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Erythrocyte membrane sodium — potassium adenosine triphosphatase activity in affective disorders

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TLDR
Monitoring of Na+,K+-ATPase activity during lithium therapy is useful to predict a therapeutic response, and the lithium responders showed a significant increase in Na+K-ATpase activity compared to lithium nonresponders.
Abstract
Erythrocyte membrane Na+,K+-ATPase activity was studied in drug naive patients with bipolar (BP) mania (n=62) and unipolar (UP) depression (n=60) and normal controls (n=66). Compared to controls there was a significantly decreased Na+,K+-ATPase activity in UP depressives but no change in BP manics. However, lithium treatment caused a significant increase in Na+,K+-ATPase activity although there was no correlation between plasma lithium levels and enzyme activity. Plasma cortisol correlated inversely with Na+,K+-ATPase in UP depressives. Interestingly, the lithium responders [ 50% BRMS score). These observations indicate that monitoring of Na+,K+-ATPase activity during lithium therapy is useful to predict a therapeutic response.

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Lithium in the treatment of bipolar disorder: pharmacology and pharmacogenetics

TL;DR: There is inherent value and need for studies of lithium responders, as full responders to lithium seem to represent a unique clinical population, and such studies will be an opportunity to uncover specific effects of lithium in those individuals who clearly benefit from the treatment.
Journal ArticleDOI

The Na,K-ATPase hypothesis for bipolar illness.

TL;DR: A reduction in Na,K-ATPase activity can lead to both mania and depression by increasing membrane excitability and decreasing neurotransmitter release, respectively.
Journal ArticleDOI

Reduction of Hippocampal Na + , K + -ATPase Activity in Rats Subjected to an Experimental Model of Depression

TL;DR: The effect of a model of depression using female rats on Na+, K+-ATPase activity in hippocampal synaptic plasma membranes was studied and treatment with fluoxetine increased this enzyme activity and reversed the effect of stress.
Journal ArticleDOI

Effects of lithium therapy on Na+-K+-ATPase activity and lipid peroxidation in bipolar disorder.

TL;DR: Lithium induced improvement in the enzyme activity was associated with significant reduction in lipid peroxidation and enhancement of the Na(+)-K(+-ATPase activity by optimum dosage of lithium may be a potential contributing factor for reducing oxidative stress in BPD patients.
References
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Journal Article

Protein Measurement with the Folin Phenol Reagent

TL;DR: Procedures are described for measuring protein in solution or after precipitation with acids or other agents, and for the determination of as little as 0.2 gamma of protein.
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Research diagnostic criteria: Rationale and reliability.

TL;DR: The development and initial reliability studies of a set of specific diagnostic criteria for a selected group of functional psychiatric disorders, the Research Diagnostic Criteria (RDC), indicate high reliability for diagnostic judgments made using these criteria.
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A specific laboratory test for the diagnosis of melancholia. Standardization, validation, and clinical utility.

TL;DR: Abnormal DST results were found with similar frequency among outpatients and inpatients with melancholia; but they were not related to age, sex, recent use of psychotropic drugs, or severity of depressive symptoms.
Journal ArticleDOI

The biochemistry of affective disorders.

TL;DR: The weight of evidence suggests that biochemical changes are most important in the aetiology of affective disorders, and that psychological and environmental events may precipitate and maintain the biochemical events which in turn lead to the affective disorder.
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