Laboratory for Molecular Psychiatry, RIKEN Brain Science Institute, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan.
Neurosci Res. 2010 May;67(1):86-94. doi: 10.1016/j.neures.2010.02.003. Epub 2010 Feb 11.
The inositol depletion hypothesis proposes the inhibition of IMPase (myo-inositol monophosphatase) by lithium, a mood stabilizer, as a mechanism of lithium's efficacy. This hypothesis predicts that the upregulation of this biochemical pathway may underlie the pathophysiology of bipolar disorder. In favor of this idea, IMPA2 encoding IMPase is a candidate susceptibility gene for bipolar disorder and that the risk-conferring single nucleotide polymorphisms enhance the promoter activity of IMPA2. However, it is yet unknown whether such upregulation has a biological role in bipolar disorder. To address this issue, we generated transgenic mice for the two IMPase genes (IMPA1 and IMPA2). The expression levels of the transgene were robust in IMPA2 Tg lines, but moderate in IMPA1 Tg lines, when compared to those of endogenous proteins. The transgenic mice behaved normally under drug-naïve conditions, and did not exhibit signs for manic change when an antidepressant amitriptyline was administrated. Interestingly, the male transgenic mice for IMPA2 exhibited a lithium-resistant phenotype in the forced swim test. The current study, as a whole, did not support a substantial role of the upregulation of IMPase in bipolar disorder, although the lithium-insensitivity trait seen in IMPA2 transgenic mice might represent some aspect relevant to the inositol depletion hypothesis.
肌醇耗竭假说提出,心境稳定剂锂通过抑制肌醇单磷酸酶(IMPase)来发挥其疗效。该假说预测,这条生化途径的上调可能是双相情感障碍病理生理学的基础。支持这一观点的是,编码 IMPase 的 IMPA2 是双相情感障碍的候选易感基因,而且风险相关的单核苷酸多态性增强了 IMPA2 的启动子活性。然而,目前尚不清楚这种上调是否在双相情感障碍中具有生物学作用。为了解决这个问题,我们生成了两种 IMPase 基因(IMPA1 和 IMPA2)的转基因小鼠。与内源性蛋白相比,IMPAT2Tg 系中的转基因表达水平较高,而 IMPA1Tg 系中的表达水平适中。在未用药的情况下,转基因小鼠表现正常,当给予抗抑郁药阿米替林时,它们没有出现躁狂变化的迹象。有趣的是,IMPAT2 转基因雄性小鼠在强迫游泳试验中表现出对锂的耐药表型。总的来说,本研究不支持 IMPase 上调在双相情感障碍中起重要作用,尽管 IMPA2 转基因小鼠中观察到的锂不敏感特征可能代表与肌醇耗竭假说相关的某些方面。