Kindling and second messengers: an approach to the neurobiology of recurrence in bipolar disorder.

Abstract:

:Since bipolar disorder is inherently a longitudinal illness characterized by recurrence and cycling of mood episodes, neurobiological theories involving kindlinglike phenomena appear to possess a certain explanatory power. An approach to understanding kindlinglike phenomena at the molecular level has been made possible by advances in research on second-messenger systems in the brain. The time frame of interest has shifted from the microseconds of presynaptic events to hours, days, months, and even years in the longer duration of events beyond the synapse--through second messengers, gene regulation, and synthesis of long-acting trophic factors. These complex interlocking systems may explain how environmental stress could interact over time with genetic vulnerability to produce illness. In its two sections, this paper will review an approach to understanding two major aspects of the neurobiology of bipolar disorder: kindling phenomena and second-messenger mechanisms. We will suggest that these two fields of research together help explain the biology of recurrence.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Ghaemi SN,Boiman EE,Goodwin FK

doi

10.1016/s0006-3223(98)00256-x

subject

Has Abstract

pub_date

1999-01-15 00:00:00

pages

137-44

issue

2

eissn

0006-3223

issn

1873-2402

pii

S0006-3223(98)00256-X

journal_volume

45

pub_type

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