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戒烟用的抗炎药物?关注与雄性小鼠尼古丁戒断相关的认知缺陷。

Anti-inflammatory agents for smoking cessation? Focus on cognitive deficits associated with nicotine withdrawal in male mice.

机构信息

Laboratory of Neuropharmacology, Department of Experimental and Health Sciences, Universitat Pompeu Fabra, PRBB, 08003 Barcelona, Spain.

Faculty of Experimental Sciences, Universidad Francisco de Vitoria, UFV, 28223 Pozuelo de Alarcón, Madrid, Spain.

出版信息

Brain Behav Immun. 2019 Jan;75:228-239. doi: 10.1016/j.bbi.2018.11.003. Epub 2018 Nov 2.

Abstract

Nicotine withdrawal is associated with cognitive deficits including attention, working memory, and episodic memory impairments. These cognitive deficits are a hallmark of nicotine abstinence which could be targeted in order to prevent smoking relapse. The underlying mechanisms, however, are poorly understood. In this study, memory impairment was observed in mice 4 days after the precipitation of nicotine withdrawal by the nicotinic antagonist mecamylamine. The presence of cognitive deficits correlated with microglial activation in the hippocampus and the prefrontal cortex. Moreover, an increased expression of neuroinflammatory markers including IL1β, TNFα and IFNγ was found in both memory-related brain regions. Notably, flow cytometric analysis also revealed an enhancement of TNFα and IFNγ plasmatic levels at the same time point during nicotine withdrawal. Impaired neurogenesis, as shown by reduction in the expression of the endogenous cell proliferation marker Ki67 and the early neuron marker doublecortin, was also associated with nicotine abstinence. Treatment with the non-psychoactive cannabinoid cannabidiol abolished memory impairment of nicotine withdrawal and microglia reactivity, reduced the expression of IL1β and IFNγ in the hippocampus and the prefrontal cortex, respectively, and normalized Ki67 levels. The nonsteroidal anti-inflammatory drug indomethacin also prevented cognitive deficits and microglial reactivity during withdrawal. These data underline the usefulness of anti-inflammatory agents to improve cognitive performance during early nicotine abstinence.

摘要

尼古丁戒断与认知缺陷有关,包括注意力、工作记忆和情景记忆障碍。这些认知缺陷是尼古丁戒断的标志,可以作为预防吸烟复发的靶点。然而,其潜在机制仍不清楚。在这项研究中,在尼古丁拮抗剂美加仑胺引发尼古丁戒断 4 天后,观察到小鼠的记忆损伤。认知缺陷的存在与海马体和前额叶皮层中的小胶质细胞激活有关。此外,在与记忆相关的脑区中发现了神经炎症标志物(包括 IL1β、TNFα 和 IFNγ)的表达增加。值得注意的是,在同一时间点的尼古丁戒断期间,流式细胞术分析还显示出 TNFα 和 IFNγ 血浆水平的升高。神经发生受损,表现为内源性细胞增殖标志物 Ki67 和早期神经元标志物双皮质素的表达减少,也与尼古丁戒断有关。非精神活性大麻素大麻二酚的治疗消除了尼古丁戒断的记忆损伤和小胶质细胞反应性,分别降低了海马体和前额叶皮层中 IL1β 和 IFNγ 的表达,并使 Ki67 水平正常化。非甾体抗炎药吲哚美辛也可预防戒断期间的认知缺陷和小胶质细胞反应性。这些数据强调了抗炎药物在改善早期尼古丁戒断期间认知表现的有用性。

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