Arab Firozjae Atefeh, Shiran Mohammad Reza, Ajami Abolghasem, Farzin Davood, Rashidi Mohsen
Department of Pharmacology, Faculty of Medicine, Mazandaran University of Medical Science, Sari, Iran.
Department of Immunology, Faculty of Medicine, Mazandaran University of Medical Science, Sari, Iran.
Heliyon. 2024 Oct 11;10(20):e39253. doi: 10.1016/j.heliyon.2024.e39253. eCollection 2024 Oct 30.
Multiple sclerosis (MS) is an inflammatory neurodegenerative disorder characterized by demyelination. Lutein, a xanthophyll carotenoid, has well-known antioxidant and anti-inflammatory properties. In this experiment, we aimed to investigate the neuroprotective and remyelination potential of lutein in comparison with dimethyl fumarate (DMF) as a reference drug in post-cuprizone-intoxicated C57BL/6 mice. Lutein (50, 100, and 200 mg/kg/day; p.o.) and DMF (15 mg/kg/day, i.p.) were administered either alone or in combination for three weeks at the end of the six-week cuprizone (0.2 % w/w) feeding period. At the end of the study, behavioral tests, histopathological staining, immunohistochemistry (olig2), ELISA, and real-time PCR were performed to evaluate the target parameters. Lutein treatment significantly enhanced motor functions, reversed cuprizone-induced demyelination and increased serum TAC. In addition, treatment with lutein increased the number of Olig2+ cells in the corpus callosum, reduced the IL-1β and TNF-α and increased BDNF. Lutein administration significantly increased the expression levels of genes involved in myelin production (MBP, PLP, MOG, MAG, and OLIG-1) and notably reduced GFAP expression levels. In the present study, our results showed that lutein treatment could promote remyelination and neuroprotective effects by reducing neuroinflammation and upregulating the expression of the genes involved in myelin formation These findings suggest that lutein could serve as a potential adjuvant therapy for patients with multiple sclerosis. Further clinical trials are necessary to confirm its efficacy.
多发性硬化症(MS)是一种以脱髓鞘为特征的炎症性神经退行性疾病。叶黄素是一种叶黄素类胡萝卜素,具有众所周知的抗氧化和抗炎特性。在本实验中,我们旨在研究叶黄素与作为参考药物的富马酸二甲酯(DMF)相比,在经铜离子螯合剂中毒的C57BL/6小鼠中的神经保护和髓鞘再生潜力。在为期六周的铜离子螯合剂(0.2%w/w)喂养期结束时,单独或联合给予叶黄素(50、100和200mg/kg/天;口服)和DMF(15mg/kg/天,腹腔注射)三周。在研究结束时,进行行为测试、组织病理学染色、免疫组织化学(olig2)、酶联免疫吸附测定(ELISA)和实时聚合酶链反应(PCR)以评估目标参数。叶黄素治疗显著增强运动功能,逆转铜离子螯合剂诱导的脱髓鞘并增加血清总抗氧化能力(TAC)。此外,叶黄素治疗增加了胼胝体中Olig2+细胞的数量,降低了白细胞介素-1β(IL-1β)和肿瘤坏死因子-α(TNF-α)并增加了脑源性神经营养因子(BDNF)。叶黄素给药显著增加了参与髓鞘生成的基因(髓鞘碱性蛋白(MBP)、髓鞘蛋白脂蛋白(PLP)、髓鞘少突胶质细胞糖蛋白(MOG)、髓鞘相关糖蛋白(MAG)和少突胶质细胞转录因子-1(OLIG-1))的表达水平,并显著降低胶质纤维酸性蛋白(GFAP)表达水平。在本研究中,我们的结果表明,叶黄素治疗可通过减轻神经炎症和上调参与髓鞘形成的基因的表达来促进髓鞘再生和神经保护作用。这些发现表明,叶黄素可作为多发性硬化症患者的潜在辅助治疗药物。需要进一步的临床试验来证实其疗效。