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The Role of Oxidative and Nitrosative Pathways in the Neuroprotective Effect of Pregabalin Against Glutamate Excitotoxicity

Year 2025, Volume: 16 Issue: 2, 212 - 219, 18.08.2025
https://doi.org/10.22312/sdusbed.1474555

Abstract

Introduction: This study was designed to investigate the neuroprotective effect of pregabalin on glutamate-induced cytotoxicity via nitric oxide and oxidative stress pathways.
Material Method: C6 glioma cell line was used in the experiment. Four groups were created to evaluate the effect of pregabalin on glial cell death after glutamate-induced cytotoxicity. Control group did not receive any treatment. Cells in the glutamate group were treated with 10 mM glutamate for 24 hours. Cells in the pregabalin group were treated with pregabalin at various concentrations (3.75, 7.5, 15, 30, and 60 µM) for 24 hours. Cells in the pregabalin+glutamate group were pretreated with pregabalin at various concentrations (3.75, 7.5, 15, 30, and 60 µM) for 1 h and then exposed to 10 mM glutamate for 24 h. Cell viability was assessed by XTT assay. Total antioxidant and oxidant levels (TAS-TOS), inducible nitric oxide (iNOS), nitric oxide (NO), and neuronal nitric oxide (nNOS) levels in cells were measured with commercial kits.
Results: Pregabalin at 30 and 60 µM concentrations significantly increased cell viability in C6 cells after glutamate-induced cytotoxicity (p<0,01). Pregabalin (30µM)+glutamate significantly decreased TOS levels in C6 cells compared to the untreated glutamate group (p<0,05), while it increased TAS level (p<0,05). In addition, pregabalin decreased iNOS and NO levels in C6 cells after glutamate-induced cytotoxicity (p>0,05) but did not change nNOS levels (p>0,05).
Conclusion: Pregabalin has protective and antioxidant properties on cytotoxicity. If further in vivo and in vitro research supports this claim, it may be an effective supplement for neurodegenerative diseases such as Alzheimer's and Parkinson's.

References

  • 1. Çetindağ Çiltaş A, Gündoğdu S, Yulak F. Levetiracetam Protects Against Glutamate-Induced Excitotoxicity in SH-SY5Y Cell Line. International Journal of Nature and Life Sciences. 2022 Dec 1;6(2):142–50.
  • 2. Vega IE, Aurelio Freire MM, Vickers JC, Lewerenz jan J, Maher P, Lewerenz J. Chronic Glutamate Toxicity in Neurodegenerative Diseases-What is the Evidence? Frontiers in Neuroscience | www.frontiersin.org [Internet]. 2015 [cited 2023 Aug 24];9. Available from: www.frontiersin.org
  • 3. Filiz AK, Öztürk A. The Effect of Carbamazepine Against Glutamate-induced Cytotoxicity in the C6 Cell Line. International Journal of Scientific and Technological Research. 2021 Sep;
  • 4. Ortasoz AM, Ozdemir E, Taskıran AS, Ozturk A. Sinapic acid alleviates glutamate-induced excitotoxicity by inhibiting neuroinflammation and endoplasmic reticulum stress pathway in C6 glioma cells. Toxicology in Vitro. 2025 Mar;103:105977.
  • 5. Yulak F, Joha Z, Öztürk A, İnan ZDŞ, Taşkıran AŞ. Enoxaparin Protects C6 Glioma Cells from Glutamate-Induced Cytotoxicity by Reducing Oxidative Stress and Apoptosis. Mol Neurobiol. 2024 Oct 29;
  • 6. Li R, Kristian T, Yang S, Kritis AA, Stamoula EG, Paniskaki KA, et al. Researching glutamate – induced cytotoxicity in different cell lines: a comparative/collective analysis/study. 2015 [cited 2023 Aug 24]; Available from: www.frontiersin.org
  • 7. Taskiran AS, Merve Ergul ·. The effect of salmon calcitonin against glutamate-induced cytotoxicity in the C6 cell line and the roles the inflammatory and nitric oxide pathways play. Metab Brain Dis [Internet]. [cited 2023 Aug 24];1:3. Available from: https://doi.org/10.1007/s11011-021-00793-6
  • 8. Cunningham MO, Woodhall GL, Thompson SE, Dooley DJ, Jones RSG. Dual effects of gabapentin and pregabalin on glutamate release at rat entorhinal synapses in vitro. European Journal of Neuroscience [Internet]. 2004 Sep 1 [cited 2023 Aug 24];20(6):1566–76. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1460-9568.2004.03625.x
  • 9. Aşcı S, Demirci S, Aşcı H, Doğuç DK, Onaran İ. Neuroprotective effects of pregabalin on cerebral ischemia and reperfusion. Balkan Med J. 2016 Mar 1;33(2):221–7.
  • 10. Kavoussi R. Pregabalin: From molecule to medicine. European Neuropsychopharmacology. 2006 Jul;16(SUPPL. 2).
  • 11. Ha KY, Lee JS, Kim KW. Degeneration of sacroiliac joint after instrumented lumbar or lumbosacral fusion: A prospective cohort study over five-year follow-up. Spine (Phila Pa 1976) [Internet]. 2008 May [cited 2023 Aug 24];33(11):1192–8. Available from: https://journals.lww.com/spinejournal/fulltext/2008/05150/degeneration_of_sacroiliac_joint_after.7.aspx
  • 12. Zhang Z, Jiang J, He Y, Cai J, Xie J, Wu M, et al. Pregabalin mitigates microglial activation and neuronal injury by inhibiting HMGB1 signaling pathway in radiation-induced brain injury. J Neuroinflammation. 2022 Sep 21;19(1):231.
  • 13. Filiz AK, Joha Z, Yulak F. Mechanism of anti-cancer effect of β-glucan on SH-SY5Y cell line. Bangladesh J Pharmacol. 2021 Oct 1;16(4):122–8.
  • 14. Joha Z, Yulak F, Öztürk A, Şahin B, Yıldırım Ş. The Anticancer Effect of Cannabinoid 2 Agonist L-759,633 on C6 and SH-SY5Y Cell Lines. Turkish Journal of Science and Health. 2021 Aug 19;
  • 15. Gömeç M, İpek G, Öztürk A, Şahin İnan D. Effect of Wheat Germ Oil on Wound Healing: An In Vitro Study in Fibroblast Cells. Turkish Journal of Science and Health. 2022 Sep 17;
  • 16. Fink K, Dooley DJ, Meder WP, Suman-Chauhan N, Duffy S, Clusmann H, et al. Inhibition of neuronal Ca 2+ influx by gabapentin and pregabalin in the human neocortex. Neuropharmacology [Internet]. 2002 [cited 2023 Aug 24];42:229–36. Available from: www.elsevier.com/locate/neuropharm
  • 17. Errante LD, Petroff OAC, Ognen D, Petroff AC. Acute effects of gabapentin and pregabalin on rat forebrain cellular GABA, glutamate, and glutamine concentrations. Seizure. 2003;12:300–6.
  • 18. David Luo Z, Chaplan SR, Higuera ES, Sorkin LS, Stauderman KA, Williams ME, et al. Upregulation of Dorsal Root Ganglion 2 Calcium Channel Subunit and Its Correlation with Allodynia in Spinal Nerve-Injured Rats. 2001;
  • 19. Kumar N, Laferriere A, Yu JSC, Leavitt A, Coderre TJ. Evidence that pregabalin reduces neuropathic pain by inhibiting the spinal release of glutamate. J Neurochem. 2010 Apr;113(2):552–61.
  • 20. Ha KY, Kim YH, Rhyu KW, Kwon SE. Pregabalin as a neuroprotector after spinal cord injury in rats.
  • 21. Filiz AK, Karabulut S. Involvement of nitric oxide pathway in the acute anticonvulsant effect of salmon calcitonin in rats. Epilepsy Res. 2022 Feb 1;180.
  • 22. Bahremand A, Ziai P, Khodadad TK, Payandemehr B, Rahimian R, Ghasemi A, et al. Agmatine enhances the anticonvulsant effect of lithium chloride on pentylenetetrazole-induced seizures in mice: Involvement of L-arginine/nitric oxide pathway. 2010;
  • 23. Dirik H, Joha Z. Investigation of the effect of sugammadex on glutamate-induced neurotoxicity in C6 cell line and the roles played by nitric oxide and oxidative stress pathways. 2023 [cited 2023 Aug 24]; Available from: https://onlinelibrary.wiley.com/doi/10.1111/fcp.12890
  • 24. Zhou L, Zhu DY. Neuronal nitric oxide synthase: Structure, subcellular localization, regulation, and clinical implications. Nitric Oxide. 2009;20:223–30.
  • 25. Gallorini M, Maccallini C, Ammazzalorso A, Amoia P, De Filippis B, Fantacuzzi M, et al. Molecular Sciences The Selective Acetamidine-Based iNOS Inhibitor CM544 Reduces Glioma Cell Proliferation by Enhancing PARP-1 Cleavage In Vitro. [cited 2023 Aug 24]; Available from: www.mdpi.com/journal/ijms
  • 26. Speigel I, Osman V, Hemmings HC. Volatile anesthetics inhibit presynaptic cGMP signaling to depress presynaptic excitability in rat hippocampal neurons. [cited 2023 Aug 25]; Available from: https://doi.org/10.1101/2022.01.03.474845
  • 27. Cárdenas A, Moro MA, Hurtado O, Leza JC, Lorenzo P, Castrillo A, et al. Implication of Glutamate in the Expression of Inducible Nitric Oxide Synthase After Oxygen and Glucose Deprivation in Rat Forebrain Slices. J Neurochem [Internet]. 2000 [cited 2023 Aug 25];74:2041–8. Available from: https://onlinelibrary.wiley.com/doi/10.1046/j.1471-4159.2000.0742041.x
  • 28. Moro MA, Cárdenas A, Hurtado O, Leza JC, Lizasoain I. Role of nitric oxide after brain ischaemia. Cell Calcium. 2004;36(3–4):265–75.
  • 29. Memari M, Sadatamini M, Khazaei-Poul Y, Joharchi K. Does Pregabalin change serum levels of iNOS and NO in diabetic patients with neuropathic pain?A quasi-experimental study. 2020.
  • 30. Karademir M, Öztürk A, Yulak F, Özkaraca M, Taskiran AS. Unveiling the Protective Potential of Sugammadex against PTZ-Induced Epileptic Seizures in Mice: A Comprehensive Study on Oxidative Stress, Apoptosis, and Autophagy. Neurochemical Journal. 2024 Jun 27;18(2):338–47.
  • 31. Andersen JK. Oxidative stress in neurodegeneration: cause or consequence? Nature Medicine 2004 10:7 [Internet]. 2004 Jul 1 [cited 2023 Aug 25];10(7):S18–25. Available from: https://www.nature.com/articles/nrn1434
  • 32. Şahin B, Karabulut S. Cumhuriyet Medical Journal Sugammadex Causes C6 Glial Cell Death and Exacerbates Hydrogen Peroxide-Induced Oxidative Stress. Cumhuriyet Medical Journal. 2022;44(1):22–7.

Pregabalinin Glutamat Eksitotoksisitesine Karşı Nöroprotektif Etkinliğinde Oksidatif ve Nitrozatif Yolların Rolü

Year 2025, Volume: 16 Issue: 2, 212 - 219, 18.08.2025
https://doi.org/10.22312/sdusbed.1474555

Abstract

Amaç: Bu çalışma pregabalinin nitrik oksit ve oksidatif stres yolakları üzerinden glutamat ile indüklenen sitotoksisite üzerindeki nöroprotektif etkisini araştırmak için tasarlandı.
Gereç ve Yöntem: Deneyde C6 glioma hücre hattı kullanılmıştır. Pregabalinin glutamatın neden olduğu sitotoksisiteden sonra glial hücre ölümü üzerindeki etkisini değerlendirmek için dört grup oluşturuldu. Kontrol grubu herhangi bir işlem görmedi. Glutamat grubundaki hücreler 24 saat 10 mM glutamat ile muamele edildi. Pregabalin grubundaki hücreler, 24 saat boyunca çeşitli konsantrasyonlarda (3,75; 7,5; 15; 30 ve 60µM) pregabalin ile muamele edildi. Pregabalin+glutamat grubundaki hücreler, 1 saat boyunca çeşitli konsantrasyonlarda (3,75; 7,5; 15; 30 ve 60µM) pregabalin ile ön işleme tabi tutuldu ve ardından 24 saat boyunca 10mM glutamata maruz bırakıldı. Hücre canlılığı, XTT tahlili ile değerlendirildi. Hücrelerdeki toplam antioksidan ve oksidan seviyesi (TAS-TOS), indüklenebilir nitrik oksit (iNOS), nitrik oksit (NO) ve nöronal nitrik oksit (nNOS) seviyeleri ticari kitlerle ölçüldü.
Bulgular: 30 ve 60 µM konsantrasyondaki pregabalin, glutamatın neden olduğu sitotoksisiteden sonra C6 hücrelerinde hücre canlılığını önemli ölçüde arttırdı (p<0,01). Pregabalin (30µM)+glutamat, tedavi edilmemiş glutamat grubuna (p<0,05) kıyasla C6 hücrelerinde TOS seviyelerini önemli ölçüde azaltırken, TAS seviyesini artırmıştır (p<0,05). Ayrıca pregabalin, glutamatın indüklediği sitotoksisite sonrasında C6 hücrelerinde iNOS ve NO seviyesini azaltırken (p>0,05) nNOS düzeyini değiştirmemiştir (p>0,05).
Sonuç: Pregabalin, sitotoksisite üzerinde koruyucu ve antioksidan özelliklere sahiptir. Eğer in vivo ve vitro daha fazla araştırma bu iddiayı desteklerse Alzheimer ve Parkinson gibi nörodejeneratif hastalıklar için etkili bir takviye olabilir.

Ethical Statement

Makalemizde etik kurala ihtiyaç duyulmamaktadır

Supporting Institution

Tubitak

Thanks

Bu çalışma TUBİTAK 2209-A Öğrenci projesi kapsamında yapılmıştır. Çalışmada gerekli olanakları sağladığı için Sivas Cumhuriyet Üniversitesi Tıp Fakültesi Araştırma Merkezi’ne (CÜTFAM) teşekkür ederiz.

References

  • 1. Çetindağ Çiltaş A, Gündoğdu S, Yulak F. Levetiracetam Protects Against Glutamate-Induced Excitotoxicity in SH-SY5Y Cell Line. International Journal of Nature and Life Sciences. 2022 Dec 1;6(2):142–50.
  • 2. Vega IE, Aurelio Freire MM, Vickers JC, Lewerenz jan J, Maher P, Lewerenz J. Chronic Glutamate Toxicity in Neurodegenerative Diseases-What is the Evidence? Frontiers in Neuroscience | www.frontiersin.org [Internet]. 2015 [cited 2023 Aug 24];9. Available from: www.frontiersin.org
  • 3. Filiz AK, Öztürk A. The Effect of Carbamazepine Against Glutamate-induced Cytotoxicity in the C6 Cell Line. International Journal of Scientific and Technological Research. 2021 Sep;
  • 4. Ortasoz AM, Ozdemir E, Taskıran AS, Ozturk A. Sinapic acid alleviates glutamate-induced excitotoxicity by inhibiting neuroinflammation and endoplasmic reticulum stress pathway in C6 glioma cells. Toxicology in Vitro. 2025 Mar;103:105977.
  • 5. Yulak F, Joha Z, Öztürk A, İnan ZDŞ, Taşkıran AŞ. Enoxaparin Protects C6 Glioma Cells from Glutamate-Induced Cytotoxicity by Reducing Oxidative Stress and Apoptosis. Mol Neurobiol. 2024 Oct 29;
  • 6. Li R, Kristian T, Yang S, Kritis AA, Stamoula EG, Paniskaki KA, et al. Researching glutamate – induced cytotoxicity in different cell lines: a comparative/collective analysis/study. 2015 [cited 2023 Aug 24]; Available from: www.frontiersin.org
  • 7. Taskiran AS, Merve Ergul ·. The effect of salmon calcitonin against glutamate-induced cytotoxicity in the C6 cell line and the roles the inflammatory and nitric oxide pathways play. Metab Brain Dis [Internet]. [cited 2023 Aug 24];1:3. Available from: https://doi.org/10.1007/s11011-021-00793-6
  • 8. Cunningham MO, Woodhall GL, Thompson SE, Dooley DJ, Jones RSG. Dual effects of gabapentin and pregabalin on glutamate release at rat entorhinal synapses in vitro. European Journal of Neuroscience [Internet]. 2004 Sep 1 [cited 2023 Aug 24];20(6):1566–76. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1460-9568.2004.03625.x
  • 9. Aşcı S, Demirci S, Aşcı H, Doğuç DK, Onaran İ. Neuroprotective effects of pregabalin on cerebral ischemia and reperfusion. Balkan Med J. 2016 Mar 1;33(2):221–7.
  • 10. Kavoussi R. Pregabalin: From molecule to medicine. European Neuropsychopharmacology. 2006 Jul;16(SUPPL. 2).
  • 11. Ha KY, Lee JS, Kim KW. Degeneration of sacroiliac joint after instrumented lumbar or lumbosacral fusion: A prospective cohort study over five-year follow-up. Spine (Phila Pa 1976) [Internet]. 2008 May [cited 2023 Aug 24];33(11):1192–8. Available from: https://journals.lww.com/spinejournal/fulltext/2008/05150/degeneration_of_sacroiliac_joint_after.7.aspx
  • 12. Zhang Z, Jiang J, He Y, Cai J, Xie J, Wu M, et al. Pregabalin mitigates microglial activation and neuronal injury by inhibiting HMGB1 signaling pathway in radiation-induced brain injury. J Neuroinflammation. 2022 Sep 21;19(1):231.
  • 13. Filiz AK, Joha Z, Yulak F. Mechanism of anti-cancer effect of β-glucan on SH-SY5Y cell line. Bangladesh J Pharmacol. 2021 Oct 1;16(4):122–8.
  • 14. Joha Z, Yulak F, Öztürk A, Şahin B, Yıldırım Ş. The Anticancer Effect of Cannabinoid 2 Agonist L-759,633 on C6 and SH-SY5Y Cell Lines. Turkish Journal of Science and Health. 2021 Aug 19;
  • 15. Gömeç M, İpek G, Öztürk A, Şahin İnan D. Effect of Wheat Germ Oil on Wound Healing: An In Vitro Study in Fibroblast Cells. Turkish Journal of Science and Health. 2022 Sep 17;
  • 16. Fink K, Dooley DJ, Meder WP, Suman-Chauhan N, Duffy S, Clusmann H, et al. Inhibition of neuronal Ca 2+ influx by gabapentin and pregabalin in the human neocortex. Neuropharmacology [Internet]. 2002 [cited 2023 Aug 24];42:229–36. Available from: www.elsevier.com/locate/neuropharm
  • 17. Errante LD, Petroff OAC, Ognen D, Petroff AC. Acute effects of gabapentin and pregabalin on rat forebrain cellular GABA, glutamate, and glutamine concentrations. Seizure. 2003;12:300–6.
  • 18. David Luo Z, Chaplan SR, Higuera ES, Sorkin LS, Stauderman KA, Williams ME, et al. Upregulation of Dorsal Root Ganglion 2 Calcium Channel Subunit and Its Correlation with Allodynia in Spinal Nerve-Injured Rats. 2001;
  • 19. Kumar N, Laferriere A, Yu JSC, Leavitt A, Coderre TJ. Evidence that pregabalin reduces neuropathic pain by inhibiting the spinal release of glutamate. J Neurochem. 2010 Apr;113(2):552–61.
  • 20. Ha KY, Kim YH, Rhyu KW, Kwon SE. Pregabalin as a neuroprotector after spinal cord injury in rats.
  • 21. Filiz AK, Karabulut S. Involvement of nitric oxide pathway in the acute anticonvulsant effect of salmon calcitonin in rats. Epilepsy Res. 2022 Feb 1;180.
  • 22. Bahremand A, Ziai P, Khodadad TK, Payandemehr B, Rahimian R, Ghasemi A, et al. Agmatine enhances the anticonvulsant effect of lithium chloride on pentylenetetrazole-induced seizures in mice: Involvement of L-arginine/nitric oxide pathway. 2010;
  • 23. Dirik H, Joha Z. Investigation of the effect of sugammadex on glutamate-induced neurotoxicity in C6 cell line and the roles played by nitric oxide and oxidative stress pathways. 2023 [cited 2023 Aug 24]; Available from: https://onlinelibrary.wiley.com/doi/10.1111/fcp.12890
  • 24. Zhou L, Zhu DY. Neuronal nitric oxide synthase: Structure, subcellular localization, regulation, and clinical implications. Nitric Oxide. 2009;20:223–30.
  • 25. Gallorini M, Maccallini C, Ammazzalorso A, Amoia P, De Filippis B, Fantacuzzi M, et al. Molecular Sciences The Selective Acetamidine-Based iNOS Inhibitor CM544 Reduces Glioma Cell Proliferation by Enhancing PARP-1 Cleavage In Vitro. [cited 2023 Aug 24]; Available from: www.mdpi.com/journal/ijms
  • 26. Speigel I, Osman V, Hemmings HC. Volatile anesthetics inhibit presynaptic cGMP signaling to depress presynaptic excitability in rat hippocampal neurons. [cited 2023 Aug 25]; Available from: https://doi.org/10.1101/2022.01.03.474845
  • 27. Cárdenas A, Moro MA, Hurtado O, Leza JC, Lorenzo P, Castrillo A, et al. Implication of Glutamate in the Expression of Inducible Nitric Oxide Synthase After Oxygen and Glucose Deprivation in Rat Forebrain Slices. J Neurochem [Internet]. 2000 [cited 2023 Aug 25];74:2041–8. Available from: https://onlinelibrary.wiley.com/doi/10.1046/j.1471-4159.2000.0742041.x
  • 28. Moro MA, Cárdenas A, Hurtado O, Leza JC, Lizasoain I. Role of nitric oxide after brain ischaemia. Cell Calcium. 2004;36(3–4):265–75.
  • 29. Memari M, Sadatamini M, Khazaei-Poul Y, Joharchi K. Does Pregabalin change serum levels of iNOS and NO in diabetic patients with neuropathic pain?A quasi-experimental study. 2020.
  • 30. Karademir M, Öztürk A, Yulak F, Özkaraca M, Taskiran AS. Unveiling the Protective Potential of Sugammadex against PTZ-Induced Epileptic Seizures in Mice: A Comprehensive Study on Oxidative Stress, Apoptosis, and Autophagy. Neurochemical Journal. 2024 Jun 27;18(2):338–47.
  • 31. Andersen JK. Oxidative stress in neurodegeneration: cause or consequence? Nature Medicine 2004 10:7 [Internet]. 2004 Jul 1 [cited 2023 Aug 25];10(7):S18–25. Available from: https://www.nature.com/articles/nrn1434
  • 32. Şahin B, Karabulut S. Cumhuriyet Medical Journal Sugammadex Causes C6 Glial Cell Death and Exacerbates Hydrogen Peroxide-Induced Oxidative Stress. Cumhuriyet Medical Journal. 2022;44(1):22–7.
There are 32 citations in total.

Details

Primary Language Turkish
Subjects Cell Physiology
Journal Section Araştırma Articlesi
Authors

Ahmet Şevki Taşkıran 0000-0002-5810-8415

Ayşegül Öztürk 0000-0001-8130-7968

Muhammed Atıf İnce 0000-0002-1957-8879

Publication Date August 18, 2025
Submission Date May 6, 2024
Acceptance Date March 7, 2025
Published in Issue Year 2025 Volume: 16 Issue: 2

Cite

Vancouver Taşkıran AŞ, Öztürk A, İnce MA. Pregabalinin Glutamat Eksitotoksisitesine Karşı Nöroprotektif Etkinliğinde Oksidatif ve Nitrozatif Yolların Rolü. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2025;16(2):212-9.

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