Department of Physiology, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.
Department of Physiology, Faculty of Medicine, Istinye University, Istanbul, Turkey.
Biol Trace Elem Res. 2024 Jan;202(1):233-245. doi: 10.1007/s12011-023-03667-3. Epub 2023 Apr 18.
Metformin has been suggested to have protective effects on the central nervous system, but the mechanism is unknown. The similarity between the effects of metformin and the inhibition of glycogen synthase kinase (GSK)-3β suggests that metformin may inhibit GSK-3β. In addition, zinc is an important element that inhibits GSK-3β by phosphorylation. In this study, we investigated whether the effects of metformin on neuroprotection and neuronal survival were mediated by zinc-dependent inhibition of GSK-3β in rats with glutamate-induced neurotoxicity. Forty adult male rats were divided into 5 groups: control, glutamate, metformin + glutamate, zinc deficiency + glutamate, and zinc deficiency + metformin + glutamate. Zinc deficiency was induced with a zinc-poor pellet. Metformin was orally administered for 35 days. D-glutamic acid was intraperitoneally administered on the 35th day. On the 38th day, neurodegeneration was examined histopathologically, and the effects on neuronal protection and survival were evaluated via intracellular S-100β immunohistochemical staining. The findings were examined in relation to nonphosphorylated (active) GSK-3β levels and oxidative stress parameters in brain tissue and blood. Neurodegeneration was increased (p < 0.05) in rats fed a zinc-deficient diet. Active GSK-3β levels were increased in groups with neurodegeneration (p < 0.01). Decreased neurodegeneration, increased neuronal survival (p < 0.01), decreased active GSK-3β (p < 0.01) levels and oxidative stress parameters, and increased antioxidant parameters were observed in groups treated with metformin (p < 0.01). Metformin had fewer protective effects on rats fed a zinc-deficient diet. Metformin may exert neuroprotective effects and increase S-100β-mediated neuronal survival by zinc-dependent inhibition of GSK-3β during glutamate neurotoxicity.
二甲双胍被认为对中枢神经系统具有保护作用,但具体机制尚不清楚。二甲双胍的作用与糖原合酶激酶(GSK)-3β的抑制作用相似,提示二甲双胍可能抑制 GSK-3β。此外,锌是通过磷酸化抑制 GSK-3β的重要元素。在这项研究中,我们研究了二甲双胍是否通过锌依赖性抑制谷氨酸诱导的神经毒性大鼠中的 GSK-3β,来发挥其神经保护和神经元存活作用。
将 40 只成年雄性大鼠分为 5 组:对照组、谷氨酸组、二甲双胍+谷氨酸组、缺锌+谷氨酸组和缺锌+二甲双胍+谷氨酸组。缺锌通过低锌丸诱导。二甲双胍口服给药 35 天。第 35 天,腹腔内给予 D-谷氨酸。第 38 天,通过组织病理学检查评估神经退行性变,并通过 S-100β 免疫组织化学染色评估神经元保护和存活的影响。结果与脑组织和血液中的非磷酸化(活性)GSK-3β水平和氧化应激参数相关联。
在缺锌饮食喂养的大鼠中,神经退行性变增加(p<0.05)。在有神经退行性变的组中,活性 GSK-3β 水平升高(p<0.01)。与谷氨酸神经毒性相关的,二甲双胍治疗组的神经退行性变减少(p<0.01)、神经元存活增加(p<0.01)、活性 GSK-3β 水平降低(p<0.01)和氧化应激参数降低以及抗氧化参数增加。在缺锌饮食喂养的大鼠中,二甲双胍的保护作用较少。
在谷氨酸神经毒性期间,二甲双胍可能通过锌依赖性抑制 GSK-3β 发挥神经保护作用,并通过 S-100β 介导的神经元存活。