Research Article
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Amantadine Mitigates LPS-Induced Pancreatic Inflammation via Suppression of IFN-β, IL-1β, and TNF-α Expressions in Rat Islet

Year 2025, Volume: 13 Issue: 2, 1 - 11, 29.08.2025

Abstract

Lipopolysaccharide (LPS)-induced systemic inflammation is known to impair pancreatic tissue integrity, particularly targeting β-cells within the islets of Langerhans, through cytokine-mediated injury. The research examined how amantadine (AMA) as an NMDA receptor antagonist protects against LPS-induced pancreatic damage in rats through histopathological and immunohistochemical assessments. The study involved thirty-two adult female Wistar albino rats weighing between 250–300 g which were randomly assigned to four groups (n=8): Control, LPS (5 mg/kg, i.p.), LPS+AMA (45 mg/kg, i.p.), and AMA-only. The rats received LPS administration followed by sacrifice under anesthesia six hours later. Pancreatic tissues were harvested for histopathological and immunohistochemical evaluations. Hematoxylin–eosin staining was used to assess edema, hyperemia, infiltration, and degeneration. Immunohistochemical analysis was performed to detect IFN-β, IL-1β, and TNF-α expressions in the islets of Langerhans. LPS administration resulted in significant histopathological injury, including interstitial edema, vascular congestion, inflammatory infiltration, and β-cell degeneration in the islets. Immunohistochemistry revealed a marked increase in IFN-β, IL-1β, and TNF-α expressions in the LPS group. Following AMA treatment both histopathological scores and cytokine expressions significantly mitigated compared to the LPS group (p < 0.001 for all). The control and AMA-alone groups maintained minimal expression of cytokine and normal pancreatic histology. LPS-induced pancreatic injury diminished via AMA treatment by suppressing inflammatory cytokine expression and preserving islet architecture. These findings suggest that AMA may have therapeutic potential in managing endotoxin-induced pancreatic dysfunction.

Ethical Statement

All procedures performed on the rats were reviewed and approved by the Local Animal Ethics Committee of Süleyman Demirel University.

Supporting Institution

Suleyman Demirel University Scientific Research Projects Coordination Unit

References

  • Akira, S., & Takeda, K. (2004). Toll-like receptor signaling. _Nature Reviews Immunology. 4_(7), 499–511. [https://doi.org/10.1038/nri1391](https://doi.org/10.1038/nri1391).
  • Chen J, Fei S, Chan LWC, Gan X, Shao B, Jiang H, Li S, Kuang P, Liu X, & Yang S. (2025). Inflammatory signaling pathways in pancreatic β-cell: New insights into type 2 diabetes pathogenesis. _Pharmacological Research, 15_(216), 107776. [https://doi.org/10.1016/j.phrs.2025.107776](https://doi.org/10.1016/j.phrs.2025.107776).
  • Cnop, M., Welsh, N., Jonas, J. C., Jörns, A., Lenzen, S., & Eizirik, D. L., (2005). Mechanisms of pancreatic β-cell death in type 1 and type 2 diabetes. _Diabetes, 54_(Suppl 2), S97–S107. [https://doi.org/10.2337/diabetes.54.suppl_2.s97](https://doi.org/10.2337/diabetes.54.suppl_2.s97).
  • Costa, B.M. (2021). NMDA receptor modulation and severe acute respiratory syndrome treatment. _F1000Res. 10:Chem Inf Sci_-1060. [https://doi.org/10.12688/f1000research.73897.1](https://doi.org/10.12688/f1000research.73897.1).
  • Danysz, W., Dekundy, A., Scheschonka, A., & Riederer, P. (2021). Amantadine: reappraisal of the timeless diamond-target updates and novel therapeutic potentials. Journal of Neural Transmission. 128(2):127-169. [https://doi.org/10.1007/s00702-021-02306-2](https://doi.org/10.1007/s00702-021-02306-2).
  • Dludla, P.V., Mabhida, S.E., Ziqubu, K., Nkambule, B.B., Mazibuko-Mbeje, S.E., Hanser, S., Basson, A.K., Pheiffer, C., & Kengne, A.P. 2023). Pancreatic β-cell dysfunction in type 2 diabetes: Implications of inflammation and oxidative stress. _World Journal of Diabetes. 14_(3),130-146. [https://doi.org/10.4239/wjd.v14.i3.130](https://doi.org/10.4239/wjd.v14.i3.130).
  • Eizirik, D. L., Pasquali, L., & Cnop, M., (2020). Pancreatic β-cells in type 1 and type 2 diabetes mellitus: Different pathways to failure. _Nature Reviews Endocrinology, 16_(7), 349–362. [https://doi.org/10.1038/s41574-020-0355-7](https://doi.org/10.1038/s41574-020-0355-7).
  • He, W., Rebello, O., Savino, R., Terracciano, R., Schuster-Klein, C., Guardiola, B., & Maedler, K. (2019). TLR4 triggered complex inflammation in human pancreatic islets. Biochimica et Biophysica Acta. _Molecular Basis of Disease. 1865_(1),86-97. [https://doi.org/10.1016/j.bbadis.2018.09.030](https://doi.org/10.1016/j.bbadis.2018.09.030).
  • Húngaro, T.G.R., Freitas-Lima, L.C., Gregnani, M.F., Perilhão, M.S., Alves-Silva, T., Arruda, A.C., Barrera-Chimal. J., Estrela, G.R., & Araújo, R.C. (2020). Physical exercise exacerbates acute kidney injury induced by LPS via Toll-Like Receptor 4. _Frontiers Physiology_. 11, 768. eCollection 2020. [https://doi.org/10.3389/fphys.2020.00768](https://doi.org/10.3389/fphys.2020.00768).
  •  Jiménez-Jiménez, F. J., Alonso-Navarro, H., & García-Martín, E. (2020). Anti-inflammatory effects of amantadine and memantine: Possible therapeutic relevance in COVID-19? _Journal of Personalized Medicine, 10_(4), 217. [https://doi.org/10.3390/jpm10040217](https://doi.org/10.3390/jpm10040217).
  • Kingsmore, K.M., Grammer, A.C., & Lipsky, P.E.A., (2020). Drug repurposing to improve treatment of rheumatic autoimmune inflammatory diseases. _Nature Reviews, Rheumatology._ _16_(1):32-52. [https://doi.org/10.1038/s41584-019-0337-0](https://doi.org/10.1038/s41584-019-0337-0).
  • Liu T, Wang Q, Du Z, Yin L, Li J, Meng X, & Xue D. (2023). The trigger for pancreatic disease: NLRP3 inflammasome. _Cell Death Discovery. 9_(1), 246. [https://doi.org/10.1038/s41420-023-01550-7](https://doi.org/10.1038/s41420-023-01550-7).
  • Lombardi, A., & Tomer, Y. (2017). Interferon alpha impairs insulin production in human beta cells via endoplasmic reticulum stress. _Journal of Autoimmunity._ _80_, 48-55. [https://doi.org/10.1016/j.jaut.2017.02.002](https://doi.org/10.1016/j.jaut.2017.02.002).
  • McNab, F., Mayer-Barber, K., Sheri A., Wack, A., & O'Garra, A. (2015). Type I interferons in infectious disease. _Nature Review Immunology. 5_(2),87-103. [https://doi.org/10.1038/nri3787](https://doi.org/10.1038/nri3787).
  • Özmen, Ö., Aşcı, H., Savran, M., Şahin, M., & Dolu, H. (2024). Amantadine preserves VCAM immunoexpression levels in cardiac injury induced by brain trauma through its anti-inflammatory action and mitochondrial membrane protective effects. _MAKU Journal of Health Science Institute. 12_(2), 46-52. [https://doi.org/10.24998/maeusabed.1593256](https://doi.org/10.24998/maeusabed.1593256).
  • Ozmen, O., & Topsakal, S. (2022). Preventive Effect of agomelatine in lipopolysaccharide-induced pancreatic pathology. _Drug and Chemical Toxicology. 45_(1), 180-184. [https://doi.org/10.1080/01480545.2019.1675686](https://doi.org/10.1080/01480545.2019.1675686).
  • Ozmen, O., & Topsakal. S. (2019). Pregabalin ameliorates lipopolysaccharide-induced pancreatic inflammation in aged rats. _Endocrine, Metabolic & Immune Disorders - Drug Targets,_ _19_, 1141-1147. [https://doi.org/10.2174/1871530319666190306095532](https://doi.org/10.2174/1871530319666190306095532).
  • Sahin, F., Tuna, A. T., Unal, Y., Arslan, M., Yazar, H., Sezen, S.C., Gozukara, S.I., & Palabıyık, O. (2023). Effects of amantadine on liver and lung tissue in hepatic ischemia reperfusion injury in rats. _Gazi Medical Journal. 34_(1), 10–15. [http://dx.doi.org/10.12996/gmj.2023.2](http://dx.doi.org/10.12996/gmj.2023.2).
  • Topsakal, S., Ozmen, O., Karakuyu, N.F., Bedir, M., & Sancer, O. (2024). Cannabidiol mitigates lipopolysaccharide-induced pancreatic pathology: A promising therapeutic strategy. _Cannabis and Cannabinoid Research. 9_(3),809-818. [https://doi.org/10.1089/can.2023.0153](https://doi.org/10.1089/can.2023.0153).
  • Wang, M., Feng, J., Zhou, D., & Wang, J. (2023). Bacterial lipopolysaccharide-induced endothelial activation and dysfunction: a new predictive and therapeutic paradigm for sepsis. European Journal of Medical Research. 28(1),339. [https://doi.org/10.1186/s40001-023-01301-5](https://doi.org/10.1186/s40001-023-01301-5).
  • Xing, W., Huang, P., Lu, Y., Zeng, W., & Zuo, Z. (2018). Amantadine attenuates sepsis-induced cognitive dysfunction possibly not through inhibiting toll-like receptor 2. _Journal of Molecular Medicine. 96_(4), 391–402. [https://doi.org/10.1007/s00109-018-1631-z](https://doi.org/10.1007/s00109-018-1631-z).
  • Yang, X., Sun, A., Kong, L., Yang, X., Zhao, X., & Wang, S. (2024). Inhibition of NLRP3 inflammasome alleviates cognitive deficits in a mouse model of anti-NMDAR encephalitis induced by active immunization. _International Immunopharmacology 20_(137),112374. [https://doi.org/10.1016/j.intimp.2024.112374](https://doi.org/10.1016/j.intimp.2024.112374).

Year 2025, Volume: 13 Issue: 2, 1 - 11, 29.08.2025

Abstract

References

  • Akira, S., & Takeda, K. (2004). Toll-like receptor signaling. _Nature Reviews Immunology. 4_(7), 499–511. [https://doi.org/10.1038/nri1391](https://doi.org/10.1038/nri1391).
  • Chen J, Fei S, Chan LWC, Gan X, Shao B, Jiang H, Li S, Kuang P, Liu X, & Yang S. (2025). Inflammatory signaling pathways in pancreatic β-cell: New insights into type 2 diabetes pathogenesis. _Pharmacological Research, 15_(216), 107776. [https://doi.org/10.1016/j.phrs.2025.107776](https://doi.org/10.1016/j.phrs.2025.107776).
  • Cnop, M., Welsh, N., Jonas, J. C., Jörns, A., Lenzen, S., & Eizirik, D. L., (2005). Mechanisms of pancreatic β-cell death in type 1 and type 2 diabetes. _Diabetes, 54_(Suppl 2), S97–S107. [https://doi.org/10.2337/diabetes.54.suppl_2.s97](https://doi.org/10.2337/diabetes.54.suppl_2.s97).
  • Costa, B.M. (2021). NMDA receptor modulation and severe acute respiratory syndrome treatment. _F1000Res. 10:Chem Inf Sci_-1060. [https://doi.org/10.12688/f1000research.73897.1](https://doi.org/10.12688/f1000research.73897.1).
  • Danysz, W., Dekundy, A., Scheschonka, A., & Riederer, P. (2021). Amantadine: reappraisal of the timeless diamond-target updates and novel therapeutic potentials. Journal of Neural Transmission. 128(2):127-169. [https://doi.org/10.1007/s00702-021-02306-2](https://doi.org/10.1007/s00702-021-02306-2).
  • Dludla, P.V., Mabhida, S.E., Ziqubu, K., Nkambule, B.B., Mazibuko-Mbeje, S.E., Hanser, S., Basson, A.K., Pheiffer, C., & Kengne, A.P. 2023). Pancreatic β-cell dysfunction in type 2 diabetes: Implications of inflammation and oxidative stress. _World Journal of Diabetes. 14_(3),130-146. [https://doi.org/10.4239/wjd.v14.i3.130](https://doi.org/10.4239/wjd.v14.i3.130).
  • Eizirik, D. L., Pasquali, L., & Cnop, M., (2020). Pancreatic β-cells in type 1 and type 2 diabetes mellitus: Different pathways to failure. _Nature Reviews Endocrinology, 16_(7), 349–362. [https://doi.org/10.1038/s41574-020-0355-7](https://doi.org/10.1038/s41574-020-0355-7).
  • He, W., Rebello, O., Savino, R., Terracciano, R., Schuster-Klein, C., Guardiola, B., & Maedler, K. (2019). TLR4 triggered complex inflammation in human pancreatic islets. Biochimica et Biophysica Acta. _Molecular Basis of Disease. 1865_(1),86-97. [https://doi.org/10.1016/j.bbadis.2018.09.030](https://doi.org/10.1016/j.bbadis.2018.09.030).
  • Húngaro, T.G.R., Freitas-Lima, L.C., Gregnani, M.F., Perilhão, M.S., Alves-Silva, T., Arruda, A.C., Barrera-Chimal. J., Estrela, G.R., & Araújo, R.C. (2020). Physical exercise exacerbates acute kidney injury induced by LPS via Toll-Like Receptor 4. _Frontiers Physiology_. 11, 768. eCollection 2020. [https://doi.org/10.3389/fphys.2020.00768](https://doi.org/10.3389/fphys.2020.00768).
  •  Jiménez-Jiménez, F. J., Alonso-Navarro, H., & García-Martín, E. (2020). Anti-inflammatory effects of amantadine and memantine: Possible therapeutic relevance in COVID-19? _Journal of Personalized Medicine, 10_(4), 217. [https://doi.org/10.3390/jpm10040217](https://doi.org/10.3390/jpm10040217).
  • Kingsmore, K.M., Grammer, A.C., & Lipsky, P.E.A., (2020). Drug repurposing to improve treatment of rheumatic autoimmune inflammatory diseases. _Nature Reviews, Rheumatology._ _16_(1):32-52. [https://doi.org/10.1038/s41584-019-0337-0](https://doi.org/10.1038/s41584-019-0337-0).
  • Liu T, Wang Q, Du Z, Yin L, Li J, Meng X, & Xue D. (2023). The trigger for pancreatic disease: NLRP3 inflammasome. _Cell Death Discovery. 9_(1), 246. [https://doi.org/10.1038/s41420-023-01550-7](https://doi.org/10.1038/s41420-023-01550-7).
  • Lombardi, A., & Tomer, Y. (2017). Interferon alpha impairs insulin production in human beta cells via endoplasmic reticulum stress. _Journal of Autoimmunity._ _80_, 48-55. [https://doi.org/10.1016/j.jaut.2017.02.002](https://doi.org/10.1016/j.jaut.2017.02.002).
  • McNab, F., Mayer-Barber, K., Sheri A., Wack, A., & O'Garra, A. (2015). Type I interferons in infectious disease. _Nature Review Immunology. 5_(2),87-103. [https://doi.org/10.1038/nri3787](https://doi.org/10.1038/nri3787).
  • Özmen, Ö., Aşcı, H., Savran, M., Şahin, M., & Dolu, H. (2024). Amantadine preserves VCAM immunoexpression levels in cardiac injury induced by brain trauma through its anti-inflammatory action and mitochondrial membrane protective effects. _MAKU Journal of Health Science Institute. 12_(2), 46-52. [https://doi.org/10.24998/maeusabed.1593256](https://doi.org/10.24998/maeusabed.1593256).
  • Ozmen, O., & Topsakal, S. (2022). Preventive Effect of agomelatine in lipopolysaccharide-induced pancreatic pathology. _Drug and Chemical Toxicology. 45_(1), 180-184. [https://doi.org/10.1080/01480545.2019.1675686](https://doi.org/10.1080/01480545.2019.1675686).
  • Ozmen, O., & Topsakal. S. (2019). Pregabalin ameliorates lipopolysaccharide-induced pancreatic inflammation in aged rats. _Endocrine, Metabolic & Immune Disorders - Drug Targets,_ _19_, 1141-1147. [https://doi.org/10.2174/1871530319666190306095532](https://doi.org/10.2174/1871530319666190306095532).
  • Sahin, F., Tuna, A. T., Unal, Y., Arslan, M., Yazar, H., Sezen, S.C., Gozukara, S.I., & Palabıyık, O. (2023). Effects of amantadine on liver and lung tissue in hepatic ischemia reperfusion injury in rats. _Gazi Medical Journal. 34_(1), 10–15. [http://dx.doi.org/10.12996/gmj.2023.2](http://dx.doi.org/10.12996/gmj.2023.2).
  • Topsakal, S., Ozmen, O., Karakuyu, N.F., Bedir, M., & Sancer, O. (2024). Cannabidiol mitigates lipopolysaccharide-induced pancreatic pathology: A promising therapeutic strategy. _Cannabis and Cannabinoid Research. 9_(3),809-818. [https://doi.org/10.1089/can.2023.0153](https://doi.org/10.1089/can.2023.0153).
  • Wang, M., Feng, J., Zhou, D., & Wang, J. (2023). Bacterial lipopolysaccharide-induced endothelial activation and dysfunction: a new predictive and therapeutic paradigm for sepsis. European Journal of Medical Research. 28(1),339. [https://doi.org/10.1186/s40001-023-01301-5](https://doi.org/10.1186/s40001-023-01301-5).
  • Xing, W., Huang, P., Lu, Y., Zeng, W., & Zuo, Z. (2018). Amantadine attenuates sepsis-induced cognitive dysfunction possibly not through inhibiting toll-like receptor 2. _Journal of Molecular Medicine. 96_(4), 391–402. [https://doi.org/10.1007/s00109-018-1631-z](https://doi.org/10.1007/s00109-018-1631-z).
  • Yang, X., Sun, A., Kong, L., Yang, X., Zhao, X., & Wang, S. (2024). Inhibition of NLRP3 inflammasome alleviates cognitive deficits in a mouse model of anti-NMDAR encephalitis induced by active immunization. _International Immunopharmacology 20_(137),112374. [https://doi.org/10.1016/j.intimp.2024.112374](https://doi.org/10.1016/j.intimp.2024.112374).
There are 22 citations in total.

Details

Primary Language English
Subjects Veterinary Pathology
Journal Section Research Article
Authors

Şenay Topsakal 0000-0003-4575-5653

Halil Aşçı 0000-0002-1545-035X

Mert Öktem 0000-0002-1478-6089

Özlem Özmen 0000-0002-1835-1082

Sinem Gültekin 0009-0006-0241-8779

Pınar Karabacak 0000-0002-6210-5962

Submission Date June 3, 2025
Acceptance Date July 18, 2025
Publication Date August 29, 2025
Published in Issue Year 2025 Volume: 13 Issue: 2

Cite

APA Topsakal, Ş., Aşçı, H., Öktem, M., … Özmen, Ö. (2025). Amantadine Mitigates LPS-Induced Pancreatic Inflammation via Suppression of IFN-β, IL-1β, and TNF-α Expressions in Rat Islet. Mehmet Akif Ersoy University Journal of Health Sciences Institute, 13(2), 1-11. https://doi.org/10.24998/maeusabed.1713336
AMA Topsakal Ş, Aşçı H, Öktem M, Özmen Ö, Gültekin S, Karabacak P. Amantadine Mitigates LPS-Induced Pancreatic Inflammation via Suppression of IFN-β, IL-1β, and TNF-α Expressions in Rat Islet. Mehmet Akif Ersoy University Journal of Health Sciences Institute. August 2025;13(2):1-11. doi:10.24998/maeusabed.1713336
Chicago Topsakal, Şenay, Halil Aşçı, Mert Öktem, Özlem Özmen, Sinem Gültekin, and Pınar Karabacak. “Amantadine Mitigates LPS-Induced Pancreatic Inflammation via Suppression of IFN-β, IL-1β, and TNF-α Expressions in Rat Islet”. Mehmet Akif Ersoy University Journal of Health Sciences Institute 13, no. 2 (August 2025): 1-11. https://doi.org/10.24998/maeusabed.1713336.
EndNote Topsakal Ş, Aşçı H, Öktem M, Özmen Ö, Gültekin S, Karabacak P (August 1, 2025) Amantadine Mitigates LPS-Induced Pancreatic Inflammation via Suppression of IFN-β, IL-1β, and TNF-α Expressions in Rat Islet. Mehmet Akif Ersoy University Journal of Health Sciences Institute 13 2 1–11.
IEEE Ş. Topsakal, H. Aşçı, M. Öktem, Ö. Özmen, S. Gültekin, and P. Karabacak, “Amantadine Mitigates LPS-Induced Pancreatic Inflammation via Suppression of IFN-β, IL-1β, and TNF-α Expressions in Rat Islet”, Mehmet Akif Ersoy University Journal of Health Sciences Institute, vol. 13, no. 2, pp. 1–11, 2025, doi: 10.24998/maeusabed.1713336.
ISNAD Topsakal, Şenay et al. “Amantadine Mitigates LPS-Induced Pancreatic Inflammation via Suppression of IFN-β, IL-1β, and TNF-α Expressions in Rat Islet”. Mehmet Akif Ersoy University Journal of Health Sciences Institute 13/2 (August2025), 1-11. https://doi.org/10.24998/maeusabed.1713336.
JAMA Topsakal Ş, Aşçı H, Öktem M, Özmen Ö, Gültekin S, Karabacak P. Amantadine Mitigates LPS-Induced Pancreatic Inflammation via Suppression of IFN-β, IL-1β, and TNF-α Expressions in Rat Islet. Mehmet Akif Ersoy University Journal of Health Sciences Institute. 2025;13:1–11.
MLA Topsakal, Şenay et al. “Amantadine Mitigates LPS-Induced Pancreatic Inflammation via Suppression of IFN-β, IL-1β, and TNF-α Expressions in Rat Islet”. Mehmet Akif Ersoy University Journal of Health Sciences Institute, vol. 13, no. 2, 2025, pp. 1-11, doi:10.24998/maeusabed.1713336.
Vancouver Topsakal Ş, Aşçı H, Öktem M, Özmen Ö, Gültekin S, Karabacak P. Amantadine Mitigates LPS-Induced Pancreatic Inflammation via Suppression of IFN-β, IL-1β, and TNF-α Expressions in Rat Islet. Mehmet Akif Ersoy University Journal of Health Sciences Institute. 2025;13(2):1-11.

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