Manic depression may be caused by overactiviry of certain central nervous
system cells, perhaps caused by abnormally high levels of hormones or
neurotransmitters which stimulate phospholipidbased signal transduction (c.g.,
from phosphatidylinositol [PI]). Lithium has been used for many years to treat
manic depression. In the presence of \(\mathrm{Li}^{*}\), the PI system is
slowed despite continued stimulation and cells become less sensitive to these
stimuli. Li \(^{+}\) may have two functions, inhibition of the phosphatase that
dephosphorylates inositol trisphosphate and direct interference with the
function of G proteins.
The PI system begins with activation of phospholipase \(C,\) which initiates a
sequence of events including all of the following except
A. activation of \(\mathrm{IP}_{3}\) by action of a phosphatase.
B. increase in intracellular \(\mathrm{Ca}^{2+}\) concentration.
C. release of diacylglycerol (DAG) from a phospholipid.
D. activation of protein kinase \(C\).
E. phosphorylation of certain cytoplasmic proteins.