Department of Pathology, The First Affiliated Hospital of Zhengzhou University, No.1 Jian She Dong Avenue, Zhengzhou, 450002, People's Republic of China.
Henan Key Laboratory of Tumor Pathology, No.1 Jian She Dong Avenue, Zhengzhou, 450002, People's Republic of China.
Neuromolecular Med. 2024 Jul 16;26(1):29. doi: 10.1007/s12017-024-08796-z.
Vascular dementia (VaD) is a cognitive disorder characterized by a decline in cognitive function resulting from cerebrovascular disease. The hippocampus is particularly susceptible to ischemic insults, leading to memory deficits in VaD. Astaxanthin (AST) has shown potential therapeutic effects in neurodegenerative diseases. However, the mechanisms underlying its protective effects in VaD and against hippocampal neuronal death remain unclear. In this study, We used the bilateral common carotid artery occlusion (BCCAO) method to establish a chronic cerebral hypoperfusion (CCH) rat model of VaD and administered a gastric infusion of AST at 25 mg/kg per day for 4 weeks to explore its therapeutic effects. Memory impairments were assessed using Y-maze and Morris water maze tests. We also performed biochemical analyses to evaluate levels of hippocampal neuronal death and apoptosis-related proteins, as well as the impact of astaxanthin on the PI3K/Akt/mTOR pathway and oxidative stress. Our results demonstrated that AST significantly rescued memory impairments in VaD rats. Furthermore, astaxanthin treatment protected against hippocampal neuronal death and attenuated apoptosis. We also observed that AST modulated the PI3K/Akt/mTOR pathway, suggesting its involvement in promoting neuronal survival and synaptic plasticity. Additionally, AST exhibited antioxidant properties, mitigating oxidative stress in the hippocampus. These findings provide valuable insights into the potential therapeutic effects of AST in VaD. By elucidating the mechanisms underlying the actions of AST, this study highlights the importance of protecting hippocampal neurons and suggests potential targets for intervention in VaD. There are still some unanswered questions include long-term effects and optimal dosage of the use in human. Further research is warranted to fully understand the therapeutic potential of AST and its application in the clinical treatment of VaD.
血管性痴呆(VaD)是一种以认知功能下降为特征的认知障碍,其认知功能下降是由脑血管疾病引起的。海马体特别容易受到缺血性损伤,导致 VaD 患者出现记忆缺陷。虾青素(AST)在神经退行性疾病中显示出潜在的治疗效果。然而,其在 VaD 中保护海马神经元免受死亡的保护作用的机制尚不清楚。在这项研究中,我们使用双侧颈总动脉闭塞(BCCAO)方法建立慢性脑低灌注(CCH)VaD 大鼠模型,并通过胃内输注 AST 每天 25mg/kg 进行 4 周治疗,以探索其治疗效果。使用 Y 迷宫和 Morris 水迷宫测试评估记忆障碍。我们还进行了生化分析,以评估海马神经元死亡和凋亡相关蛋白的水平,以及虾青素对 PI3K/Akt/mTOR 通路和氧化应激的影响。我们的结果表明,AST 显著挽救了 VaD 大鼠的记忆障碍。此外,虾青素治疗可防止海马神经元死亡并减轻凋亡。我们还观察到 AST 调节了 PI3K/Akt/mTOR 通路,提示其参与促进神经元存活和突触可塑性。此外,AST 具有抗氧化特性,可减轻海马体的氧化应激。这些发现为 AST 在 VaD 中的潜在治疗效果提供了有价值的见解。通过阐明 AST 作用的机制,本研究强调了保护海马神经元的重要性,并提出了 VaD 干预的潜在靶点。仍有一些未解决的问题,包括长期效应和在人类中的最佳使用剂量。需要进一步研究以充分了解 AST 的治疗潜力及其在 VaD 临床治疗中的应用。