From:
https://nootropicsexpert.com/lithium-orotate/
* [Growth Factors.] Lithium upregulates brain-derived neurotrophic factor (BDNF), nerve growth factor (NGF), neurotrophin-3 (NT3) and their receptors. And lithium stimulates the proliferation of stem cells in the brain. All boosting neurogenesis and assisting in repair from all types of brain injury.[iv]
* [Neuroprotection.] Lithium increases brain gray matter, increases DNA replication for neurogenesis, prevents apoptosis, increases N-acetyl-aspartate (NAA), inhibits beta-amyloid secretion and protects against damage once it’s formed, chelates aluminum, and protects against glutamate toxicity.
From
http://jeffreydachmd.com/2015/12/lithium-orotate
[Hippocampus regeneration]
Research over the last decade has revealed that lithium’s effects as _mood stabilization and regeneration of new brain cells_ (neurogenesis), are mainly due to the inhibition of a key enzyme called GSK-3β, glycogen synthase kinase-3β. (1) This GSK-3B, in turn, upregulates insulin-like growth factor-I (IGF-I), and brain-derived neurotrophic factor (BDNF) which _stimulates neural stem cells to give rise to new hippocampal neurons throughout adulthood._ Thus, the molecular pathways of how lithium increases new brains cells has been worked out by basic science.
...
Lithium prevents and reverses the loss of brain cells in Bipolar Disorder humans as demonstrated by MRI brain imaging studies. Brain volume increases after lithium treatment.(5-6)(9-10) Similar increases in brain volume have been seen with SSRi antidepressant drugs, suggesting a common mode of action with Lithium. This has launched the “neurotrophic theory of depression”.(21-23) This idea is new and may replace the older theory of neurotransmitter imbalances as a cause of depression. The Neurotrophic theory says that clinical depression is caused by reduced or absent brain neurogenesis, rather than chemical imbalances in the brain. The brain cannot make new cells. Lithium and SSRI antidepressants (24) increase these neurotrophic factors (by inhibiting GSK-3B) thus up-regulating neurogenesis in the hippocampus.