A Preclinical Study of Casein Glycomacropeptide as a Dietary Intervention for Acute Mania

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  • Nico Liebenberg
  • Erik Jensen, Arla Foods Ingredients Group P/S, Denmark., Erik Roj Larsen, The Regional ADHD Centre, Department for Child and Adolescent Psychiatry in Odense, Psychiatric Hospital in the Region of Southern Denmark, University of Southern Denmark, Department of Psychiatry, Institute for Clinical Research, University of Southern Denmark, Denmark.,
  • Birgitte Saima Kousholt
  • Vitor Silva Pereira, Christina Weide Fischer, Translational Neuropsychiatry Unit, Department of Clinical Medicine, Aarhus University, Denmark.,
  • Gregers Wegener

Background: Casein glycomacropeptide is a peptide that lacks phenylalanine, tyrosine, and tryptophan. This profile may enable it to deplete phenylalanine, tyrosine, and tryptophan, and subsequently the synthesis of dopamine and serotonin in the brain. Dopamine- and serotonin-depleting amino acid mixtures have shown promise as acute antimanic treatments. In this study, we explore the depleting effects on amino acids, dopamine and serotonin as well as its actions on manic-like and other behavior in rats.

Methods: Casein glycomacropeptide and a selection of amino acid mixtures were administered orally at 2, 4, or 8 h or for 1 week chronically. Amino acid and monoamine levels were measured in plasma and brain and behavior was assessed in the amphetamine-hyperlocomotion, forced swim, prepulse inhibition, and elevated plus maze tests.

Results: Casein glycomacropeptide induced a time-dependent reduction in tyrosine, tryptophan, and phenylalanine in brain and plasma which was augmented by supplementing with leucine. Casein glycomacropeptide +leucine reduced dopamine in the frontal cortex and serotonin in the hippocampus, frontal cortex, and striatum after 2 and 4 h. Casein glycomacropeptide+leucine also had antimanic activity in the amphetamine-induced hyperlocomotion test at 2 h after a single acute treatment and after 1 week of chronic treatment.

Conclusions: Casein glycomacropeptide-based treatments and a branched-chain amino acid mixture affected total tissue levels of dopamine in the frontal cortex and striatum and serotonin in the frontal cortex, striatum, and hippocampus of rats in a time-dependent fashion and displayed antimanic efficacy in a behavioral assay of mania.

Original languageEnglish
JournalInternational Journal of Neuropsychopharmacology
Issue number5
Pages (from-to)473-484
Number of pages12
StatePublished - 1 May 2018

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