Chaihu-Shugan-San inhibits neuroinflammation in the treatment of post-stroke depression through the JAK/STAT3-GSK3β/PTEN/Akt pathway - 26/02/23

Abstract |
Post-stroke depression (PSD) is one of the most common neuropsychiatric consequence of stroke, affecting cognitive function, recovery of somatic function, and patient survival. The aim of this study was to evaluate whether Chaihu-Shugan-San, a traditional Chinese medicine formula used clinically to treat depression, could improve symptoms in a rat model for PSD, to investigate the potential mechanisms, and to validate the findings in an in vitro oxygen and glucose deprivation (OGD) model. Male rats were subjected to middle cerebral artery occlusion (MCAO) and to chronic unpredictable mild stress (CUMS). The rats were then allocated to experimental groups (n = 15) that were treated with Chaihu-Shugan-San, a JAK-STAT3 inhibitor, a GSK3β overexpressing virus, or an empty virus (control). The subjects allocated to each group, as well as those that received no treatment and rats that did not undergo MCAO/CUMS, were then subjected to forced swimming, tail suspension, and sugar water preference tests, and their neurological deficit score was determined. Inflammatory factor levels and the expression of proteins related to the JAK/STAT3-GSK3β/PTEN/Akt pathway were measured, and the synaptic ultrastructure was observed using transmission electron microscopy. Flow cytometry showed microglia polarization towards the M1 phenotype in an in vitro PSD model, which was reversed after treatment with a GSK3β overexpression virus, Chaihu-Shugan-San, or a JAK-STAT3 inhibitor. The results showed that Chaihu-Shugan-San has a therapeutic effect on an in vivo model for PSD and can regulate microglia polarization through the activation of the JAK/STAT3-GSK3β/PTEN/Akt pathway, suggesting that it exerts its effect via the inhibition of neuroinflammation.
Le texte complet de cet article est disponible en PDF.Graphical Abstract |
Highlights |
• | Post-stroke depression (PSD) is a common neuropsychiatric consequence of stroke. |
• | We used both an in vivo and an in vitro model to evaluate potential therapies for PSD. |
• | Chaihu-Shugan-San, a traditional Chinese medicine formula, improved PSD symptoms. |
• | This effect involved the activation of the JAK/STAT3-GSK3β/PTEN/Akt pathway. |
Abbreviations : CUMS, FST, GWT, HPA, MCAO, mNSS, MOI, OGD, PSD, RT-qPCR, SPT, TCM, TST, TTC, WB
Keywords : Chaihu-Shugan-San, Post-stroke depression, GSK3β, Neuroinflammation, Microglia polarization
Plan
Vol 160
Article 114385- avril 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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