AI Article Synopsis

  • The study investigates whether lithium's 'proconvulsant' effects in rats given cholinergic drugs are linked to phospholipase A2 signaling through arachidonic acid.
  • Lithium-treated rats showed higher baseline levels of arachidonic acid in key brain regions compared to control groups.
  • Arecoline, a cholinergic agonist, further increased arachidonic acid levels more significantly in lithium-treated rats, suggesting lithium may enhance neuronal excitability and contribute to seizures when combined with cholinergic drugs.

Article Abstract

Studies were performed to determine if the reported 'proconvulsant' action of lithium in rats given cholinergic drugs is related to receptor-initiated phospholipase A2 signaling via arachidonic acid. Regional brain incorporation coefficients k* of intravenously injected [1-14C]arachidonic acid, which represent this signaling, were measured by quantitative autoradiography in unanesthetized rats at baseline and following administration of subconvulsant doses of the cholinergic muscarinic agonist, arecoline. In rats fed LiCl for 6 weeks to produce a therapeutically relevant brain lithium concentration, the mean baseline values of k* in brain auditory and visual areas were significantly greater than in rats fed control diet. Arecoline at doses of 2 and 5 mg/kg intraperitoneally increased k* in widespread brain areas in rats fed the control diet as well as the LiCl diet. However, the arecoline-induced increments often were significantly greater in the LiCl-fed than in the control diet-fed rats. Lithium's elevation of baseline k* in auditory and visual regions may correspond to its ability in humans to increase auditory and visual evoked responses. Additionally, its augmentation of the k* responses to arecoline may underlie its reported 'proconvulsant' action with cholinergic drugs, as arachidonic acid and its eicosanoid metabolites can increase neuronal excitability and seizure propagation.

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http://dx.doi.org/10.1046/j.1471-4159.2003.01811.xDOI Listing

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