The mood stabilizer lithium slows down synaptic vesicle cycling at glutamatergic synapses

Lithium is a mood stabilizer broadly used to prevent and treat symptoms of mania and depression in people with bipolar disorder (BD). Little is known, however, about its mode of action. Here, we analyzed the impact of lithium on synaptic vesicle (SV) cycling at presynaptic terminals releasing glutam...

Full description

Bibliographic Details
Main Authors: Tang, Willcyn, Cory, Bradley, Lim, Kah-Leong, Fivaz, Marc
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Journal Article
Language:English
Published: 2023
Subjects:
Online Access:https://hdl.handle.net/10356/170540
_version_ 1826125240567070720
author Tang, Willcyn
Cory, Bradley
Lim, Kah-Leong
Fivaz, Marc
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Tang, Willcyn
Cory, Bradley
Lim, Kah-Leong
Fivaz, Marc
author_sort Tang, Willcyn
collection NTU
description Lithium is a mood stabilizer broadly used to prevent and treat symptoms of mania and depression in people with bipolar disorder (BD). Little is known, however, about its mode of action. Here, we analyzed the impact of lithium on synaptic vesicle (SV) cycling at presynaptic terminals releasing glutamate, a neurotransmitter previously implicated in BD and other neuropsychiatric conditions. We used the pHluorin-based synaptic tracer vGpH and a fully automated image processing pipeline to quantify the effect of lithium on both SV exocytosis and endocytosis in hippocampal neurons. We found that lithium selectively reduces SV exocytic rates during electrical stimulation, and markedly slows down SV recycling post-stimulation. Analysis of single-bouton responses revealed the existence of functionally distinct excitatory synapses with varying sensitivity to lithium-some terminals show responses similar to untreated cells, while others are markedly impaired in their ability to recycle SVs. While the cause of this heterogeneity is unclear, these data indicate that lithium interacts with the SV machinery and influences glutamate release in a large fraction of excitatory synapses. Together, our findings show that lithium down modulates SV cycling, an effect consistent with clinical reports indicating hyperactivation of glutamate neurotransmission in BD.
first_indexed 2024-10-01T06:33:29Z
format Journal Article
id ntu-10356/170540
institution Nanyang Technological University
language English
last_indexed 2024-10-01T06:33:29Z
publishDate 2023
record_format dspace
spelling ntu-10356/1705402023-09-19T02:05:40Z The mood stabilizer lithium slows down synaptic vesicle cycling at glutamatergic synapses Tang, Willcyn Cory, Bradley Lim, Kah-Leong Fivaz, Marc Lee Kong Chian School of Medicine (LKCMedicine) National Neuroscience Institute Science::Medicine Bipolar Disorder Synaptic Vesicle Cycle Lithium is a mood stabilizer broadly used to prevent and treat symptoms of mania and depression in people with bipolar disorder (BD). Little is known, however, about its mode of action. Here, we analyzed the impact of lithium on synaptic vesicle (SV) cycling at presynaptic terminals releasing glutamate, a neurotransmitter previously implicated in BD and other neuropsychiatric conditions. We used the pHluorin-based synaptic tracer vGpH and a fully automated image processing pipeline to quantify the effect of lithium on both SV exocytosis and endocytosis in hippocampal neurons. We found that lithium selectively reduces SV exocytic rates during electrical stimulation, and markedly slows down SV recycling post-stimulation. Analysis of single-bouton responses revealed the existence of functionally distinct excitatory synapses with varying sensitivity to lithium-some terminals show responses similar to untreated cells, while others are markedly impaired in their ability to recycle SVs. While the cause of this heterogeneity is unclear, these data indicate that lithium interacts with the SV machinery and influences glutamate release in a large fraction of excitatory synapses. Together, our findings show that lithium down modulates SV cycling, an effect consistent with clinical reports indicating hyperactivation of glutamate neurotransmission in BD. Ministry of Education (MOE) This work was funded by research grants to K-LL from the Ministry of Education, Singapore under its AcRF Tier 3 (MOE2017- T3-1-002) and research grants to MF from the Leverhulme Trust (RPG-2018-265) and from the Ministry of Education Singapore (MOE2013-T2-1-053). 2023-09-19T02:05:40Z 2023-09-19T02:05:40Z 2023 Journal Article Tang, W., Cory, B., Lim, K. & Fivaz, M. (2023). The mood stabilizer lithium slows down synaptic vesicle cycling at glutamatergic synapses. Neuromolecular Medicine, 25(1), 125-135. https://dx.doi.org/10.1007/s12017-022-08729-8 1535-1084 https://hdl.handle.net/10356/170540 10.1007/s12017-022-08729-8 36436129 2-s2.0-85142651233 1 25 125 135 en MOE2017-T3-1–002 Neuromolecular Medicine © 2022 The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. All rights reserved.
spellingShingle Science::Medicine
Bipolar Disorder
Synaptic Vesicle Cycle
Tang, Willcyn
Cory, Bradley
Lim, Kah-Leong
Fivaz, Marc
The mood stabilizer lithium slows down synaptic vesicle cycling at glutamatergic synapses
title The mood stabilizer lithium slows down synaptic vesicle cycling at glutamatergic synapses
title_full The mood stabilizer lithium slows down synaptic vesicle cycling at glutamatergic synapses
title_fullStr The mood stabilizer lithium slows down synaptic vesicle cycling at glutamatergic synapses
title_full_unstemmed The mood stabilizer lithium slows down synaptic vesicle cycling at glutamatergic synapses
title_short The mood stabilizer lithium slows down synaptic vesicle cycling at glutamatergic synapses
title_sort mood stabilizer lithium slows down synaptic vesicle cycling at glutamatergic synapses
topic Science::Medicine
Bipolar Disorder
Synaptic Vesicle Cycle
url https://hdl.handle.net/10356/170540
work_keys_str_mv AT tangwillcyn themoodstabilizerlithiumslowsdownsynapticvesiclecyclingatglutamatergicsynapses
AT corybradley themoodstabilizerlithiumslowsdownsynapticvesiclecyclingatglutamatergicsynapses
AT limkahleong themoodstabilizerlithiumslowsdownsynapticvesiclecyclingatglutamatergicsynapses
AT fivazmarc themoodstabilizerlithiumslowsdownsynapticvesiclecyclingatglutamatergicsynapses
AT tangwillcyn moodstabilizerlithiumslowsdownsynapticvesiclecyclingatglutamatergicsynapses
AT corybradley moodstabilizerlithiumslowsdownsynapticvesiclecyclingatglutamatergicsynapses
AT limkahleong moodstabilizerlithiumslowsdownsynapticvesiclecyclingatglutamatergicsynapses
AT fivazmarc moodstabilizerlithiumslowsdownsynapticvesiclecyclingatglutamatergicsynapses