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Updated: May 15, 2026

Developing a Rat Model for Bipolar Disorder
Published on: May 2, 2025
Selfish brain and neuroprogression in bipolar disorder
Rodrigo B Mansur1, Danielle S Cha, Elson Asevedo
1Interdisciplinary Laboratory of Clinical Neurosciences (LINC), Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil. rodrigomansur71@uol.com.br
Bipolar disorder (BD) increases mortality via metabolic issues. The "selfish brain" theory suggests the brain prioritizes its energy needs, potentially explaining these metabolic complications in BD patients.
Area of Science:
- Neuroscience
- Psychiatry
- Metabolic Disorders
Background:
- Bipolar disorder (BD) is linked to higher mortality rates, primarily due to metabolic complications.
- The general population experiences fewer metabolic issues compared to individuals with BD.
Purpose of the Study:
- To explore the application of the "selfish brain" theory in understanding metabolic abnormalities in bipolar disorder.
- To provide a framework for investigating the link between central nervous system (CNS) energy demands and peripheral metabolic dysregulation in BD.
Main Methods:
- Conceptual framework analysis applying the "selfish brain" theory to bipolar disorder.
- Review of neurobiological mechanisms underlying mood episodes in BD and their metabolic consequences.
- Exploration of the CNS's role in modulating peripheral energy metabolism.
Main Results:
- Mood episodes in BD, particularly manic ones, are neurotoxic, involving neurotransmitter release (dopamine, glutamate), oxidative stress, and inflammation.
- Neurotoxicity and cell damage during mood episodes necessitate increased energy supply for brain repair.
- The "selfish brain" theory offers a heuristic model to explain how the brain's energy prioritization contributes to metabolic complications in BD.
Conclusions:
- The "selfish brain" theory provides valuable insights into the development of metabolic abnormalities in bipolar disorder.
- Understanding this neuro-metabolic interplay may lead to novel strategies for preventing and treating metabolic complications in BD patients.
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