State Key Laboratory of Traditional Chinese Medicine Syndrome, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Department of Neurology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
CNS Neurosci Ther. 2024 Jul;30(7):e14891. doi: 10.1111/cns.14891.
The prevalence of dementia around the world is increasing, and these patients are more likely to have cognitive impairments, mood and anxiety disorders (depression, anxiety, and panic disorder), and attention deficit disorders over their lifetime. Previous studies have proven that melatonin could improve memory loss, but its specific mechanism is still confused.
In this study, we used in vivo and in vitro models to examine the neuroprotective effect of melatonin on scopolamine (SCOP)-induced cognitive dysfunction. The behavioral tests were performed. F-FDG PET imaging was used to assess the metabolism of the brain. Protein expressions were determined through kit detection, Western blot, and immunofluorescence. Nissl staining was conducted to reflect neurodegeneration. MTT assay and RNAi transfection were applied to perform the in vitro experiments.
We found that melatonin could ameliorate SCOP-induced cognitive dysfunction and relieve anxious-like behaviors or HT22 cell damage. F-FDG PET-CT results showed that melatonin could improve cerebral glucose uptake in SCOP-treated mice. Melatonin restored the cholinergic function, increased the expressions of neurotrophic factors, and ameliorated oxidative stress in the brain of SCOP-treated mice. In addition, melatonin upregulated the expression of silent information regulator 1 (SIRT1), which further relieved endoplasmic reticulum (ER) stress by decreasing the expression of phosphorylate inositol-requiring enzyme (p-IRE1α) and its downstream, X-box binding protein 1 (XBP1).
These results indicated that melatonin could ameliorate SCOP-induced cognitive dysfunction through the SIRT1/IRE1α/XBP1 pathway. SIRT1 might be the critical target of melatonin in the treatment of dementia.
全球范围内痴呆症的患病率正在增加,这些患者在其一生中更有可能出现认知障碍、情绪和焦虑障碍(抑郁、焦虑和惊恐障碍)以及注意力缺陷障碍。先前的研究已经证明褪黑素可以改善记忆力减退,但它的具体机制仍不清楚。
在这项研究中,我们使用体内和体外模型来检查褪黑素对东莨菪碱(SCOP)诱导的认知功能障碍的神经保护作用。进行了行为测试。使用 F-FDG PET 成像来评估大脑的代谢。通过试剂盒检测、Western blot 和免疫荧光来确定蛋白质表达。尼氏染色用于反映神经退行性变。MTT 测定和 RNAi 转染用于进行体外实验。
我们发现褪黑素可以改善 SCOP 诱导的认知功能障碍,并缓解焦虑样行为或 HT22 细胞损伤。F-FDG PET-CT 结果表明,褪黑素可以改善 SCOP 处理小鼠的大脑葡萄糖摄取。褪黑素恢复了胆碱能功能,增加了神经营养因子的表达,并改善了 SCOP 处理小鼠大脑中的氧化应激。此外,褪黑素上调了沉默信息调节因子 1(SIRT1)的表达,通过降低磷酸化肌醇需要酶 1(p-IRE1α)及其下游 X 盒结合蛋白 1(XBP1)的表达,进一步缓解内质网(ER)应激。
这些结果表明,褪黑素通过 SIRT1/IRE1α/XBP1 通路改善 SCOP 诱导的认知功能障碍。SIRT1 可能是褪黑素治疗痴呆症的关键靶点。