Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, People's Republic of China.
Key Laboratory of New Drug Delivery System of Chinese Materia Medica, Jiangsu Province Academy of Chinese Medicine, Nanjing, People's Republic of China.
Nutr Neurosci. 2023 Oct;26(10):997-1010. doi: 10.1080/1028415X.2022.2112439. Epub 2022 Aug 30.
Depression is one of the most common complications in patients with diabetes. Our previous study demonstrated puerarin, a dietary isoflavone, improved glucose homeostasis and β-cell regeneration in high-fat diet (HFD)-induced diabetic mice. Here, we aim to evaluate the potential effect of puerarin on diabetes-induced depression.
The co-occurrence of diabetes and depression with related biochemical alterations were confirmed in HFD mice and db/db mice, respectively using behavioral analysis, ELISA and western blotting assay. Furthermore, impacts of puerarin on depression-related symptoms and pathological changes were investigated in HFD mice.
The results showed that puerarin effectively alleviated the depression-like behaviors of HFD mice, down-regulated serum levels of corticosterone and IL-1β, while up-regulated the content of 5-hydroxytryptamine. Simultaneously, puerarin increased the number of hippocampal neurons in HFD mice, and suppressed the apoptosis of neurons to protect the hippocampal neuroplasticity. GLP-1R expression in hippocampus of HFD mice was enhanced by puerarin, which subsequently activated AMPK, CREB and BDNF/TrkB signaling to improve neuroplasticity. Importantly, our data indicated that puerarin had an advantage over fluoxetine or metformin in treating diabetes-induced depression.
Taken together, puerarin exerts anti-depressant-like effects on HFD diabetic mice, specifically by improving hippocampal neuroplasticity via GLP-1R/BDNF/TrkB signaling. Puerarin as a dietary supplement might be a potential candidate in intervention of diabetes with comorbid depression.
抑郁症是糖尿病患者最常见的并发症之一。我们之前的研究表明,葛根素,一种膳食异黄酮,可改善高脂肪饮食(HFD)诱导的糖尿病小鼠的葡萄糖稳态和β细胞再生。在这里,我们旨在评估葛根素对糖尿病引起的抑郁的潜在影响。
通过行为分析、ELISA 和 Western blot 检测,分别在 HFD 小鼠和 db/db 小鼠中证实了糖尿病和抑郁症的同时发生及其相关的生化改变。此外,还在 HFD 小鼠中研究了葛根素对抑郁相关症状和病理变化的影响。
结果表明,葛根素能有效缓解 HFD 小鼠的抑郁样行为,降低血清皮质酮和 IL-1β水平,同时升高 5-羟色胺含量。同时,葛根素增加了 HFD 小鼠海马神经元的数量,并抑制神经元凋亡,保护海马神经可塑性。葛根素增强了 HFD 小鼠海马中的 GLP-1R 表达,随后激活 AMPK、CREB 和 BDNF/TrkB 信号通路,改善神经可塑性。重要的是,我们的数据表明,葛根素在治疗糖尿病引起的抑郁方面优于氟西汀或二甲双胍。
总之,葛根素对 HFD 糖尿病小鼠具有抗抑郁样作用,特别是通过 GLP-1R/BDNF/TrkB 信号通路改善海马神经可塑性。葛根素作为膳食补充剂可能是干预伴发抑郁症的糖尿病的潜在候选药物。