1. Artemisinin improves neurocognitive deficits associated with sepsis by activating the AMPK axis in microglia.
- Author
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Lin SP, Wei JX, Hu JS, Bu JY, Zhu LD, Li Q, Liao HJ, Lin PY, Ye S, Chen SQ, and Chen XH
- Subjects
- AMP-Activated Protein Kinases metabolism, Animals, Anti-Inflammatory Agents therapeutic use, CA1 Region, Hippocampal drug effects, CA1 Region, Hippocampal pathology, Cell Death drug effects, Cell Line, Cell Movement drug effects, Cytokines metabolism, Inflammation drug therapy, Inflammation etiology, Inflammation metabolism, Lipopolysaccharides, Male, Mice, Inbred C57BL, Microglia metabolism, Morris Water Maze Test drug effects, Neurocognitive Disorders etiology, Neurocognitive Disorders metabolism, Neurons drug effects, Sepsis chemically induced, Sepsis complications, Sepsis metabolism, Mice, Artemisinins therapeutic use, Microglia drug effects, Neurocognitive Disorders drug therapy, Neuroprotective Agents therapeutic use, Sepsis drug therapy, Signal Transduction drug effects
- Abstract
Sepsis is life-threatening organ dysfunction due to dysregulated systemic inflammatory and immune response to infection, often leading to cognitive impairments. Growing evidence shows that artemisinin, an antimalarial drug, possesses potent anti-inflammatory and immunoregulatory activities. In this study we investigated whether artemisinin exerted protective effect against neurocognitive deficits associated with sepsis and explored the underlying mechanisms. Mice were injected with LPS (750 μg · kg
-1 · d-1 , ip, for 7 days) to establish an animal model of sepsis. Artemisinin (30 mg · kg-1 · d-1 , ip) was administered starting 4 days prior LPS injection and lasting to the end of LPS injection. We showed that artemisinin administration significantly improved LPS-induced cognitive impairments assessed in Morris water maze and Y maze tests, attenuated neuronal damage and microglial activation in the hippocampus. In BV2 microglial cells treated with LPS (100 ng/mL), pre-application of artemisinin (40 μΜ) significantly reduced the production of proinflammatory cytokines (i.e., TNF-α, IL-6) and suppressed microglial migration. Furthermore, we revealed that artemisinin significantly suppressed the nuclear translocation of NF-κB and the expression of proinflammatory cytokines by activating the AMPKα1 pathway; knockdown of AMPKα1 markedly abolished the anti-inflammatory effects of artemisinin in BV2 microglial cells. In conclusion, atemisinin is a potential therapeutic agent for sepsis-associated neuroinflammation and cognitive impairment, and its effect is probably mediated by activation of the AMPKα1 signaling pathway in microglia.- Published
- 2021
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