An Overview of the Effects of Lithium on Alzheimer's Disease: A Historical Perspective

Marcia Radanovic1,2, Monique Patricio Singulani1,2,3, Vanessa de Jesus R De Paula1,2

  • 1Laboratory of Neuroscience (LIM-27), Department and Institute of Psychiatry, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo 05403-010, SP, Brazil.

Insights

Lithium is an essential medication for bipolar disorder, effectively managing mania and preventing relapse. Emerging research highlights its neuroprotective benefits, suggesting potential for treating neurodegenerative diseases like Alzheimer's.

Area of Science:

  • Psychiatry and Neurology
  • Pharmacology

Background:

  • Lithium salts are essential medications, widely used since the late 19th century for psychiatric disorders.
  • They are the most effective treatment for acute mania and relapse prevention in bipolar disorder.
  • Current guidelines incorporate lithium for its mood-stabilizing, suicide-risk-reducing, and neuroprotective properties.

Purpose of the Study:

  • To review the historical context and discovery of lithium in psychiatric practice.
  • To explore the mechanisms of action of lithium.
  • To discuss the potential of lithium in treating and preventing neurodegenerative disorders, with a focus on Alzheimer's disease.

Main Methods:

  • Historical review of lithium's introduction and use in psychiatry.
  • Examination of scientific literature on lithium's mechanisms of action.
  • Analysis of translational research and clinical data regarding lithium's efficacy in neurological conditions.

Main Results:

  • Lithium remains a cornerstone treatment for bipolar disorder, offering superior efficacy in mania management and relapse prevention.
  • Evidence suggests lithium possesses neuroprotective qualities and may mitigate suicide risk.
  • Translational research indicates pleiotropic effects beneficial for brain health and potentially other organ systems.

Conclusions:

  • Lithium's established efficacy in psychiatric care, coupled with its neuroprotective potential, warrants further investigation for neurodegenerative diseases.
  • Its broad therapeutic benefits support its consideration as an essential medication beyond mood stabilization.
  • Future research should focus on elucidating lithium's role in preventing and treating conditions like Alzheimer's disease.

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