AGMATINE ADMINISTRATION ALLEVIATES NERVE DAMAGE AND IMPROVES NERVE FUNCTION IN METHOTREXATE INDUCED PERIPHERAL NEUROPATHY IN RATS
Year 2024,
Volume: 25 Issue: 3, 317 - 336, 30.09.2024
Hatice Fulya Yılmaz
,
Özlem Bozkurt Girit
Abstract
Objective: Chemotherapeutic agents can produce neurodegenerative changes. This study was conducted to assess the therapeutic potential of agmatine, a neuromodulator, on methotrexate induced neurodegeneration in sciatic nerve.
Materials and Methods: 40 male Wistar albino rats were assigned into four groups at random as control, methotrexate, agmatine and methotrexate-agmatine. Methotrexate was injected intraperitoneally at a 37.5 mg/kg/week dose for 3 weeks. Afterwards, agmatine was administered intraperitoneally twice a day at a 40 mg/kg dose for 7 days. Sciatic functional index, nociceptive pain perception and behavioral changes were analyzed every week. Nerve conduction velocity was evaluated. Apoptotic activity and mitophagy, histopathological changes in sciatic nerves were examined.
Results: Methotrexate administration resulted in a prolonged escape time to the platform and decreased the time spent in the quadrant in the water maze test; elevated nociceptive latencies; decreased the number of frames passed in the open field test; reduced sciatic NCV and SFI score. Besides, methotrexate administration caused a reduction in myelin thickness and axon diameter in sciatic nerve and a more intense glial fibrillary acidic protein immunoreactivity. Methotrexate administration triggered an increase in the Bax/Bcl-2 protein expression ratio without changing the expression level of Parkin, indicating a slight apoptotic activation. agmatine administration improved methotrexate induced changes in behavioral performances, nociceptive pain perception, nerve conduction, SFI scores and histopathological changes.
Conclusion: Agmatine has been demonstrated to possess a therapeutic potential in methotrexate induced degeneration and peripheral neuropathy in the rat sciatic nerve.
Ethical Statement
The Adnan Menderes University Experimental Animal Ethics Committee granted approval for this study (approval number: 64583101/2020/074).
Supporting Institution
This study was supported by Aydın Adnan Menderes University Scientific Research Projects Coordinatorship through the grant number TPF-21004.
Thanks
Hatice Fulya Yilmaz was a scholarship holder of the Higher Educational Council (YÖK) 100/2000 Neurophysiology program. The authors would like to thank Prof. Erkut Turan for his guidance and support throughout the ENMG experiments.
References
- Zhao R, Diop-Bove N, Visentin M, Goldman ID. Mechanisms of membrane transport of folates into cells and across epithelia. Annu Rev Nutr. 2011; 31:177-201.
- Kerckhove N, Collin A, Condé S, Chaleteix C, Pezet D, Balayssac D. Long-Term Effects, Pathophysiological Mechanisms, and Risk Factors of Chemotherapy-Induced Peripheral Neuropathies: A Comprehensive Literature Review. Front Pharmacol. 2022; 13:828387. doi: 10.3389/fphar.2022.828387.
- Was H, Borkowska A, Bagues A, Tu L, Liu JYH, Lu Z, Rudd JA, Nurgali K, Abalo R. Mechanisms of Chemotherapy-Induced Neurotoxicity. Front Pharmacol. 2022; 13:750507. doi: 10.3389/fphar.2022.750507.
- Raasch W, Schäfer U, Chun J, Dominiak P. Biological significance of agmatine, an endogenous ligand at imidazoline binding sites. Br J Pharmacol. 2001; 133(6):755-80.
- Donertas B, Cengelli Unel C, Aydin S, Ulupinar E, Ozatik O, Kaygisiz B, et al. Agmatine co‐treatment attenuates allodynia and structural abnormalities in cisplatin‐induced neuropathy in rats. Fundam Clin Pharmacol. 2018; 32(3):288-296.
- Sezer A, Güçlü B, Kazancı B, Çakır M, Coban MK. Neuroprotective effects of agmatine in experimental peripheral nerve injury in rats: a prospective randomized and placebo-controlled trial. J Surg Res. 2014; 187(1):227-234.
- Fairbanks CA, Schreiber KL, Brewer KL, et al. Agmatine reverses pain induced by inflammation, neuropathy, and spinal cord injury. Proc Natl Acad Sci U S A. 2000; 97(19):10584-9.
- Winocur G, Vardy J, Binns MA, Kerr L, Tannock I. The effects of the anti-cancer drugs, methotrexate and 5-fluorouracil, on cognitive function in mice. Pharmacol Biochem Behav. 2006; 85(1):66-75.
- Sirvanci-Yalabik M, Sehirli AO, Utkan T, Aricioglu F. Agmatine, a metabolite of arginine, improves learning and memory in streptozotocin-induced Alzheimer's disease model in rats. Klin Psikofarmakol Bul. 2016; 26(4):342-354.
- Varejão AS, Meek MF, Ferreira AJ, Patrício JA, Cabrita AM. Functional evaluation of peripheral nerve regeneration in the rat: walking track analysis. J Neurosci Methods. 2001; 108(1):1-9.
- Jahromi Z, Mohammadghasemi F, Moharrami Kasmaie F, Zaminy A. Cinnamaldehyde enhanced functional recovery after sciatic nerve crush injury in rats. Cells Tissues Organs. 2020; 209(1):43-53.
- Li XM, Su F, Ji MH, Zhang GF, Qiu LL, Jia M, et al. Disruption of hippocampal neuregulin 1–ErbB4 signaling contributes to the hippocampus-dependent cognitive impairment induced by isoflurane in aged mice. Anesthesiology. 2014; 121(1):79-88.
- Mizoguchi K, Yuzurihara M, Ishige A, Sasaki H, Tabira T. Chronic stress impairs rotarod performance in rats: implications for depressive state. Pharmacol Biochem Behav. 2002; 71(1-2):79-84.
- Sharma S, Rakoczy S, Brown-Borg H. Assessment of spatial memory in mice. Life Sci. 2010; 87(17-18):521-536.
- Pivovarov K, Zipursky JS. Low-dose methotrexate toxicity. CMAJ. 2019; 191(15): E423. doi: 10.1503/cmaj.181054.
- Rollins N, Winick N, Bash R, Booth T. Acute methotrexate neurotoxicity: findings on diffusion-weighted imaging and correlation with clinical outcome. AJNR Am J Neuroradiol. 2004; 25(10):1688-1695.
- Gilad GM, Salame K, Rabey JM, Gilad VH. Agmatine treatment is neuroprotective in rodent brain injury models. Life Sci. 1995; 58(2): PL 41-6. doi: 10.1016/0024-3205(95)02274-0.
- Gümrü S, Şahin C, Arıcıoğlu F. Yeni bir nörotransmitter/nöromodülatör olarak agmatine genel bir bakış. Clin Exp Health Sci. 2014; 3(5), doi.org/10.5455/musbed.20130412103633.
- Yeşilyurt Ö, Uzbay IT. Agmatine potentiates the analgesic effect of morphine by an α2-adrenoceptor-mediated mechanism in mice. Neuropsychopharmacology. 2001; 25(1):98-103.
- Shahnaz M, Biswas P, Akhter M, Rafiq K, Ali T. Effects of Spirulina platensis on neuropathic pain in Wistar rats. J Bangladesh Soc Physiologist. 2021; 16(1):1-10.
- Schmidt‐Kastner R, Wietasch K, Weigel H, Eysel UT. Immunohistochemical staining for glial fibrillary acidic protein (GFAP) after deafferentation or ischemic infarction in rat visual system: features of reactive and damaged astrocytes. Int J Dev Neurosci. 1993; 11(2):157-174.
- Peterson CD. Alleviation of chronic neuropathic pain by agmatine requires the GluN2B subunit of the NMDA receptor [dissertation]. Minneapolis (MN): University of Minnesota; 2017.
- Park E, Lee SH, Jung HH, Im GJ. Protective effect of agmatine against cisplatin-induced cellular apoptosis in an auditory cell line. J Int Adv Otol. 2022; 18(3):257.
- Ouyang YB, Giffard RG. Cellular neuroprotective mechanisms in cerebral ischemia: Bcl-2 family proteins and protection of mitochondrial function. Cell Calcium. 2004; 36(3-4):303-311.
- Wei L, Cui L, Snider BJ, Rivkin M, Steven SY, Lee CS, et al. Transplantation of embryonic stem cells overexpressing Bcl-2 promotes functional recovery after transient cerebral ischemia. Neurobiol Dis. 2005; 19(1-2):183-193.
- John J, Kinra M, Ranadive N, Keni R, Nayak PG, Jagdale RN, et al. Neuroprotective effect of Mulmina Mango against chemotherapy-induced cognitive decline in mouse model of mammary carcinoma. Sci Rep. 2022; 12(1):3072. doi: 10.1038/s41598-022-06862-9.
- Iarkov A, Appunn D, Echeverria V. Post-treatment with cotinine improved memory and decreased depressive-like behavior after chemotherapy in rats. Cancer Chemother Pharmacol. 2016; 78:1033-1039.
- Uzbay TI. The pharmacological importance of agmatine in the brain. Neurosci Biobehav Rev. 2012; 36(1):502-519.
- Gilad GM, Gilad VH. Long-term (5 years), high daily dosage of dietary agmatine—evidence of safety: a case report. J Med Food. 2014; 17(11):1256-1259.
- Reis DJ, Regunathan S. Is agmatine a novel neurotransmitter in brain?. Trends Pharmacol Sci. 2000; 21(5):187-193.
- Dhokne MD, Dixit MP, Kale MB, Aglawe MM, Umekar MJ, Taksande BG. Agmatine as a novel treatment option for neuropathies: experimental evidences. INNOSC Theranostics Pharmacol Sci. 2023; 5(2):1-10.
SIÇANLARDA METOTREKSATLA OLUŞTURULAN PERİFERİK NÖROPATİDE AGMATİN UYGULAMASININ SİNİR HASARINI AZALTICI VE FONKSİYONUNU İYİLEŞTİRİCİ ETKİSİ
Year 2024,
Volume: 25 Issue: 3, 317 - 336, 30.09.2024
Hatice Fulya Yılmaz
,
Özlem Bozkurt Girit
Abstract
Amaç: Kemoterapötik ajanlar nörodejeneratif değişiklere neden olabilmektedir. Bu çalışmada, bir nöromodülator olan agmatinin, siyatik sinirde metotreksat ile indüklenen nörodejenerasyon üzerine olan terapötik etkinliğinin araştırılması amaçlanmıştır.
Materyal ve Metot: 40 adet erkek Wistar albino sıçan kontrol, metotreksat, agmatinin ve metotreksat-agmatinin olmak üzere dört deney grubuna ayrıldı. metotreksat uygulaması 3 hafta boyunca 37,5 mg/kg dozda metotreksat’in haftada bir kez intraperitonal yolla enjekte edilmesiyle gerçekleştirildi. agmatinin uygulaması ise 7 gün boyunca günde iki kez 40 mg/kg dozda intraperitonal yolla enjekte edilerek gerçekleştirildi. Nosiseptif ağrı algısı, siyatik fonksiyonel indeks değişimleri ve davranış değişiklikleri analiz edildi. Sinir ileti hızı ölçümleri yapıldı. Siyatik sinirdeki apoptotik-mitofajik aktivite ile akson ve miyelin düzeyindeki histopatolojik değişimler incelendi.
Bulgular: metotreksat uygulaması su labirenti testinde platforma kaçış süresinde uzamaya ve kadranda geçirilen sürede kısalmaya; açık alan testinde gezilen kare sayısında azalmaya ve nosiseptif ağrı algısında azalmaya neden oldu. metotreksat grubunda siyatik sinir iletim hızında azalma ve siyatik fonksiyon indeksi değerlerinde düşüş gözlemlendi. metotreksat uygulaması sonucu, siyatik sinirde artmış GFAP immünreaktivitesi ile azalmış akson çapı ve miyelin kalınlığı değerleri elde edildi. Ayrıca metotreksat gruplarında Bax/Bcl-2 protein ekspresyon oranının arttığı, Parkin protein ekspresyonunda ise değişim olmadığı gözlemlendi. metotreksat sonrasında uygulanan agmatinin, metotreksat grubuna kıyasla nosiseptif ağrı algısında, davranış performanslarında, sinir iletiminde, siyatik fonksiyon indeksi değerlerinde ve histopatolojik değişimlerde metotreksat'in neden olduğu değişiklikleri iyileştirdi.
Sonuç: Agmatinin, sıçan siyatik sinirinde metotreksat ile indüklenen periferal nöropatide tedavi edici potansiyele sahip olduğu görülmüştür.
References
- Zhao R, Diop-Bove N, Visentin M, Goldman ID. Mechanisms of membrane transport of folates into cells and across epithelia. Annu Rev Nutr. 2011; 31:177-201.
- Kerckhove N, Collin A, Condé S, Chaleteix C, Pezet D, Balayssac D. Long-Term Effects, Pathophysiological Mechanisms, and Risk Factors of Chemotherapy-Induced Peripheral Neuropathies: A Comprehensive Literature Review. Front Pharmacol. 2022; 13:828387. doi: 10.3389/fphar.2022.828387.
- Was H, Borkowska A, Bagues A, Tu L, Liu JYH, Lu Z, Rudd JA, Nurgali K, Abalo R. Mechanisms of Chemotherapy-Induced Neurotoxicity. Front Pharmacol. 2022; 13:750507. doi: 10.3389/fphar.2022.750507.
- Raasch W, Schäfer U, Chun J, Dominiak P. Biological significance of agmatine, an endogenous ligand at imidazoline binding sites. Br J Pharmacol. 2001; 133(6):755-80.
- Donertas B, Cengelli Unel C, Aydin S, Ulupinar E, Ozatik O, Kaygisiz B, et al. Agmatine co‐treatment attenuates allodynia and structural abnormalities in cisplatin‐induced neuropathy in rats. Fundam Clin Pharmacol. 2018; 32(3):288-296.
- Sezer A, Güçlü B, Kazancı B, Çakır M, Coban MK. Neuroprotective effects of agmatine in experimental peripheral nerve injury in rats: a prospective randomized and placebo-controlled trial. J Surg Res. 2014; 187(1):227-234.
- Fairbanks CA, Schreiber KL, Brewer KL, et al. Agmatine reverses pain induced by inflammation, neuropathy, and spinal cord injury. Proc Natl Acad Sci U S A. 2000; 97(19):10584-9.
- Winocur G, Vardy J, Binns MA, Kerr L, Tannock I. The effects of the anti-cancer drugs, methotrexate and 5-fluorouracil, on cognitive function in mice. Pharmacol Biochem Behav. 2006; 85(1):66-75.
- Sirvanci-Yalabik M, Sehirli AO, Utkan T, Aricioglu F. Agmatine, a metabolite of arginine, improves learning and memory in streptozotocin-induced Alzheimer's disease model in rats. Klin Psikofarmakol Bul. 2016; 26(4):342-354.
- Varejão AS, Meek MF, Ferreira AJ, Patrício JA, Cabrita AM. Functional evaluation of peripheral nerve regeneration in the rat: walking track analysis. J Neurosci Methods. 2001; 108(1):1-9.
- Jahromi Z, Mohammadghasemi F, Moharrami Kasmaie F, Zaminy A. Cinnamaldehyde enhanced functional recovery after sciatic nerve crush injury in rats. Cells Tissues Organs. 2020; 209(1):43-53.
- Li XM, Su F, Ji MH, Zhang GF, Qiu LL, Jia M, et al. Disruption of hippocampal neuregulin 1–ErbB4 signaling contributes to the hippocampus-dependent cognitive impairment induced by isoflurane in aged mice. Anesthesiology. 2014; 121(1):79-88.
- Mizoguchi K, Yuzurihara M, Ishige A, Sasaki H, Tabira T. Chronic stress impairs rotarod performance in rats: implications for depressive state. Pharmacol Biochem Behav. 2002; 71(1-2):79-84.
- Sharma S, Rakoczy S, Brown-Borg H. Assessment of spatial memory in mice. Life Sci. 2010; 87(17-18):521-536.
- Pivovarov K, Zipursky JS. Low-dose methotrexate toxicity. CMAJ. 2019; 191(15): E423. doi: 10.1503/cmaj.181054.
- Rollins N, Winick N, Bash R, Booth T. Acute methotrexate neurotoxicity: findings on diffusion-weighted imaging and correlation with clinical outcome. AJNR Am J Neuroradiol. 2004; 25(10):1688-1695.
- Gilad GM, Salame K, Rabey JM, Gilad VH. Agmatine treatment is neuroprotective in rodent brain injury models. Life Sci. 1995; 58(2): PL 41-6. doi: 10.1016/0024-3205(95)02274-0.
- Gümrü S, Şahin C, Arıcıoğlu F. Yeni bir nörotransmitter/nöromodülatör olarak agmatine genel bir bakış. Clin Exp Health Sci. 2014; 3(5), doi.org/10.5455/musbed.20130412103633.
- Yeşilyurt Ö, Uzbay IT. Agmatine potentiates the analgesic effect of morphine by an α2-adrenoceptor-mediated mechanism in mice. Neuropsychopharmacology. 2001; 25(1):98-103.
- Shahnaz M, Biswas P, Akhter M, Rafiq K, Ali T. Effects of Spirulina platensis on neuropathic pain in Wistar rats. J Bangladesh Soc Physiologist. 2021; 16(1):1-10.
- Schmidt‐Kastner R, Wietasch K, Weigel H, Eysel UT. Immunohistochemical staining for glial fibrillary acidic protein (GFAP) after deafferentation or ischemic infarction in rat visual system: features of reactive and damaged astrocytes. Int J Dev Neurosci. 1993; 11(2):157-174.
- Peterson CD. Alleviation of chronic neuropathic pain by agmatine requires the GluN2B subunit of the NMDA receptor [dissertation]. Minneapolis (MN): University of Minnesota; 2017.
- Park E, Lee SH, Jung HH, Im GJ. Protective effect of agmatine against cisplatin-induced cellular apoptosis in an auditory cell line. J Int Adv Otol. 2022; 18(3):257.
- Ouyang YB, Giffard RG. Cellular neuroprotective mechanisms in cerebral ischemia: Bcl-2 family proteins and protection of mitochondrial function. Cell Calcium. 2004; 36(3-4):303-311.
- Wei L, Cui L, Snider BJ, Rivkin M, Steven SY, Lee CS, et al. Transplantation of embryonic stem cells overexpressing Bcl-2 promotes functional recovery after transient cerebral ischemia. Neurobiol Dis. 2005; 19(1-2):183-193.
- John J, Kinra M, Ranadive N, Keni R, Nayak PG, Jagdale RN, et al. Neuroprotective effect of Mulmina Mango against chemotherapy-induced cognitive decline in mouse model of mammary carcinoma. Sci Rep. 2022; 12(1):3072. doi: 10.1038/s41598-022-06862-9.
- Iarkov A, Appunn D, Echeverria V. Post-treatment with cotinine improved memory and decreased depressive-like behavior after chemotherapy in rats. Cancer Chemother Pharmacol. 2016; 78:1033-1039.
- Uzbay TI. The pharmacological importance of agmatine in the brain. Neurosci Biobehav Rev. 2012; 36(1):502-519.
- Gilad GM, Gilad VH. Long-term (5 years), high daily dosage of dietary agmatine—evidence of safety: a case report. J Med Food. 2014; 17(11):1256-1259.
- Reis DJ, Regunathan S. Is agmatine a novel neurotransmitter in brain?. Trends Pharmacol Sci. 2000; 21(5):187-193.
- Dhokne MD, Dixit MP, Kale MB, Aglawe MM, Umekar MJ, Taksande BG. Agmatine as a novel treatment option for neuropathies: experimental evidences. INNOSC Theranostics Pharmacol Sci. 2023; 5(2):1-10.