Abstract
AMP-activated protein kinase (AMPK) is a regulator of cellular energy metabolism. Long-term use of metformin, an AMPK activator, was previously reported to be neuroprotective, as it promotes behavioral improvement and angiogenesis following an acute ischemic injury of the brain. However, only a few studies have demonstrated the role of AMPK in alleviating chronic cerebral ischemia (CCI) in mice models in the long-term (over 3 months). Therefore, we established a mouse model of CCI via bilateral carotid artery stenosis (BCAS) to explore the effect of AMPK on CCI. We used four groups of 3-month-old male C57BL/6 mice labeled as Sham, BCAS, BCAS + metformin treatment (BCAS + Met) and BCAS + AMPKα2 gene knockout (BCAS + KO). Three months after BCAS, we measured the AMPK protein expression, spatial learning and memory, Nissl bodies, cell apoptosis, astrocyte activation, and oligodendrocyte maturation. Additionally, we observed the brain tissues for changes in cell morphology. We observed that mice in the BCAS group had impaired spatial learning and memory compared with those in the sham group. The brain tissues of mice with CCI injury showed altered cell morphology, fewer Nissl bodies, cerebral cells apoptosis, and astrocyte activation. Interestingly, compared with mice from the BCAS group, the brains of mice from BCAS + Met group suffered lesser damage, whereas those of mice from the BCAS + KO group suffered more damage. The activation of AMPK, especially AMPKα2, plays a neuroprotective role during CCI in a mouse model of BCAS.
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The datasets generated and analyzed during the current study are available from the corresponding author on reasonable request. The materials involved in the current study are available from commercial sources.
References
Arbelaez-Quintero I, Palacios M (2017) To use or not to use metformin in cerebral ischemia: a review of the application of metformin in stroke. Rodents Stroke Res Treat 2017:9756429. https://doi.org/10.1155/2017/9756429
Cai B, Lin Y, Xue XH et al (2011) TAT-mediated delivery of neuroglobin protects against focal cerebral ischemia in mice. Exp Neurol 227:224–231. https://doi.org/10.1016/j.expneurol.2010.11.009
Chen Y, Guo Z, Peng X et al (2018) Nimodipine represses AMPK phosphorylation and excessive autophagy after chronic cerebral hypoperfusion in rats. Brain Res Bull 140:88–96. https://doi.org/10.1016/j.brainresbull.2018.03.019
Cheng YY, Leu HB, Chen TJ et al (2014) Metformin-inclusive therapy reduces the risk of stroke in patients with diabetes: a 4-year follow-up study. J Stroke Cerebrovasc Dis 23:e99–e105. https://doi.org/10.1016/j.jstrokecerebrovasdis.2013.09.001
Deng T, Zheng YR, Hou WW et al (2016) Pre-stroke metformin treatment is neuroprotective involving AMPK reduction. Neurochem Res 41:2719–2727. https://doi.org/10.1007/s11064-016-1988-8
Farkas E, Luiten PG, Bari F (2007) Permanent, bilateral common carotid artery occlusion in the rat: a model for chronic cerebral hypoperfusion-related neurodegenerative diseases. Brain Res Rev 54:162–180. https://doi.org/10.1016/j.brainresrev.2007.01.003
Han QY, Zhang H, Zhang X et al (2019) dl-3-n-butylphthalide preserves white matter integrity and alleviates cognitive impairment in mice with chronic cerebral hypoperfusion. CNS Neurosci Ther 25:1042–1053. https://doi.org/10.1111/cns.13189
Hardie DG (2011) AMP-activated protein kinase: an energy sensor that regulates all aspects of cell function. Genes Dev 25:1895–1908. https://doi.org/10.1101/gad.17420111
Hardie DG (2015) AMPK: positive and negative regulation, and its role in whole-body energy homeostasis. Curr Opin Cell Biol 33:1–7. https://doi.org/10.1016/j.ceb.2014.09.004
He, Li, Meng et al (2019) Parkin-dependent mitophagy is required for the inhibition of ATF4 on NLRP3 inflammasome activation in cerebral ischemia-reperfusion injury in rats. Cells. https://doi.org/10.3390/cells8080897
Jia Z, Tie C, Wang C et al (2019) Perturbed lipidomic profiles in rats with chronic cerebral ischemia are regulated by Xiao-Xu-Ming decoction. Front Pharmacol 10:264. https://doi.org/10.3389/fphar.2019.00264
Jiang S, Li T, Ji T et al (2018) AMPK: potential therapeutic target for ischemic stroke. Theranostics 8:4535–4551. https://doi.org/10.7150/thno.25674
Jorgensen SB, Viollet B, Andreelli F et al (2004) Knockout of the alpha2 but not alpha1 5’-AMP-activated protein kinase isoform abolishes 5-aminoimidazole-4-carboxamide-1-beta-4-ribofuranosidebut not contraction-induced glucose uptake in skeletal muscle. J Biol Chem 279:1070–1079. https://doi.org/10.1074/jbc.M306205200
Lan B, Ge JW, Cheng SW et al (2020) Extract of Naotaifang, a compound Chinese herbal medicine, protects neuron ferroptosis induced by acute cerebral ischemia in rats. J Integr Med 18:344–350. https://doi.org/10.1016/j.joim.2020.01.008
Li J, Benashski SE, Venna VR et al (2010) Effects of metformin in experimental stroke. Stroke 41:2645–2652. https://doi.org/10.1161/STROKEAHA.110.589697
Li M, Meng N, Guo X et al (2020) Dl-3-n-butylphthalide promotes remyelination and suppresses inflammation by regulating AMPK/SIRT1 and STAT3/NF-kappaB signaling in chronic cerebral hypoperfusion. Front Aging Neurosci 12:137. https://doi.org/10.3389/fnagi.2020.00137
Ma Y, Bu J, Dang H et al (2015) Inhibition of adenosine monophosphate-activated protein kinase reduces glial cell-mediated inflammation and induces the expression of Cx43 in astroglias after cerebral ischemia. Brain Res 1605:1–11. https://doi.org/10.1016/j.brainres.2014.11.030
Ma T, Tian X, Zhang B et al (2022) Low-dose metformin targets the lysosomal AMPK pathway through PEN2. Nature 603:159–165. https://doi.org/10.1038/s41586-022-04431-8
Manwani B, McCullough LD (2013) Function of the master energy regulator adenosine monophosphate-activated protein kinase in stroke. J Neurosci Res 91:1018–1029. https://doi.org/10.1002/jnr.23207
Nam HG, Kim W, Yoo DY et al (2013) Chronological changes and effects of AMP-activated kinase in the hippocampal CA1 region after transient forebrain ischemia in gerbils. Neurol Res 35:395–405. https://doi.org/10.1179/1743132813Y.0000000158
Peng D, Qiao HZ, Tan HY et al (2022) Ligustilide ameliorates cognitive impairment via AMPK/SIRT1 pathway in vascular dementia rat. Metab Brain Dis 37:1401–1414. https://doi.org/10.1007/s11011-022-00947-0
Poels J, Spasic MR, Gistelinck M et al (2012) Autophagy and phagocytosis-like cell cannibalism exert opposing effects on cellular survival during metabolic stress. Cell Death Differ 19:1590–1601. https://doi.org/10.1038/cdd.2012.37
Rajeev V, Fann DY, Dinh QN et al (2022) Pathophysiology of blood brain barrier dysfunction during chronic cerebral hypoperfusion in vascular cognitive impairment. Theranostics 12:1639–1658. https://doi.org/10.7150/thno.68304
Sakamoto K, Zarrinpashneh E, Budas GR et al (2006) Deficiency of LKB1 in heart prevents ischemia-mediated activation of AMPKalpha2 but not AMPKalpha1. Am J Physiol Endocrinol Metab 290:E780–E788. https://doi.org/10.1152/ajpendo.00443.2005
Sanz P, Rubio T, Garcia-Gimeno MA (2013) AMPKbeta subunits: more than just a scaffold in the formation of AMPK complex. FEBS J 280:3723–3733. https://doi.org/10.1111/febs.12364
Song X, Zhu W, An R, Li Y, Du Z (2015) Protective effect of Daming capsule against chronic cerebral ischemia. BMC Complement Altern Med 15(1):149. https://doi.org/10.1186/s12906-015-0668-6
Sun C, Liu M, Liu J et al (2021) ShenmaYizhi decoction improves the mitochondrial structure in the brain and ameliorates cognitive impairment in VCI rats via the AMPK/UCP2 signaling. Pathw Neuropsychiatr Dis Treat 17:1937–1951. https://doi.org/10.2147/NDT.S302355
Tuo QZ, Zou JJ, Lei P (2021) Rodent models of vascular cognitive impairment. J Mol Neurosci 71:1–12. https://doi.org/10.1007/s12031-020-01733-2
Ullah I, Chung K, Oh J et al (2018) Intranasal delivery of a Fas-blocking peptide attenuates Fas-mediated apoptosis in brain ischemia. Sci Rep 8:15041. https://doi.org/10.1038/s41598-018-33296-z
Venna VR, Li J, Hammond MD et al (2014) Chronic metformin treatment improves post-stroke angiogenesis and recovery after experimental stroke. Eur J Neurosci 39:2129–2138. https://doi.org/10.1111/ejn.12556
Vicente E, Degerone D, Bohn L et al (2009) Astroglial and cognitive effects of chronic cerebral hypoperfusion in the rat. Brain Res 1251:204–212. https://doi.org/10.1016/j.brainres.2008.11.032
Washida K, Hattori Y, Ihara M (2019) Animal models of chronic cerebral hypoperfusion: from mouse to primate. Int J Mol Sci. https://doi.org/10.3390/ijms20246176
Xu C, Liu WB, Zhang DD et al (2017) Molecular characterization of AMP-activated protein kinase alpha2 from herbivorous fish Megalobrama amblycephala and responsiveness to glucose loading and dietary carbohydrate levels. Comp Biochem Physiol A Mol Integr Physiol 208:24–34. https://doi.org/10.1016/j.cbpa.2017.03.008
Yang Y, Kimura-Ohba S, Thompson J et al (2016) Rodent models of vascular cognitive impairment. Transl Stroke Res 7:407–414. https://doi.org/10.1007/s12975-016-0486-2
Yang W, Zhou X, Zimmermann HR et al (2021) Brain-specific suppression of AMPKalpha2 isoform impairs cognition and hippocampal LTP by PERK-mediated eIF2alpha phosphorylation. Mol Psychiatry 26:1880–1897. https://doi.org/10.1038/s41380-020-0739-z
Yin YL, Liu YH, Zhu ML et al (2022) Floralozone improves cognitive impairment in vascular dementia rats via regulation of TRPM2 and NMDAR signaling pathway. Physiol Behav 249:113777. https://doi.org/10.1016/j.physbeh.2022.113777
Yu J, Wang WN, Matei N et al (2020) Ezetimibe attenuates oxidative stress and neuroinflammation via the AMPK/Nrf2/TXNIP pathway after MCAO in rats. Oxid Med Cell Longev 2020:4717258. https://doi.org/10.1155/2020/4717258
Zhou D, Meng R, Li SJ et al (2018) Advances in chronic cerebral circulation insufficiency. CNS Neurosci Ther 24:5–17. https://doi.org/10.1111/cns.12780
Zou MH, Kirkpatrick SS, Davis BJ et al (2004) Activation of the AMP-activated protein kinase by the anti-diabetic drug metformin in vivo. Role of mitochondrial reactive nitrogen species. J Biol Chem 279:43940–43951. https://doi.org/10.1074/jbc.M404421200
Acknowledgements
This work was partly supported by Grant No. 82071277(BC), and 81571133 (BC) of Natural Science Foundation of China, Grant No. 2018Y9084 (BC) Joint Funds for the innovation of science and Technology, Fujian province, and Grant No. 2019J01450 (BC) of Fujian Provincial Natural Science Foundation.
Funding
This work was partly supported by Grant No. 82071277(BC), and 81571133 (BC) of Natural Science Foundation of China, Grant No. 2018Y9084 (BC) Joint Funds for the innovation of science and Technology, Fujian province, and Grant No. 2019J01450 (BC) of Fujian Provincial Natural Science Foundation.
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BC, YZ, and YZ participated in the design of this study. WX and YZ both performed the statistical analysis. YZ carried out the study and collected important background information. WX drafted the manuscript. All authors read and approved the final manuscript.
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Xie, W., Zeng, Y., Zheng, Y. et al. Activated AMPK Protects Against Chronic Cerebral Ischemia in Bilateral Carotid Artery Stenosis Mice. Cell Mol Neurobiol 43, 2325–2335 (2023). https://doi.org/10.1007/s10571-022-01312-6
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DOI: https://doi.org/10.1007/s10571-022-01312-6