Ahmad Waqas, Choe Kyonghwan, Ahmad Riaz, Park Tae Ju, Kim Myeong Ok
Division of Life Science and Applied Life Science (BK 21 Four), College of Natural Sciences, Gyeongsang National University, Jinju, South Korea.
Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNs), Maastricht University, Maastricht, Netherlands.
Front Aging Neurosci. 2025 Jul 23;17:1607289. doi: 10.3389/fnagi.2025.1607289. eCollection 2025.
Alzheimer's disease (AD) is the most common and costly chronic progressive neurodegenerative disorder, with the highest impact on public health worldwide. Pathological hallmarks of AD include progressive cognitive decline and memory impairment, dominantly mediated by oxidative neurodegeneration. Oxidative stress is commonly recognized as a key factor in the pathophysiological progression of AD. Despite significant advancements, a definitive and effective therapeutic intervention for AD remains elusive. In this study, we investigate the neuroprotective potential of ambroxol (Amb), known for its potent anti-inflammatory and antioxidant properties. Given ambroxol's potential neuroprotective effects, we explore the underlying molecular mechanisms, explicitly examining its role in attenuating scopolamine-induced oxidative stress-mediated activation of the c-Jun N-terminal kinase (JNK) pathway, as well as its modulation of Akt and glycogen synthase kinase-3 beta (GSK-3β) signaling, which is a key contributor to neuroinflammation, synaptic dysfunction and neurodegeneration. AD pathology is induced by scopolamine administration, leading to excessive lipid peroxidation (LPO) and reactive oxygen species (ROS) generation, which leads to a decline in critical antioxidant proteins, including nuclear factor erythroid 2-related factor 2 (Nrf-2) and heme oxygenase-1 (HO-1). However, ambroxol treatment effectively attenuated oxidative stress by reducing the production of reactive oxidative species while restoring the expression of key antioxidant proteins. Similarly, ambroxol attenuated oxidative stress-induced JNK activation and modulated Akt and GSK-3β alterations. Immunofluorescence and western blot analyses revealed that ambroxol attenuated reactive gliosis by suppressing the expression of GFAP and Iba-1, alongside the downregulation of key pro-inflammatory mediators, such as IL-1β, TNF-α, and phosphorylated NF-κB (p-p65). Scopolamine also compromised synaptic integrity and induced deficits in memory formation and spatial learning. In contrast, ambroxol promoted synaptic integrity by upregulating the expression of SNAP-23 and PSD-95, thereby ameliorating scopolamine-induced impairments in spatial learning and memory.
阿尔茨海默病(AD)是最常见且代价高昂的慢性进行性神经退行性疾病,对全球公共卫生影响最大。AD的病理特征包括进行性认知衰退和记忆障碍,主要由氧化性神经退行性变介导。氧化应激通常被认为是AD病理生理进展中的关键因素。尽管取得了重大进展,但针对AD的明确有效的治疗干预措施仍然难以捉摸。在本研究中,我们研究了氨溴索(Amb)的神经保护潜力,氨溴索以其强大的抗炎和抗氧化特性而闻名。鉴于氨溴索的潜在神经保护作用,我们探索其潜在的分子机制,明确研究其在减轻东莨菪碱诱导的氧化应激介导的c-Jun氨基末端激酶(JNK)通路激活中的作用,以及其对Akt和糖原合酶激酶-3β(GSK-3β)信号传导的调节作用,GSK-3β信号传导是神经炎症、突触功能障碍和神经退行性变的关键因素。通过给予东莨菪碱诱导AD病理,导致过度的脂质过氧化(LPO)和活性氧(ROS)生成,进而导致关键抗氧化蛋白水平下降,包括核因子红细胞2相关因子2(Nrf-2)和血红素加氧酶-1(HO-1)。然而,氨溴索治疗通过减少活性氧化物质的产生,同时恢复关键抗氧化蛋白的表达,有效减轻了氧化应激。同样,氨溴索减轻了氧化应激诱导的JNK激活,并调节了Akt和GSK-3β的改变。免疫荧光和蛋白质印迹分析显示,氨溴索通过抑制胶质纤维酸性蛋白(GFAP)和离子钙结合衔接分子1(Iba-1)的表达减轻反应性胶质增生,同时下调关键促炎介质如白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)和磷酸化核因子κB(p-p65)的表达。东莨菪碱还损害了突触完整性,并导致记忆形成和空间学习缺陷。相比之下,氨溴索通过上调突触融合蛋白-23(SNAP-23)和突触后致密物-95(PSD-95)的表达促进突触完整性,从而改善东莨菪碱诱导的空间学习和记忆障碍。
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