Qu Yue, Gu Jingna, Li Lanxin, Yan Yuqi, Yan Can, Zhang Tiange
Integrative Medicine Research Center, School of Basic Medical Sciences, Guangzhou University of Chinese Medicine, Outer Ring East Road No. 232, Higher Education Mega Center, Guangzhou, 510006, China.
J Ethnopharmacol. 2025 Jan 31;340:119252. doi: 10.1016/j.jep.2024.119252. Epub 2024 Dec 14.
Guilu Erxian Jiao (GLEXJ) is a renowned traditional Chinese herbal formula used to tonify the kidney. It is employed to treat psychiatric disorders, and alleviate memory impairment, cognitive dysfunction, and behavioral disorders. Modern pharmacological studies have demonstrated GLEXJ's ability to significantly inhibit the fear response in post-traumatic stress disorder (PTSD) and facilitate the extinction of fear memory. However, the underlying pharmacological mechanisms remain elusive.
Fear memory generalization, a fundamental characteristic of PTSD, remains poorly understood, and optimal pharmacological treatments are lacking. This study aimed to investigate GLEXJ's inhibitory effects on fear memory generalization in PTSD rats and elucidate its underlying mechanisms.
PTSD rats were induced using the single prolonged stress and electrical stimulation (SPS&S) protocol and treated with GLEXJ or paroxetine (PRX). Fear memory generalization was assessed using a contextual fear memory test. Hippocampal dendritic spine morphology was analyzed using Golgi-Cox staining. The chemical composition of GLEXJ was determined using ultra-high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS). Network pharmacology was employed to predict GLEXJ's therapeutic mechanism in PTSD treatment. Western blotting and immunofluorescence were used to measure indicators of the transient receptor potential channel 6 (TRPC6)-mediated calcium/calmodulin-dependent protein kinase IV-cAMP response element-binding protein (CaMKIV-CREB) signaling pathway. In vitro, TRPC6 was suppressed in rat adrenal pheochromocytoma (PC12) cells using lentiviral vectors, and phalloidin staining was employed to examine changes in Fibros actin (F-actin), elucidating the mechanistic effects of GLEXJ-containing serum.
GLEXJ significantly mitigated fear memory generalization in PTSD rats, even with repeated stress exposure. It also alleviated abnormal hippocampal dendritic spine morphology. Network pharmacology analysis confirmed that GLEXJ was closely related to the Ca signaling pathway in PTSD treatment. PTSD rats exhibited disrupted TRPC6-mediated CaMKIV-CREB signaling and impaired synaptic plasticity. GLEXJ upregulated TRPC6 expression, reactivated the CaMKIV-CREB pathway, and promoted synaptic remodeling. In vitro studies confirmed that TRPC6 suppression reduced F-actin levels while GLEXJ-containing serum increased TRPC6 expression and F-actin content.
GLEXJ activates CaMKIV-CREB signaling by upregulating TRPC6 in the hippocampus of PTSD rats, leading to the positive modulation of dendritic spine morphology and synaptic remodeling. This mechanism contributes to the attenuation of fear memory generalization. Given the limitations of current PTSD treatments, these findings offer potential avenues for developing more effective therapeutic strategies.
龟鹿二仙胶(GLEXJ)是一种著名的用于补肾的传统中药配方。它被用于治疗精神疾病,并减轻记忆障碍、认知功能障碍和行为障碍。现代药理学研究表明,GLEXJ能够显著抑制创伤后应激障碍(PTSD)中的恐惧反应,并促进恐惧记忆的消退。然而,其潜在的药理机制仍不清楚。
恐惧记忆泛化是PTSD的一个基本特征,目前仍了解不足,且缺乏最佳的药物治疗方法。本研究旨在探讨GLEXJ对PTSD大鼠恐惧记忆泛化的抑制作用,并阐明其潜在机制。
采用单次延长应激和电刺激(SPS&S)方案诱导PTSD大鼠,并给予GLEXJ或帕罗西汀(PRX)治疗。使用情境恐惧记忆测试评估恐惧记忆泛化。采用高尔基-考克斯染色分析海马树突棘形态。使用超高效液相色谱-串联质谱(UHPLC-MS/MS)测定GLEXJ的化学成分。采用网络药理学预测GLEXJ在PTSD治疗中的作用机制。使用蛋白质免疫印迹法和免疫荧光法检测瞬时受体电位通道6(TRPC6)介导的钙/钙调蛋白依赖性蛋白激酶IV-cAMP反应元件结合蛋白(CaMKIV-CREB)信号通路的指标。在体外,使用慢病毒载体抑制大鼠肾上腺嗜铬细胞瘤(PC12)细胞中的TRPC6,并采用鬼笔环肽染色检测纤维状肌动蛋白(F-肌动蛋白)的变化,以阐明含GLEXJ血清的作用机制。
即使在反复应激暴露的情况下,GLEXJ也能显著减轻PTSD大鼠的恐惧记忆泛化。它还减轻了海马树突棘形态的异常。网络药理学分析证实,GLEXJ在PTSD治疗中与钙信号通路密切相关。PTSD大鼠表现出TRPC6介导的CaMKIV-CREB信号通路紊乱和突触可塑性受损。GLEXJ上调TRPC6表达,重新激活CaMKIV-CREB通路,并促进突触重塑。体外研究证实,抑制TRPC6可降低F-肌动蛋白水平,而含GLEXJ的血清可增加TRPC6表达和F-肌动蛋白含量。
GLEXJ通过上调PTSD大鼠海马中的TRPC6激活CaMKIV-CREB信号通路,导致树突棘形态和突触重塑的正向调节。这一机制有助于减轻恐惧记忆泛化。鉴于目前PTSD治疗的局限性,这些发现为开发更有效的治疗策略提供了潜在途径。