Department of Medicine, Hematology-Oncology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.
J Clin Invest. 2011 Sep;121(9):3756-62. doi: 10.1172/JCI45194. Epub 2011 Aug 8.
Lithium is the first-line therapy for bipolar disorder. However, its therapeutic target remains controversial. Candidates include inositol monophosphatases, glycogen synthase kinase-3 (GSK-3), and a β-arrestin-2/AKT/protein phosphatase 2A (β-arrestin-2/AKT/PP2A) complex that is known to be required for lithium-sensitive behaviors. Defining the direct target(s) is critical for the development of new therapies and for elucidating the molecular pathogenesis of this major psychiatric disorder. Here, we show what we believe to be a new link between GSK-3 and the β-arrestin-2 complex in mice and propose an integrated mechanism that accounts for the effects of lithium on multiple behaviors. GSK-3β (Gsk3b) overexpression reversed behavioral defects observed in lithium-treated mice and similar behaviors observed in Gsk3b+/- mice. Furthermore, immunoprecipitation of striatial tissue from WT mice revealed that lithium disrupted the β-arrestin-2/Akt/PP2A complex by directly inhibiting GSK-3. GSK-3 inhibitors or loss of one copy of the Gsk3b gene reduced β-arrestin-2/Akt/PP2A complex formation in mice, while overexpression of Gsk3b restored complex formation in lithium-treated mice. Thus, GSK-3 regulates the stability of the β-arrestin-2/Akt/PP2A complex, and lithium disrupts the complex through direct inhibition of GSK-3. We believe these findings reveal a new role for GSK-3 within the β-arrestin complex and demonstrate that GSK-3 is a critical target of lithium in mammalian behaviors.
锂是双相情感障碍的一线治疗药物。然而,其治疗靶点仍存在争议。候选靶点包括肌醇单磷酸酶、糖原合酶激酶-3(GSK-3)和β-arrestin-2/AKT/蛋白磷酸酶 2A(β-arrestin-2/AKT/PP2A)复合物,该复合物已知是锂敏感行为所必需的。确定直接靶点对于新疗法的开发和阐明这种主要精神疾病的分子发病机制至关重要。在这里,我们展示了我们认为在小鼠中 GSK-3 和β-arrestin-2 复合物之间存在的新联系,并提出了一个综合机制,解释了锂对多种行为的影响。GSK-3β(Gsk3b)过表达逆转了锂处理小鼠中观察到的行为缺陷和 Gsk3b+/-小鼠中观察到的类似行为。此外,从 WT 小鼠的纹状体组织中进行免疫沉淀显示,锂通过直接抑制 GSK-3 破坏了β-arrestin-2/Akt/PP2A 复合物。GSK-3 抑制剂或 Gsk3b 基因缺失一个拷贝均可减少小鼠中β-arrestin-2/Akt/PP2A 复合物的形成,而 Gsk3b 的过表达则可恢复锂处理小鼠中复合物的形成。因此,GSK-3 调节β-arrestin-2/Akt/PP2A 复合物的稳定性,而锂通过直接抑制 GSK-3 破坏复合物。我们认为这些发现揭示了 GSK-3 在β-arrestin 复合物中的新作用,并证明 GSK-3 是锂在哺乳动物行为中的关键靶点。