Clinical studies have shown that the number of patients with diabetes mellitus associated with dementia is on the rise, making hyperglycemia an established risk factor for dementia [1]. Functional and structural disruption of the blood brain barrier (BBB) in the capillary blood vessels of the brain during hyperglycemia leads to a reduction in cerebrovascular integrity, which is a key and early event in cognitive decline leading to dementia [2].
Inflammation is a key mediator of BBB dysfunction. Hyperglycemia can cause chronic inflammation throughout the body, which promotes cerebrovascular inflammation, causing disruption of the BBB tight junction complex and increasing its permeability [3]. At the same time, when hyperglycemia occurs, a large amount of inflammatory factors can enter the brain through the damaged BBB, aggravating neuroinflammation and leading to cognitive decline [4]. The application of anti-inflammatory drugs can inhibit the inflammatory reaction in the brain and improve diabetic BBB damage and cognitive impairment [5]. However, long-term use of anti-inflammatory drugs may cause serious complications and drug tolerance in multiple tissues and organs throughout the body. Therefore, further research is needed to find more effective drugs to protect diabetic BBB.
Astaxanthin (ASTA) is a kind of carotenoid with deep red color, which can be produced by freshwater and marine microorganisms such as microalgae [6]. ASTA has powerful antioxidant, anti-inflammatory and anti-apoptotic functions, and it can pass through the BBB to exert neuroprotective effects, so the brain is considered to be an important target organ for ASTA [7]. Studies have confirmed that ASTA can improve cognitive dysfunction in diabetes mellitus and reduce BBB damage caused by dementia and stroke [8]. However, the effect of ASTA on BBB damage caused by diabetes mellitus and the related mechanism have not been reported.
In this paper, we observed the effects of ASTA on the expression of CD31, zonula occluden-1 (ZO-1) and clau- din5 (Cldn5) proteins and inflammatory factors, as well as learning and memory ability in the brain of db/db mice, a model of type 2 diabetes, by gavage for 4 weeks, to clarify the effects of ASTA on BBB injury and related mechanisms in db/db mice, and to provide a new basis for the prevention and treatment of diabetic BBB injury. In order to clarify the effect of ASTA on BBB injury in db/ db mice and the related mechanism, we provide a new theoretical basis for the prevention and treatment of diabetic BBB injury.
1 Materials and Methods
1.1 Materials
1 . 1 . 1 Main reagents
ASTA (sc-391 006, purity ≥99%) was purchased from Jingdao Sifu Biotechnology Co., Ltd, BSA Protein Assay Kit (P001 0S) and Immunoblotting Gel Preparation Kit (P001 2A) were purchased from Biyuntian, CD31 antibody (M1 51 1-8) was purchased from HUABIO, China, and ZO-1 antibody (sc-1 0804) was purchased from Santa Cruz, Santa Cruz, Santa Cruz, Santa Cruz, Santa Cruz, Santa Cruz, Santa Cruz, USA. ZO-1 antibody (sc-1 0804) was purchased from Santa Cruz, Cldn5 antibody (352588) was purchased from Invitrogen, USA. IL-6 ELISA kit (KGEMC004-1), IL-1 β ELISA kit (KGEMC001b), and TNF-α ELISA kit (KGEMC1 02a) were purchased from Nanjing KGI, and the water labyrinth equipments were purchased from Anhui Zhenghua Equipment Company. Other chemical reagents were purchased from Shanghai National Pharmaceutical Reagent Co.
1 . 1 . 2 Animal
Type 2 diabetes model mice db/db and control heterozygous db/m mice were purchased from the Model Animal Research Institute of Nanjing University, under the license of SYXK (Su) 2020-0048. They were housed in the SPF barrier system of the Experimental Animal Center of Xuzhou Medical University and fed with sterile feed and water. The mice were acclimatized for 1 week and then subjected to experiments.
1.2 Methodology
1 . 2 . 1 Experimental grouping 8-week-old male db/db mice were randomly divided into type 2 diabetes mellitus group (db/db, no treatment); diabetes mellitus oral ASTA low, medium, and high groups (ASTA-L, ASTA-M, and ASTA-H, respectively, were given 5, 10, and 20 mg kg-1 ASTA by gavage to select the appropriate ASTA dose); in order to exclude the effect of ASTA solvent corn oil on experimental results, a corn oil group (Oil, db/db mice were given the same volume of corn oil by gavage) was set up in this experiment. In order to exclude the influence of corn oil, the solvent of ASTA, on the results of the experiment, a corn oil group (Oil, db/db mice were given the same volume of corn oil by gavage) was set up in this experiment, with 8 mice in each group. Eight male db/m mice of the same age were used as normal controls. After 4 weeks of administration, behavioral tests were performed, and then the brains were executed.
1 . 2 . 2.2.2 Water Maze Experiment The water maze consists of a pool of 50 cm in height and 1 50 cm in diameter, with a depth of 30 cm, and a water temperature of 20-22 °C and a room temperature of 24-26 °C. The pool is divided into four virtual quadrants using Anymaze software. Before the experiment, the pool was divided into four virtual quadrants using Anymaze software, and cards of different colors and shapes were attached to the walls of the pool. A camera was placed directly above the pool and connected to the computer software to track the mice's movements, swimming time and speed. In quadrant 4, an 8-cm diameter object below the surface of the water was placed.
A 1 cm platform was used and set as the 5th quadrant. The exploration experiment was conducted for 5 days, 4 times per day. Mice were immersed in water from the middle of each of the four quadrants with their heads facing the wall of the pool, and the time from immersion to finding the 5th quadrant (latency), i.e., the time to find the platform, was recorded, and the mice were allowed to observe the platform for 20 s. If the mice did not find the 5th quadrant within 60 s, the latency was recorded as 60 s, and the mice were guided to the platform and allowed to observe the environment for 20 s. On day 6, the platform quadrant was removed, and the mice were allowed to enter the water from the quadrant opposite to the platform quadrant. On day 6, the platform quadrant was removed and the mice were allowed to enter the water from the opposite quadrant of the platform quadrant, and the time and distance spent in quadrant 4 where the platform was located during the 60-s period was recorded as a percentage of the total time and distance for assessing the learning and memory ability of the mice in each group.
1 . 2 . 3 Extraction and concentration determination of brain tissue proteins
1 . The mice were anesthetized by intraperitoneal injection of 5% pentobarbital (0.6 mL-g-1 ), and then the brains were rapidly removed by decapitation, and the brain tissues were stripped out and placed in EP tubes. Cytoplasmic proteins were extracted according to the instructions for protein extraction: the brain tissue was homogenized by adding an equal volume of homogenate on ice, then centrifuged at 12,000 r-min-1 for 10 min, and the supernatant was removed. Determine the concentration of each group of proteins with the BCA kit, and use the homogenizing solution to level the concentration and volume according to the concentration of the samples. Add 5 × Loading Buffer, mix thoroughly, boil for 10 min, and store in the refrigerator at -20 ℃ for use.
1 . 2 . 4 Western blot for protein expression of CD31, ZO-1 and Cldn5
Depending on the molecular weight of the protein, different concentrations of electrophoresis gel are used. Add about 40~80 μg of protein per well in a volume of about 20~30 μL for electrophoresis, and electrotransfer the protein to the NC membrane. Then, the NC membrane was immersed in 3% BSA for 2 h, and then immersed in primary antibodies (CD31: 1:2,000; ZO-1: 1:3,000; Cldn5: 1:1,500) at the appropriate ratio and incubated at 4 ℃ overnight. On the following day, the NC membrane was washed five times with Washing Buffer and incubated for 1 h at room temperature on a shaker with a fluorescent secondary antibody of suitable origin (1:10 000), and the bands were scanned with an Odyssey Infrared Fluorescence Scanning Imaging System. The bands were scanned with Odyssey Red Extra-Fluorescence Scanning Imaging System. Gray scale analysis of the protein bands was performed using ImageJ software.
1 . 2 . 5 Detection of brain tissue inflammatory factors
Brain tissue samples were first homogenized in phosphate buffer and centrifuged (10 000 r-min-1 , 5 min), and then the supernatant was collected for the assay. The supernatant was collected and used for the assay. The kit and specimens were equilibrated for 30 min at room temperature according to the instructions of the kit. 96-well plates were used to measure the absorbance at 450 nm, and the levels of the inflammatory factors IL-6, IL-1 β, and TNF-α in the hippocampal tissues were expressed as ng-L-1 .
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1.3 Statistical Processing
Data were expressed as x ± s and plotted using GraphPad Prism 7. 0 software. The statistical data were analyzed by SPSS 1 8.0 software, and the data on the latency period of the water maze were analyzed by one-way ANOVA and multiple comparisons. For other experiments, one-way ANOVA was used for comparison between groups, and t-test was used for comparison between two groups.
2 Results
2.1 Medium and high doses of ASTA attenuate BBB injury in db/db mice
After 4 weeks of gavage with different doses of ASTA, the protein expression of CD31, ZO-1 and Cldn5 in the brain of mice was detected by Western blot. The results showed that the protein expression of CD31, ZO-1 and Cldn5 in the brains of db/db mice was significantly lower than that in the db/m group, and the expression of CD31, ZO-1 and Cldn5 in the brains of db/db mice was significantly increased by gavage of medium-dose and high-dose ASTA (Fig. 1). These results suggest that ASTA can improve the BBB injury induced by hyperglycemia in mice. ASTA was selected as a medium dose (10 mg kg-1 ) for subsequent experiments.
2.2 ASTA inhibits brain inflammation in db/db mice
The levels of IL-6, IL-1 β and TNF-α in the brains of mice in each group were detected by ELISA. The results showed that the levels of IL-6, IL-1 β and TNF-α in the brain tissue of mice in the db/db group were significantly higher than that of mice in the db/m group, and that ASTA significantly reduced the expression of inflammatory factors in the brains of mice in the db/db group, and that the levels of inflammatory factors in the corn oil group were higher than that of the ASTA group but did not differ from that of the db/db group (Fig. 2). The level of inflammatory factors in the corn oil group was higher than that in the ASTA group, but did not differ from that in the db/db group (Fig 2). These results suggest that ASTA reduces BBB damage in db/db mice by decreasing the expression of inflammatory factors in the brain.
2.3 ASTA improves cognitive impairment in db/db mice
In order to further clarify the effect of ASTA on the cognitive impairment of db/db mice, we applied the water maze experiment to test the learning and memory functions of each group. The results showed that on days 1, 2 and 3 of the water maze exploration experiment, there was no difference in the time to find the platform in each group; on days 4 and 5, the time to find the platform in the db/db group was higher than that in the db/m group; the time to find the platform in the ASTA group was significantly lower than that in the db/db group; and the time to find the platform in the corn oil group was higher than that in the ASTA group, but there was no significant difference from that in the db/db group. In the water maze test on day 6, mice in the db/m group had a significantly higher time and distance to the platform quadrant than those in the db/db group; mice in the ASTA group had a significantly higher time and distance to the platform quadrant than those in the db/db group; and mice in the corn oil group had a significantly lower time and distance to the platform quadrant than those in the ASTA group, and there was no significant difference in comparison with those in the db/db group (Fig. 3). These results suggest that ASTA improves the cognitive function of db/db mice by inhibiting BBB damage.
3 Discussion
In this study, we demonstrated that ASTA inhibits the release of inflammatory factors IL-6, IL-1 β and TNF-α, and increases the protein expression of CD31, ZO-1 and Cldn5 in the brain of db/db mice, thereby reducing BBB damage and improving cognitive dysfunction in diabetes mellitus.
The BBB is a special semipermeable membrane with properties different from those of peripheral capillaries, including a basement membrane and tight junctions formed by pericytes, astrocytes, microglia, and neurons [9]. The BBB is a physical barrier separating the body circulation from the brain parenchyma, and it is also a natural barrier that prevents bacteria, harmful substances, and inflammatory factors in the peripheral blood from entering the brain parenchyma [10]. Clinical data and animal experiments have found that hyperglycemia not only reduces the homeostatic control of brain parenchyma due to glucose metabolism disorders, but also causes a decrease in the expression of tight junction proteins, such as ZO-1 and Cldn5, which destroys the tight junctions of the BBB, increases the permeability of the BBB, and facilitates the entry of more potentially neurotoxic substrates into the brain, resulting in neuronal dysfunction, which is associated with reduced cognitive function in diabetes mellitus [4, 4, 5, 6]. This leads to neuronal dysfunction, which in turn is accompanied by a decrease in cognitive function in diabetic patients [4, 11]. Therefore, BBB damage is an important cause of cognitive impairment in diabetes mellitus, and maintaining the normal function of the BBB may be a new therapeutic strategy for treating cognitive impairment in diabetes mellitus.
It has been found that type 1 and type 2 diabetes can cause an increase in BBB permeability through direct damage to endothelial and pericytes [2]. At the same time, circulating blood inflammatory markers such as TNF-α and intercellular cell adhesion molecule 1 are significantly increased in diabetic patients, resulting in decreased expression of ZO-1 and Claudin-5 proteins in the BBB, which further exacerbates BBB damage [4]. In addition, chronic hyperglycemia activates advanced glyco- sylation end product-specific receptor to exacerbate the inflammatory response, thereby damaging the BBB [12]. Therefore, inflammation is a key mechanism for BBB damage and cognitive dysfunction in diabetes mellitus.
ASTA is a beneficial dietary supplement with strong anti-inflammatory effects, inhibiting the expression of TNF-α, IL-6, and IL-1β, and blocking the activation of nitric oxide (NO)- and nucle- ar factor-κB-dependent mitogen- activated protein kinase signaling pathways [13]. kinase signaling pathway [13]. Meanwhile, ASTA also showed high metastatic properties to brain tissues, and both cellular and animal experiments demonstrated that ASTA was able to reduce microglia activation and pro-inflammatory cytokine release, thus protecting cerebral blood vessels and neurons from inflammatory stimuli in neurodegenerative diseases and strokes [14]. In our previous study, we found that ASTA was able to reduce the inflammatory response in the hippocampus induced by high glucose stimulation and alleviate diabetic cognitive dysfunction, but its specific mechanism needs to be further explored [15].
In this paper, we applied behavioral, ELISA and Western blot experiments to demonstrate that ASTA reduces BBB damage and improves learning and memory functions in db/db mice, a model of type 2 diabetes, by inhibiting inflammatory responses. The clarification of this mechanism provides a reliable experimental basis for the development of drugs for the treatment of diabetic cerebrovascular complications and cognitive dysfunction.
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