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Novel brain imaging technique suggests how lithium works as a therapeutic
LOS ANGELES, April 12, 2007--Neuroscientists at UCLA have shown
that lithium, long the standard treatment for bipolar disorder,
increases the amount of gray matter in the brains of patients with
the illness.
The research is featured in the July issue of the journal
Biological Psychiatry and is currently available online.
Carrie Bearden, a clinical neuropsychologist and assistant
professor of psychiatry at UCLA, and Paul Thompson, associate
professor of neurology at the UCLA Laboratory of Neuro Imaging,
used a novel method of three-dimensional magnetic resonance imaging
(MRI) to map the entire surface of the brain in people diagnosed
with bipolar disorder.
When the researchers compared the brains of bipolar patients on
lithium with those of people without the disorder and those of
bipolar patients not on lithium, they found that the volume of gray
matter in the brains of those on lithium was as much as 15 percent
higher in areas that are critical for attention and controlling
emotions.
The neurobiological underpinnings of bipolar disorder — an
illness marked by a roller coaster of emotions between mania and
depression — are not well understood. Nor is it understood
how lithium works in controlling these severe mood swings, even
though it has been the standard treatment for some 50 years. These
new findings suggest that lithium may work by increasing the amount
of gray matter in particular brain areas, which in turn suggests
that existing gray matter in these regions of bipolar brains may be
underused or dysfunctional.
This is the first time researchers were able to look at specific
regions of the brain that may be affected by lithium treatment in
living human subjects, said Bearden.
“We used a novel method for brain imaging analysis that is
exquisitely sensitive to subtle differences
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