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LITHIUM ION
 
LI is found in 51 entries
LI
  •   Chemical Component Summary   Hide
    Name LITHIUM ION
    Identifiers lithium
    lithium(+1) cation
    Formula Li
    Molecular Weight 6.94 g/mol
    Type non-polymer
    Isomeric SMILES
    InChI
    InChI key HBBGRARXTFLTSG-UHFFFAOYSA-N
     
  •   Drug Info: DrugBank Hide
    DrugBank ID DB01356   (Stereoisomeric match)
    Name Lithium
    Groups approved
    Description Lithium was used during the 19th century to treat gout. Lithium salts such as lithium carbonate (Li2CO3), lithium citrate, and lithium orotate are mood stabilizers. They are used in the treatment of bipolar disorder, since unlike most other mood altering drugs, they counteract both mania and depression. Lithium can also be used to augment other antidepressant drugs. It is also sometimes prescribed as a preventive treatment for migraine disease and cluster headaches. The active principle in these salts is the lithium ion Li+, which having a smaller diameter, can easily displace K+ and Na+ and even Ca+2, in spite of its greater charge, occupying their sites in several critical neuronal enzymes and neurotransmitter receptors.
    Brand names
    • Eskalith
    • LithoTab
    Indication Lithium is used as a mood stabilizer, and is used for treatment of depression and mania. It is often used in bipolar disorder treatment.
    Pharmacology Although lithium has been used for over 50 years in treatment of bipolar disorder, the mechanism of action is still unknown. Lithium's therapeutic action may be due to a number of effects, ranging from inhibition of enzymes such as glycogen synthase kinase 3, inositol phosphatases, or modulation of glutamate receptors.
    Mechanism of action The precise mechanism of action of Li+ as a mood-stabilizing agent is currently unknown. It is possible that Li+ produces its effects by interacting with the transport of monovalent or divalent cations in neurons. An increasing number of scientists have come to the conclusion that the excitatory neurotransmitter glutamate is the key factor in understanding how lithium works. Lithium has been shown to change the inward and outward currents of glutamate receptors (especially GluR3), without a shift in reversal potential. Lithium has been found to exert a dual effect on glutamate receptors, acting to keep the amount of glutamate active between cells at a stable, healthy level, neither too much nor too little. It is postulated that too much glutamate in the space between neurons causes mania, and too little, depression. Another mechanism by which lithium might help to regulate mood include the non-competitive inhibition of an enzyme called inositol monophosphatase. Alternately lithium's action may be enhanced through the deactivation of the GSK-3B enzyme. The regulation of GSK-3B by lithium may affect the circadian clock. GSK-3 is known for phosphorylating and thus inactivating glycogen synthase. GSK-3B has also been implicated in the control of cellular response to damaged DNA. GSK-3 normally phosphorylates beta catenin, which leads to beta catenin degratation. When GSK-3 is inhibited, beta catenin increases and transgenic mice with overexpression of beta catenin express similar behaviour to mice treated with lithium. These results suggest that increase of beta catenin may be a possible pathway for the therapeutic action of lithium.
    Route of administration Oral
    ATC-Code
    • N05AN01
    • D11AX04
    AHFS-Code
    • 28:28.00
    • 92:02.00*
    CAS number 7439-93-2
    Targets
    Name Sequence search Pharmacological action Actions
    Glycogen synthase kinase-3 beta   Search  unknown inhibitor
    Inositol monophosphatase   Search  unknown inhibitor
    Inositol monophosphatase 2   Search  unknown inhibitor
    Glutamate receptor 3   Search  unknown potentiator
     
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