Journal article
Alcohol use in bipolar disorder: A neurobiological model to help predict susceptibility, select treatments and attenuate cortical insult
Neuroscience and Biobehavioral Reviews, Vol.56, pp.193-206
2015
Abstract
In a series of neurophysiological and neuroimaging studies we investigated the neurobiology related to alcohol use in young people with bipolar disorder. Impairments were identified across frontal and temporal representations of event-related potential and proton magnetic resonance spectroscopy markers; mismatch negativity and in vivo glutathione, respectively. We propose these findings reflect impairments in the N-methyl-d-aspartate receptor and antioxidant capacity. This review seeks to place these findings within the broader literature in the context of two propositions: 1. Pathophysiological impairments in N-methyl-d-aspartate receptor functioning in bipolar disorder contribute to susceptibility toward developing alcohol problems. 2. Alcohol aggravates bipolar disorder neuroprogression via oxidative stress.A neurobiological model that incorporates these propositions is presented, with a focus on the potential for N-methyl-. d-aspartate receptor antagonism and glutathione augmentation as potential adjunctive pharmacotherapies to treat the comorbidity. While this review highlights the importance of alcohol monitoring and reduction strategies in the treatment of bipolar disorder, the clinical impact of the proposed model remains limited by the lack of controlled trials of novel pharmacological interventions. © 2015 Elsevier Ltd.
Details
- Title
- Alcohol use in bipolar disorder: A neurobiological model to help predict susceptibility, select treatments and attenuate cortical insult
- Authors
- K M Chitty (Author) - University of SydneyJim Lagopoulos (Author) - University of SydneyI B Hickie (Author) - University of SydneyDaniel F Hermens (Author) - University of Sydney
- Publication details
- Neuroscience and Biobehavioral Reviews, Vol.56, pp.193-206
- Publisher
- Pergamon
- Date published
- 2015
- DOI
- 10.1016/j.neubiorev.2015.07.004
- ISSN
- 0149-7634; 0149-7634
- Copyright note
- Copyright © 2015. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
- Organisation Unit
- University of the Sunshine Coast, Queensland; Thompson Institute
- Language
- English
- Record Identifier
- 99448910602621
- Output Type
- Journal article
- Research Statement
- false
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