Frontiers in Neurology · 2017 · 30 citations · 41 references
MedicineNeurosciencePharmacologyEpilepsyNeuroimmunologyNeuropharmacologyMicroglia BiologyNeuroinflammationNeuroprotectionNeuroprotective PharmacologyMicroglia ModulationNeuroinflammation In EpilepsyNeuroinflammatory MechanismsNeuroprotective AgentsNeuroprotective MechanismsNeuroprotective PharmacotherapyNuclear Factor Kappa B ActivationTraditional Chinese Medicine
Background: Temporal lobe epilepsy (TLE) is one of the most drug-resistant types of epilepsy with about 80% of TLE patients falling into this category. Increasing evidence suggests that neuroinflammation, which has a critical role in the epileptogenesis of TLE, is associated with microglial activation. Therefore, agents that act towards the alleviation in microglial activation and the attenuation of neuroinflammation are promising candidates to treat TLE. α-Asarone is a major active ingredient of the Acori Graminei Rhizoma used in Traditional Chinese Medicine, which has been used to improve various disease conditions including stroke and convulsions. In addition, an increasing number of studies suggested that α-asarone can attenuate microglia-mediated neuroinflammation. Thus, we hypothesized that α-asarone is a promising neuroprotective agent for the treatment of the TLE. Methods: The present study evaluated the therapeutic effects of α-asarone on microglia-mediated neuroinflammation and neuroprotection in vitro and in vivo, using an untreated control group, a SE-induced group, and an SE-induced α-asarone pre-treated group. A pilocarpine-induced rat model of TLE was established to investigate the neuroprotective effects of α-asarone in vivo. For the in vitro study, lipopolysaccharide (LPS)-stimulated primary cultured microglial cells were used. Results: The results indicated that the brain microglial activation in the rats of the status epilepticus rat model led to important learning and memory deficit. Preventive treatment with α-asarone restrained microglial activation and reduced learning and memory deficit. In the in vitro studies, α-asarone significantly suppressed pro-inflammatory cytokine production in primary cultured microglial cells and attenuated the LPS-stimulated neuroinflammatory responses. Our mechanistic study revealed that α-asarone inhibited inflammatory processes by regulation the transcription levels of kappa-B, by blocking the degradation pathway of kappa B-alpha (IκB-α)and kappa B-beta (IκB-β) kinase in both the status epilepticus rats and in primary cultured microglial cells. Conclusions: Taken together, these data demonstrate that α-asarone is a promising neuroprotective agent for the prevention and treatment of microglia-mediated neuroinflammatory conditions including TLE, for which further assessment studies are pertinent.
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