Esmaeilnejad Saman, Semnanian Saeed, Javan Mohammad
Department of Physiology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Department of Physiology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. Email:
Cell J. 2021 Apr;23(1):119-128. doi: 10.22074/cellj.2021.7174. Epub 2021 Mar 1.
Multiple sclerosis (MS) is a demyelinating disease of the central nervous system. The autoimmune pathology and long-term inflammation lead to substantial demyelination. These events lead to a substantial loss of oligodendrocytes (OLs), which in a longer period, results in axonal loss and long-term disabilities. Neural cells protection approaches decelerate or inhibit the disease progress to avoid further disability. Previous studies showed that metformin has beneficial effects against neurodegenerative conditions. In this study, we examined possible protective effects of metformin on toxin-induced myelin destruction in adult mice brains.
In this experimental study, lysophosphatidylcholine (LPC) was used to induce demyelination in mice optic chiasm. We examined the extent of demyelination at different time points post LPC injection using myelin staining and evaluated the severity of inflammation. Functional state of optic pathway was evaluated by visual evoked potential (VEP) recording.
Metformin attenuated LPC-induced demyelination (P<0.05) and inflammation (P<0.05) and protected against significant decrease (P<0.05) in functional conductivity of optic tract. These data indicated that metformin administration attenuates the myelin degeneration following LPC injection which led to functional enhancement.
Our findings suggest metformin for combination therapy for patients suffering from the myelin degenerative diseases, especially multiple sclerosis; however, additional mechanistic studies are required.
多发性硬化症(MS)是一种中枢神经系统脱髓鞘疾病。自身免疫病理和长期炎症会导致大量脱髓鞘。这些事件会导致少突胶质细胞(OLs)大量损失,长期来看会导致轴突损失和长期残疾。神经细胞保护方法可减缓或抑制疾病进展,以避免进一步残疾。先前的研究表明二甲双胍对神经退行性疾病有有益作用。在本研究中,我们研究了二甲双胍对成年小鼠脑中毒素诱导的髓鞘破坏的可能保护作用。
在本实验研究中,溶血磷脂酰胆碱(LPC)用于诱导小鼠视交叉脱髓鞘。我们在LPC注射后的不同时间点使用髓鞘染色检查脱髓鞘程度,并评估炎症的严重程度。通过视觉诱发电位(VEP)记录评估视通路的功能状态。
二甲双胍减轻了LPC诱导的脱髓鞘(P<0.05)和炎症(P<0.05),并防止视束功能传导性显著下降(P<0.05)。这些数据表明,给予二甲双胍可减轻LPC注射后的髓鞘变性,从而导致功能增强。
我们的研究结果表明,二甲双胍可用于髓鞘退行性疾病患者的联合治疗,尤其是多发性硬化症;然而,还需要更多的机制研究。