Modified Shuyuwan Ameliorates Depressive Behaviors and Promotes Myelin Regeneration in Mouse Model of Vascular Dementia Complicated with Depression by Regulating Energy Metabolism of Myelin Axons via MCT1
10.13422/j.cnki.syfjx.20240339
- VernacularTitle:基于MCT1调控的髓鞘轴突能量代谢探究加减薯蓣丸改善血管性痴呆伴抑郁小鼠抑郁行为和髓鞘再生
- Author:
Wenjing YAN
1
;
Zihu TAN
2
;
Qiong YANG
2
;
Qingwei XIANG
2
;
Jianjie ZHOU
2
Author Information
1. Hubei University of Chinese Medicine, Wuhan 430065, China
2. Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430061, China
- Publication Type:Journal Article
- Keywords:
vascular dementia;
depression;
modified Shuyuwan;
monocarboxylate transporter 1 (MCT1);
myelin sheath
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2024;30(19):21-29
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the mechanism of modified Shuyuwan in treating vascular dementia (VaD) complicated with depression in mice. MethodThe VaD model was established by bilateral carotid artery stenosis (BCAS) in seven 3-month-old male C57/BL6 mice. The regional cerebral blood flow (rCBF) of mice was measured by laser speckle imaging before and after BCAS surgery. Then, the BCAS method was combined with chronic unpredictable mild stress (CUMS) to establish a mouse model of VaD complicated with depression. BCAS/CUMS mice were assigned into BCAS/CUMS, fluoxetine (0.01 g·kg-1), and high-, medium-, and low-dose (20, 10, 5 g·kg-1, respectively) modified Shuyuwan groups. The shame group underwent sham operation without CUMS (n=10). The tail suspension test and sucrose preference test were carried out to examine the depressive behaviors of mice. The distribution and expression of myelin-associated glycoprotein (MAG), myelin basic protein (MBP), neurofilament heavy polypeptide (NF200), and anti-non-phosphorylated neurofilament epitope antibody (SMI32) in the corpus callosum (CC) were detected by the immunofluorescence assay. Western blot was employed to determine the protein levels of monocarboxylate transporter 1 (MCT1), MBP, MAG, oligodendrocyte glycoprotein (MOG), amyloid precursor protein (APP), NF200, contactin-associated protein (Caspr), and voltage-gated sodium channel (Nav1.6) in the corpus callosum. The level of lactic acid in the serum was measured by the lactic acid assay kit, and the ultrastructure of myelin was observed by ultraprojective electron microscope. ResultLaser speckle imaging showed that rCBF decreased immediately 10 min after BCAS surgery (P<0.01), and the rCBF was still cerebral hypoperfusion and did not return to the preoperative level 2 weeks after surgery. Behavioral test results showed that compared with the sham group, the BCAS/CUMS group presented decreased percentage of sucrose preference (P<0.01) and prolonged immobile time in the tail suspension test (P<0.01). Compared with the BCAS/CUMS group, fluoxetine and modified Shuyuwan increased the percentage of sucrose preference (P<0.01) and shortened the immobile time in the tail suspension test (P<0.01). The level of lactic acid was the highest in the BCAS/CUMS mice (P<0.01), and modified Shuyuwan lowered the lactic acid level (P<0.01). Immunofluorescence results showed that compared with the sham group, the BCAS/CUMS group presented decreased fluorescence intensity of MAG, MBP and NF200 and increased fluorescence intensity of SMI32 in the corpus callosum, and such changes were reversed by modified Shuyuwan at different doses and fluoxetine. Western blot results showed that compared with the sham group, the BCAS/CUMS modeling down-regulated the protein levels of MCT1, MBP, MOG, MAG, NF20, and Caspr (P<0.05, P<0.01) and up-regulated the protein levels of APP and Nav1.6 in the corpus callosum, and the above trends were reversed by modified Shuyuwan (P<0.05, P<0.01). Compared with the sham group, BCAS/CUMS modeling led to myelin ultrastructure damage and axon atrophy, which were alleviated by modified Shuyuwan. ConclusionModified Shuyuwan can ameliorate the transport disorder of lactic acid between myelin sheath and axon by upregulating the expressin of MCT1, promote the regeneration of myelin sheath in the corpus callosum, and improve the integrity of myelin sheath structure, thereby alleviating depression in VaD mice.