Abstract
Background: A number of investigators have reported finding elevated basal and stimulated
intracellular calcium levels in the platelets or lymphocytes of bipolar disorder patients.
Methods: Intracellular calcium was measured by a micro fura-2 fluorometric method
in the platelets and lymphocytes of 30 affective disorder patients and 14 control
subjects.
Results: We observed significantly elevated basal calcium concentrations in bipolar
patient platelets and lymphocytes compared to control subjects. Bipolar patient platelet
calcium responses to thrombin, serotonin, and thapsigargin were also significantly
greater than control subjects. The peak calcium levels of lymphocytes of bipolar patients
were greater than control subjects only when stimulated by thapsigargin. There were
significant differences between bipolar and unipolar patients in basal and thapsigargin-stimulated
calcium measures but not between bipolar I and bipolar II patients. Unmedicated versus
medicated calcium measures were not significantly different. We also found little
correlation between calcium measures and the severity of mood rating.
Conclusions: Using this method, we were able to confirm and extend the work of others,
indicating altered intracellular calcium homeostasis in the blood cells of bipolar
disorder patients. In addition, our data suggest that storage operated calcium channels
may be the source of the elevated intracellular calcium in platelets and lymphocytes
of bipolar patients.
Keywords
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References
- Lithium blocks 45Ca2+ uptake into platelets in bipolar affective disorder and controls.Clin Neuropharmacol. 1996; 19: 48-51
- Platelet intracellular calcium in patients with recurrent affective disorders.Psychopharmacology (Berl). 1994; 114: 375-381
- Intracellular calcium. Replenishing the stores.Nature. 1995; 375: 634-635
- Calcium antagonists in manic depressive illness.Neuropsychobiology. 1993; 27: 184-192
- Elevated platelet intracellular calcium concentration in bipolar depression.Biol Psychiatry. 1991; 29: 441-450
- Abnormal intracellular calcium ion concentration in platelets and lymphocytes of bipolar patients.Am J Psychiatry. 1992; 149: 118-120
Dubovsky SL, Thomas M, Hijazi A, Murphy J (1994): Intracellular calcium signaling in peripheral cells of patients with bipolar affective disorder. Eur Arch Psychiatry Clin Neurosci 234:299–234.
- Platelet and lymphocyte free intracellular calcium in affective disorders.Eur Arch Psychiatry Clin Neurosci. 1994; 243: 235-239
- The relationship between antimanic agent for treatment of classic or dysphoric mania and length of hospital stay.J Clin Psychiatry. 1996; 57: 17-21
- A new generation of Ca2+ indicators with greatly improved fluorsecence properties.J Biol Chem. 1985; 260: 3440-3450
- Phosphatase inhibitors suppress Ca2+ influx induced by receptor-mediated intracellular Ca2+ store depletion in human platelets.Cell Calcium. 1994; 15: 381-390
- Serotonin-induced increases in platelet cytosolic calcium concentration in depressed, schizophrenic, and substance abuse patients.Biol Psychiatry. 1996; 39: 708-713
- Thrombin-induced platelet calcium mobilization is enhanced in bipolar disorders.Biol Psychiatry. 1992; 32: 731-734
- Serotonin-induced platelet intracellular calcium mobilization in depressed patients.Psychopharmacology (Berl). 1994; 113: 322-327
- Serotonin but not norepinephrine-induced calcium mobilization of platelets is enhanced in affective disorders.Psychopharmacology (Berl). 1992; 106: 311-314
- Serotonin-induced platelet calcium mobilization is enhanced in mania.Life Sci. 1995; 56: 327-332
- Low concentrations of sodium fluoride inhibit Ca2+ influx induced by receptor-mediated platelet activation.Biochim Biophys Acta. 1993; 1147: 27-34
- Antidepressant effects of carbamazepine.Am J Psychiatry. 1986; 143: 29-34
- Correlates of antimanic response to carbamazepine.Psychiatry Res. 1987; 21: 71-83
- Capacitative calicum entry revisited.Cell Calcium. 1990; 11: 611-624
- Effects of lithium on platelet ionic intracellular calcium concentration in patients with bipolar (manic-depressive) disorder and health controls.Life Sci. 1990; 46: 1175-1180
- Thapsigargin, a tumor promoter, discharges intracellular Ca2+ stores by specific inhibition of the endoplasmic reticulum Ca2+-ATPase.Proc Natl Acad Sci USA. 1990; 87: 2466-2470
- Cytosolic free [Ca2+] in single T-lymphocytes from depressed patients and healthy controls.Eur Arch Psychiatry Clin Neurosci. 1994; 243: 214-217
- Mitogen stimulated rise of intracellular calcium concentration in single T lymphocytes from patients with major depression is reduced.Prog Neuropsychopharmacol Biol Psychiatry. 1995; 19: 1263-1273
Article info
Publication history
Accepted:
September 15,
1998
Received in revised form:
August 17,
1998
Received:
February 23,
1998
Identification
Copyright
© 1999 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.