Department of Kinesiology, Brock University, St. Catharines, Ontario, Canada.
Centre for Bone and Muscle Health, Brock University, St. Catharines, Ontario, Canada.
Curr Neuropharmacol. 2023;21(4):891-910. doi: 10.2174/1570159X20666220302151224.
Lithium is most well-known for its mood-stabilizing effects in the treatment of bipolar disorder. Due to its narrow therapeutic window (0.5-1.2 mM serum concentration), there is a stigma associated with lithium treatment and the adverse effects that can occur at therapeutic doses. However, several studies have indicated that doses of lithium under the predetermined therapeutic dose used in bipolar disorder treatment may have beneficial effects not only in the brain but across the body. Currently, literature shows that low-dose lithium (≤0.5 mM) may be beneficial for cardiovascular, musculoskeletal, metabolic, and cognitive function, as well as inflammatory and antioxidant processes of the aging body. There is also some evidence of low-dose lithium exerting a similar and sometimes synergistic effect on these systems. This review summarizes these findings with a focus on low-dose lithium's potential benefits on the aging process and age-related diseases of these systems, such as cardiovascular disease, osteoporosis, sarcopenia, obesity and type 2 diabetes, Alzheimer's disease, and the chronic low-grade inflammatory state known as inflammaging. Although lithium's actions have been widely studied in the brain, the study of the potential benefits of lithium, particularly at a low dose, is still relatively novel. Therefore, this review aims to provide possible mechanistic insights for future research in this field.
锂在治疗双相情感障碍方面最广为人知的是其稳定情绪的作用。由于其治疗窗狭窄(0.5-1.2mM 血清浓度),锂治疗存在与之相关的污名和治疗剂量下可能发生的不良反应。然而,多项研究表明,低于治疗剂量的锂(≤0.5mM)不仅在大脑中,而且在全身都可能产生有益的作用。目前,文献表明,低剂量锂(≤0.5mM)可能有益于心血管、肌肉骨骼、代谢和认知功能,以及衰老机体的炎症和抗氧化过程。低剂量锂对这些系统也有类似的,甚至有时是协同作用的证据。本综述总结了这些发现,重点关注低剂量锂对这些系统的衰老过程和与年龄相关疾病的潜在益处,如心血管疾病、骨质疏松症、肌肉减少症、肥胖和 2 型糖尿病、阿尔茨海默病以及被称为炎症衰老的慢性低度炎症状态。尽管锂在大脑中的作用已被广泛研究,但锂的潜在益处,特别是低剂量的作用,仍然相对较新。因此,本综述旨在为该领域的未来研究提供可能的机制见解。