Dysregulated
protein kinase C (PKC) distribution and activation, and abnormal receptor-
G protein coupling, have been implicated in the pathophysiology of bipolar
affective disorder (BD). The therapeutic effectiveness of
lithium has also been correlated with its ability to reduce PKC activation and
G protein-mediated signaling. We examine the cellular distribution and activation of PKC and receptor-
G protein coupling in blood platelets from normal controls, patients with BD
mania or
schizophrenia during treatment-free state, and after
lithium or
valproic acid administration. PKC activity was measured under basal and 50 nM
phorbol 12-myristate, 13-acetate (PMA), 1 microM
serotonin or 0.5 U/ml
thrombin-stimulated conditions. The coupling of
G proteins to
serotonin or
thrombin receptors were assessed by
serotonin or
thrombin-mediated [35S]
GTPgammaS binding to membrane Galpha
proteins. The results demonstrate that membrane-associated PKC activity and stimulus-induced PKC translocation are increased in BD manic, whereas stimulus-elicited PKC translocation is attenuated in schizophrenic patients.
Lithium and
valproic acid treatments attenuated the stimulus-induced PKC translocations to a similar degree and decreased PKC activity in both cytosolic and membranous fractions after two weeks of drug administration. An increase in
5-HT or
thrombin stimulated [35S]
GTPgammaS binding to Galpha
proteins was detected in BD manic but not in schizophrenic patients although basal [35S]
GTPgammaS binding was not different across the diagnostic groups.
Lithium and
valproic acid treatments similarly reduced receptor-
G protein coupling with comparable time courses. Thus, increased membrane-associated PKC, cytosol to membrane PKC translocation and receptor-
G protein coupling in platelets of BD manic patients were alleviated by
lithium or
valproic acid treatments.