Lithium stimulated corticotropin (ACTH) secretion by mouse pituitary tumor cells and by normal rat anterior pituitary cells in primary culture. Effects were observed at less than 2 mM LiCl. ACTH secretion was comparable in magnitude to that induced by other secretagogues, was calcium dependent, and was inhibited by somatostatin. Lithium also induced changes in [3H]inositide metabolism; these changes accompanied and were correlated with changes in ACTH secretion. The most prominent and reliable effect was to increase [3H]inositol monophosphate. Other secretagogues had no effect on [3Hlinositides in the presence or absence of lithium. Pretreatment with lithium for 3 hr desensitized the cells to the effects of subsequent exposure to lithium. The cells were not desensitized to lithium by pretreatment with other secretagogues, nor were they desensitized by lithium to the effects of corticotropin-releasing factor, high potassium, or forskolin. However, pretreatment with lithium did desensitize the cells to stimulation by phorbol esters. The interaction between lithium and phorbol esters suggests the involvement of inositide metabolism and protein kinase C in the regulation of ACTH secretion and possibly of other hormones or neurotransmitters. It also suggests new avenues of research into the basis of lithium's psychopharmacological effects.In addition to being a monovalent metal, lithium is the major therapeutic agent used in the treatment of manic-depressive disease (1-3). Its similarities to several biologically important metals have confounded attempts to understand its mechanism of action as a drug. Lithium has numerous effects on biological systems, but few of them are striking, and most are inhibitory, at the low concentrations that are safe and effective in man (1-3).The discovery (4) that lithium is a potent and specific inhibitor of the phosphatase that cleaves inositol 1-phosphate to inositol connects the action of lithium to the actions of several neurotransmitters and hormones that stimulate inositol phospholipid turnover and calcium mobilization. Receptor-mediated stimulation of phosphatidylinositol turnover (breakdown) and consequent release of diacylglycerol and inositol phosphates has been studied for some time (5-9). Current models (10-16) emphasize the synergistic effects of inositol trisphosphate (InsP3) and diacylglycerol in stimulating the activity of protein kinase C, thus mediating the physiologic effects of these neurotransmitters and hormones. This phospholipid-and calcium-regulated protein kinase (17, 18) responds directly to diacylglycerol and other lipids and indirectly to InsP3 (which mobilizes intracellular calcium, to which the enzyme does respond directly). The kinase is also stimulated by phorbol esters (18,19), which mimic the action of lipids and potentiate the action of calcium. Lithium has been used primarily as a tool with which to reveal the receptor-mediated stimulation of inositol phospholipid breakdown; it blocks the recycling of inositol phosphate(s) (20,21). Althoug...