RSS-Feed abonnieren

DOI: 10.1055/a-2298-4593
Beneficial Effects of Echinacoside on Cognitive Impairment and Diabetes in Type 2 Diabetic db/db Mice
Autor*innen
Funding Information The study was supported by the Hubei Natural Science Foundation of China. Grant No.2016CFB673. Hubei Natural Science Foundation of China — No.2016CFB673
Abstract
Introduction Cognitive dysfunction is an important comorbidity of diabetes. Insulin resistance may play a critical role in diabetes-related cognitive impairment. Echinacoside (ECH), a natural phenylethanoid glycoside, is the active component of anti-diabetes prescriptions in traditional Chinese medicine. Its effect on modulating insulin resistance has been confirmed but modulating neurodegenerative disease remains unclear.
Methods Db/db mice, a spontaneous type 2 diabetes mode, were intragastrically administered ECH by 300 mg/kg or an equivalent volume of saline. Weight, blood glucose, and insulin resistance index were measured. Morris water maze test was performed to observe the compound effects on cognition. Hippocampal lesions were observed by histochemical analysis.
Results In db/db mice, ECH alleviated diabetes symptoms, memory loss, and hippocampal neuronal damage. Next, the expression of CD44 and phosphorylated tau was upregulated in diabetic mice. In addition, the insulin receptor substrate-1/phosphatidylinositol 3-kinase /protein kinase B signaling pathway was dysregulated in diabetic mice. All these dysregulations could be reversed by ECH.
Discussion This study provides theoretical support and experimental evidence for the future application of ECH in diabetic cognition dysfunction treatment, promoting the development of traditional medicines.
Publikationsverlauf
Eingereicht: 20. Januar 2024
Eingereicht: 01. März 2024
Angenommen: 26. März 2024
Accepted Manuscript online:
03. April 2024
Artikel online veröffentlicht:
10. Mai 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Sun H, Saeedi P, Karuranga S. et al. IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Res Clin Pract 2022; 183: 109119
- 2 Ahmad E, Lim S, Lamptey R. et al. Type 2 diabetes. Lancet 2022; 400: 1803-1820
- 3 Saczynski JS, Siggurdsson S, Jonsson PV. et al. Glycemic status and brain injury in older individuals: The age gene/environment susceptibility-Reykjavik study. Diabetes Care 2009; 32: 1608-1613
- 4 Moheet A, Mangia S, Seaquist ER. Impact of diabetes on cognitive function and brain structure. Ann N Y Acad Sci 2015; 1353: 60-71
- 5 Antal B, McMahon LP, Sultan SF. et al. Type 2 diabetes mellitus accelerates brain aging and cognitive decline: Complementary findings from UK Biobank and meta-analyses. Elife 2022; 11: e73138
- 6 Biessels GJ, Despa F. Cognitive decline and dementia in diabetes mellitus: Mechanisms and clinical implications. Nat Rev Endocrinol 2018; 14: 591-604
- 7 Srikanth V, Sinclair AJ, Hill-Briggs F. et al. Type 2 diabetes and cognitive dysfunction-towards effective management of both comorbidities. Lancet Diabetes Endocrinol 2020; 8: 535-545
- 8 Cheng G, Huang C, Deng H. et al. Diabetes as a risk factor for dementia and mild cognitive impairment: A meta-analysis of longitudinal studies. Intern Med J 2012; 42: 484-491
- 9 Vagelatos NT, Eslick GD. Type 2 diabetes as a risk factor for Alzheimer's disease: The confounders, interactions, and neuropathology associated with this relationship. Epidemiol Rev 2013; 35: 152-160
- 10 Arnold SE, Arvanitakis Z, Macauley-Rambach SL. et al. Brain insulin resistance in type 2 diabetes and Alzheimer disease: Concepts and conundrums. Nat Rev Neurol 2018; 14: 168-181
- 11 Maciejczyk M, Żebrowska E, Chabowski A. Insulin resistance and oxidative stress in the brain: What's new?. Int J Mol Sci 2019; 20: 874
- 12 Samaras K, Makkar S, Crawford JD. et al. Metformin use is associated with slowed cognitive decline and reduced incident dementia in older adults with type 2 diabetes: The Sydney Memory and Ageing Study. Diabetes Care 2020; 43: 2691-2701
- 13 de Matos AM, de Macedo MP, Rauter AP. Bridging type 2 diabetes and Alzheimer's Disease: Assembling the puzzle pieces in the quest for the molecules with therapeutic and preventive potential. Med Res Rev 2018; 38: 261-324
- 14 Uuh-Narváez JJ, González-Tamayo MA, Segura-Campos MR. A study on nutritional and functional study properties of Mayan plant foods as a new proposal for type 2 diabetes prevention. Food Chem 2021; 341: 128247
- 15 Xu L, Li Y, Dai Y. et al. Natural products for the treatment of type 2 diabetes mellitus: Pharmacology and mechanisms. Pharmacol Res 2018; 130: 451-465
- 16 Vivó-Barrachina L, Rojas-Chacón MJ, Navarro-Salazar R. et al. The role of natural products on diabetes mellitus treatment: A systematic review of randomized controlled trials. Pharmaceutics 2022; 14: 101
- 17 Rodríguez IA, Serafini M, Alves IA. et al. Natural products as outstanding alternatives in diabetes mellitus: A patent review. Pharmaceutics 2022; 15: 85
- 18 Guo Q, Zhou Y, Wang CJ. et al. An open-label, nonplacebo-controlled study on Cistanche tubulosa glycoside capsules (Memoregain) for treating moderate Alzheimer's Disease. Am J Alzheimers Dis Other Demen 2013; 28: 363-370
- 19 Song Y, Zeng K, Jiang Y. et al. Cistanches Herba, from an endangered species to a big brand of Chinese medicine. Med Res Rev 2021; 41: 1539-1577
- 20 Liao YC, Wang JW, Guo C. et al. Cistanche tubulosa alleviates ischemic stroke-induced blood-brain barrier damage by modulating microglia-mediated neuroinflammation. J Ethnopharmacol 2023; 309: 116269
- 21 Zhang X, Hao Y. Beneficial effects of echinacoside on diabetic cardiomyopathy in diabetic Db/Db mice. Drug Des Devel Ther 2020; 14: 5575-5587
- 22 Xiong WT, Gu L, Wang C. et al. Anti-hyperglycemic and hypolipidemic effects of Cistanche tubulosa in type 2 diabetic db/db mice. J Ethnopharmacol 2013; 150: 935-945
- 23 Zhu K, Meng Z, Tian Y. et al. Hypoglycemic and hypolipidemic effects of total glycosides of Cistanche tubulosa in diet/streptozotocin-induced diabetic rats. J Ethnopharmacol 2021; 276: 113991
- 24 Kong ZL, Johnson A, Ko FC. et al. Effect of Cistanche tubulosa extracts on male reproductive function in streptozotocin-nicotinamide-induced diabetic rats. Nutrients 2018; 10: 1562
- 25 Guo S, Wang S, Meng J. et al. Immobilized enzyme for screening and identification of anti-diabetic components from natural products by ligand fishing. Crit Rev Biotechnol 2023; 43: 242-257
- 26 Mata R, Flores-Bocanegra L, Ovalle-Magallanes B. et al. Natural products from plants targeting key enzymes for the future development of antidiabetic agents. Nat Prod Rep 2023; 40: 1198-1249
- 27 Hu Q, Jiang L, Yan Q. et al. A natural products solution to diabetic nephropathy therapy. Pharmacol Ther 2023; 241: 108314
- 28 Chuang HW, Wang TY, Huang CC. et al. Echinacoside exhibits antidepressant-like effects through AMPAR-Akt/ERK-mTOR pathway stimulation and BDNF expression in mice. Chin Med 2022; 17: 9
- 29 Lin P, Tao Y, Sun F. et al. Safety, tolerability and pharmacokinetics of a Class I natural medicine with therapeutic potential for vascular dementia: Naoqingzhiming tablet. Biomed Pharmacother 2022; 153: 113425
- 30 Yang X, Yv Q, Ye F. et al. Echinacoside protects dopaminergic neurons through regulating IL-6/JAK2/STAT3 pathway in Parkinson's disease model. Front Pharmacol 2022; 13: 848813
- 31 Qiu H, Liu X. Echinacoside improves cognitive impairment by inhibiting Aβ deposition through the PI3K/AKT/Nrf2/PPARγ signaling pathways in APP/PS1 mice. Mol Neurobiol 2022; 59: 4987-4999
- 32 Dai Y, Han G, Xu S. et al. Echinacoside suppresses amyloidogenesis and modulates F-actin remodeling by targeting the ER stress sensor PERK in a mouse model of Alzheimer's disease. Front Cell Dev Biol 2020; 8: 593659
- 33 Li J, Yu H, Yang C. et al. Therapeutic potential and molecular mechanisms of echinacoside in neurodegenerative diseases. Front Pharmacol 2022; 13: 841110
- 34 Mudher A, Lovestone S. Alzheimer's disease-do tauists and baptists finally shake hands?. Trends Neurosci 2002; 25: 22-26
- 35 Liu M, Sui D, Dexheimer T. et al. Hyperphosphorylation renders Tau prone to aggregate and to cause cell death. Mol Neurobiol 2020; 57: 4704-4719
- 36 Martin L, Latypova X, Wilson CM. et al. Tau protein kinases: Involvement in Alzheimer's disease. Ageing Res Rev 2013; 12: 289-309
- 37 Kovács KA. Relevance of a novel circuit-level model of episodic memories to Alzheimer's disease. Int J Mol Sci 2021; 23: 462
- 38 Peng L, Fang X, Xu F. et al. Amelioration of hippocampal insulin resistance reduces Tau hyperphosphorylation and cognitive decline induced by isoflurane in mice. Front Aging Neurosci 2021; 13: 686506
- 39 Rodriguez-Rodriguez P, Sandebring-Matton A, Merino-Serrais P. et al. Tau hyperphosphorylation induces oligomeric insulin accumulation and insulin resistance in neurons. Brain. 2017; 140: 3269-3285
- 40 Shu J, Li N, Wei W. et al. Detection of molecular signatures and pathways shared by Alzheimer's disease and type 2 diabetes. Gene 2022; 810: 146070
- 41 Lim S, Kim D, Ju S. et al. Glioblastoma-secreted soluble CD44 activates tau pathology in the brain. Exp Mol Med 2018; 50: 1-11
- 42 McKay EC, Beck JS, Khoo SK. et al. Peri-infarct upregulation of the oxytocin receptor in vascular dementia. J Neuropathol Exp Neurol 2019; 78: 436-452
- 43 Bury JJ, Chambers A, Heath PR. et al. Type 2 diabetes mellitus-associated transcriptome alterations in cortical neurones and associated neurovascular unit cells in the ageing brain. Acta Neuropathol Commun 2021; 9: 5
- 44 Ritchie ME, Phipson B, Wu D. et al. limma powers differential expression analyses for RNA-sequencing and microarray studies. Nucleic Acids Res 2015; 43: e47
- 45 Yuan X, Wang H, Zhang F. et al. The common genes involved in the pathogenesis of Alzheimer's disease and type 2 diabetes and their implication for drug repositioning. Neuropharmacology 2023; 223: 109327
- 46 Ye XW, Liu MN, Wang X. et al. Exploring the common pathogenesis of Alzheimer's disease and type 2 diabetes mellitus via microarray data analysis. Front Aging Neurosci 2023; 15: 1071391
- 47 Caberlotto L, Nguyen TP, Lauria M. et al. Cross-disease analysis of Alzheimer's disease and type-2 Diabetes highlights the role of autophagy in the pathophysiology of two highly comorbid diseases. Sci Rep 2019; 9: 3965
- 48 Castillo-Velázquez R, Martínez-Morales F, Castañeda-Delgado JE. et al. Bioinformatic prediction of the molecular links between Alzheimer's disease and diabetes mellitus. PeerJ 2023; 11: e14738
- 49 Kodama K, Horikoshi M, Toda K. et al. Expression-based genome-wide association study links the receptor CD44 in adipose tissue with type 2 diabetes. Proc Natl Acad Sci USA 2012; 109: 7049-7054
- 50 Shati AA, El-Kott AF, Alkhateeb MA. Resolvin D1 prevents cadmium chloride-induced memory loss and hippocampal damage in rats by activation/upregulation of PTEN-induced suppression of PI3K/Akt/mTOR signaling pathway. Clin Exp Pharmacol Physiol 2022; 49: 275-290
- 51 Tao Z, Zhang L, Wu T. et al. Echinacoside ameliorates alcohol-induced oxidative stress and hepatic steatosis by affecting SREBP1c/FASN pathway via PPARalpha. Food Chem Toxicol 2021; 148: 111956
- 52 Han X, Cheng X, Xu J. et al. Activation of TREM2 attenuates neuroinflammation via PI3K/Akt signaling pathway to improve postoperative cognitive dysfunction in mice. Neuropharmacology 2022; 219: 109231
- 53 Thanee M, Dokduang H, Kittirat Y. et al. CD44 modulates metabolic pathways and altered ROS-mediated Akt signal promoting cholangiocarcinoma progression. PLoS One 2021; 16: e0245871
