1. Introduction
Dementia is often a troublesome disorder in old age that not only affects the
patient but takes a heavy toll on the caregiver also. Alzheimer’s disease (AD) is
the prime basis of dementia that instigates a myriad of cognitive anomalies
(e.g., loss of awareness, learning capacity, memory, judgment, reasoning,
orientation, vocabulary) and has multifactorial pathogenesis involving oxidative
stress, inflammation, cholinergic deficit, and neurotransmitters and hormonal
imbalance [1]. Histopathological features of AD include characteristic
aggregation of senile plaques encompassing amyloid-
(A) fibrillar peptides and neurofibrillary tangles (NFTs) in
the brain ensuing gross brain atrophy [2]. Reactive species (e.g., free radicals)
and inflammatory events in the CNS are the earliest mechanisms in the prodromal
stage of AD. Mitochondrial dysfunction, loss of glucose metabolism, and ATP
(adenosine triphosphate) depletion augment the yield of reactive oxygen species
(ROS) and initiate ion-channelopathies and calcium (Ca) influx that
further perpetuates operational functioning of Ca-dependent catabolic
enzymes (e.g., calpains, proteases) ensuing damaging influencing in the brain
[3]. Energy deficiency can trigger excitatory pathways of cell death via
glutamate discharge in the synaptic cleft. The presently available therapeutic
approaches are based on symptomatic treatments only with a focus on inhibition of
acetylcholinesterase enzyme (galantamine, donepezil, rivastigmine), improvement
in cerebral blood flow (piracetam), and inhibition of excitatory drive
(memantine) in the brain [4]. However, none of these drugs target more than a
single pathogenic mechanism that is the prime reason for their limited
therapeutic success. Pathogenic mechanisms of AD are diverse and there is a need
for treatment approaches that may target multiple pathways simultaneously.
Cucurbitacins are tetracyclic terpenes with steroidal structures present in
plants (e.g., pumpkins, squash, bottle gourds, and cucumbers) of diverse families
viz. Cucurbitaceae, Scrophulariaceae, and Brassicaceae [5]. Cucurbitacin
B is comprised of 19-(109)-abeo-10-lanost-5-ene
triterpene basic structure and has been used against inflammation,
hepatotoxicity, and cholestasis. Cucurbitacin B (CuB) has cytotoxic,
anti-atherosclerotic, anticancer, hypoglycemic, and immunomodulatory properties
[6, 7]. CuB modulates several signaling pathways such as p38, JNK (c-Jun
N-terminal kinase), Ras-Raf-ROCK1 (Rho-kinase) pathway, Akt, ERK
(extracellular-signal-regulated kinase), and STAT3 (signal transducer and
activator of transcription 3) that might be the reason for implication in several
disorders. It also acts on many molecular mechanisms related to PARP
(poly-adenosine diphosphate-ribose polymerase), caspase-3, cofilin, G-actin,
F-actin, GSK3 (glycogen synthase kinase 3),
matrix metalloproteinase (MMP-2 and MMP-9), MPO (myeloperoxidase), apoptotic
factors (Bcl2, Bax, Bcl), and COX-2 (cyclooxygenase-2) that reduce
inflammation and might prevent neurodegenerative events as occur in AD type
dementia [5, 6, 7, 8]. In several studies, CuB exhibited potent anti-cancer activity
by inhibiting telomerase and c-Myc (master regulator of cell cycle entry and
proliferative metabolism) and inducing apoptosis in cancer cells [9]. CuB
inhibits the cell cycle at the G2/M phase that triggers apoptotic machinery
curbing the proliferative mechanisms in diverse tumor cell lines (IC50 15–30 nM)
[9, 10]. Although the precise mechanistic signal transduction pathway is
uncertain, however, CuB inhibits the JAK-STAT3 pathway, which is required for the
longevity of cells and impedes the mitogen-activated protein kinase (MAPK)
mechanism [11]. CuB also inhibits the transcriptional activity of
hypoxia-inducible factor-1 (HIF-1) and nuclear factor kappa-light-chain-enhancer
of activated B cells (NF-B) [5, 6].
Although CuB has low oral bioavailability, however, it distributes widely into
interior body organs. It has a high V (volume of distribution) and tissue:
plasma ratio [12]. The low oral bioavailability and a bitter taste prompted the
administration of CuB systemically (e.g., intraperitoneal injection) in different
studies [7, 12]. In urine and feces, very minuscule amounts of unaffected CuB are
expelled signifying that this molecule can be bio-transformed before elimination
[12]. Despite the above findings, the effects of CuB against dementia have not
been explored so far in suitable details. Furthermore, Li et al. [13]
suggested that CuB enhanced neurite outgrowth (neurogenesis) in PC12 cells and
primary neuron culture. CuB protected hippocampus neurons in APP/PS1 (amyloid
precursor protein/presenilin1) mice model and caused an improvement in the
working memory in these mice. The current investigation was aimed to elucidate
the neuroprotective properties of cucurbitacin B (CuB) in AD type dementia model
simulated by intracerebroventricular (ICV) streptozotocin (STZ-ICV) injection in
rats and also delineated its mechanism in relation to oxidative stress and
inflammation.
2. Materials and methods
2.1 Experimental subjects
The investigation procedure was permitted by the Animal Ethics Committee of
Henan Hospital of Traditional Chinese Medicine (The Second Affiliated Hospital of
Henan University of Chinese Medicine) (Henan, China) vide protocol
approval reference no. ky20210429002 on 29-04-2021. Adult male Wistar rats (age
6–8-month, body weight range 225 10 g) were retained within a
well-maintained laboratory setting. A single rat was held discretely in one
polyacrylic cuboidal enclosure and fostered on a typical pellet fodder. Purified
(reverse osmosis) water was provided with unhindered admittance. In pre-surgery
measures, 12 h before surgery rats fasted, but access to water was given at will.
The animal custodian and handlers were blinded with respect to different
therapeutic regimens facilitated to animal cohorts. Investigative trials on
animals were executed succeeding at least a single fortnight of familiarization
duration. All investigations using animals were performed between 0900- and
1600-h duration in a day.
2.2 Drugs and chemicals
Cucurbitacin B (Mol. weight 556.69, purity 95%), donepezil (DNP),
streptozotocin (STZ), and standard analytes (glutamate and GABA) were attained
from Merck (China). Sodium dihydrogen phosphate (NaHPO), potassium
phosphate dibasic (KHPO), ethylenediaminetetraacetic acid (EDTA),
hydrogen peroxide (HO), Folin & Ciocalteu’s phenol (FCR), formalin,
bovine serum albumin (BSA), trichloroacetic acid (TCA), butyl alcohol,
4,6-dihydroxy-2-mercaptopyrimidine (2-TBA), glacial acetic acid (CHCOOH),
pyridine, Ellman’s reagent (3-Carboxy-4-nitrophenyl disulfide, DTNB),
sulphosalicylic acid (5-SSA) reagent, dimethyl sulfoxide (DMSO), and sodium
lauryl sulphate (SLS) (TCI, Shanghai, China); (2-Mercaptoethyl)trimethylammonium
iodide acetate (acetylthiocholine iodide), dimethylsulfoxide (DMSO), phenazine
methosulphate (5-methylphenazinium methyl sulfate), NADH disodium (DPNH),
methanol, acetonitrile (HPLC grade), 2,4 dinitrophenylhydrazine (DNPH), nitrous
acid sodium (NaNO), disodium carbonate (NaCO),
2-(1-Naphthylamino)ethylamine dihydrochloride, Rochelle salt (potassium sodium
L(+)-tartrate), 0.5% Cetyltrimethylammonium bromide (HETAB),
3,3’,5,5’-Tetramethyl-[1,1’-biphenyl]-4,4’-diamine (TMB substrate),
p-aminobenzenesulfonamide, N-formyldimethylamine,
n-heptanes (Fischer-Scientific); catalase and pyruvic acid sodium salt
(Cayman Chemicals, Ann Arbor, USA) were attained. Artificial cerebrospinal fluid
(aCSF) is arranged using reagent compositions: 147 mM NaCl (0.0859 g), 2.9 mM KCl
(0.00216 g), 1.6 mM MgCl (0.00152 g), 1.7 mM CaCl2 (0.00249 g), 2.2 mM
dextrose (0.00396 g) in 10 mL of water for injection (pH 7.3).
2.3 Intracerebroventricular injection of streptozotocin (STZ-ICV)
Animals were subjected to anesthesia by administering ketamine
(90 mg/kg) and xylazine (10 mg/kg)
intraperitoneally (i.p.). The body was laid in the prone position on a
warm heating cushion and in the mount of a stereotaxic surgery instrument the
head was situated. The scalp was incised at the mid-sagittal point and the skull
was uncovered by retracting the skin apart. Any one of the dual lateral
ventricles was arbitrarily chosen and, in the skull, parietal bone was bored
(stereotaxic coordinates –0.8 mm anteroposterior from bregma, 1.5 mm
mediolateral from mid-sagittal suture, and 3.6 mm dorsoventral from the
parietal bone surface) to make a burr hole [14]. On day one, STZ solution was
freshly constituted at dose 3 mg/kg in aCSF (10 L
ICV-vehicle) and was gradually inoculated (Hamilton microsyringe) at flow rate 1
L/min in the left or right cerebral ventricle of rats over
10 min extent [15]. After inoculation of the whole drug, the microneedle was
refrained from dislodging for 4–5 min to enable smooth diffusivity of STZ in the
brain CSF and thwart its regurgitation. An equivalent volume (10
L) of aCSF-vehicle was administered in sham (S) rats that
were identically operated but STZ was not injected. Post drug injections, the
holes were restored using a luting agent (Zinc phosphate,
PYRAX) and stitching of the skin was accomplished. To avert
contamination (bacterial growth), Neosporin treatment was
given pro re nata. After 48 h, the ICV injections once recurred in the
residual lateral ventricle. To evade postoperative sepsis, Orizolin (Zydus
Cadila), dose 30 mg/kg (i.p.), was administered. Each rat was provided a
warm environment (37 0.5 C) to avert postsurgical hypothermia.
Each rat was allowed access to semi-solid food (inside the cage) and water gratis
after surgery for 7 days and housed discretely in a distinct cage (30
23 14 cm).
2.4 Experimental protocol
The CuB was homogeneously dissolved in a 0.1% dimethylsulfoxide (in normal
saline, isotonic 308 mOsmol/L NaCl) vehicle and administered in doses 25 and 50
mg/kg in rats via the intraperitoneal (i.p.) path [8]. The rats
were disseminated in 6 clusters in a single-blind manner by means of arbitrary
dispersal scheme (n = 10): (i) Control (C), (ii) Sham (S), (iii)
S+CuB50, (iv) STZ-ICV, (v) STZ-ICV+DNP, (vi) STZ-ICV+CuB25, (vii) STZ-ICV +
CuB50. Rats were injected STZ-ICV or exposed to sham surgery on the day(s) 1 and
3. The CuB was injected for 28 uninterrupted days once daily 120 min later to
STZ-ICV or sham surgery from day 1 onwards. Donepezil (DNP) was used as a
standard drug in this study and given (dose 1 mg/kg, i.p.) in STZ-ICV
injected rats for 28 successive days [15]. Animals in control, sham, and STZ-ICV
control groups were administered vehicle (0.1% DMSO/normal saline in dose-volume
5 mL/kg) from day 1 to 28. The locomotor and sensorimotor capabilities of animals
were judged on the day(s) 1, 2, and 25 (Fig. 1). The working kind reminiscence
memory of rats was appraised on day 26 by means of a novel object recognition
test (NORT). On day(s) 27 and 28, entire animal clusters were given trials on
passive avoidance (PA) instrument. Later whole brains were garnered for
histopathological scrutiny and computation of biochemistry values of oxidative
mutilation such as 8-hydroxy-2-deoxyguanosine (8-OHdG), protein carbonyls,
thiobarbituric acid reactive substances (TBARS), superoxide dismutase (SOD),
catalase, and glutathione (GSH). Biological indicators of cell demise
viz. lactate dehydrogenase (LDH) and caspase-3, acetylcholinesterase
(AChE), -aminobutyric acid (GABA), glutamate, inducible nitric
oxide synthase (iNOS), inflammation such as tumor necrosis
factor- (TNF-),
interleukin-1 (IL-1), and myeloperoxidase
(MPO) were also gauged.
Fig. 1.
Rats were exposed to streptozotocin (STZ) administered through
intracerebroventricular (ICV) route (STZ-ICV) or sham surgery on day(s) 1 and 3
and were administered cucurbitacin B (CuB, 25 and 50 mg/kg) or donepezil (DNP, 1
mg/kg) post-surgery (i.p.) for 28 uninterrupted days once daily
initiating from day 1. Rats were subjected to locomotor and rotarod examinations
on the day(s) 1, 2, and 25. Novel object recognition test (NORT) and passive
avoidance (PA) test were conducted to evaluate memory functions in rats.
Biomarkers of cell death, inflammation, neutrophil extravasation,
redox-imbalance, and neurotransmitters were assessed in the brain of rats after
behavioral studies.
2.5 Locomotor activity
Digital actophotometer quantified the ambulatory behavior in entire rat
clusters. An individual rat was positioned in the center of the arena and
provided 5 min of acquaintance for adaptation. Prior to drug administrations, on
1st day, a basal score (the number of counts) was noted within a cut-off period
of 10 min for each rat. Ambulation trials were re-performed on day(s) 2 and 25
before the initiation of behavioral trials of memory functions.
2.6 Sensorimotor investigations
The rotarod trials were conducted for appraising the sensorimotor parameters
such as balance and coordination in rodents. The rats were exposed to training
trials up to the level at which they were able to run 60 sec on the rotating
rod at 9 revolutions per min (rpm). Post-training, an individual rat was
positioned on the shaft and the velocity of revolutions was boosted gradually at
an interval of 10 sec uniformly from an initial speed of 6 rpm to a final speed
of 30 rpm spanning over 50 sec period. Mean fall-off latency (in seconds) from
the revolving cylindrical-shaft was stated in the results.
2.7 Evaluation of working memory
NORT is an unprofitable and non-hostile exteroceptive archetype employed to
assess working type recollective memory exploited through impulsive probing
conduct of rodents. The investigation is performed in a rooftop-open plywood
cuboidal vessel (80 cm 42 cm 62 cm), positioned in a silent
area illumined by a 60W LED to manage consistent brightness in the vessel.
Cylindrical (white), pyramidal (red), and cubical (black) shaped (12 cm tall)
wooden items (in identical triplets) were solid and of enough weight to render
them immobile by rodents. NORT was performed on the 26th day in 3 stages (S):
acclimatization (S1), acquisition (S2), and novel object recognition examination
(retention) stage (S3). During S1, 3 successive days erstwhile to trials were
issued to discover the vacant floor base of the vessel (5 minutes) by rats. At
the completion of S1, the individual animal was habituated to any one set of
solid items in the learning stage (S2). Twin alike things were positioned in 2
arbitrarily selected contrary angles of the vessel (9–11 cm gap from the side
ramparts). Separately, a rodent was positioned at the center of the vessel facing
opposite to the 2 solid items and permitted to discover the 2 alike items for 5
min. Guiding the snout near the object at 2–3 cm distance or physical
contact with the item with the muzzle was supposed as investigative conduct. Post
S2, the rodent was housed in the home-cage trailed by an intertrial recess (ITR)
of 60 min. Any single solid item offered in S2 was swapped by a different solid
item, and rodents were represented again to twin items, i.e., a replica of the
acquainted item and the different item. The whole of the amalgamations and
positions of the items were offset to abate likely prejudice instigated by a
penchant for certain settings or items. The vessel and solid items were
meticulously wiped (ethyl alcohol 15% and dry cloth) after every investigation
to curb the odorous signs. The period expended discovering each item in S2 and S3
was documented using a stopwatch. Duration expended investigating the two
matching items in S2 (I1 = Ii1 + Ii2) and duration expended
investigating the two unlike items, acquainted and different in S3 (I2 =
Ii3 + Ib) was recorded. The variance in duration expended
investigating the different item and the duration of investigating the acquainted
item (Ib – Ii3 = DI) discloses retention of recollective
memory. DI (discrimination index)/S3 duration (s) of investigating both the
acquainted and new item (amended DI) improves the partialities by variances in
the complete investigation and denotes the penchant for different items in
contrast to acquainted ones {DI = (Ib – Ii3) / (Ii3
+ Ib)}. Recollective memory was appraised by quantifying the skill of
rodents to single out the familiar/novel items in S3 and stated as DI (amended
for overall investigation period in S3) [16].
2.8 Passive avoidance test
Rodents are inherently explorative by nature, which is measured in this test in
terms of aversive or avoidance memory. In this inhibitory aversive investigation,
the impulsive exploratory behavior of the rat is curbed where it adjusts to dodge
the aversive impetus presented by means of scrambled foot shock (1.1 mA for 5
sec). The step-through passive avoidance (PA) apparatus comprises dual identical
proportion compartments (23 22 23 cm) parted by a
guillotine gate. These are designated as light (plexiglass walls with
illumination 60 Watt LED) and dark (plywood walls) chambers. The base of the dark
chamber embodied a stainless-steel wire lattice (4.5 mm diameter wire organized
9.0 mm apart) for electric shock transmission. The PA device is positioned in a
silent place and trials were conducted. In the acquisition phase, an individual
rat was situated in a light chamber facing contrary to the guillotine entrance.
After 10 sec the gate was opened to facilitate rodent passage in the dark chamber
and this passage time was recorded manually by means of a digital stop-watch.
Subsequently, an ineludible foot-shock was transmitted post-gateway closure. The
rat was extracted out from the dark chamber after 15 sec of the end of shock and
relocated to its home cage. After 24 h interval, each rat was again subjected to
a similar probe (retention trial) excluding foot-shock. In both trials, the
step-through latency time (STL) taken for passage in the dark chamber was
documented with a 300-sec cut-off duration [17].
2.9 Estimation of biochemical parameters
After completion of the behavioral examinations, rats were euthanized under
anesthesia, given by sodium pentobarbitone (dose 150 mg/kg, i.p.), using
the cervical dislocation technique. The complete brain of the rats was garnered,
positioned on pulverized ice-cubes trailed by bathing with freezing sterilized
saline (isotonic 308 mOsmol/L NaCl) to eradicate the remains and blood.
Homogenization of the entire brain was instantly accomplished in freezing 50 mM
sodium-phosphate phosphate buffer (pH 7.40) by means of a tissue homogenizer and
a 10% w/v brain homogenate was organized. Later, a clear superfluous fluid
(supernatant) was removed post-centrifugation (15 min at 4 ℃ at 12,000 g force) of the entire brain homogenate. The pure supernatant was
secluded for the biochemical investigations.
2.10 Thiobarbituric acid reactive substances (TBARS) levels
To evaluate TBARS (nmol per mg protein) [18] the analyze combination (concluding
quantity ~4 mL) comprising 0.10 mL homogenized brain, 1.51 mL
4,6-dihydroxy-2-mercaptopyrimidine (0.8%), 200 L SLS
(8.18%), 1.49 mL glacial acetic acid (21%, pH 3.51), and 0.71 mL deionized
water was subjected to water-bath heating at 96 ℃ for 60 min. A 15:1 ratio butyl
alcohol/azabenzene (5.1 mL) was supplemented in analyze concoction that was
centrifugated at 4000 g power (10 min), and the supernatant
was secluded. With a twin-beam UV1700 spectrophotometer (Shimadzu, Japan),
chromophore malondialdehyde-4,6-dihydroxy-2-mercaptopyrimidine O.D. was appraised
at a wavelength ( = 532 nm), and
= 1.56 10/M/cm (molar extinction
coefficient) was applied to compute 4,6-dihydroxy-2-mercaptopyrimidine adducts.
2.11 Glutathione (GSH) levels
Ellman’s procedure was implemented to appraise L-glutathione (GSH) content. The
test concoction encompassing homogenate (1.1 mL) and 1 mL of 4%
2-hydroxy-5-sulfobenzoic acid (5-SSA) was centrifugated (4 C) for 11 min at 2500
g power. Later, 2.8 mL Na-K [PO]buffer (51.2 mM, pH 7.77) and 0.21 mL 3-carboxy-4-nitrophenyl disulfide (0.12 mM,
pH 7.89) was blended with above separated supernatant (0.12 mL). Tripeptide
(mol GSH per mg protein) was quantified with twin-beam
UV1700 spectrophotometer ( = 412 nm) applying
= 1.36 10/M/cm [19].
2.12 Superoxide dismutase (SOD) activity
The rate of SOD (EC 1.15.1.1) action (Units per mg protein) was measured in the
reaction concoction that involved 0.3 mL homogenate, 100 L
5-methylphenazinium methyl sulfate (197 M), and 1.3 mL sodium
diphosphate tetrabasic (0.066 mM, pH 7.2). Reaction commencement by 200
L -nicotinamide adenine dinucleotide
(DPNH) (780 M) and halted 60 sec later by including 1 mL glacial
CHCOOH in this blend. Chromogen quantity generated was computed by noting
the color strength at = 560 nm [20].
2.13 Catalase activity
To assess rate of catalase (EC 1.11.1.6) action, O.D.
discrepancy ( = 240 nm) of the analyze concoction
(3.0 mL) comprising 50 L investigating sample, 1.22 mL
HO (0.03 M) in Na-K [PO] buffer (pH 7.91,
0.06 M), and 1.63 mL of 0.06 M Na-K [PO] buffer (pH 7.1)
was recorded. Catalase activity (mol HOdecayed per minute per mg protein of brain) was computed applying
= 43.6/M/cm [21].
2.14 Acetylcholinesterase (AChE) activity
Briefly, the reaction concoction quantity was made of 100
L (2-mercaptoethyl)trimethylammonium iodide acetate (1.585
M), 100 L Ellman’s reagent (0.01 M), 3 mL Na/K
PO buffer (0.10 M, pH 8.0), and 0.05 mL supernatant. O.D. disparity
was recorded at = 412 nm by employing binary-beam
UV1700 spectrophotometer. The rate of AChE (EC 3.1.1.7)
(mol acetylthiocholine iodide hydrolyzed per min per mg
protein) action was computed applying = 1.36
10/M/cm at = 412 nm [22].
2.15 Lactate dehydrogenase (LDH) activity
The rate of lactate dehydrogenase (EC 1.1.1.27) (mol NADH
oxidized per min per mg protein) action was scrutinized by means of the procedure
of Kaja et al. [23] applying = 6220/M/cm at
= 340 nm. The whole assay concoction
(3 mL) comprised of supernatant (q.s.),
1 mL Tris-HCl buffer (0.2 M, pH 7.4),
150 L KCl
(0.1 M), 150 L pyruvic acid
sodium salt (50 mM), and
200 L NADH (2.4 mM). A
reduction in extinction for 2 min at 25 C was documented.
2.16 Total proteins
The overall protein level (mg/mL of homogenate) was computed by means of a
typical curvature graph of bovine serum albumin having a solution strength array
of 0.3–3.8 mg/mL. The examination combination was organized comprising 250
L homogenate, 5.1 mL Lowry’s reagent, Na-K
[PO] buffer (900 L), and 1.1 N 500
L FCR. The discrepancy of O.D. was observed at
= 650 nm [24].
2.17 Myeloperoxidase activity
The rate of myeloperoxidase (MPO, EC 1.11.2.2) action (Units per mg protein)
correlates with neutrophil extravasation at inflammatory sites. After
homogenization of sample in 10 times greater freezing Na-K
[PO] buffer (50 mM, pH 6.2), it was supplemented with 0.5%
cetyltrimethylammonium bromide and 10 mM EDTA. HO mediated TMB
substrate oxidation is catalyzed by MPO that creates a blue chromogen having
= 655 nm. This homogenized sample is mixed with 0.5
mL assay blend having Na-K [PO] buffer (79.8 mM, pH
5.4), 0.5% w/v cetyltrimethylammonium bromide, and 1.6 mM TMB substrate in form
of a 9.9 mM stock-solution organized in N-formyldimethylamine. The
entire assay volume is then heated (37 C), the reaction was commenced with 0.29
mM HO, and later incubated (37 C) for 3 min. The inclusion of
catalase (20 g/mL) and 0.22 M sodium acetate (2.1 mL, pH
3.4) at 4 min interlude along with ice-cooling halted this reaction. The
unnecessary membranous matter is excluded by centrifugation to avoid meddling
with the spectrophotometric investigation. At = 655
nm O.D. is recorded, which is amended by deducting the blank value. Quantity of
MPO that modify O.D. per min of 1.0 at 37 C in final reaction capacity containing
sodium acetate equals one unit of activity. MPO activity (U per mg
protein) = N/tissue weight, Where N
= 10 (alteration in O.D./min)/quantity of supernatant
taken in final reaction [25].
2.18 Protein carbonyls
Brain homogenates were diluted to 750–800 g/mL of protein in
each sample. 200 L of 2,4 dinitrophenylhydrazine (10.1 mM)
or equivalent quantity of 2 M HCl was included in 1 mL of diluted sample. This
concoction was incubated at 25 ℃ for 90 min under dim light. Next, 0.6 mL of
denaturing buffer (149.8 mM Na-K [PO] buffer, pH 7.1
with 3% SLS), 1.8 mL of n-heptane (99.5%), and 1.8 mL of ethyl alcohol
(99.8%) were incorporated. The assay blend was vortexed for 42 sec and
centrifugated at 4500 g force for 15 min. Protein content was
skimmed off and rinsed in 1.0 mL of acetic acid ethyl ester
(CHCOOCH) and ethyl alcohol 1:1 (v/v) solution. The secluded
protein was re-suspended in 1.0 mL of denaturing buffer, variation in O.D. was
documented at = 370 nm by means of
spectrophotometric probes, and protein carbonyls (nmol per mg protein) was
computed by applying = 22,000/M/cm [26, 27].
2.19 HPLC-FLD analysis of neurotransmitters
After meticulous surgical removal of the entire brain, weighing and
homogenization were accomplished by means of 84:16 v/v methyl alcohol/HO
(15 volumes) blend. Centrifugation of this homogenate at 8150 g power for 15 min at 4 C produced a supernatant that was secluded,
filtered (mixed cellulose esters MF-Millipore membrane 0.22
m pore size), and kept at –20 C till its derivatization.
Initially, in 10 L of filtered supernatant 990
L of deionized water was incorporated. Pre-column
derivatization (25 C, 10 min) of 100 L of standard or test
sample was conducted in Eppendorf tubes using 22 L of OPA
solution comprising of methanolic o-phtalaldehyde (5 mg/mL), 0.075 mL
boric acid buffer (pH 10.1), and 0.005 mL 3-sulfanylpropanoate. 20
L of this derivative was introduced into the HPLC (Waters)
column (C18 column; 5 m, 4.6 250 mm). A
fluorescence detector (Agilent 1260 Infinity FLD G1321C) (excitation wavelength
= 337 nm, emission wavelength
= 454 nm) along with LC-10 AD pump employed. HPLC
grade acetic acid Na salt (0.05 M), oxolane, and methyl alcohol (49:1:50
v/v) (pH 4.1) in a blend was filtered (MF-Millipore 0.22
m), vacuum degassed, and then injected (0.05–0.1 mL/min
rate) in column (25–30 C). Compounds were eluted isocratically over a 15 min.
Neurochemicals (glutamate and GABA) were enumerated by applying external
standards and the area under the peak procedure. The peak zones were gauged by
injecting the sequential dilutions of standards. Peak zones on the upright axis
relative to matching concentrations of apiece separate amino acid on the flat
axis were designed graphically to acquire a linear standard curve that was
utilized to compute the sample (brain) viz. glutamate and GABA strengths
(g/mg).
2.20 Enzyme-linked immunosorbent assay
With help of the dual antibody sandwich ELISA technique, TNF- (#KB3145, Krishgen Biosystems), 8-hydroxy-2-deoxyguanosine (#ADI-EKS-350,
Enzo LifeSciences), IL-1 (#ADI-900-131A, Enzo LifeSciences),
caspase-3 (#E4592, Biovision), and iNOS (#E4649, Biovision) levels in the whole
brain samples were computed. A standard protocol according to the training
catalog was duly adopted. In brief, post-homogenization, the entire brain was
centrifugated for 20 min using 2500 g force. Subsequently, in
a plate having 12 8 rat monoclonal antibody pre-coated wells, the
supernatant was added followed by incubation at 37 C for 60 min. Later,
sequential addition of biotin-labeled detection antibody and
streptavidin-horseradish peroxidase was performed and covered plates were
subjected to incubation. Incorporation of chromogen A/B or TMB substrate
reflected blue coloration. The reaction was halted using a stop solution and O.D.
was documented ( = 450 nm) within 15 min by means of
an ELISA reader (iMARK, BIORAD). A standard curve using diverse concentrations of
standard rat TNF- (450, 225, 56.25, 28.13, 14.06, 7.03, and
3.51 pg/mL), IL-1 (31.3, 62.5, 125, 250, 500, 1000, and 1000
pg/mL), caspase-3 and iNOS (0.313, 0.625, 1.25, 2.5, 5, 10, and 20 ng/mL), and
8-OHdG (0.94, 1.875, 3.75, 7.5, 15, 30, and 60 ng/mL) was graphically designed to
compute TNF- (pg/mL), IL-1 (pg/mL),
caspase-3 (ng/mL), iNOS (ng/mL), and 8-OHdG (ng/mL) in the test samples.
2.21 Brain histopathology
Employing a gravity-fed diffusion setup, rats were intracardially (via
left ventricle) diffused with 10% neutral buffered formaldehyde (10% NBF)
solution and acutely anesthetized. Hippocampus and cortical sectors are immersed
in fixative (10:1 fixative: tissue proportion) viz. 10% NBF for one
week (4 C) accompanied by 0.04% natriumazid (pH 7.4). Ethyl alcohol
(70%) was employed as a packing solution for fixed tissue portions kept at 4
C. A microtome cutter (rotation type) was employed to acquire thin
portions (5.0 m), which were then tinted with colorant
hematoxylin and eosin (H&E). Slides were made permanent by means of DPX-resin,
later cover-slipped, and inspected through an optical microscope (binocular) at
20 and 40 magnifications. In histomorphometry analysis,
cortical neuron densities (per m) were determined by
counting viable neurons using ImageJ software (NIH Image 1.61; National Institute
of Health; Bethesda, MD, USA).
2.22 Statistical analysis
A skilled experimenter blinded to miscellaneous drug regimens given to animal
cohorts scrutinized and evaluated the data. Outliers were not pragmatic (Grubb’s
test) in the data and Kolmogorov-Smirnov test and Levene’s test confirmed normal
distribution of variables and homogeneity of variance (HOV p 0.05,
Levene’s test) respectively. Otherwise, in case of unequal variance (HOV
p 0.05, Levene’s test), Welch’s ANOVA (p 0.05,
F-statistic) and Games-Howell post-hoc tests can be applied. Means
of normally distributed variables were scrutinized and related by one-way ANOVA
(data from PA test, NORT, biochemical, and histomorphometry parameters) or
repeated measures two-way ANOVA (data of locomotor activity and rotarod test). In
case ANOVA outcomes are significant (p 0.05) in F-statistics,
multiple comparison tests viz. Tukey’s HSD (Honest Significant
Difference) or Bonferroni were applied. Statistical significance was deemed
at p 0.05 and the results were stated as mean Standard Error
of Mean (S.E.M.).
3. Results
3.1 Locomotor and sensorimotor abilities were unaffected by drug
treatments
The locomotion and motor coordination of rats were evaluated before surgery (1st
day), 24 h after surgery (2nd day), and preceding behavioral tests (25th day).
Results displayed no significant changes in the locomotor activity (Fig. 2A) and
sensorimotor performance (Fig. 2B) of rats in different groups. STZ-ICV treatment
had no significant (p 0.05) bearing on the locomotor ability and
sensorimotor performance of rats in relation to the vehicle-treated control group
and sham rats.
Fig. 2.
Effect of cucurbitacin B (CuB) post-treatment (25 and 50 mg/kg)
on (A) locomotor activity, (B) motor coordination, (C) working memory (in NORT),
and (D) aversive memory (in passive avoidance test) of rats against
intracerebroventricular administered streptozotocin (STZ-ICV). n = 10,
p 0.001 vs. sham (S) group; p 0.05; p 0.01; p
0.001 vs. STZ-ICV group; p < 0.001 STZ-ICV + CuB50 vs.
STZ-ICV + CuB25.
3.2 CuB attenuated STZ-ICV induced memory deficits in rats
Assessment of discrimination index (DI) in NORT on day 26 exhibited that STZ-ICV
treatment on day(s) 1 and 3 hampered recognition type of working memory in rats.
Rats that were exposed to STZ-ICV treatment displayed substantial decline
(p 0.001) in DI in relation to sham [F = 30.33,
p 0.001]. CuB (25 and 50 mg/kg) post-treatment in rats given STZ-ICV
exposure enhanced DI (p 0.05, p 0.001) comparative to
rats that were exposed to STZ-ICV and vehicle only (Fig. 2C). In the aversive
memory investigations, step-through latency (STL) was assessed to evaluate the
repercussions of CuB administration for 28 consecutive days on learning and
memory of rats that were given STZ-ICV treatment on day(s) 1 and 3. In
acquisition trials, no substantial intergroup disparity (p 0.05) in
day 27 STL of rats was detected in the PA test. In the retrieval trials (day 28),
a substantial decline (p 0.001) in the STL (Fig. 2D) was observed in
rats given STZ-ICV treatment when correlated with matching vehicle-treated sham.
CuB (25 and 50 mg/kg) regimen abrogated the STZ-ICV triggered decline in the STL
(p 0.01, p 0.001) when correlated with the rats that
were presented STZ-ICV and vehicle treatments only [F = 26.38,
p 0.001]. CuB (50 mg/kg) significantly heightened the DI (p 0.001) and STL (p 0.001) relative to CuB (25 mg/kg) in rats
subjected to STZ-ICV treatment. DNP significantly enhanced DI
(p 0.001) and STL (p 0.001) in rats
that received STZ-ICV treatment relative to rats that were exposed to STZ-ICV and
vehicle only. Furthermore, CuB (50 mg/kg) significantly improved the DI
(p 0.05) in NORT when correlated with DNP treatment in rats that
received STZ-ICV treatment.
3.3 CuB decreased the brain oxido-nitrosative stress in STZ-ICV AD
prototype
Rats that endured vehicle and STZ-ICV treatment unveiled a significant
(p 0.001) upsurge in the brain lipid peroxidation (TBARS content),
8-OHdG, and protein carbonyls, and diminution of endogenous antioxidants (GSH
level, SOD, and catalase activities) with respect to vehicle treated sham rats
(Fig. 3). CuB (25 and 50 mg/kg) post-treatment for regular 28 days in rats given
STZ-ICV depreciated the lipid peroxidation (p 0.05,
p 0.001) [F = 22.3, p 0.001[, 8-OHdG
(p 0.05, p 0.001) [F = 20.72, p
0.001], and protein carbonyls (p 0.05, p 0.001)
[F = 36.20, p 0.001], and significantly improved the GSH
(p 0.05, p 0.001) [F = 36.8, p
0.001], SOD (p 0.05, p 0.001) [F = 16.99,
p 0.001], and catalase (p 0.05, p 0.001)
[F = 21.01, p 0.001] activities relative to rats that
attained STZ-ICV and vehicle treatments only. Results showed dose-dependent
decline in oxidative stress in STZ-ICV rat model. CuB (50 mg/kg) post-treatment
for 28 days prompted a dose-dependent waning of TBARS (p 0.01),
8-OHdG (p 0.01), protein carbonyls (p 0.001), and
inflation in GSH (p 0.001), SOD (p 0.05), and catalase
(p 0.05) in the brain with respect to CuB (25 mg/kg) post-treatment
for equivalent period in rats subjected to STZ-ICV treatment on day 1 and 3. DNP
significantly attenuated the lipid peroxidation (p 0.001), 8-OHdG
(p 0.001), and protein carbonyls (p 0.001), and
significantly enhanced the GSH (p 0.001), SOD (p
0.001), and catalase (p 0.01) activities in rats subjected to
STZ-ICV treatment relative to rats that received STZ-ICV and vehicle only.
Furthermore, outcomes displayed that administration of CuB (50 mg/kg) plummeted
oxidative stress and enhanced antioxidants more conspicuously in correlation to
DNP in rats that endured STZ-ICV neurotoxicity.
Fig. 3.
Cucurbitacin B attenuates brain oxidative and nitrosative stress in the STZ-ICV rat model.
Effect of cucurbitacin B (CuB) post-treatment (25 and 50 mg/kg)
on (A) lipid peroxidation (TBARS), (B) 8-hydroxy-2’-deoxyguanosine (8-OHdG)
content, (C) protein carbonyls, (D) glutathione (GSH) content, (E) superoxide
dismutase (SOD) activity, and (F) catalase activity against
intracerebroventricular administered streptozotocin (STZ-ICV) in the whole-brain
of rats. n = 6, p 0.001 vs. sham (S)
group; p 0.05; p
0.001 vs. STZ-ICV group; p < 0.05, p < 0.01, p < 0.001 STZ-ICV + CuB50 vs. STZ-ICV + CuB25.
3.4 CuB attenuated STZ-ICV triggered inflammatory upsurge in the
brain of rats
Results from ELISA unveiled a substantial expansion (p 0.001) in appearance of inflammatory cytokines (TNF-,
IL-1), neutrophil extravasation marker (MPO), and iNOS in the
brain of STZ-ICV injected rats when contrasted with matching sham counterparts.
In the contemporary investigations, CuB (25 and 50 mg/kg) post-treatment for
regular 28 days plummeted STZ-ICV prompted amplification in
TNF- (p 0.01, p 0.001) [F
= 43.70, p 0.001], IL-1 (p 0.05,
p 0.001) [F = 21.59, p 0.001], MPO
(p 0.01, p 0.001) [F = 21.82, p
0.001], and iNOS (p 0.05, p 0.001) [F =
22.91, p 0.001] in the brain of rats when correlated to rats that
were given STZ-ICV and vehicle treatments (Fig. 4). CuB (50 mg/kg) post-treatment
incited an extensive depreciation in TNF- (p
0.01), IL-1 (p 0.05), MPO
(p 0.01), and iNOS (p 0.05) comparative to CuB (25
mg/kg) in STZ-ICV injected rats. DNP significantly reduced TNF- (p 0.001), IL-1 (p 0.001), MPO
(p 0.001), and iNOS (p 0.001) function in rats
subjected to STZ-ICV treatment relative to rats that attained STZ-ICV and vehicle
only.
Fig. 4.
Effect of cucurbitacin B (CuB) post-treatment (25 and
50 mg/kg) on (A) tumor necrosis factor-
(TNF-), (B) interleukin-1
(IL-1) level, (C) myeloperoxidase (MPO) activity, and (D)
inducible nitric oxide synthase (iNOS) in the brain of rats given
intracerebroventricular streptozotocin (STZ-ICV). n = 6, p 0.001 vs. sham (S) group; p 0.05;
p 0.01; p 0.001 vs.
STZ-ICV group; p < 0.05, p < 0.01 STZ-ICV
+ CuB50 vs. STZ-ICV + CuB25.
3.5 CuB attenuated STZ-ICV triggered cell death in the brain of
rats
The extent of tissue damage in rats was appraised by computing biomarkers of
cell death viz. rate of LDH and caspase-3 levels. In the existing
investigations, rate of LDH function and caspase-3 content was significantly
escalated (p 0.001) in the brain of rats that were given STZ-ICV
treatment when juxtaposed to sham counterparts. CuB (25 and 50 mg/kg)
post-treatment for regular 28 days significantly reduced the LDH activity
(p 0.01, p 0.001) [F = 31.80, p
0.001] (Fig. 5A) and caspase-3 content (p 0.05, p
0.001) [F = 15.58, p 0.001] (Fig. 5B) in rats exposed to
STZ-ICV when correlated to rats that were given STZ-ICV and vehicle treatments
alone. CuB (50 mg/kg) post-treatment corroborated an extensive drop in LDH
(p 0.01) action and caspase-3 level (p 0.05) relative
to CuB (25 mg/kg) in rats exposed to STZ-ICV. Standard drug, DNP, significantly
reduced the LDH activity (p 0.001) and caspase-3 (p
0.001) in rats given STZ-ICV treatment relative to rats those attained STZ-ICV
and vehicle treatments only.
Fig. 5.
Effect of cucurbitacin B (CuB) post-treatment (25 and 50 mg/kg)
on (A) lactate dehydrogenase (LDH) activity and (B) caspase-3 levels in the brain
of rats given intracerebroventricular streptozotocin (STZ-ICV). n = 6,
p 0.001 vs. sham (S) group; p 0.05; p 0.01; p
0.001 vs. STZ-ICV group; p < 0.05, p < 0.01 STZ-ICV + CuB50 vs. STZ-ICV + CuB25.
3.6 CuB attenuated acetylcholinesterase activity and glutamate
levels, and improved GABA content in the brain of STZ-ICV treated rats
In biochemical estimations a significant (p 0.001) increase in
acetylcholinesterase (AChE) activity, glutamate levels, and waning of GABA levels
in the whole brain homogenate of rats that were given STZ-ICV and vehicle
treatment comparative to vehicle injected sham rats was pragmatic. CuB (25 and 50
mg/kg) regimen for 28 uninterrupted days reduced the rate of AChE function
(p 0.05, p 0.001) [F = 34.93, p
0.001] (Fig. 6A), glutamate levels (p 0.05, p 0.001)
[F = 23.21, p 0.001] (Fig. 6B), and amplified the GABA
levels (p 0.001, p 0.001) [F = 262.6,
p 0.001] (Fig. 6C) in the brain of rats injected STZ-ICV when
correlated with rats that attained STZ-ICV and vehicle treatment only. CuB (50
mg/kg) post-treatment culminated a considerable depreciation in AChE rate
(p 0.001), glutamate content (p 0.05), and boosted GABA
quantity (p 0.001) in contrast to CuB (25 mg/kg) in rats that
attained STZ-ICV. DNP significantly attenuated the brain AChE activity
(p 0.001), glutamate (p 0.001) levels, and enhanced
GABA (p 0.001) levels in rats subjected to STZ-ICV treatment
relative to rats that attained STZ-ICV and vehicle only.
Fig. 6.
Effect of cucurbitacin B (CuB) post-treatment (25 and
50 mg/kg) on (A) acetylcholinesterase (AChE) activity, (B) glutamate levels, and
(C) -aminobutyric acid (GABA) level in the brain of rats
exposed to intracerebroventricular streptozotocin (STZ-ICV). n = 6,
p 0.001 vs. sham (S) group; p 0.05; p 0.001 vs. STZ-ICV group; p < 0.05, p < 0.001 STZ-ICV + CuB50 vs. STZ-ICV
+ CuB25.
3.7 CuB attenuated neurodegenerative changes in STZ-ICV treated
rats
Histopathology by the H&E staining method unveiled that rats given STZ-ICV
treatment had neurodegenerative signs marked by pyknosis (p), cell membrane
blebbing (b), and swelling (s) in the cortical (Fig. 7) and CA1 and CA3
hippocampus zones (Fig. 8) of the brain. Control and vehicle-injected sham
counterparts exhibited no indications of neuronal damage. Regular treatment with
CuB (25 and 50 mg/kg) reduced STZ-ICV accrued neuropathological signs in the cell
membrane and chromosomal matter. DNP, used as standard treatment, also attenuated
the neuronal mutilation symptoms in the brain of rats against STZ-ICV
neurotoxicity. Furthermore, morphometric measurements revealed that STZ-ICV
significantly abridged (p 0.001) the neuron aggregates in cortical
and hippocampus tissue zones with respect to sham. The number of existing viable
neurons was significantly augmented by administration of CuB (25 and 50 mg/kg)
for 28 days in the cortex (p 0.05; p 0.001)
[F = 13.3, p 0.001] and hippocampus (p 0.01;
p 0.001) [F = 28.2, p 0.001] of rats that
were injected STZ-ICV treatment on day 1 and 3. DNP significantly amplified the
cortical (p 0.05) and hippocampus (p 0.01) neuron
density in rats given STZ-ICV treatment relative to rats given STZ-ICV and
vehicle only. CuB (50 mg/kg) caused an extensive gain in cortical and hippocampus
neuron count when juxtaposed to CuB (25 mg/kg) (p 0.05, p 0.01) and DNP (p 0.05, p 0.01) in STZ-ICV treated
rats.
Fig. 7.
Effect of cucurbitacin B post-treatment (25 and 50
mg/kg) on neurodegenerative changes in the cortical brain region in rats injected
streptozotocin (STZ) through intracerebroventricular (ICV) route (STZ-ICV)
(n = 4) (H&E stain, scale 100 m, 20
and 50 m, 40). Pyknosis (p), bulging of plasma
membrane (b), and swelling (s) were observed. Histomorphometry assessment specify
cortical neuron density per m. p 0.001 vs. sham (S) group; p 0.05;
p 0.001 vs. STZ-ICV group; p < 0.05 STZ-ICV + CuB50 vs. STZ-ICV + CuB25.
Fig. 8.
Effect of cucurbitacin B post-treatment (25 and 50
mg/kg) on neurodegenerative changes in the hippocampus (CA1 and 2) brain region
in rats injected streptozotocin (STZ) through intracerebroventricular (ICV) route
(STZ-ICV) (n = 4) (H&E stain, scale 100 m,
20 and 50 m, 40). Pyknosis (p),
bulging of plasma membrane (b), and swelling (s) were observed. Histomorphometry
assessment specify hippocampus neuron density per m.
p 0.001 vs. sham (S) group; p 0.01; p 0.001 vs. STZ-ICV group; p < 0.001 STZ-ICV + CuB50 vs. STZ-ICV + CuB25.
4. Discussion
AD type dementia has been linked with glucose metabolism defects that trigger
diabetes-like conditions in the brain and energy deficiency [28]. ATP depletion
and glucose-metabolic derangements inside a cell hasten free radicals’ output and
inflammatory cascade, which are the basic detrimental events occurring very early
in AD pathogenic chronology. Streptozotocin (STZ) is a glucosamine-nitrosourea
compound that can induce type 1 diabetes-like symptoms in rodents when
administered via intraperitoneal or intravenous route [29]. STZ gains
access inside the cell through glucose transporters (GLUT-1 and GLUT-2) and cause
an array of metabolic and structural damages that compromises cell survival [30].
Although penetration of STZ through the blood-brain barrier (BBB) is low owing to
the lack of GLUTs, however, STZ given by the ICV route gains access inside the
brain where it damages cellular DNA through alkylation mechanisms [29]. In the
current research, the STZ-ICV model of AD type dementia was selected to decipher
the neuroprotective abilities of CuB in rats.
The biochemical analysis after 28 days of treatment duration disclosed that
STZ-ICV caused an intense upsurge in lipid peroxidation (TBARS), 8-OHdG, and
protein carbonyls levels in the brain of rats. A concomitant decrease in
antioxidants (GSH, SOD, and catalase) was conspicuously evident in the brain of
rats subjected to STZ-ICV on day(s) 1 and 3. An upsurge in reactive oxygen
species (ROS) in the brain by STZ instigates peroxidative reactions damaging the
lipids and protein molecules. Reactive nitrogen species (RNS) are also elevated
in response to STZ-ICV owing to hyperactivation of iNOS in the brain that leads
to an increase in protein carbonylation [31]. Subsequently, lipid and protein
modifications severely compromise the cellular function and integrity of neurons
and vascular compartments that ensue BBB damage and access of peripheral toxins
in the inside of the brain. Diverse catabolic mechanisms (e.g., autophagy,
caspase-3) are activated in response to dysfunctional toxic aggregates that
ultimately lead to cell death. In addition, STZ directly methylates DNA leading
to a severe catastrophic cascade of neurodegenerative events marked by an
increase in 8-OHdG levels [28, 29, 30]. In previous studies, findings indicated an
increase in 8-OHdG (a biomarker of oxidative mutilation of DNA) in the
cerebrospinal fluid (CSF), brain, and plasma of subjects suffering from AD type
dementia [32]. Antioxidants such as GSH, SOD, and catalase can defend the
neurovascular architecture by detoxifying free radicals of oxygen and nitrogen
origin. These antioxidants not only prevent pathogenic modifications in cellular
molecules (e.g., lipids, proteins, DNA), but also help in the removal of
neurotoxic aggregates [33]. Free radicals accrued macromolecular transformations
and a decline in endogenous antioxidants in brain regions vital to cognitive
functions (e.g., hippocampus, cortex, neocortex, cerebellum) is the chief cause
of AD-like dementia. GSH is a tripeptide that replenishes the thiol (-SH) group,
which is essential for maintaining redox balance intracellularly. GSH is an
important component of metabolic machinery that can reduce oxidized proteins
[34]. SOD and catalase function to detoxify superoxide radicals and hydrogen
peroxide intracellularly. In clinical studies, reports indicated a noteworthy
intensification in malondialdehyde biogenesis and depreciation of endogenous
antioxidants in the blood samples of AD patients with respect to age-matched
controls [35]. In the present investigation, the CuB regimen for regular 28 days
halted STZ-ICV induced lipid peroxidation, 8-OHdG levels, and protein carbonyls,
and enhanced the activity of endogenous antioxidants (GSH, SOD, and catalase) in
the brain of rats. Earlier reports also substantiate that attenuation of
oxidative damage and increase in antioxidants can confer a significant relief in
AD [1, 4]. The standard drug, DNP, also showed a marked depreciation in the level
of lipid peroxidation, 8-OHdG levels, protein carbonyls, and an increase in
antioxidants in the brain in the STZ-ICV rat AD type dementia prototype.
The outcome of current investigations disclosed that an upsurge in RNS aptly
indicated by protein carbonyl accumulation was found to be due to an increase in
iNOS rate in the brain of rats subjected to STZ-ICV on day(s) 1 and 3. Although
nitric oxide is an important neuromodulator implicated in learning, memory,
synaptic modulation, and long-term potentiation, however, excess of this gaseous
molecule via iNOS stimulation by chronically activated glia and
astrocytes leads to toxic effects such as protein carbonylation and
S-nitrosylation [36]. Peroxynitrites formed in conjunction with the decrease in
SOD activity further catalyze the oxidation of macromolecules such as lipids,
proteins, and genetic material. A vicious cycle of iNOS-nitric oxide and
activation of microglia is established in the brain that augments the appearance
of other inflammatory cytokines such as TNF- and
IL-1 [37]. In clinical studies, an increase in
TNF- and IL-1 levels in CSF and blood
samples of AD patients highlighted the role of these inflammatory mediators in AD
pathogenesis [38]. TNF- has been associated with exacerbation
of A plaques and an increase in NFTs in the brain [39]. This
pro-inflammatory molecule further activates microglia and transcription factors
such as NF-B that augments the expression of several
inflammatory mediators and chemokines such as COX-2, MMPs, and MPO. An increased
expression of IL-1 has been noted in the brain in response to
an injury in early phases that have been linked with stimulation of iNOS [40].
Hence, a vicious cycle of the inflammatory cascade in the brain leads to
neurodegeneration accompanied by vascular damage marked by enhanced permeability,
infiltration of leukocytes (e.g., monocytes, neutrophils) in the brain
parenchyma, and expression of adhesion factors in AD pathogenesis. The neurotoxic
effects of STZ-ICV treatment are attributed to an increase in inflammatory
cytokines and chemokines in the brain [29, 30]. In the present study, STZ-ICV
treatment on day(s) 1 and 3 caused a substantial rise in pro-inflammatory
molecules (TNF- and IL-1), enhanced iNOS,
and MPO activity in the brain of rats. In a large number of studies, an increase
in MPO expression (neocortical, granule, pyramidal neurons, microglia) and its
colocalization around A senile plaques has been noted in the
cortex and hippocampus in AD type dementia [41]. MPO is present in phagocytic
cells such as monocytes and neutrophils, which are key blood leukocytes
responsible for vascular and brain parenchyma damage in AD. MPO catalyzes
hypochlorous acid production, protein carbonyls, toxic aldehydes, and advanced
glycation end products (AGEs) in the brain [41, 42]. CuB treatment for 28 days
daily attenuated inflammatory cascade in the brain of rats subjected to STZ-ICV
treatment on day(s) 1 and 3. CuB halted STZ-ICV-induced escalation in
TNF-, IL-1, iNOS, and MPO activity in the
brain. DNP also decreased the levels of these inflammatory markers in the brain
of rats that were presented to STZ-ICV neurotoxicity. In harmony with the present
findings, data from previous studies also reflected attenuation of AD symptoms by
anti-inflammatory drugs such as diclofenac. It has been experimentally validated
that attenuation of the inflammatory cascade can significantly delay the
progression of AD [43].
Histopathological analysis (H&E staining) indicated extensive neurodegenerative
changes (pyknosis, blebbing of plasma membrane, and swelling) in the cortex and
hippocampus (CA1 and CA3 neurons) of rats exposed to STZ-ICV on day(s) 1 and 3.
Treatment with CuB or DNP attenuated these pathogenic morphological changes in
neurons that were exposed to STZ-ICV toxicity. Histomorphometry studies
substantiated these findings and depicted that CuB attenuated STZ-ICV triggered
neurodegeneration that was highlighted by the conspicuous increase in the
cortical and hippocampus (CA1 and CA3) viable neuron density in rats.
Interestingly, treatment with DNP also enhanced the viable cell density in
selected brain regions but administration of CuB (50 mg/kg) enhanced the neuron
density in the cortex and hippocampus more in comparison to DNP in the STZ-ICV
rat prototype of AD. Furthermore, parameters of cell death were appraised in the
whole brain of rats to substantiate the results of histomorphometry. The present
findings indicated that STZ-ICV-induced escalation of LDH and caspase-3 was
attenuated by CuB or DNP treatments. LDH is an omni-cellular glycolytic enzyme
extensively used as a biomarker of necrotic type cell death. Evidence supports
that an increase in LDH activity is consistent with aging and age-associated
neurodegenerative disorders such as AD [44, 45]. Caspase-3 (cysteinyl
aspartate-specific proteases) is an important apoptosis executioner whose
expression is greatly enhanced in neurons, astrocytes, and blood vessels in AD
along with a higher colocalization with NFTs and A plaques
[46, 47]. In this study, CuB or DNP treatments decreased the activity of LDH and
the expression of caspase-3 in the brain of rats subjected to STZ-ICV.
Evaluation of neurotransmitter functions revealed the neurochemical basis of
dementia and the effects of CuB on the symptoms of AD in the STZ-ICV rat model.
In STZ-ICV treated rats, we detected an augmentation in AChE activity, glutamate
levels, and decline in GABA concentrations in the whole brain homogenate.
Acetylcholine is widely distributed in the brain and regulates a plethora of
functions such as reasoning, judgment, attention, learning, and memory.
Acetylcholine is involved in the attainment, encoding, consolidation, extinction,
reconsolidation, and reclamation of memory [48]. Cholinergic neurons from the
nucleus basalis of Meynert innervate cortically and hippocampus and degeneration
of these neurons have been a prominent feature in AD. A decrease in acetylcholine
levels and expression of muscarinic receptors has been linked with AD. At present
AChE inhibition (e.g., donepezil, rivastigmine, galantamine) is the mainstay of
AD therapeutics, although they provide only symptomatic relief in AD [49].
Excitatory and inhibitory signaling pathways are implicated in AD pathogenesis.
N-methyl D-aspartate receptors (NMDARs) along with nitric oxide and
calcium are critical to synaptic transmission, plasticity, long-term
potentiation, and consolidation of memory. However, superfluous glutamate
(excitatory neurotransmitter) appearance at synapse hyperactivates post-synaptic
NMDARs that augments cytoplasmic calcium influx and calcium-associated
degenerative mechanisms including oxidative stress and inflammation [50]. Despite
the role of calcium in many signaling pathways of cognitive importance (e.g.,
CaMK, MAPK-ERK, CREB), a pathogenic increase in cytoplasmic levels can activate
calpains, increase mitochondrial calcium load, prolongs mitochondrial
permeability transition (MPT) pore opening, A plaques, NFTs,
and defects in lysosomal and autophagic mechanisms [51]. A decrease in GABAergic
signaling in AD results in an imbalance between excitatory and inhibitory
signaling that has neurodegenerative implications in the long term [52]. In
sporadic type AD, GABA can attenuate hyperexcitability and hyperpolarize neurons
that decreases energy and survival requirements [53]. Results of the current
investigation showed that CuB or DNP treatments for 28 days attenuated AChE
activity, glutamate levels, and amplified GABA levels in the brain of rats
exposed to STZ-ICV treatment on day(s) 1 and 3.
In behavioral evaluations, different animal clusters disclosed no substantial
inter-cluster variation in their locomotor activity and motor coordination
measured using actophometer and rotarod apparatus at different time intervals.
Hence, locomotion and motor coordination did not affect the results of memory
tests in this study. STZ-ICV treatment caused a substantial decline in working
memory in NORT and long-term aversive memory was also found severely impaired in
the passive avoidance test. Treatment with CuB or DNP attenuated STZ-ICV induced
decline in both types of memory viz. working and aversive memory.
Furthermore, current findings indicated a dose-dependent amelioration of
biochemical parameters and increase in memory in rats by CuB against STZ-ICV. In
NORT and passive avoidance tests CuB further enhanced the memory functions in
rats relative to DNP. These outcomes substantiated that AD is a multifaceted
neurodegenerative disorder [2] that necessitates targeting multiple pathways
instead of a single pathway as employed in the existing therapeutic approach. CuB
can target a number of molecular mechanisms and signaling pathways [5, 6, 7, 8, 9, 10, 11],
evident by the investigation of different biomarkers of oxidative stress,
inflammation, cell death, and neurotransmitters of cognitive relevance in this
study. Hence, in contrast to the existing therapeutic strategies [1, 4], CuB
might prove an effective remedy in AD that can modify the course of pathogenesis
and improve symptoms of dementia. Furthermore, in line with the administration
route adopted in many previous studies [7, 12], in this study CuB was injected
intraperitoneally in rats to overcome low oral bioavailability and very
unpleasant taste. However, as the oral route of administration reflects better
patient compliance and are much more feasible in clinical settings relative to
systemic injections particularly considering the natural products, hence, there
is an impending urgency to find a suitable formulation of CuB that can improve
the pharmacokinetic properties and mask the bitter taste in order to translate
the pre-clinical outcomes of CuB in human subjects. There have been a few
attempts for a safe route for delivery of CuB with greater bioavailability and
better patient compliance [54, 55, 56, 57], however, none have targeted brain-specific
delivery of CuB.