Piyabhan Pritsana, Wetchateng Thanitsara
J Med Assoc Thai. 2014 Aug;97 Suppl 8:S50-5.
Cognitive impairment is a major problem, which eventually develops in schizophrenia. It contributes to the patients 'functional disability and cannot be attenuated by antipsychotic drugs. Bacopa monnieri (Brahmi), a neuroprotective herbal medicine in the elderly, might be a novel neuroprotective agent for prevention of cognitive deficit in schizophrenia.
To study neuroprotective effects ofBrahmi on novel object recognition task and cerebral glutamate/N-methyl-D- aspartate receptor subtype 1 (NMDAR1) immunodensity in sub-chronic phencyclidine (PCP) rat model ofschizophrenia.
Rats were assigned to three groups; Group-A: Control, Group-B: PCP administration and Group- C: Brahmi + PCP. Discrimination ratio (DR) representing cognitive ability was obtainedfrom novel object recognition task. NMDAR1 immunodensity was measured in prefrontal cortex, striatum, cornu ammonis fields I (CA 1) and 2/3 (CA2/3) and dentate gyrus (DG) using immunohistochemistry.
DR was significantly reduced in PCP group compared with control. This occurred alongside NMDAR1 up-regulation in CA2/3 and DG but not in prefrontal cortex, striatum or CA1. Brahmi + PCP group showed an increased DR score up to normal which occurred alongside a significantly decreased NMDARI immunodensity in CA2/3 and DG compared with PCP group.
Cognitive deficit observed in rats receiving PCP was mediated by NMDAR1 up-regulation in CA2/3 and DG Interestingly, receiving Brahmi before PCP administration can restore this cognitive deficit by decreasingNMDAR1 in these brain areas. Therefore, Brahmi could be a novel neuroprotective agentfor the prevention ofcognitive deficit in schizophrenia.
认知障碍是精神分裂症中最终会出现的一个主要问题。它会导致患者的功能残疾,并且抗精神病药物无法减轻这种情况。水飞蓟宾(Brahmi)是一种对老年人具有神经保护作用的草药,可能是预防精神分裂症认知缺陷的新型神经保护剂。
研究水飞蓟宾对精神分裂症亚慢性苯环己哌啶(PCP)大鼠模型中新颖物体识别任务及大脑谷氨酸/N-甲基-D-天冬氨酸受体1型(NMDAR1)免疫密度的神经保护作用。
将大鼠分为三组;A组:对照组,B组:给予PCP组,C组:水飞蓟宾+PCP组。通过新颖物体识别任务获得代表认知能力的辨别率(DR)。采用免疫组织化学法测量前额叶皮质、纹状体、海马1区(CA1)、海马2/3区(CA2/3)和齿状回(DG)中的NMDAR1免疫密度。
与对照组相比,PCP组的DR显著降低。这伴随着CA2/3和DG中NMDAR1上调,但前额叶皮质、纹状体或CA1中未出现这种情况。水飞蓟宾+PCP组的DR评分增加至正常水平,同时与PCP组相比,CA2/3和DG中的NMDAR1免疫密度显著降低。
接受PCP的大鼠中观察到的认知缺陷是由CA2/3和DG中NMDAR1上调介导的。有趣的是,在给予PCP之前接受水飞蓟宾可以通过降低这些脑区的NMDAR1来恢复这种认知缺陷。因此,水飞蓟宾可能是预防精神分裂症认知缺陷的新型神经保护剂。