REN Guang-wei, GENG Biao, LI Ming-wei, WANG Hai-min, LIANG Xiao-yan
Current Immunology.
2025, 45(2):
96.
To investigate the effect of plumbagin (PL) on neuronal damage in epileptic rats by regulating adenosine-monophosphate-activated protein kinase (AMPK)/cAMP-responsive element-binding protein (CREB)/brain-derived neurotrophic factor (BDNF) signaling pathway, a rat epilepsy model was established by intraperitoneal injection of lithium chloride and pilocarpine. The model rats were randomly divided into model group, low-, medium- and high-dose PL groups (1, 5, and 10 mg/kg, respectively), and inhibitor group (10 mg/kg PL+20 mg/kg AMPK/CREB/BDNF signaling pathway inhibitor Compound C). Rats injected with the equal volume of physiological saline were set as control group. After successful modeling, each group received intraperitoneal injection of corresponding drugs, once a day for 21 consecutive days. The seizure status of rats in each group was evaluated according to the Racine grading standard; Brain waves of rats in each group were observed by electroencephalogram (EEG) and Morris water maze experiment was applied to evaluate the cognitive and memorial functions. H-E staining was applied to observe the pathological damage of hippocampal tissues and TUNEL staining was applied to observe the apoptosis of rat neural cells. ELISA was applied to detect the levels of IL-6, IL-1β, and TNF-α in the hippocampus of rats in each group. Western blotting was used to detect the expression of proteins regarding the AMPK/CREB/BDNF signaling pathway in hippocampal tissues. Compared to those of the control group, the Racine grading, seizure frequency and duration of rats in the model group were all increased, along with the amplitude, total duration and frequency of the EEG waveform increased. The number of platform crossings and target quadrant activity time were reduced, and the escape latency prolonged. The rats hippocampal tissue structures were seriously damaged, neurons were loosely and badly arranged, with obvious edema and inflammatory cells infiltration. The apoptosis rate of neural cells, IL-6, IL-1β, and TNF-α levels were increased. The expression levels of p-AMPK/AMPK, p-CREB/CREB, and BDNF proteins were significantly decreased (all with P<0.05). Compared to those of the model group, the Racine grading, seizure frequency and duration of rats in the low-, medium-, and high-dose PL groups were decreased and the amplitude, total duration and frequency of the EEG waveform was decreased. The number of platform crossings and target quadrant activity time were increased, and the escape latency was shortened. The rats hippocampal structures damage was alleviated to certain extent, the cells were ordered, whose nuclear membrane was relatively clear, with few inflammatory cells infiltration. The apoptosis rate of neural cells, IL-6, IL-1β, and TNF-α levels were decreased. The expression levels of p-AMPK/AMPK, p-CREB/CREB, and BDNF proteins were significantly increased (all with P<0.05). Compared to those of the high-dose PL group, the changes in the above indicators of rats in the inhibitor group were significantly reversed (all with P<0.05). In conclusion, PL may activate the AMPK/CREB/BDNF signaling pathway, reduce neuronal apoptosis, inhibit inflammatory responses, and relieve neuronal damage in epileptic rats, thus exerting neuro-protective effects in epileptic rats.