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As the elderly population is increasing, Alzheimer’s disease (AD) has become a global issue and many clinical trials have been conducted to evaluate treatments for AD. As these clinical trials have been conducted and have failed, the development of new theraphies for AD with fewer adverse effects remains a challenge. In this study, we examined the effects of Theracurmin on cognitive decline using 5XFAD mice, an AD mouse model. Theracurmin is more bioavailable form of curcumin, generated with submicron colloidal dispersion. Mice were treated with Theracurmin (100, 300 and 1,000 mg/kg) for 12 weeks and were subjected to the novel object recognition test and the Barnes maze test. Theracurmin-treated mice showed significant amelioration in recognition and spatial memories compared those of the vehicle-treated controls. In addition, the antioxidant activities of Theracurmin were investigated by measuring the superoxide dismutase (SOD) activity, malondialdehyde (MDA) and glutathione (GSH) levels. The increased MDA level and decreased SOD and GSH levels in the vehicle-treated 5XFAD mice were significantly reversed by the administration of Theracurmin. Moreover, we observed that Theracurmin administration elevated the expression levels of synaptic components, including synaptophysin and post synaptic density protein 95, and decreased the expression levels of ionized calcium-binding adapter molecule 1 (Iba-1), a marker of activated microglia. These results suggest that Theracurmin ameliorates cognitive function by increasing the expression of synaptic components and by preventing neuronal cell damage from oxidative stress or from the activation of microglia. Thus, Theracurmin would be useful for treating the cognitive dysfunctions observed in AD.
Epidemiological studies have indicated that the life expectancy of human being is increasing, and therefore, age-related diseases have become of great interest (Brown, 2015; Kingston
Preventive interventions are options for AD therapy and, therefore, recent studies have focused on the antioxidative or anti-inflammatory agents (Shadfar
Here, we investigated whether Theracurmin ameliorates cognitive impairments in a mouse model. We employed 5X familial AD (5XFAD) transgenic mice as an AD mouse model. The 5XFAD mouse has a mutation in human amyloid precursor protein (695) with the Swedish (K670N, M671L), Florida (I716V), and London (V717I) and PSEN1 (M146L and L286V) mutatations, and 5XFAD mice show a rapid accumulation of Aβ1–42 protein from 6 weeks of age and show cognitive impairment at approximately 16 weeks (Oakley
B6SJL-transgenic (APPSwFlLon, PSEN1*M146L*L286V) male mice (6–7 weeks) were purchased from Jackson Laboratories (Bar Harbor, ME, USA). Every mouse was housed in each cage with environmental enrichments under a 12 h light and 12 h dark cycle (lights on at 7:00 AM and lights off at 7:00 PM). C57BL/6 mice (6–7 weeks) were purchased from Orient Bio (Seongnam, Korea) and used as a naïve control group. Temperature (23 ± 1°C) and humidity (60 ± 10%) were kept constant. Mice were allowed to freely access to food and water. All experimental protocols for animal studies were approved by the Institutional Animal Care and Use Committee (IACUC) of Kyung Hee University (No. KHUASP(SE)-18-046).
Theracurmin was donated by Handok Co (Seoul, Korea). Theracurmin contains curcumin (30%) as an active compound within a vegitable gum (70%) as submicron form. Donepezil and protease inhibitor were purchased from Sigma Aldrich (St. Louise, MO, USA). Enhanced chemiluminescence reagent was purchased from GE Healthcare Life Sciences (Chicago, IL, USA). Mouse monoclonal anti-post synaptic protein (PSD) 95 and anti-β actin antibodies were purchased from Santa Cruz Biotechnology (Santa Cruz, CA, USA). Rabbit polyclonal anti-synaptophysin and goat polyclonal anti-ionized calcium binding adaptor molecule 1 (Iba-1) antibodies were purchased from Abcam (Cambridge, UK). Vectorstain avidin biotinyled enzyme complex (ABC) kit were purchased from Vector Lab (Burlingame, CA, USA). A pierce bicinchoninic acid (BCA) protein assay kit was purchased from Thermo Fisher (Waltham, MA, USA). Superoxide dismutase (SOD) assay kit and malondialdehyde (MDA) assay kit were purchased from Cayman Chemical (Ann Arbor, MI, USA). A glutathione (GSH) reaction kit was purchased from BioVision (Mountainview, CA, USA). All of the chemicals were of highest grade commercially available.
Theracurmin was administrated to 5XFAD mice once a day (100, 300 or 1,000 mg/kg, p.o.) for 12 weeks from the age of 12 or 13 weeks. Age-matched wild-type mice were treated with the same volume of a vehicle solution. Donepezil (5 mg/kg) was used as a positive control.
Novel object recognition test consisted of a 2-day habituation session, a training session and a probe session, as described elsewhere (Kim
The Barnes maze test is widely used to examine a spatial learning and memory ability with less stress (Barnes, 1979; Morellini, 2013). The Barnes maze is a circular platform (92 cm in diameter and elevated 105 cm from the floor) consisting of 20 holes at regular distances (5 cm in diameter, 38 cm from the center and 3 cm from the edge of the platform). Four different shapes of visual cues were placed on the wall of the test room constantly during the entire experiments. An escape box (6×12×6 cm) was installed under one of the holes at a fixed position. The day before the training session, in the presence of light, mice were placed on the center of the platform and allowed to freely move around the platform for 10 s. After 10 s, the mice were gently guided to enter the escape box, and then the entrance hole was covered by a black polyvinyl plastic plate for 60 s so that the mice could adapt to the apparatus. During the 4 days of training sessions, the mice were placed into a polyvinyl transparent cylinder (11.3 cm in diameter, 15 cm in height) that was located at the center of the platform with absence of light. Light was given when removing cylinder. Mice were allowed to explore the platform and find the escape box for 180 s, and the time that it took for the mouse to enter the escape box was recorded by a video camera-based EthoVision system (Noldus) and was recorded as the escape latnecy. If the mice did not enter the escape box within 180 s, the mice were guided to enter the escape box, and latency time was considered to be 180 s. When the mice entered the escape box, the light was immediately turned off, and the mice were kept inside the escape box for an additional 60 s. Three training tirals were performed during each training session, seperated 20 min intervals when the mice were moved to their home cage and allowed to rest. Twenty-four hours after the last training session, the escape box was removed, and a probe session was conducted for 90 s, which was recorded by a video camera-based EthoVision system (Noldus). The time spent in each of the quadrants, which were named left, right and opposite based on its position around the target quadrant, was measured and then analyzed.
The mice were sacrificed 12 weeks after the Theracurmin administration (100, 300 or 1,000 mg/kg, p.o.) and the brain was isolated. Whole cortical and hippocampal tissues were isolated from both hemispheres and immediately frozen in liquid nitrogen for Western blot analysis. The tissues were homogenized in ice-cold 20 mM Tris-HCl buffer (pH 7.4) containing 1 mM phenylmethylsulfonyl fluoride (PMSF), 1 mM orthovanadate, 1 mM sodium fluoride, 1 mM EDTA, 0.32 M sucrose and complete protease inhibitor (1 tablet per 50 mL of buffer). The tissue homogenates were centrifuged (4°C, 14,000 rpm, 20 min), and the supernatants were collected and then quantified with the BCA protein assay kit (Walker, 1994). The protein samples (15 µg of protein) were subjected to SDS-PAGE (8% or 12%) under reduced conditions. Proteins were transferred to PVDF membranes (300 mA, 2 h) in transfer buffer (25 mM Tris-HCl buffer containing 192 mM glycine and 20% v/v methanol, pH 7.4). The membranes were incubated in blocking agent (5% skim milk) for 2 h at room temperature and then with primary antibodies against PSD95 (1:1,000 dilution), synaptophysin (1:200 dilution), Iba-1 (1:1,000 dilution) or β-actin (1:3,000 dilution) at 4°C overnight. The membranes were washed with fresh Tris-buffered saline with Tween 20 (TBST) 3 times and incubated with the appropriate secondary antibody (1:5,000 dilution) for 2 h at room temperature. The membranes were washed again with TBST with the same protocol described above. The immunoblots were developed with an enhanced chemiluminescence reagent and analyzed using a Molecular Imager Gel Doc XR+ system (Bio-Rad Laboratory, Berkeley, CA, USA).
The mice were sacrificed 12 weeks after the Theracurmin administration (100, 300 or 1,000 mg/kg, p.o.) and the mice were subjected to perfusion with phosphate-buffered saline (PBS, 50 mM, pH 7.4) and fixation (4% paraformaldehyde) process. The brains were isolated and cut into 30 µm slice in a cryostat at −20°C (Leica, Nussloch, Germany). Free floating sections were incubated for 24 h in PBS containing goat anti-Iba-1 antibody (1:1,000 dilution) with 0.3% Triton X-100, 1% BSA and 1.5% normal rabbit serum. The sections were then incubated with biotinylated secondary antibody (1:2,000 dilution) for 90 min and with ABC solution (1:100 dilution) for 1 h at room temperature. The tissues were reacted with 0.02% DAB and 0.01% hydrogen peroxide for approximately 3 min. After three more washing step with the PBS, the tissues were mounted on gelatin-coated slides and dehydrated in ascending alcohol series (30% ethanol, 70% ethanol and 100% ethanol), then cleared in xylene.
After the Theracurmin administration (100, 300 or 1,000 mg/kg) for 12 weeks, the mouse was immediately perfused with PBS (50 mM, pH 7.4) under isoflurane anesthesia, and the brain was isolated. The removed brain was homogenized in PBS (50 mM, pH 7.4) and centrifuged at 7,000 rpm for 10 min. Then, the supernatant was collected. The supernatants were used as enzyme source to measure the SOD activity and MDA levels. To measure the GSH level, the brain was homogenized in glutathione reaction buffer and centrifuged at 10,000 rpm for 10 min. The supernatants of the centrifugates were collected, and the extra proteins were precipitated by adding sulfosalicylic acid. The supernatants were used as enzyme sources to measure GSH level. The amount of protein was quantified by using BCA protein assay kit, and the antioxidant activities were measured using SOD, MDA and GSH assay kits. The absorbances were measured shortly after the reactions completed (OPTIZEN 2120UV, Mecasys Co. Ltd., Daejeon, Korea).
The results of the novel object recognition test, Barnes maze test, Western blot analysis and antioxidant activity analysis were analyzed by one-way analysis of variance (ANOVA) with the Newman-Keuls’s multiple comparison. Two-way ANOVA followed by Bonferroni’s
To examine the effect of Theracurmin on recognition memory, the novel object recognition test was conducted using 5XFAD mice. Two-way ANOVA revealed that significant group effects were observed in the object preference ratio [preference to each object, F1,102=26.84,
To determine whether impaired spatial memory could be reversed by the administration of Theracurmin, 5XFAD mice were subjected to the Barnes maze test. Two-way ANOVA revealed that the latency for entering the escape box during the training sessions was significantly different among each group [latency, F1,126=174.57,
Oxidative stress markers, including GSH, SOD and MDA, were measured in the brain tissues. One-way ANOVA revealed that there were significant group effects in the SOD [F4, 16=11.51,
To examine the effects of Theracurmin on synaptic components, synaptophysin and PSD95 were measured by Western blotting. Regarding synaptophysin, significant differences between groups were observed in the cortex [F5, 28=3.378,
It is well acknowledged that microglia are activated in 5XFAD mouse brain tissue (Gyoneva
In the present study, we observed that Theracurmin ameliorated cognitive dysfunction in an AD mouse model, as measured by the Barnes maze and the novel object recognition tests. Moreover, Theracurmin enhanced the expression levels of synaptophysin and PSD95, which are presynaptic and post-synaptic markers, respectively. Furthermore, Theracurmin exhibited antioxidative activities, as measured by the SOD, MDA or GSH levels and decreased Iba-1 immunoreactivity in the cortex.
It is well known that curcumin contained in
The loss of synapses is another hallmark of AD, along with the accumulation of Aβ protein plaques (Tampellini
Recently, several studies have suggested that an up-regulation in the immune activity in the brain results in a chronic inflammatory response that exacerbates cognitive impairment (Kitazawa
In summary, Theracurmin ameliorates cognitive function by increasing synaptic components, inhibiting microglia activation, and enhancing antioxidative activities. Although we did not examine the pharmacokinetic properties of Theracurmin in the present study, Theracurmin is recommended as a long-term intake for cognitive function, as suggested by Small
This research was supported by Handok Inc. and by the Mid-career Researcher Program through a National Research Foundation of Korea (NRF) grant funded by the Ministry of Education, Science and Technology (MEST) (2018R1A2A2A05023165) and by the Medical Research Center Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science and ICT (NRF2017R1A5A2014768).
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