Department of Pharmacy, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, Suzhou, China,
Department of Neurology, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, Suzhou, China.
Gerontology. 2023;69(9):1065-1075. doi: 10.1159/000531194. Epub 2023 Jun 7.
Alzheimer's disease (AD) is a major public health concern worldwide, but there are still no drugs available that treat it effectively. Previous studies have shown that phenylethanoid glycosides have pharmacological effects, which include anti-AD properties, but the underlying mechanisms by which they ameliorate AD symptoms remain unknown.
In this study, we used an APP/PS1 AD mouse model to explore the function and mechanisms underlying savatiside A (SA) and torenoside B (TB) in the treatment of AD. SA or TB (100 mg·kg-1·d-1) was orally administered to 7-month-old APP/PS1 mice for 4 weeks. Cognitive and memory functions were measured using behavioral experiments (including the Morris water maze test and the Y-maze spontaneous alternation test). Molecular biology experiments (including Western blotting, immunofluorescence, and enzyme-linked immunosorbent assays) were used to detect any corresponding changes in signaling pathways.
The results showed that SA or TB treatment could significantly reduce cognitive impairment in APP/PS1 mice. We also showed that chronic treatment with SA/TB could prevent spine loss, synaptophysin immunoreactivity, and neuronal loss in mice, thereby improving synaptic plasticity and moderating learning and memory deficits. SA/TB administration also promoted the expression of synaptic proteins in APP/PS1 mouse brains and upregulated phosphorylation of proteins in the cyclic adenosine monophosphate (cAMP)/CREB/brain-derived neurotrophic growth factor (BDNF) pathway that are responsible for synaptic plasticity. Additionally, chronic SA/TB treatment increased the levels of BDNF and nerve growth factor (NGF) in the brains of APP/PS1 mice. Both astrocyte and microglia volumes, as well as the generation of amyloid β, were also decreased in SA/TB-treated APP/PS1 mice compared to control APP/PS1 mice.
In summary, SA/TB treatment was associated with activation of the cAMP/CREB/BDNF pathway and increased BDNF and NGF expression, indicating that SA/TB improves cognitive functioning via nerve regeneration. SA/TB is a promising candidate drug for the treatment of AD.
阿尔茨海默病(AD)是全球主要的公共卫生关注点,但目前仍没有有效的治疗药物。先前的研究表明,苯乙醇苷类具有药理学作用,包括抗 AD 特性,但它们改善 AD 症状的潜在机制尚不清楚。
在本研究中,我们使用 APP/PS1 AD 小鼠模型来探索 savatiside A(SA)和 torenoside B(TB)治疗 AD 的功能和机制。SA 或 TB(100mg·kg-1·d-1)以口服方式施用于 7 月龄 APP/PS1 小鼠,持续 4 周。使用行为实验(包括 Morris 水迷宫测试和 Y 迷宫自发交替测试)测量认知和记忆功能。分子生物学实验(包括 Western blot、免疫荧光和酶联免疫吸附测定)用于检测信号通路的相应变化。
结果表明,SA 或 TB 治疗可显著改善 APP/PS1 小鼠的认知障碍。我们还表明,慢性 SA/TB 治疗可预防小鼠的棘突丢失、突触小体素免疫反应性和神经元丢失,从而改善突触可塑性并调节学习和记忆缺陷。SA/TB 给药还可促进 APP/PS1 小鼠大脑中突触蛋白的表达,并上调负责突触可塑性的环腺苷酸(cAMP)/CREB/脑源性神经营养因子(BDNF)通路中蛋白的磷酸化。此外,慢性 SA/TB 治疗可增加 APP/PS1 小鼠大脑中的 BDNF 和神经生长因子(NGF)水平。与对照 APP/PS1 小鼠相比,SA/TB 处理的 APP/PS1 小鼠中的星形胶质细胞和小胶质细胞体积以及淀粉样β的生成也减少。
总之,SA/TB 治疗与 cAMP/CREB/BDNF 通路的激活以及 BDNF 和 NGF 表达的增加有关,表明 SA/TB 通过神经再生改善认知功能。SA/TB 是治疗 AD 的一种有前途的候选药物。