State Key Laboratory of Traditional Chinese Medicine Syndrome, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China; Department of Neurology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510000, China; Department of Neurology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510000, China; Research Center for Chinese Medicine Innovation, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, 999077, China; Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, 999077, China.
State Key Laboratory of Traditional Chinese Medicine Syndrome, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China; Department of Neurology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510000, China; Department of Neurology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510000, China.
Phytomedicine. 2024 Dec;135:156248. doi: 10.1016/j.phymed.2024.156248. Epub 2024 Nov 12.
Cognitive impairment induced by a high-fat diet (HFD) is common, but its mechanism is largely unknown. Huang-Lian-Jie-Du (HLJD) decoction is a classical and powerful prescription in China. It consists of four medicinal plants and is widely used in traditional Chinese medicines (TCM). Studies have shown that HLJD decoction is effective in treating obesity, depression, and so on. However, the therapeutic mechanism of HLJD is still poorly understood.
Our study aimed to explore whether inflammatory factors and Trem2/Dap12/Syk pathway are involved in this process and whether HLJD treatment can repair cognitive impairment in HFD-induced obesity.
To obtain the obese mice, male mice were treated with HFD (60 Kcal% fat) for 16 weeks. After an additional eight weeks, HLJD decoction was administered orally at doses of 4 and 8 g/kg daily for eight weeks. The mice were then subjected to four behavior tests. Aβ42, total Tau, inflammatory-related, and microglial dysregulation-related markers expression were measured. Molecular docking analysis was also conducted to predict the interaction of the chemical constituents of HLJD with human TREM2, DAP12, and SYK. HLJD at doses of 12.5, 25, and 50 µg/mL or limonin at concentrations of 12.5, 25, and 50 µM were used to treat BV2 cells for 24 h. CCK8 assay and Trem2, Dap12, Syk, and p-Syk expression were measured.
Our study revealed that cognitive impairment was evident in mice treated with HFD, indicating the impact of obesity on cognitive function. The expression of Aβ42 and total Tau in the hippocampus (HIP) was significantly higher in obese (HFD-V) mice compared to normal control (NC-V) mice. The Il6, Il1b, and Il10 mRNA expression levels were also markedly increased in the HIP of obese mice. Furthermore, Trem2, Dap12, p-Syk, and Iba1 expression were elevated in the HIP of obese mice. Importantly, HLJD treatment was found to repair cognitive impairment and lower the protein expression of Aβ42, Tau, Trem2, Dap12, p-Syk, and the expression of Il6, Il1b, and Il10 mRNA in HIP of HFD-V mice. The increased expression of Trem2, Dap12, p-Syk, and Iba1 in HIP after HFD consumption could be reduced after receiving HLJD decoction. The compound Limonin showed a well-predicted binding energy with TREM2, DAP12, and SYK. BV2 cells with HLJD or limonin detected the mRNA expressions of Trem2/Dap12. HLJD at 25 and 50 µg/mL decreased Trem2, Dap12, and p-Syk protein levels in BV2 cells.
These results reveal that HLJD treatment could alleviate cognitive impairment in HFD-induced obese mice by controlling the activation of the Trem2/Dap12 pathway and reducing Syk phosphorylation in HIP microglia. HLJD and limonin suppressed Trem2/Dap12/Syk signaling pathway in BV2 cells. HLJD therapy might represent a novel treatment for patients with cognitive impairment induced by obesity.
高脂肪饮食(HFD)引起的认知障碍很常见,但其机制在很大程度上尚不清楚。黄连解毒汤(HLJD)是中国经典而有效的方剂。它由四种药用植物组成,广泛应用于中药(TCM)。研究表明,HLJD 对治疗肥胖症、抑郁症等具有疗效。然而,HLJD 的治疗机制仍知之甚少。
本研究旨在探讨炎症因子和 Trem2/Dap12/Syk 通路是否参与这一过程,以及 HLJD 治疗是否能修复 HFD 诱导肥胖小鼠的认知障碍。
为获得肥胖小鼠,雄性小鼠给予 HFD(60%脂肪)喂养 16 周。8 周后,HLJD 汤剂以 4 和 8 g/kg 每日口服剂量连续给药 8 周。然后对小鼠进行四项行为测试。测量 Aβ42、总 Tau、炎症相关和小胶质细胞失调相关标志物的表达。还进行了分子对接分析,以预测 HLJD 化学组成与人类 TREM2、DAP12 和 SYK 的相互作用。将 HLJD 以 12.5、25 和 50 µg/mL 的剂量或柠檬苦素以 12.5、25 和 50 µM 的浓度分别用于处理 BV2 细胞 24 小时。测量 CCK8 测定和 Trem2、Dap12、Syk 和 p-Syk 的表达。
我们的研究表明,HFD 处理的小鼠表现出认知障碍,表明肥胖对认知功能的影响。与正常对照(NC-V)小鼠相比,肥胖(HFD-V)小鼠海马(HIP)中的 Aβ42 和总 Tau 表达明显升高。肥胖小鼠 HIP 中的 Il6、Il1b 和 Il10 mRNA 表达水平也显著增加。此外,肥胖小鼠 HIP 中的 Trem2、Dap12、p-Syk 和 Iba1 表达增加。重要的是,HLJD 治疗可修复认知障碍,并降低 HFD-V 小鼠 HIP 中 Aβ42、Tau、Trem2、Dap12、p-Syk 和 Il6、Il1b 和 Il10 mRNA 的蛋白表达。HFD 消耗后,HIP 中 Trem2、Dap12、p-Syk 和 Iba1 的表达增加,经 HLJD 汤处理后可减少。化合物柠檬苦素与 TREM2、DAP12 和 SYK 表现出良好的预测结合能。HLJD 或柠檬苦素检测到 BV2 细胞中 Trem2/Dap12 的 mRNA 表达。HLJD 在 25 和 50 µg/mL 时降低了 BV2 细胞中 Trem2、Dap12 和 p-Syk 蛋白水平。
这些结果表明,HLJD 治疗可通过控制 Trem2/Dap12 通路的激活和减少 HIP 小胶质细胞中 Syk 磷酸化来减轻 HFD 诱导肥胖小鼠的认知障碍。HLJD 和柠檬苦素抑制了 BV2 细胞中的 Trem2/Dap12/Syk 信号通路。HLJD 治疗可能为肥胖引起的认知障碍患者提供一种新的治疗方法。