Inositol monophosphatase has historically been believed to be a direct target of lithium, the primary treatment for bipolar disorder. Scientific support for this hypothesis exists but is limited; the complete role of lithium and inositol monophosphatase in treating bipolar disorder or reducing
myo-inositol levels is not well understood. In support of the inositol depletion hypothesis, researchers have shown that lithium binds uncompetitively to purified bovine inositol monophosphatase at the site of one of the magnesium ions. Rodents administered lithium showed a decrease in inositol levels, in line with the hypothesis.
Valproate, another mood-stabilizing drug given to bipolar disorder patients, has also been shown to mimic the effects of lithium on myo-inositol. However, some clinical studies have found that
bipolar disorder patients that had been administered lithium showed lower
myo-inositol levels, while others found no effect on
myo-inositol levels. Furthermore, lithium also binds to inositol polyphosphate 1-phosphatase (IPP), an enzyme also present in the phosphoinositide pathway, and could lower inositol levels through this mechanism More research is required to fully explain the role that lithium and IMPase play in bipolar disorder patients. Such an inhibitor would need to cross the
blood–brain barrier in order to reach the inositol monophosphatase in neurons. == References ==