Objectives
This limited review examines the role of the reticular activating system (
RAS
), especially the pedunculopontine nucleus (
PPN
), one site of origin of bottom‐up gamma, in the symptoms of bipolar disorder (
BD
).
Methods
The expression of neuronal calcium sensor protein 1 (
NCS
‐1) in the brains of
BD
patients is increased. It has recently been found that all
PPN
neurons manifest intrinsic membrane beta/gamma frequency oscillations mediated by high threshold calcium channels, suggesting that it is one source of bottom‐up gamma. This review specifically addresses the involvement of these channels in the manifestation of
BD
.
Results
Excess
NCS
‐1 was found to dampen gamma band oscillations in
PPN
neurons. Lithium, a first line treatment for
BD
, was found to decrease the effects of
NCS
‐1 on gamma band oscillations in
PPN
neurons. Moreover, gamma band oscillations appear to epigenetically modulate gene transcription in
PPN
neurons, providing a new direction for research in
BD
.
Conclusions
This is an area needing much additional research, especially since the dysregulation of calcium channels may help explain many of the disorders of arousal in, elicit unwanted neuroepigenetic modulation in, and point to novel therapeutic avenues for,
BD
.