Department of Biochemistry, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.
Department of Psychiatry and Neuroscience, Faculty of Medicine and CERVO Brain Research Center, Université Laval, Quebec City, Canada.
Behav Pharmacol. 2021 Apr 1;32(2&3):170-181. doi: 10.1097/FBP.0000000000000599.
Glibenclamide is a second-generation sulfonylurea used in the treatment of Type 2 Diabetes Mellitus. The primary target of glibenclamide is ATP-sensitive potassium channels inhibition; however, other possible targets include the control of inflammation and blood-brain barrier permeability, which makes this compound potentially interesting for the management of brain-related disorders. Here, we showed that systemic treatment with glibenclamide (5 mg/kg, p.o., for 21 days) could prevent the behavioral despair and the cognitive dysfunction induced by chronic unpredictable stress (CUS) in mice. In nonhypoglycemic doses, glibenclamide attenuated the stress-induced weight loss, decreased adrenal weight, and prevented the increase in glucocorticoid receptors in the prefrontal cortex, suggesting an impact in hypothalamic-pituitary-adrenal (HPA) axis function. Additionally, we did not observe changes in Iba-1, NLRP3 and caspase-1 levels in the prefrontal cortex or hippocampus after CUS or glibenclamide treatment. Thus, this study suggests that chronic treatment with glibenclamide prevents the emotional and cognitive effects of chronic stress in female mice. On the other hand, the control of neuroinflammation and NLRP3 inflammasome pathway is not the major mechanism mediating these effects. The behavioral effects might be mediated, in part, by the normalization of glucocorticoid receptors and HPA axis.
格列本脲是一种用于治疗 2 型糖尿病的第二代磺酰脲类药物。格列本脲的主要靶点是抑制 ATP 敏感性钾通道;然而,其他可能的靶点包括控制炎症和血脑屏障通透性,这使得这种化合物在管理与大脑相关的疾病方面具有潜在的吸引力。在这里,我们表明,全身性给予格列本脲(5mg/kg,po,21 天)可以预防慢性不可预测应激(CUS)诱导的小鼠行为绝望和认知功能障碍。在非致低血糖剂量下,格列本脲减轻了应激引起的体重减轻、肾上腺重量减轻,并防止了前额叶皮质中糖皮质激素受体的增加,提示对下丘脑-垂体-肾上腺(HPA)轴功能有影响。此外,我们在 CUS 或格列本脲治疗后没有观察到前额叶皮质或海马中的 Iba-1、NLRP3 和半胱天冬酶-1 水平发生变化。因此,这项研究表明,慢性给予格列本脲可预防雌性小鼠慢性应激的情绪和认知影响。另一方面,神经炎症和 NLRP3 炎性小体途径的控制不是介导这些影响的主要机制。行为效应可能部分通过糖皮质激素受体和 HPA 轴的正常化来介导。