PMID- 23706065 OWN - NLM STAT- MEDLINE DCOM- 20140211 LR - 20130722 IS - 1746-045X (Electronic) IS - 1746-0441 (Linking) VI - 8 IP - 8 DP - 2013 Aug TI - Novel routes to bipolar disorder drug discovery. PG - 907-18 LID - 10.1517/17460441.2013.804057 [doi] AB - INTRODUCTION: Bipolar disorder (BD) is a severe and chronic medical condition typified by episodic recurrent mania (or hypomania) in addition to major depression. BD is associated with a number of negative outcomes including premature death, reduced quality of life and can also lead to other complications including impaired cognitive function. Unfortunately, the currently available pharmacological treatments for BD are insufficient for many with the condition. AREAS COVERED: This review focuses on known therapeutic targets of mood stabilizing drugs including: the glycogen synthase kinase-3 (GSK-3), the phosphoinositide pathway and protein kinase C (PKC), the brain-derived neurotrophic factor (BDNF), and histone deacetylases (HDACs). This article also presents new promising therapeutic targets including: the glutamatergic pathway, mitochondrial modulators, neuropeptide-converting endopeptidases, the insulin transduction pathway, the purinergic system and the melatoninergic system. EXPERT OPINION: Challenges in improving methods and tools to generate, integrate and analyze high-dimensional data are required to allow opening novel routes to BD drug discovery. Through the application of systems biology approaches and the use of bioinformatical tools to integrate all omics data, it will be possible in the near future to gain deeper insights into pathophysiology of BD. This will in turn lead to the identification and exploitation of new potential therapeutic approaches. FAU - Hoertel, Nicolas AU - Hoertel N AD - Assistance Publique-Hopitaux de Paris (AP-HP), Hopital Corentin-Celton, Service de psychiatrie, Issy-les-Moulineaux, Paris, France. FAU - de Maricourt, Pierre AU - de Maricourt P FAU - Gorwood, Philip AU - Gorwood P LA - eng PT - Journal Article PT - Review DEP - 20130527 PL - England TA - Expert Opin Drug Discov JT - Expert opinion on drug discovery JID - 101295755 RN - 0 (Psychotropic Drugs) SB - IM MH - Animals MH - Bipolar Disorder/*drug therapy/metabolism MH - Drug Discovery MH - Humans MH - Psychotropic Drugs/*therapeutic use EDAT- 2013/05/28 06:00 MHDA- 2014/02/12 06:00 CRDT- 2013/05/28 06:00 PHST- 2013/05/28 06:00 [entrez] PHST- 2013/05/28 06:00 [pubmed] PHST- 2014/02/12 06:00 [medline] AID - 10.1517/17460441.2013.804057 [doi] PST - ppublish SO - Expert Opin Drug Discov. 2013 Aug;8(8):907-18. doi: 10.1517/17460441.2013.804057. Epub 2013 May 27.