotypy, sensitization, and reward behavior are less consistent actions of the drug. These behavioral models may be relevant to human symptoms and to clinical endophenotypes. It is likely that the actions of lithium in a subset of these animal models are related to the therapeutic efficacy, as well the side effects, of the drug. We conclude with a brief discussion of various molecular mechanisms by which these lithium-sensitive behaviors may be mediated, and comment on the ways in which rat and mouse models can be used more effectively in the future to address persistent questions about the therapeutically relevant molecular actions of lithium.
自从锂被临床用于治疗双相情感障碍、抑郁症及其他病症以来,研究人员就一直试图描述其对啮齿动物行为的影响。锂持续降低探索活动、竖毛行为、攻击性以及苯丙胺诱导的活动亢进;它增加对毛果芸香碱诱导癫痫发作的敏感性,减少强迫游泳试验中的不动时间,并减轻利血平诱导的运动减少。锂还可预期地诱导条件性味觉厌恶并改变昼夜节律。对刻板行为、敏感化和奖赏行为的调节是该药物不太一致的作用。这些行为模型可能与人类症状及临床内表型相关。锂在这些动物模型中的一部分作用可能与该药物的治疗效果以及副作用有关。我们最后简要讨论了这些对锂敏感的行为可能通过哪些分子机制介导,并对未来如何更有效地利用大鼠和小鼠模型来解决有关锂的治疗相关分子作用的持续问题发表了评论。