Use este identificador para citar ou linkar para este item: http://hdl.handle.net/1843/47164
Tipo: Artigo de Periódico
Título: Lamotrigine as a mood stabilizer: insights from the pre-clinical evidence
Autor(es): Aline Silva de Miranda
Amanda Silva de Miranda
Antonio Lucio Teixeira Junior
Resumo: Introduction: Lamotrigine (LTG) is a well-established anticonvulsant that is also approved for the prevention of mood relapses in bipolar disorder. However, the mechanisms underlying LTG mood stabilizing effects remain unclear. Areas covered: Herein, the pre-clinical evidence concerning LTG’s’ mode of action in depression and mania is reviewed. Bottlenecks and future perspectives for this expanding and promising field are also discussed. Pre-clinical studies have indicated that neurotransmitter systems, especially serotoninergic, noradrenergic and glutamatergic, as well as non-neurotransmitter pathways such as inflammation and oxidative processes might play a role in LTG’s antidepressant effects. The mechanisms underlying LTG’s anti-manic properties remain to be fully explored, but the available pre-clinical evidence points out to the role of glutamatergic neurotransmission, possibly through AMPA-receptors. Expert opinion: A major limitation of current pre-clinical investigations is that there are no experimental models that recapitulate the complexity of bipolar disorder. Significant methodological differences concerning time and dose of LTG treatment, administration route, animal strains, and behavioral paradigms also hamper the reproducibility of the findings, leading to contradictory conclusions. Moreover, the role of other mechanisms (e.g. inositol phosphate and GSK3β pathways) implicated in the mode of action of different mood-stabilizers must also be consolidated with LTG.
Assunto: Transtorno bipolar
Depressão mental
Dopamina
Glutamato monossódico
Serotonina
Distúrbios cognitivos
Modelos animais
Idioma: eng
País: Brasil
Editor: Universidade Federal de Minas Gerais
Sigla da Instituição: UFMG
Departamento: ICB - DEPARTAMENTO DE MORFOLOGIA
ICX - DEPARTAMENTO DE QUÍMICA
MED - DEPARTAMENTO DE CLÍNICA MÉDICA
Tipo de Acesso: Acesso Restrito
Identificador DOI: https://doi.org/10.1080/17460441.2019.1553951
URI: http://hdl.handle.net/1843/47164
Data do documento: 2019
metadata.dc.url.externa: https://www.tandfonline.com/doi/abs/10.1080/17460441.2019.1553951?journalCode=iedc20
metadata.dc.relation.ispartof: Expert Opinion on Drug Discovery
Aparece nas coleções:Artigo de Periódico

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