Department of Physiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Student Research Committee, Iran University of Medical Sciences, Tehran, Iran.
Inflammopharmacology. 2020 Apr;28(2):575-583. doi: 10.1007/s10787-019-00665-7. Epub 2019 Nov 30.
Diabetic encephalopathy, a major complication of diabetes, is characterized by cognitive impairment and structural and neurochemical abnormalities. Neuroinflammation following impairment of iron homeostasis is a remarkable feature of several neurological disorders. In the present study, we investigated the role of deferoxamine (DFO), as a clinical iron chelator, in improvement of type 1 diabetes-induced cognitive dysfunction. Streptozotocin was utilized to induce type 1 diabetic in rat model. Animals were categorized into four groups: control, diabetic, diabetic + Iron and diabetic + DFO. Hence, DFO was administered at a dose of 100 mg/kg S.C and iron was administered at a dose of 12 mg/kg P.O for 8 weeks. Finally, Y-maze and passive avoidance were performed. Measurement of IL-6, ferritin, and the brain-derived neurotrophic factor (BDNF) expression was carried out using ELISA. Our results showed significant increased levels of ferritin (P < 0.001), IL-6 (P < 0.001), MDA (P < 0.01), as well as decreased levels of BDNF (P < 0.001) in the diabetic and iron groups compared to control. Post-treatment with DFO for 8 weeks after the induction of diabetes, markedly reduced levels of ferritin (P < 0.001), IL-6 (P < 0.01), and MDA (P < 0.001), as well as increased levels of BDNF (P < 0.01) compared to the diabetic and iron groups was observed. Collectively, these findings demonstrate the validity of DFO as a good candidate to attenuate cognitive dysfunction following diabetes by targeting oxidative stress, neuroinflammation, and modulation of iron homeostasis.
糖尿病性脑病是糖尿病的一种主要并发症,其特征是认知障碍以及结构和神经化学异常。铁稳态失衡后的神经炎症是几种神经紊乱的显著特征。在本研究中,我们研究了去铁胺(DFO)作为一种临床铁螯合剂在改善 1 型糖尿病引起的认知功能障碍中的作用。链脲佐菌素用于诱导大鼠 1 型糖尿病模型。动物分为四组:对照组、糖尿病组、糖尿病+铁组和糖尿病+DFO 组。因此,DFO 以 100mg/kg S.C 的剂量给药,铁以 12mg/kg P.O 的剂量给药,共 8 周。最后进行 Y 迷宫和被动回避实验。使用 ELISA 测量 IL-6、铁蛋白和脑源性神经营养因子(BDNF)的表达。我们的结果表明,与对照组相比,糖尿病组和铁组的铁蛋白(P<0.001)、IL-6(P<0.001)、MDA(P<0.01)水平显著升高,BDNF(P<0.001)水平显著降低。糖尿病诱导 8 周后,用 DFO 进行 8 周的治疗,与糖尿病组和铁组相比,铁蛋白(P<0.001)、IL-6(P<0.01)和 MDA(P<0.001)水平显著降低,BDNF(P<0.01)水平显著升高。总之,这些发现表明 DFO 作为一种通过靶向氧化应激、神经炎症和铁稳态调节来减轻糖尿病后认知功能障碍的良好候选药物具有有效性。