The second-messenger dysbalance hypothesis of affective disorders

Proceeding from recent evidence about the mechanism of action of lithium and of the novel antidepressant rolipram, it is proposed that functional disturbances in intraneuronal signal transmission distal to the receptors of classic neurotransmitters (first messengers) play a role in the etiology of a...

Full description

Saved in:
Bibliographic Details
Published in:Pharmacopsychiatry Vol. 23; no. 1; p. 27
Main Author: Wachtel, H
Format: Journal Article
Language:English
Published: Germany 01-01-1990
Subjects:
Online Access:Get more information
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Proceeding from recent evidence about the mechanism of action of lithium and of the novel antidepressant rolipram, it is proposed that functional disturbances in intraneuronal signal transmission distal to the receptors of classic neurotransmitters (first messengers) play a role in the etiology of affective disorders. The second-messenger dysbalance hypothesis suggests that affective disorders are caused by the functional dysbalance of the two major intraneuronal signal-amplification systems (the adenylate-cyclase and the phospholipase-C system), with depression resulting from hypofunction of cyclic adenosine-3',5'-monophosphate-mediated effector cell responses together with an absolute or relative dominance of the inositoltriphosphate/diacylglycerol-mediated responses, and mania resulting from the converse. The usefulness of this hypothesis is discussed with respect to (a) the mechanism of action of current therapeutics and (b) the development of novel therapeutic approaches.
ISSN:0176-3679
DOI:10.1055/s-2007-1014478