Side effects of low serum lithium concentrations on renal, thyroid, and sexual functions in male and female rats
Author: Allagui MS, Hfaiedh N, Croute F, Guermazi F, Vincent C, Soleilhavoup JP, El Feki A.
Source:
Comptes rendus biologies, 328(10-11), 900-911.
The present study, carried out in rats, is a contribution to explore
physiological mechanisms underlying lithium toxicity. Male and female mature rats
were divided into three groups and fed on commercial pellets: group (C) was
control, group (Li1) was given 2000 mg lithium carbonate/kg of food, and group
(Li2) was given 4000 mg lithium carbonate/kg of food. If we take into account the
BW of the rats and the quantity of food they eat every day, we can estimate that
the quantities of lithium carbonate ingested per day and kilogram of BW are,
respectively, for the groups Li1 and Li2, of 212 mg (5,738 mmol Li) and 323 mg
(8,742 mmol Li) for the males, and about 190 mg (5,142 mmol Li) and 289 mg (7,822
mmol Li) for the females. After 7, 14, 21 and 28 days, serum concentrations of
lithium, creatinine, free triiodothyronine (FT3) and thyroxine (FT4),
testosterone and estradiol were measured. Attention was also paid to growth rate
and a histological examination of testes or vaginal mucosa was carried out. In
treated rats, a dose-dependent loss of appetite and a decrease in growth rate
were observed together with polydipsia, polyuria, and diarrhoeLithium serum
concentrations were found to increase from 0.44 mM (day 7) to 1.34 mM (day 28) in
Li1 rats and from 0.66 to 1.45 mM (day 14) in Li2 rats. Treatment was stopped at
day 14 in Li2 rats because of a high mortality. The significant increase of
creatinine that appeared, respectively, at day 7 and 14 in Li2 and Li1 rats shows
that serum lithium concentrations ranging from 0.62 to 0.75 mM were able to
induce renal insufficiency, secondarily leading to a time-dependent rise in
lithium serum concentrations. A significant decrease of serum thyroxine (FT4) and
triiodothyronine (FT3) levels was observed for lithium concentrations ranging
from: 0.66 to 0.75 mmol l(-1) (Li2 rats) to 1.27 mmol l(-1) (Li1 rats). This
effect was more pronounced for FT3, suggesting a defect of FT4/FT3 conversion.
Under lithium treatment, the testosterone level decreased and spermatogenesis was
stopped. By contrast, in treated female rats, estradiol level was found to be
increased in a dose-dependent manner and animals were blocked in the diestrus
phase at day 28. These results show that lithium can rapidly induce toxic effects
in the rat at concentrations used for the treatment of bipolar disorders in
human.