Genetic Basis of Mood and Anxiety Disorders, National Institute of Mental Health, National Institutes of Health, Department of Health and Human Services, Bethesda, MD 20892-3719,USA.
Neuropsychobiology. 2010;62(1):72-8. doi: 10.1159/000314708. Epub 2010 May 8.
For more than half a decade, lithium has been successfully used to treat bipolar disorder. Worldwide, it is considered the first-line mood stabilizer. Apart from its proven antimanic and prophylactic effects, considerable evidence also suggests an antisuicidal effect in affective disorders. Lithium is also effectively used to augment antidepressant drugs in the treatment of refractory major depressive episodes and prevent relapses in recurrent unipolar depression. In contrast to many psychiatric drugs, lithium has outlasted various pharmacotherapeutic 'fashions', and remains an indispensable element in contemporary psychopharmacology. Nevertheless, data from pharmacogenetic studies of lithium are comparatively sparse, and these studies are generally characterized by small sample sizes and varying definitions of response. Here, we present an international effort to elucidate the genetic underpinnings of lithium response in bipolar disorder. Following an initiative by the International Group for the Study of Lithium-Treated Patients (www.IGSLI.org) and the Unit on the Genetic Basis of Mood and Anxiety Disorders at the National Institute of Mental Health,lithium researchers from around the world have formed the Consortium on Lithium Genetics (www.ConLiGen.org) to establish the largest sample to date for genome-wide studies of lithium response in bipolar disorder, currently comprising more than 1,200 patients characterized for response to lithium treatment. A stringent phenotype definition of response is one of the hallmarks of this collaboration. ConLiGen invites all lithium researchers to join its efforts.
五十多年来,锂已成功用于治疗双相情感障碍。在全球范围内,它被认为是一线心境稳定剂。除了已被证实的抗躁狂和预防作用外,大量证据还表明锂对情感障碍有抗自杀作用。锂还可有效地增强抗抑郁药治疗难治性重度抑郁发作,并预防单相抑郁复发。与许多精神药物不同,锂经受住了各种药物治疗的“时尚”,仍然是当代精神药理学中不可或缺的元素。然而,关于锂的遗传药理学研究的数据相对较少,这些研究通常存在样本量小和反应定义不同的问题。在这里,我们展示了一项国际努力,旨在阐明双相情感障碍中锂反应的遗传基础。在国际锂治疗患者研究组(www.IGSLI.org)和国家心理健康研究所情绪和焦虑障碍遗传基础小组的倡议下,来自世界各地的锂研究人员组成了锂遗传学联盟(www.ConLiGen.org),以建立迄今为止最大的双相情感障碍锂反应全基因组研究样本,目前包括 1200 多名对锂治疗有反应的患者。该合作的一个特点是对反应的严格表型定义。ConLiGen 邀请所有锂研究人员加入其研究。