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<p>Lithium is the most commonly used medicine to treat bipolar disorder (BD). It is considered a mood regulator, and the mechanisms underlying this effect still need to be elucidated. Some modulations are involved in neuroprotection, including neuronal communication, neuron differentiation and survival, synaptic modulation and plasticity, modulation of cognition, contribution to antioxidant defense, and reduction of inflammation, glial dysfunction, and apoptosis. In general, about 50% of the concentrations in serum are in the brain. However, it is essential to note that many gene expression differences influence the concentrations and actions of individuals. This review discusses the various mechanisms of lithium in BD I and II, its effects on neurotransmitters and receptors, the hypothalamic–pituitary–adrenal (HPA) axis, inflammation and neuroinflammation, immune functions, oxidative and nitrosative stress, mitochondrial respiratory chain function, intracellular signaling, and brain plasticity, as well as toxicity and side effects.</p>

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Lithium Therapeutic Functions: An Update on Pharmacokinetics, Pathophysiological Mechanisms of Action, Toxicity, and Side Effects

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年1月1日

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  • Amanda Gollo Bertollo,
  • Maiqueli Eduarda Dama Mingoti,
  • Sales Antonio Barbosa Junior,
  • Paula Dallagnol,
  • Paula Teresinha Tonin,
  • Zuleide Maria Ignácio

摘要

Lithium is the most commonly used medicine to treat bipolar disorder (BD). It is considered a mood regulator, and the mechanisms underlying this effect still need to be elucidated. Some modulations are involved in neuroprotection, including neuronal communication, neuron differentiation and survival, synaptic modulation and plasticity, modulation of cognition, contribution to antioxidant defense, and reduction of inflammation, glial dysfunction, and apoptosis. In general, about 50% of the concentrations in serum are in the brain. However, it is essential to note that many gene expression differences influence the concentrations and actions of individuals. This review discusses the various mechanisms of lithium in BD I and II, its effects on neurotransmitters and receptors, the hypothalamic–pituitary–adrenal (HPA) axis, inflammation and neuroinflammation, immune functions, oxidative and nitrosative stress, mitochondrial respiratory chain function, intracellular signaling, and brain plasticity, as well as toxicity and side effects.